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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40128/psn-pdf
    January 12, 2011 - Impact of a comprehensive safety initiative on patient- controlled analgesia errors. January 12, 2011 Paul JE, Bertram B, Antoni K, et al. Impact of a comprehensive safety initiative on patient-controlled analgesia errors. Anesthesiology. 2010;113(6):1427-32. doi:10.1097/ALN.0b013e3181fcb427. https://psnet.ahrq.go…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35486/psn-pdf
    December 06, 2011 - The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? December 6, 2011 Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Cornell Law Rev. 2005;90(4):893-993.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74000/psn-pdf
    January 01, 2022 - Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. October 27, 2021 Alanazi FK, Sim J, Lapkin S. Systematic review: nurses' safety attitudes and their impact on patient outcomes in acute-care hospitals. Nurs Open. 2022;9(1):30-43. doi:10.1002/nop2.1063. https:…

  4. ESRD Toolkit Modules | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/esrd/resource/tool-module.html
    January 01, 2015 - ESRD Toolkit Modules Modules contain PowerPoint slides, facilitator notes, video vignettes, and tools. Each module includes teaching tools and resources to support change at the unit level, presented through facilitator notes that take you step by step through the slides, tools, and videos. Creating a Culture…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60639/psn-pdf
    January 01, 2021 - Economic analysis of the prevalence and clinical and economic burden of medication error in England. July 1, 2020 Elliott RA, Camacho E, Jankovic D, et al. Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Qual Saf. 2021;30(2):96-105. doi:10.1136/bmjqs-2019-010…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866316/psn-pdf
    July 17, 2024 - From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. July 17, 2024 Gyberg A, Brezicka T, Wijk H, et al. From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. J Cl…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849340/psn-pdf
    May 24, 2023 - Death Inside Lemuel Shattuck Hospital: A Case Study on Medical Treatment for Persons with Mental Health Disabilities. May 24, 2023 Massachusetts Protection and Advocacy. Boston, MA:  Disability Law Center; May 8, 2023. https://psnet.ahrq.gov/issue/death-inside-lemuel-shattuck-hospital-case-study-medical-treat…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866398/psn-pdf
    July 31, 2024 - An effective program to reduce malpractice claims and payments in a large orthopaedic practice. July 31, 2024 Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):1286-1292. doi:10.2106/jbjs.23.00973.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38515/psn-pdf
    March 03, 2011 - Errors in administration of parenteral drugs in intensive care units: multinational prospective study. March 3, 2011 Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. BMJ. 2009;338:b814. doi:10.1136/bmj.b814. https://psnet…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61108/psn-pdf
    November 11, 2020 - Association of clinical nursing work environment with quality and safety in maternity care in the United States. November 11, 2020 Clark RRS, Lake ET. Association of clinical nursing work environment with quality and safety in maternity care in the United States. MCN: Am J Maternal Child Nurs. 2020;45(5):265-270. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47845/psn-pdf
    April 24, 2019 - Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. April 24, 2019 Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 2019;2(4):e191912. doi:10.1001/jama…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48101/psn-pdf
    August 14, 2019 - Partnering with families and patient advocates: another line of defense in adverse event surveillance. August 14, 2019 ISMP Medication Safety Alert! Acute Care Edition. August 1, 2019;24. https://psnet.ahrq.gov/issue/partnering-families-and-patient-advocates-another-line-defense-adverse-event- surveillance Having…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866636/psn-pdf
    January 01, 2025 - Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. September 4, 2024 Campione Russo A, Tilly J?L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13485. https://psnet.ahrq.gov/is…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44767/psn-pdf
    January 20, 2016 - "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. January 20, 2016 Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare settings. J Med Ethics. 2015;41(11):880-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41951/psn-pdf
    September 07, 2016 - The impact of drug shortages on children with cancer—the example of mechlorethamine. September 7, 2016 Metzger ML, Billett A, Link MP. The impact of drug shortages on children with cancer--the example of mechlorethamine. N Engl J Med. 2012;367(26):2461-2463. doi:10.1056/NEJMp1212468. https://psnet.ahrq.gov/issue/i…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44580/psn-pdf
    January 13, 2016 - Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. January 13, 2016 Brigham and Women's Hospital, Harvard Medical School, Partners HealthCare. Silver Spring, MD: US Food and Drug Administration; December 15, 2015. https://psnet.ahrq.gov/issue/computeriz…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854983/psn-pdf
    November 01, 2023 - Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian Model. November 1, 2023 Pogorzelska-Maziarz M, de Cordova PB, Manning ML, et al. Voices from frontline nurses on care quality and patient safety during COVID-19: an application of the Donabedian model.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858164/psn-pdf
    December 13, 2023 - Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. December 13, 2023 Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:10.1001/jamasurg.2023.3673. htt…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39510/psn-pdf
    September 24, 2016 - Interruptions and distractions in healthcare: review and reappraisal. September 24, 2016 Rivera-Rodriguez AJ, Karsh B-T. Interruptions and distractions in healthcare: review and reappraisal. Qual Saf Health Care. 2010;19(4):304-312. doi:10.1136/qshc.2009.033282. https://psnet.ahrq.gov/issue/interruptions-and-distr…

  20. What is the Network of Patient Safety Databases? | Agency for Healthcare Research and Quality

    www.ahrq.gov/npsd/what-is-npsd/index.html
    May 01, 2023 - What is the Network of Patient Safety Databases? The U.S. Department of Health & Human Services was directed in the Patient Safety and Quality Improvement Act of 2005 (PDF, 191 KB) to create and maintain a Network of Patient Safety Databases (NPSD) to provide an interactive, evidence-based management resource…
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