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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47523/psn-pdf
    December 05, 2018 - Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Huth K, Stack AM, Chi G, et al. Developing Standardized "Receiver-Driven" Handoffs Between Referring Providers and the Emergency Department…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37585/psn-pdf
    April 29, 2010 - Medication errors involving patient-controlled analgesia.   April 29, 2010 Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. https://psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-a…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867047/psn-pdf
    October 30, 2024 - Therapeutic errors involving diabetes medications reported to United States poison centers. October 30, 2024 Thurgood Giarman A, Hays HL, Badeti J, et al. Therapeutic errors involving diabetes medications reported to United States poison centers. Inj Epidemiol. 2024;11(1):51. doi:10.1186/s40621-024-00536-y. https:…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60694/psn-pdf
    January 01, 2021 - Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cross- sectional survey and an analysis of registration data. July 15, 2020 ten Haken I, Ben Allouch S, van Harten WH. Reporting incidents involving the use of advanced medical technologies by nurses in home care: a cr…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48040/psn-pdf
    July 24, 2019 - Potentially inappropriate prescribing among older persons: a meta-analysis of observational studies. July 24, 2019 Liew TM, Lee CS, Shawn KLG, et al. Potentially Inappropriate Prescribing Among Older Persons: A Meta- Analysis of Observational Studies. Ann Fam Med. 2019;17(3):257-266. doi:10.1370/afm.2373. https://…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60528/psn-pdf
    May 27, 2020 - The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. May 27, 2020 Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-a…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38569/psn-pdf
    May 20, 2009 - Reducing health care hazards: lessons from the Commercial Aviation Safety Team. May 20, 2009 Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hlthaff.28.3.w479. https://psnet.ahrq.gov/is…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73588/psn-pdf
    August 11, 2021 - Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. August 11, 2021 Lalani C, Kunwar EM, Kinard M, et al. Reporting of death in US Food and Drug Administration medical device adverse event reports in categories other than death. JAMA Intern Med…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46202/psn-pdf
    January 01, 2021 - Assessment of automating safety surveillance from electronic health records: analysis for the quality and safety review system. September 20, 2017 Fong A, Adams KT, Samarth A, et al. Assessment of Automating Safety Surveillance From Electronic Health Records: Analysis for the Quality and Safety Review System. J Pa…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850163/psn-pdf
    June 07, 2023 - Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events. June 7, 2023 Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s han…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47689/psn-pdf
    February 06, 2019 - Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study. February 6, 2019 Chua K-P, Fischer MA, Linder JA. Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study. BMJ. 20…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73571/psn-pdf
    August 04, 2021 - "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. August 4, 2021 Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of a central fetal monitoring system…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865677/psn-pdf
    April 24, 2024 - The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. April 24, 2024 Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. doi:10.1097/pts.0000000000001197. …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50816/psn-pdf
    January 29, 2020 - Identifying potential patient safety issues from the Federal Electronic Health Record Surveillance Program January 29, 2020 Pacheco TB, Hettinger AZ, Ratwani RM. Identifying Potential Patient Safety Issues From the Federal Electronic Health Record Surveillance Program. JAMA. 2019;322(23):2339-2340. doi:10.1001/jam…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855096/psn-pdf
    November 08, 2023 - Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. November 8, 2023 Nitsche E, Dreßler J, Henschler R. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. J Blood Med. 2023;14:435-443. doi:10.2147/jbm.s411188. https://psnet.ahrq.gov/i…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72506/psn-pdf
    January 01, 2021 - Nurses' perceived causes of medication administration errors: a qualitative systematic review. November 25, 2020 Schroers G, Ross JG, Moriarty H. Nurses' perceived causes of medication administration errors: a qualitative systematic review. Jt Comm J Qual Patient Saf. 2021;47(1):38-53. doi:10.1016/j.jcjq.2020.09.0…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46041/psn-pdf
    September 20, 2017 - The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. September 20, 2017 Tchouaket E, Dubois C-A, D'Amour D. The economic burden of nurse-sensitive adverse events in 22 medical-surgical units: retrospective and matching analysis. J Adv Nurs. 2017;7…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74059/psn-pdf
    January 01, 2022 - Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. November 10, 2021 Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident repor…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867228/psn-pdf
    December 04, 2024 - Risk factors for wrong-patient medication orders in the emergency department. December 4, 2024 Krummrey G, Sauter TC, Hautz WE, et al. Risk factors for wrong-patient medication orders in the emergency department. JAMIA Open. 2024;7(4):ooae103. doi:10.1093/jamiaopen/ooae103. https://psnet.ahrq.gov/issue/risk-factor…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47042/psn-pdf
    June 13, 2018 - Addressing dual patient and staff safety through a team- based standardized patient simulation for agitation management in the emergency department. June 13, 2018 Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team- Based Standardized Patient Simulation for Agitation Mana…
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