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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43363/psn-pdf
    September 12, 2016 - Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. September 12, 2016 Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery. 2014;155(6):989-94. doi:10.1016/j.surg.2014.01.016. https://ps…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46732/psn-pdf
    June 07, 2018 - The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. June 7, 2018 Fuchshuber P, Schwaitzberg S, Jones D, et al. The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. Surg Endosc. 2018;32(6):2583-2602. doi:10.1007/s00464- 017-5933-…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74033/psn-pdf
    November 03, 2021 - Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. November 3, 2021 Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt Comm J Qual Patient Saf. 2021;4…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41301/psn-pdf
    April 18, 2012 - Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. April 18, 2012 Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40807/psn-pdf
    September 01, 2016 - Prevalence of medication administration errors in two medical units with automated prescription and dispensing. September 1, 2016 Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication administration errors in two medical units with automated prescription and dispensing. J Am M…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837768/psn-pdf
    August 03, 2022 - Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology population. August 3, 2022 Samal L, Khasnabish S, Foskett C, et al. Comparison of a voluntary safety reporting system to a global trigger tool for identifying adverse events in an oncology popul…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74268/psn-pdf
    January 19, 2022 - Potentially inappropriate prescribing and its associations with health-related and system-related outcomes in hospitalised older adults: a systematic review and meta- analysis. January 19, 2022 Mekonnen AB, Redley B, Courten B, et al. Potentially inappropriate prescribing and its associations with health?related …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866079/psn-pdf
    June 05, 2024 - Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent evidence. June 5, 2024 Kuitunen S, Airaksinen M, Holmström A-R. Evolution of intravenous medication errors and preventive systemic defenses in hospital settings-a narrative review of recent…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72792/psn-pdf
    March 03, 2021 - Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. March 3, 2021 Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication reconciliation framework and stan…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865483/psn-pdf
    April 03, 2024 - Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. April 3, 2024 Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process and potential solutions to increase…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862992/psn-pdf
    February 21, 2024 - Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. February 21, 2024 Konwinski L, Steenland C, Miller K, et al. Evaluating independent double checks in the pediatric intensive care unit: a human factors engineering approach. J Patient Saf. 2024;20(3):20…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46848/psn-pdf
    October 13, 2018 - Identifying what is known about improving operating room to intensive care handovers: a scoping review. October 13, 2018 Zjadewicz K, Deemer KS, Coulthard J, et al. Identifying What Is Known About Improving Operating Room to Intensive Care Handovers: A Scoping Review. Am J Med Qual. 2018;33(5):540-548. doi:10.1177…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36575/psn-pdf
    August 17, 2011 - Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry. August 17, 2011 Wang JK, Herzog NS, Kaushal R, et al. Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37891/psn-pdf
    June 09, 2011 - Classifying and predicting errors of inpatient medication reconciliation. June 9, 2011 Pippins JR, Gandhi TK, Hamann C, et al. Classifying and predicting errors of inpatient medication reconciliation. J Gen Intern Med. 2008;23(9):1414-22. doi:10.1007/s11606-008-0687-9. https://psnet.ahrq.gov/issue/classifying-and-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47882/psn-pdf
    May 01, 2019 - Impact of oncology drug shortages on chemotherapy treatment. May 1, 2019 Alpert A, Jacobson M. Impact of Oncology Drug Shortages on Chemotherapy Treatment. Clin Pharmacol Ther. 2019;106(2):415-421. doi:10.1002/cpt.1390. https://psnet.ahrq.gov/issue/impact-oncology-drug-shortages-chemotherapy-treatment Drug shorta…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72568/psn-pdf
    January 01, 2021 - Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptions. December 16, 2020 Sigal A, Shah A, Onderdonk A, et al. Alternatives to opioid education and a prescription drug monitoring program cumulatively decreased outpatient opioid prescriptio…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854825/psn-pdf
    October 25, 2023 - Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. October 25, 2023 Lea W, Lawton R, Vincent CA, et al. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. J Patient Saf. 2023;19(8…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36346/psn-pdf
    April 11, 2011 - Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. April 11, 2011 Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedu…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73180/psn-pdf
    April 28, 2021 - Accuracy and safety of medication histories obtained at the time of intensive care unit admission of delirious or mechanically ventilated patients. April 28, 2021 Cicci CD, Fudzie SS, Campbell-Bright S, et al. Accuracy and safety of medication histories obtained at the time of intensive care unit admission of deli…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60033/psn-pdf
    March 11, 2020 - Interventions to reduce adverse drug event-related outcomes in older adults: a systematic review and meta- analysis. March 11, 2020 Tecklenborg S, Byrne C, Cahir C, et al. Interventions to Reduce Adverse Drug Event-Related Outcomes in Older Adults: A Systematic Review and Meta-analysis. Drugs Aging. 2020;37(2):91-…
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