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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867234/psn-pdf
    December 04, 2024 - Survey results reveal tubing misconnections are common and underreported—Parts I and II. December 4, 2024 Survey results reveal tubing misconnections are common and underreported—Parts I and II. ISMP Medication Safety Alert! Acute Care. October 31, 2024;29(22 & 23):1-5;1-4. https://psnet.ahrq.gov/issue/survey-resu…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837027/psn-pdf
    May 04, 2022 - Association of measured quality with financial health among U.S. hospitals. May 4, 2022 Enumah SJ, Resnick AS, Chang DC. Association of measured quality with financial health among U.S. hospitals. PLOS ONE. 2022;17(4):e0266696. doi:10.1371/journal.pone.0266696. https://psnet.ahrq.gov/issue/association-measured-qua…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855092/psn-pdf
    November 08, 2023 - Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. November 8, 2023 Grace MA, O'Malley R. Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review. Simul Healthc. 2023;19(4):243-253. doi:10.1097/sih.0000000000000748. h…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865478/psn-pdf
    April 03, 2024 - Racial implicit bias and communication among physicians in a simulated environment. April 3, 2024 Gonzalez CM, Ark TK, Fisher MR, et al. Racial implicit bias and communication among physicians in a simulated environment. JAMA Netw Open. 2024;7(3):e242181. doi:10.1001/jamanetworkopen.2024.2181. https://psnet.ahrq.g…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47409/psn-pdf
    April 16, 2019 - Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. April 16, 2019 Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 2019;38(4):32-42. doi:10.1002/jhrm.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47194/psn-pdf
    August 22, 2018 - Labeling morphine milligram equivalents on opioid packaging: a potential patient safety intervention. August 22, 2018 Stone AB, Urman RD, Kaye AD, et al. Labeling Morphine Milligram Equivalents on Opioid Packaging: a Potential Patient Safety Intervention. Curr Pain Headache Rep. 2018;22(7):46. doi:10.1007/s11916-01…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853242/psn-pdf
    September 06, 2023 - Protocolization of analgesia and sedation through smart technology in intensive care: improving patient safety. September 6, 2023 Ojeda IM, Sánchez-Cuervo M, Candela-Toha Á, et al. Protocolization of Analgesia and Sedation Through Smart Technology in Intensive Care: Improving Patient Safety. Crit Care Nurs. 2023;43…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47508/psn-pdf
    October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37995/psn-pdf
    September 19, 2016 - Inpatient suicide and suicide attempts in Veterans Affairs hospitals. September 19, 2016 Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488. https://psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45296/psn-pdf
    September 21, 2016 - Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. September 21, 2016 Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 2016;73(15):1167-73. doi:10.214…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44038/psn-pdf
    May 06, 2015 - Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. May 6, 2015 Marks L, Mazur L, Chera B, Adams R. Boca Raton, FL: Productivity Press; 2015. ISBN: 9781482233643. https://psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45452/psn-pdf
    August 24, 2016 - What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. August 24, 2016 ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3. https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45774/psn-pdf
    October 11, 2017 - Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals? October 11, 2017 Behrman S, Wilkinson P, Lloyd H, et al. Patient safety in community dementia services: what can we learn from the experiences of caregivers and healthcare professionals…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843085/psn-pdf
    January 25, 2023 - Assessment of the use of patient vital sign data for preventing misidentification and medical errors. January 25, 2023 Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. doi:10.3390/healthcare10122440. https:…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60518/psn-pdf
    May 27, 2020 - Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. May 27, 2020 Washington, DC: United States Government Accountability Office; May 20, 2020. Publication GAO-20- 576R.    https://psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespre…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851925/psn-pdf
    August 02, 2023 - Deficiencies in Emergency Department Care for a Patient Who Died by Suicide at the John Cochran Division of the VA St. Louis Health Care System in Missouri. August 2, 2023 Washington DC: Department of Veterans Affairs, Office of Inspector General; June 29, 2023. Report no. 22-01540-146. https://psnet.ahrq.gov/iss…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47001/psn-pdf
    August 17, 2018 - Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumstances and why. August 17, 2018 Sims S, Leamy M, Davies N, et al. Realist synthesis of intentional rounding in hospital wards: exploring the evidence of what works, for whom, in what circumst…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40355/psn-pdf
    July 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74144/psn-pdf
    December 01, 2021 - Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction. December 1, 2021 Joseph A. STAT. November 22, 2021 https://psnet.ahrq.gov/issue/her-husband-died-suicide-she-sued-his-pain-doctors-rare-challenge-over- opioid-dose-reduction The opioid epidemic has put regulator…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44122/psn-pdf
    January 01, 2016 - Best practices: an electronic drug alert program to improve safety in an accountable care environment. November 16, 2015 Griesbach S, Lustig A, Malsin L, et al. Best Practices: An Electronic Drug Alert Program to Improve Safety in an Accountable Care Environment. J Manag Care Spec Pharm. 2016;21(4):330-336. doi:10…
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