Results

Total Results: over 10,000 records

Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38941/psn-pdf
    November 25, 2009 - Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. November 25, 2009 Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient Saf. 2009;5(3):145-152. doi:10.10…
  2. www.ahrq.gov/hai/cusp/toolkit/ceo-snr-leader-chcklst.html
    December 01, 2012 - CEO and Senior Leader Checklist CUSP Toolkit Checklists for senior leadership Who should use this tool? Senior leaders. Checklist items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training.     2. Assign a senior executive …
  3. Ceosnrleaderchcklst (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/ceosnrleaderchcklst.docx
    June 02, 2025 - CEO/Senior Leader Checklist Who should use this tool? Senior leaders. Checklist Items Leader Responsible Date Initiated 1. Ensure all current and new employees receive Science of Safety training. 2. Assign a senior executive (Chief Executive Officer or another leader) as an active member of each
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43016/psn-pdf
    May 28, 2014 - Identification of serious and reportable events in home care: a Delphi survey to develop consensus. May 28, 2014 Doran DM, Baker R, Szabo C, et al. Identification of serious and reportable events in home care: a Delphi survey to develop consensus. Int J Health Care Qual. 2014;26(2):136-143. doi:10.1093/intqhc/mzu00…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47603/psn-pdf
    March 20, 2019 - Electronic patient identification for sample labeling reduces wrong blood in tube errors. March 20, 2019 Kaufman RM, Dinh A, Cohn CS, et al. Electronic patient identification for sample labeling reduces wrong blood in tube errors. Transfusion (Paris). 2019;59(3):972-980. doi:10.1111/trf.15102. https://psnet.ahrq.g…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46986/psn-pdf
    June 27, 2018 - A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. June 27, 2018 Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational Study Using a Point- Prevalence A…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45730/psn-pdf
    December 14, 2016 - Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. December 14, 2016 Car LT, Papachristou N, Gallagher J, et al. Identification of priorities for improvement of medication safety in primary care: a PRIORITIZE study. BMC Fam Pract. 2016;17(1):160. https://psnet.ah…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46842/psn-pdf
    June 22, 2018 - Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. June 22, 2018 Stoklosa H, Scannell M, Ma Z, et al. Do EPs change their clinical behaviour in the hallway or when a companion is present? A cross-sectional survey. Emerg Med J. 2018;35(7):406-411. doi:10.…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45804/psn-pdf
    August 03, 2017 - Meaningful use of health information technology and declines in in-hospital adverse drug events. August 3, 2017 Furukawa MF, Spector WD, Limcangco R, et al. Meaningful use of health information technology and declines in in-hospital adverse drug events. J Am Med Inform Assoc. 2017;24(4):729-736. doi:10.1093/jamia/…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844801/psn-pdf
    January 01, 2021 - A mixed-methods study of challenges experienced by clinical teams in measuring improvement. September 11, 2019 Woodcock T, Liberati EG, Dixon-Woods M. A mixed-methods study of challenges experienced by clinical teams in measuring improvement. BMJ Qual Saf. 2021;30(2):106-115. doi:10.1136/bmjqs-2018-009048. https:/…
  11. www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/core-discussion-key.html
    March 01, 2017 - Training Module 2 — Core Team Discussion Guide: Facilitator Notes AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Clean Equipment and Environment: Knowledge and Practice Directions Answer the following questions to help reflect on how you can prepare to discuss cleaning and disinfection pra…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44208/psn-pdf
    July 16, 2015 - Preventability of voluntarily reported or trigger tool–identified medication errors in a pediatric institution by information technology: a retrospective cohort study. July 16, 2015 Stultz JS, Nahata MC. Preventability of Voluntarily Reported or Trigger Tool-Identified Medication Errors in a Pediatric Institution …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40640/psn-pdf
    December 01, 2011 - Safety hazards in cancer care: findings using three different methods. December 1, 2011 Lipczak H, Knudsen JL, Nissen A. Safety hazards in cancer care: findings using three different methods. BMJ Qual Saf. 2011;20(12):1052-6. doi:10.1136/bmjqs.2010.050856. https://psnet.ahrq.gov/issue/safety-hazards-cancer-care-fi…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45323/psn-pdf
    June 28, 2017 - Effects of health information technology on patient outcomes: a systematic review. June 28, 2017 Brenner SK, Kaushal R, Grinspan Z, et al. Effects of health information technology on patient outcomes: a systematic review. J Am Med Inform Assoc. 2016;23(5):1016-36. doi:10.1093/jamia/ocv138. https://psnet.ahrq.gov/i…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44112/psn-pdf
    November 03, 2015 - Unexpected death within 72 hours of emergency department visit: were those deaths preventable? November 3, 2015 Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x. https://psnet…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43914/psn-pdf
    March 13, 2015 - Medication-related emergency department visits in pediatrics: a prospective observational study. March 13, 2015 Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43. doi:10.1542/peds.2014-1827. http…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844790/psn-pdf
    January 01, 2020 - Effectiveness of double checking to reduce medication administration errors: a systematic review. September 18, 2019 Koyama AK, Maddox C-SS, Li L, et al. Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Qual Saf. 2020;29(7):595-603. doi:10.1136/bmjqs-2019- 00955…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866961/psn-pdf
    October 16, 2024 - Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. October 16, 2024 Schulson L, Bandini J, Bialas A, et al. Patient safety and the COVID-19 pandemic: a qualitative study of perspectives of front-line clinicians. BMJ Open Qual. 2024;13(3):e002692. doi:10.1136/bmjo…
  19. www.ahrq.gov/hai/cauti-tools/phys-championsgd/appa.html
    October 01, 2015 - Resident Physicians as Champions in Preventing Device-Associated Infections Appendix A. Teamwork and Communication Definitions and Tools Previous Page   Table of Contents Resident Physicians as Champions in Preventing Device-Associated Infections Preamble and Summary Epidemiology of Invasive Dev…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45097/psn-pdf
    May 09, 2017 - Changes in prescription and over-the-counter medication and dietary supplement use among older adults in the United States, 2005 vs 2011. May 9, 2017 Qato DM, Wilder J, Schumm P, et al. Changes in Prescription and Over-the-Counter Medication and Dietary Supplement Use Among Older Adults in the United States, 2005 …