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Showing results for "harms".

9001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74082/psn-pdf
      November 17, 2021 - Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. November 17, 2021 Manias E, Street M, Lowe G, et al. Associations of person-related, environment-related and communication-related factors on m…

9002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867134/psn-pdf
      November 13, 2024 - Improving adverse drug event reporting by healthcare professionals. November 13, 2024 Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2. https://psnet.ahrq.gov/issue/im…

9003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866859/psn-pdf
      October 02, 2024 - Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improvement, and implementation of a patient safety bundle. October 2, 2024 Prior A, Taylor I, Gibson KS, et al. Severe hypertension in pregnancy: progress made and future directions for patient safety, quality improv…

9004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72721/psn-pdf
      February 10, 2021 - Supporting recovery after adverse events: an essential component of surgeon well-being. February 10, 2021 Berman L, Rialon KL, Mueller CM, et al. Supporting recovery after adverse events: an essential component of surgeon well-being. J Pediatr Surg. 2021;56(5):833-838. doi:10.1016/j.jpedsurg.2020.12.031. https://p…

9005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60210/psn-pdf
      April 08, 2020 - Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. April 8, 2020 Tölli S, Kontio R, Partanen P, et al. Patient safety and staff competence in managing challenging behavior based on feedback from former psychiatric patients. Perspect Psychiatr Ca…

9006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39772/psn-pdf
      December 21, 2014 - Communication discrepancies between physicians and hospitalized patients. December 21, 2014 Olson DP, Windish DM. Communication discrepancies between physicians and hospitalized patients. Arch Intern Med. 2010;170(15):1302-1307. doi:10.1001/archinternmed.2010.239. https://psnet.ahrq.gov/issue/communication-discrep…

9007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/862990/psn-pdf
      February 21, 2024 - Assessing the excess costs of the in-hospital adverse events covered by the AHRQ's Patient Safety Indicators in Switzerland. February 21, 2024 Giese A, Khanam R, Nghiem S, et al. Assessing the excess costs of the in-hospital adverse events covered by the AHRQ’s Patient Safety Indicators in Switzerland. PLoS ONE. 2…

9008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867012/psn-pdf
      October 23, 2024 - Do healthcare professionals work around safety standards, and should we be worried? A scoping review. October 23, 2024 Clark D, Lawton R, Baxter R, et al. Do healthcare professionals work around safety standards, and should we be worried? A scoping review. BMJ Qual Saf. 2024;Epub Sep 27. doi:10.1136/bmjqs-2024-0175…

9009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836829/psn-pdf
      March 30, 2022 - Safety in fragile, conflict-affected, and vulnerable settings: An evidence scanning approach for identifying patient safety interventions. March 30, 2022 O’Brien N, Shaw A, Flott K, et al. Safety in fragile, conflict-affected, and vulnerable settings: an evidence scanning approach for identifying patient safety in…

9010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43499/psn-pdf
      September 03, 2014 - Older folks in hospitals: the contributing factors and recommendations for incident prevention. September 3, 2014 Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53. doi:10.1097/PTS.0b013e318299…

9011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46455/psn-pdf
      April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert Medications. April 24, 2018 Horsham, PA: Institute for Safe Medication Practices; 2017. https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications High-alert medications have the potential to cause substantial patient harm if adm…

9012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38662/psn-pdf
      April 12, 2011 - Patient error: a preliminary taxonomy. April 12, 2011 Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31. doi:10.1370/afm.941. https://psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy Preliminary research has found that patient factors may contribute to er…

9013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47254/psn-pdf
      September 19, 2018 - Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. September 19, 2018 Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.…

9014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50651/psn-pdf
      November 13, 2019 - How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. November 13, 2019 Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic rev…

9015. Gap Analysis Facilitator's Guide: Appendix A | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apa.html
      August 01, 2022 - Gap Analysis Facilitator's Guide: Appendix A CANDOR Gap Analysis Document Review Checklist Instructions: At least 1 month prior to the onsite gap analysis, collect and provide the following documents for analysis by the Gap Analysis Team. Documents for Submission to Reviewers Is the document availab…

9016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47482/psn-pdf
      December 05, 2018 - Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. December 5, 2018 Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. J Interprof…

9017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47692/psn-pdf
      May 29, 2019 - Classifying safety events related to diagnostic imaging from a safety reporting system using a human factors framework. May 29, 2019 Lacson R, Cochon L, Ip I, et al. Classifying Safety Events Related to Diagnostic Imaging From a Safety Reporting System Using a Human Factors Framework. J Am Coll Radiol. 2019;16(3):…

9018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867382/psn-pdf
      December 18, 2024 - Pharmacists’ perceptions of error reporting systems. December 18, 2024 Hartt CM, Weigand H, MacDonald AJ, et al. Pharmacists’ perceptions of error reporting systems. J Patient Saf Risk Manag. 2024;29(6):268-273. doi:10.1177/25160435241288287. https://psnet.ahrq.gov/issue/pharmacists-perceptions-error-reporting-syst…

9019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836778/psn-pdf
      March 23, 2022 - Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. March 23, 2022 Irons MW, Auta A, Portlock JC, et al. Medication errors and processes to reduce them in care homes in the United Kingdom: a scoping review. Home Health Care Serv Q. 2022;41(2):91-123. doi:10.1080/01…

9020. Making Healthcare Safer IV: Interventions to Prevent Nonventilator Hospital-acquired Pneumonia (NV-HAP) for Inpatients | Effective Health Care (EHC) Program
      effectivehealthcare.ahrq.gov/products/nv-hap/protocol