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Showing results for "harms".

  1. Retained Surgical Items: Causation and Prevention | PSNet

    psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
    January 04, 2024 - Retained Surgical Items: Causation and Prevention Citation Text: Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX End…

  2. Christiana Care Health System: Safety Mentor Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
    March 30, 2008 - Christiana Care Health System: Safety Mentor Program Christiana Care Health System: Safety Mentor Program Michele Campbell, RN, MSM, CPHQ; Christine Carrico, RN, MSN, CPHQ; Carol Kerrigan Moore, RN, MS, FNP-BC; Terri Lynn Palmer, MPA Abstract According to the Institute of Medicine, as many as 98,000 patients…

  3. One Bronchoscopy, Two Errors | PSNet

    psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
    December 09, 2020 - One Bronchoscopy, Two Errors Citation Text: Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  4. Environmental Safety in the OR | PSNet

    psnet.ahrq.gov/web-mm/environmental-safety-or
    May 19, 2015 - Environmental Safety in the OR Citation Text: Linkin DR, Lautenbach E. Environmental Safety in the OR . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49419/psn-pdf
    October 01, 2003 - The Other Side October 1, 2003 Vincent CA. The Other Side. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/other-side Case Objectives List the factors contributing to wrong site surgery. Understand the key components of the Universal Protocol for eliminating wrong site, wrong procedure, wrong person surger…

  6. Hospital Survey on Patient Safety Culture: Background and Information for Translators (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/resources/infotranshsops.pdf
    September 01, 2009 - Hospital Survey on Patient Safety Culture: Background and Information for Translators Agency for Healthcare Research and Quality (AHRQ) Hospital Survey on Patient Safety Culture Background and Information for Translators September 2009 Purpose and Use of This Document In this document, w…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49446/psn-pdf
    August 30, 2021 - Too Tight Control May 1, 2004 Rubin HR, Fajtova VT. Too Tight Control. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/too-tight-control Case Objectives Appreciate the advantages and potential complications of intensive insulin therapy in the hospitalized patient List hospital-based safeguards available to…

  8. Identifying Targets for Improvement in Antibiotic Decision Making (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/improvement-facilitator-guide.pdf
    November 01, 2019 - Identifying Targets for Improvement in Antibiotic Decision Making AHRQ Safety Program for Improving Antibiotic Use 1 AHRQ Pub. No. 17(20)-0028-EF November 2019 Identifying Targets for Improvement in Antibiotic Decision Making Acute Care Slide Title and Commentary Slide Number and Slid…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33672/psn-pdf
    September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH September 1, 2008 In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph Editor's note: Eric G. Poon, MD, MPH, is Director of Clinical Informatics at Brigham and Women's Hospital and Assi…

  10. Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/providing-evidence-and-developing-toolkit-accelerate-adoption-patient
    July 31, 2023 - Providing Evidence and Developing a Toolkit to Accelerate the Adoption of Patient Photographs in Electronic Health Records Project Final Report ( PDF , 1.49 MB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73953/psn-pdf
    October 27, 2021 - Deprescribing as a Patient Safety Strategy October 27, 2021 Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy Background Polypharmacy is defined as the act of taking five or more medications on a regular basis…

  12. Aviation Safety Methods: Quickly Adopted but Questions Remain | PSNet

    psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
    January 01, 2006 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms

  13. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)

    www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
    January 01, 2025 - Final Progress Report: Improving Patient Safety by Examining Pathology Errors Improving Patient Safety by Examining Pathology Errors Principal Investigator: Stephen S. Raab, MD Team Members: Dana M. Grzybicki, MD, PhD, Michael J. Becich, MD, PhD, Janine E. Janosky, PhD, Dilip Gupta, MD, Richard J. Zarbo, MD, DMD, …

  14. C_RelevantLegalRequirementsforHealthDataExchange (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/C_RelevantLegalRequirementsforHealthDataExchange_1.pdf
    May 23, 2007 - Some types of harm are not readily compensated by monetary damages, especially harms to human health … In order to prevent such harms a party may seek “injunctive” relief, in the form of a court order

  15. C_RelevantLegalRequirementsforHealthDataExchange (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/C_RelevantLegalRequirementsforHealthDataExchange_0.pdf
    May 23, 2007 - Some types of harm are not readily compensated by monetary damages, especially harms to human health … In order to prevent such harms a party may seek “injunctive” relief, in the form of a court order

  16. Family-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-facilitator-guide.docx
    June 01, 2021 - We will review strategies to discuss the potential harms of antibiotic use with family members.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43782/psn-pdf
    September 28, 2016 - The use of technology for urgent clinician to clinician communications: a systematic review of the literature. September 28, 2016 Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. Int J Med Inform. 2015;84(2):101…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60029/psn-pdf
    March 11, 2020 - Prevalence, nature and predictors of omitted medication doses in mental health hospitals: a multi-centre study. March 11, 2020 Keers RN, Hann M, Alshehri GH, et al. Prevalence, nature and predictors of omitted medication doses in mental health hospitals: A multi-centre study. PLoS One. 2020;15(2):e0228868. doi:10.…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837692/psn-pdf
    July 20, 2022 - Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. July 20, 2022 Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antibiotic prescribing during the Agen…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61117/psn-pdf
    November 11, 2020 - Impact of the COVID-19 pandemic on cancer care: a global collaborative study. November 11, 2020 Jazieh AR, Akbulut H, Curigliano G, et al. Impact of the COVID-19 pandemic on cancer care: a global collaborative study. JCO Glob Oncol. 2020;6)(6):1428-1438. doi:10.1200/go.20.00351. https://psnet.ahrq.gov/issue/impact…
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