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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47457/psn-pdf
    January 17, 2019 - Developing a reporting culture: learning from close calls and hazardous conditions. January 17, 2019 Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert. 2018;(60):1-8. https://psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74831/psn-pdf
    January 01, 2023 - Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey. February 16, 2022 Bell SK, Dong J, Ngo L, et al. Diagnostic error experiences of patients and families with limited English- …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41369/psn-pdf
    May 29, 2015 - Cognitive interventions to reduce diagnostic error: a narrative review. May 29, 2015 Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjqs-2011-000149. https://psnet.ahrq.gov/issue/cognitive-interventions-re…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60339/psn-pdf
    May 20, 2020 - We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported breakdowns in care. May 20, 2020 Fisher KA, Smith KM, Gallagher TH, et al. We Want to Know-a mixed methods evaluation of a comprehensive program designed to detect and address patient-reported brea…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46531/psn-pdf
    January 24, 2019 - Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. January 24, 2019 Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2. ht…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36979/psn-pdf
    February 28, 2011 - Changes in outcomes for internal medicine inpatients after work-hour regulations. February 28, 2011 Horwitz LI, Kosiborod M, Lin Z, et al. Changes in outcomes for internal medicine inpatients after work-hour regulations. Ann Intern Med. 2007;147(2):97-103. https://psnet.ahrq.gov/issue/changes-outcomes-internal-med…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47526/psn-pdf
    January 16, 2019 - US national trends in pediatric deaths from prescription and illicit opioids, 1999–2016. January 16, 2019 Gaither JR, Shabanova V, Leventhal JM. US National Trends in Pediatric Deaths From Prescription and Illicit Opioids, 1999-2016. JAMA Netw Open. 2018;1(8):e186558. doi:10.1001/jamanetworkopen.2018.6558. https:…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45959/psn-pdf
    June 29, 2017 - Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. June 29, 2017 Lin LA, Bohnert ASB, Kerns RD, et al. Impact of the Opioid Safety Initiative on opioid-related prescribing in veterans. Pain. 2017;158(5):833-839. doi:10.1097/j.pain.0000000000000837. https://psnet.ahrq.gov/issue/impact…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43904/psn-pdf
    October 13, 2015 - Reducing unacceptable missed doses: pharmacy assistant–supported medicine administration. October 13, 2015 Baqir W, Jones K, Horsley W, et al. Reducing unacceptable missed doses: pharmacy assistant-supported medicine administration. Int J Pharm Pract. 2015;23(5):327-332. doi:10.1111/ijpp.12172. https://psnet.ahrq.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72519/psn-pdf
    December 02, 2020 - Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. December 2, 2020 Dykes PC, Burns Z, Adelman JS, et al. Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries: a nonrandomized controlled trial. JAMA Netw Open. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43378/psn-pdf
    August 14, 2014 - Interventions to reduce pediatric medication errors: a systematic review. August 14, 2014 Rinke ML, Bundy DG, Velasquez CA, et al. Interventions to reduce pediatric medication errors: a systematic review. Pediatrics. 2014;134(2):338-360. doi:10.1542/peds.2013-3531. https://psnet.ahrq.gov/issue/interventions-reduce…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40753/psn-pdf
    September 07, 2011 - Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. September 7, 2011 Ali M, Osborne A, Bethune R, et al. Preoperative surgical briefings do not delay operating room start times and are popular with surgical team members. J Patient Saf. 2011;7(3):139-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41974/psn-pdf
    February 01, 2013 - Prevalence of copied information by attendings and residents in critical care progress notes. February 1, 2013 Thornton D, Schold JD, Venkateshaiah L, et al. Prevalence of copied information by attendings and residents in critical care progress notes. Crit Care Med. 2013;41(2):382-8. doi:10.1097/CCM.0b013e3182711a…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45992/psn-pdf
    January 01, 2020 - Barriers and facilitators of adverse event reporting by adolescent patients and their families. March 29, 2017 Sawhney PN, Davis LS, Daraiseh NM, et al. Barriers and Facilitators of Adverse Event Reporting by Adolescent Patients and Their Families. J Patient Saf. 2020;16(3):232-237. doi:10.1097/pts.000000000000029…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46904/psn-pdf
    August 20, 2018 - Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. August 20, 2018 Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized Pediatric Patients: The EPOCH Randomized Clinical Trial. JAMA. 201…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37345/psn-pdf
    May 26, 2011 - Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. May 26, 2011 Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. Pediatrics. 2007;120(5):1058-66. htt…

  17. NICU Toolkit: Family Information Packet Cover Sheet (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-cover.pdf
    June 02, 2025 - NICU Toolkit: Family Information Packet Cover Sheet 13 Transitioning Newborns from NICU to Home Family Information Packet Your Health Coach has prepared this information packet for your family to help explain the medical needs of your newborn as you prepare to leave the hospital. A Health Coach helps families/ c…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39294/psn-pdf
    January 03, 2017 - Patient handoffs: standardized and reliable measurement tools remain elusive. January 3, 2017 Patterson ES, Wears RL. Patient handoffs: standardized and reliable measurement tools remain elusive. Jt Comm J Qual Patient Saf. 2010;36(2):52-61. https://psnet.ahrq.gov/issue/patient-handoffs-standardized-and-reliable-m…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42816/psn-pdf
    October 31, 2014 - Rates of medical errors and preventable adverse events among hospitalized children following implementation of a resident handoff bundle. October 31, 2014 Starmer AJ, Sectish TC, Simon DW, et al. Rates of medical errors and preventable adverse events among hospitalized children following implementation of a reside…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43514/psn-pdf
    April 25, 2016 - A qualitative analysis of physician perspectives on missed and delayed outpatient diagnosis: the focus on system-related factors. April 25, 2016 Sarkar U, Simchowitz B, Bonacum D, et al. A Qualitative Analysis of Physician Perspectives on Missed and Delayed Outpatient Diagnosis: The Focus on System-Related Factors…
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