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Showing results for "harms".

9281. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47000/psn-pdf
      May 09, 2018 - 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. May 9, 2018 Churruca K, Ellis LA, Braithwaite J. 'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations. BMC Health Serv Res. 2018;18(1…

9282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865973/psn-pdf
      May 29, 2024 - Physician antipsychotic overprescribing letters and cognitive, behavioral, and physical health outcomes among people with dementia: a secondary analysis of a randomized clinical trial. May 29, 2024 Harnisch M, Barnett ML, Coussens S, et al. Physician antipsychotic overprescribing letters and cognitive, behavioral…

9283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41250/psn-pdf
      December 21, 2014 - Disclosure of "nonharmful" medical errors and other events: duty to disclose. December 21, 2014 Chamberlain CJ, Koniaris LG, Wu AW, et al. Disclosure of "nonharmful" medical errors and other events: duty to disclose. Arch Surg. 2012;147(3):282-6. doi:10.1001/archsurg.2011.1005. https://psnet.ahrq.gov/issue/disclos…

9284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46416/psn-pdf
      March 13, 2018 - Opioid prescribing for opioid-naive patients in emergency departments and other settings: characteristics of prescriptions and association with long-term use. March 13, 2018 Jeffery MM, Hooten M, Hess EP, et al. Opioid Prescribing for Opioid-Naive Patients in Emergency Departments and Other Settings: Characteristi…

9285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/862991/psn-pdf
      February 21, 2024 - Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incident data. February 21, 2024 Jones MD, Liu S, Powell F, et al. Exploring the role of guidelines in contributing to medication errors: a descriptive analysis of national patient safety incide…

9286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867082/psn-pdf
      November 06, 2024 - Learning in radiation oncology: 12-month experience with a new incident learning system. November 6, 2024 Crouch K, Adamson L, Beldham?Collins R, et al. Learning in radiation oncology: 12?month experience with a new incident learning system. J Med Radiat Sci. 2024;Epub Sep 15. doi:10.1002/jmrs.823. https://psnet.a…

9287. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42229/psn-pdf
      July 03, 2014 - Relationship between occurrence of surgical complications and hospital finances. July 3, 2014 Eappen S, Lane BH, Rosenberg B, et al. Relationship between occurrence of surgical complications and hospital finances. JAMA. 2013;309(15):1599-606. doi:10.1001/jama.2013.2773. https://psnet.ahrq.gov/issue/relationship-be…

9288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40405/psn-pdf
      February 10, 2015 - The social cost of adverse medical events, and what we can do about it. February 10, 2015 Goodman JC, Villarreal P, Jones B. The social cost of adverse medical events, and what we can do about it. Health Aff (Millwood). 2011;30(4):590-595. doi:10.1377/hlthaff.2010.1256. https://psnet.ahrq.gov/issue/social-cost-adv…

9289. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73371/psn-pdf
      June 09, 2021 - Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. June 9, 2021 Leeftink AG, Visser J, de Laat JM, et al. Reducing failures in daily medical practice: healthcare failure mode and effect analysis combined with computer simulation. Ergonomics. …

9290. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42169/psn-pdf
      September 07, 2016 - National survey on the effect of oncology drug shortages on cancer care. September 7, 2016 McBride A, Holle LM, Westendorf C, et al. National survey on the effect of oncology drug shortages on cancer care. Am J Health Syst Pharm. 2013;70(7):609-17. doi:10.2146/ajhp120563. https://psnet.ahrq.gov/issue/national-surv…

9291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72774/psn-pdf
      February 24, 2021 - Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross- sectional observational study. February 24, 2021 de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug events causing hospitalisation…

9292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72719/psn-pdf
      February 10, 2021 - The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. February 10, 2021 Perry MF, Melvin JE, Kasick RT, et al. The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. J Pediatr. 2021;232:257-263. doi:10.1016/j.jpeds.20…

9293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866584/psn-pdf
      August 28, 2024 - Raising the barcode: improving medication safety behaviours through a behavioural science-informed feedback intervention. A quality improvement project and difference-in-difference analysis. August 28, 2024 Grailey K, Brazier A, Franklin BD, et al. Raising the barcode: improving medication safety behaviours throu…

9294. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854818/psn-pdf
      October 25, 2023 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. October 25, 2023 van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical laboratory testing process lea…

9295. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841771/psn-pdf
      December 21, 2022 - How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care. December 21, 2022 Pedrosa Carrasco AJ, Bezmenov A, Sibelius U, et al. How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative car…

9296. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842416/psn-pdf
      January 11, 2023 - A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. January 11, 2023 Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Risk Manag. 2023;42(3-4):30-39. doi:10…

9297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40129/psn-pdf
      January 12, 2011 - Medical error disclosure training: evidence for values- based ethical environments. January 12, 2011 Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3. https://psnet.ahrq.gov/issue/medical-…

9298. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42047/psn-pdf
      March 18, 2013 - Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. March 18, 2013 Sibbald M, de Bruin A, Cavalcanti RB, et al. Do you have to re-examine to reconsider your diagnosis? Checklists and cardiac exam. BMJ Qual Saf. 2013;22(4):333-8. doi:10.1136/bmjqs-2012-001537. https://psnet.ahrq.gov…

9299. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44626/psn-pdf
      November 04, 2015 - "SWARMing" to improve patient care: a novel approach to root cause analysis. November 4, 2015 Li J, Boulanger B, Norton J, et al. "SWARMing" to Improve Patient Care: A Novel Approach to Root Cause Analysis. Jt Comm J Qual Patient Saf. 2015;41(11):494-501. https://psnet.ahrq.gov/issue/swarming-improve-patient-care-…

9300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43450/psn-pdf
      May 06, 2015 - Advances in the Prevention and Control of HAIs. May 6, 2015 Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. AHRQ Publication No. 14-0003. https://psnet.ahrq.gov/issue/advances-prevention-and-control-hais Health care–associated infections (HAI…