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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72857/psn-pdf
    March 17, 2021 - Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. March 17, 2021 Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prev…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47505/psn-pdf
    March 19, 2019 - Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their measurement properties. March 19, 2019 Boet S, Etherington N, Larrigan S, et al. Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their me…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46201/psn-pdf
    September 27, 2017 - Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. September 27, 2017 Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow- up: Results from a national survey in Denmark. Cancer Epidemiol. 2017;49:38-45…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39917/psn-pdf
    October 13, 2010 - Prevalence of adverse events in pediatric intensive care units in the United States. October 13, 2010 Agarwal S, Classen D, Larsen G, et al. Prevalence of adverse events in pediatric intensive care units in the United States. Pediatr Crit Care Med. 2010;11(5):568-578. doi:10.1097/PCC.0b013e3181d8e405. https://psne…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43227/psn-pdf
    June 04, 2014 - Detecting adverse events in surgery: comparing events detected by the Veterans Health Administration Surgical Quality Improvement Program and the Patient Safety Indicators. June 4, 2014 Mull HJ, Borzecki A, Loveland S, et al. Detecting adverse events in surgery: comparing events detected by the Veterans Health Ad…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36345/psn-pdf
    November 15, 2011 - Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. November 15, 2011 Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. P…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866745/psn-pdf
    September 18, 2024 - State of the Science and Future Directions to Improve Diagnostic Safety in Older Adults. September 18, 2024 Tran AK, Syed Q, Bierman AS, et al. State Of The Science And Future Directions To Improve Diagnostic Safety In Older Adults. Rockville, MD: Agency for Healthcare Research and Quality; September 2024. AHRQ Pu…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45967/psn-pdf
    July 05, 2017 - Root-cause analysis: swatting at mosquitoes versus draining the swamp. July 5, 2017 Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. https://psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46819/psn-pdf
    January 27, 2019 - Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. January 27, 2019 Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-112. doi:10.1093/pm/pnx304. htt…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44768/psn-pdf
    February 03, 2016 - Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. February 3, 2016 Graudins L, Downey G, Bui T, et al. Recommendations and Low-Technology Safety Solutions Following Neuromuscular Blocking Agent Incidents. Jt Comm J Qual Patient Saf. 2016;42(2):86-91. https://psne…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34818/psn-pdf
    April 22, 2011 - The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. April 22, 2011 Baker R, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. CMAJ. 2004;170(11):1678-86. https://psnet.ahrq.gov/issue/…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866161/psn-pdf
    June 19, 2024 - Patient Safety Indicators at an academic veterans affairs hospital: addressing dual goals of clinical care and validity. June 19, 2024 Allaudeen N, Schalch E, Neff M, et al. Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical Care and Validity. Jt Comm J Qual Patie…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856586/psn-pdf
    November 29, 2023 - The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. November 29, 2023 Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals’ view…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844764/psn-pdf
    September 11, 2019 - IV Push Gap Analysis Tool (GAT) helps uncover national priorities for safe injection practices. September 11, 2019 ISMP Medication Safety Alert! Acute Care Edition. August 29, 2019;24. https://psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection- practices Mistakes i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40841/psn-pdf
    October 16, 2012 - How dangerous is a day in hospital?: A model of adverse events and length of stay for medical inpatients. October 16, 2012 Hauck K, Zhao X. How dangerous is a day in hospital? A model of adverse events and length of stay for medical inpatients. Med Care. 2011;49(12):1068-75. doi:10.1097/MLR.0b013e31822efb09. https…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47127/psn-pdf
    June 05, 2018 - Incorporating medication indications into the prescribing process. June 5, 2018 Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346. https://psnet.ahrq.gov/issue/incorporating-medication-indications-…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849132/psn-pdf
    May 17, 2023 - Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety. May 17, 2023 Seeburger EF, Gonzales R, South EC, et al. Qualitative perspectives of emergency nurses on electronic health record behavioral flags to promote workplace safety. JAMA Netw Open. 2023;…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73070/psn-pdf
    March 24, 2021 - Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. March 24, 2021 Miller AC, Arakkal AT, Koeneman S, et al. Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities …
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47606/psn-pdf
    January 30, 2019 - Importance of safety climate, teamwork climate and demographics: understanding nurses, allied health professionals and clerical staff perceptions of patient safety. January 30, 2019 Zaheer S, Ginsburg LR, Wong HJ, et al. Importance of safety climate, teamwork climate and demographics: understanding nurses, allied…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60877/psn-pdf
    September 02, 2020 - When bad things happen: training medical students to anticipate the aftermath of medical errors. September 2, 2020 Musunur S, Waineo E, Walton E, et al. When bad things happen: training medical students to anticipate the aftermath of medical errors. Acad Psychiatry. 2020;44(5):586-591. doi:10.1007/s40596-020-01278-…