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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72851/psn-pdf
    March 17, 2021 - Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. March 17, 2021 Gurwitz JH, Kapoor A, Garber L, et al. Effect of a multifaceted clinical pharmacist intervention on medication safety after …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47046/psn-pdf
    April 18, 2018 - Smart pumps in practice: survey results reveal widespread use, but optimization is challenging. April 18, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 5, 2018;23:1-5. https://psnet.ahrq.gov/issue/smart-pumps-practice-survey-results-reveal-widespread-use-optimization- challenging Smart pumps are co…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43550/psn-pdf
    October 15, 2014 - Contingency planning for electronic health record–based care continuity: a survey of recommended practices. October 15, 2014 Sittig DF, Gonzalez D, Singh H. Contingency planning for electronic health record-based care continuity: a survey of recommended practices. Int J Med Inform. 2014;83(11):797-804. doi:10.1016…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47909/psn-pdf
    May 29, 2019 - Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. May 29, 2019 Radhakrishnan NS, Singh H, Southwick FS. Teaching novice clinicians how to reduce diagnostic waste and errors by applying the Toyota Production System. Diagnosis (Berl). 2019;6(2):179-185. do…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35471/psn-pdf
    September 21, 2009 - Medication safety in the ambulatory chemotherapy setting. September 21, 2009 Gandhi TK, Bartel SB, Shulman LN, et al. Medication safety in the ambulatory chemotherapy setting. Cancer. 2005;104(11). doi:10.1002/cncr.21442. https://psnet.ahrq.gov/issue/medication-safety-ambulatory-chemotherapy-setting Chemotherapeu…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866527/psn-pdf
    August 14, 2024 - Developing, implementing, evaluating electronic apparent cause analysis across a health care system. August 14, 2024 Oster CA, Woods E, Mumma J, et al. Developing, implementing, evaluating electronic apparent cause analysis across a health care system. Jt Comm J Qual Patient Saf. 2024;50(10):724-736. doi:10.1016/j…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60726/psn-pdf
    January 01, 2021 - User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. July 29, 2020 Jones MD, McGrogan A, Raynor DK, et al. User-testing guidelines to improve the safety of intravenous medicines administration: a randomised in situ simulation study. BMJ Qual …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844548/psn-pdf
    February 15, 2023 - Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital admission. February 15, 2023 Vargas V, Blakeslee WW, Banas CA, et al. Use of complete medication history to identify and correct transitions-of-care medication errors at psychiatric hospital adm…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74838/psn-pdf
    February 16, 2022 - Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. February 16, 2022 Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;17(5):399-402. doi:10.1002/jhm.2768.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72718/psn-pdf
    February 10, 2021 - Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study. February 10, 2021 Lagisetty P, Macleod C, Thomas J, et al. Assessing reasons for decreased primary care access for individuals on prescribed opioids. Pain. 2021;162(5):1379-1386. doi:10.1097/j.pain.00000000000…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35537/psn-pdf
    March 29, 2010 - FDA drug prescribing warnings: is the black box half empty or half full? March 29, 2010 Wagner AK, Chan A, Dashevsky I, et al. FDA drug prescribing warnings: is the black box half empty or half full? Pharmacoepidemiol Drug Saf. 2006;15(6):369-86. https://psnet.ahrq.gov/issue/fda-drug-prescribing-warnings-black-box…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837144/psn-pdf
    May 18, 2022 - Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. May 18, 2022 Odes R, Chapman SM, Ackerman SL, et al. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. Policy Polit Nurs Pract. 2022;23(2):98-108. doi:10.1177/1527154422…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867235/psn-pdf
    December 04, 2024 - HCUP Statistical Brief #312. Trends in Severe Maternal Morbidity Complications by Patient Characteristics, 2016- 2021. December 4, 2024 Reid LD. Hcup Statistical Brief #313. Trends In Severe Maternal Morbidity Complications By Patient Characteristics, 2016-2021. Rockville, MD: Agency for Healthcare Research and Qu…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74141/psn-pdf
    December 01, 2021 - Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? December 1, 2021 Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12):755-758. doi:10.1016/j.jcjq.2021.10.…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46078/psn-pdf
    June 14, 2017 - Prescription opioid exposures among children and adolescents in the United States: 2000–2015. June 14, 2017 Allen JD, Casavant MJ, Spiller HA, et al. Prescription Opioid Exposures Among Children and Adolescents in the United States: 2000-2015. Pediatrics. 2017;139(4). doi:10.1542/peds.2016-3382. https://psnet.ahrq…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849128/psn-pdf
    May 17, 2023 - Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. May 17, 2023 Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851457/psn-pdf
    July 19, 2023 - Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. July 19, 2023 Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Patient…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852285/psn-pdf
    August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. August 9, 2023 ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5. https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety- part…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866558/psn-pdf
    August 21, 2024 - Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. August 21, 2024 Bauer ME, Perez SL, Main EK, et al. Near-miss and maternal sepsis mortality: a qualitative study of survivors and support persons. Eur J Obstet Gynecol Reprod Biol. 2024;299:136-142. doi:10.1016/j.ejogrb.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45805/psn-pdf
    April 12, 2017 - 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. April 12, 2017 Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract. 2017;64(6):e26484. doi:10.1002/pbc.2…
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