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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45681/psn-pdf
    January 25, 2017 - Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. January 25, 2017 Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systema…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46112/psn-pdf
    December 21, 2017 - Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. December 21, 2017 Quist AJL, Hickman T-TT, Amato MG, et al. Analysis of variations in the display of drug names in computerized prescriber-order-entry systems. American Journal of Health-System Pharmacy. 2017;74(7). …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46203/psn-pdf
    June 14, 2017 - Prescription errors related to the use of computerized provider order-entry system for pediatric patients. June 14, 2017 Alhanout K, Bun S-S, Retornaz K, et al. Prescription errors related to the use of computerized provider order-entry system for pediatric patients. Int J Med Inform. 2017;103:15-19. doi:10.1016/j…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46599/psn-pdf
    August 20, 2018 - Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. August 20, 2018 Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the Intensive Care Un…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35979/psn-pdf
    September 17, 2010 - How will we know patients are safer? An organization- wide approach to measuring and improving safety. September 17, 2010 Pronovost P, Holzmueller CG, Needham DM, et al. How will we know patients are safer? An organization- wide approach to measuring and improving safety. Crit Care Med. 2006;34(7):1988-95. https:/…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44102/psn-pdf
    May 06, 2015 - Factors that influence the recognition, reporting and resolution of incidents related to medical devices and other healthcare technologies: a systematic review. May 6, 2015 Polisena J, Gagliardi AR, Urbach DR, et al. Factors that influence the recognition, reporting and resolution of incidents related to medical d…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46724/psn-pdf
    April 12, 2019 - Association of household opioid availability and prescription opioid initiation among household members. April 12, 2019 Seamans MJ, Carey TS, Westreich DJ, et al. Association of Household Opioid Availability and Prescription Opioid Initiation Among Household Members. JAMA Intern Med. 2018;178(1):102-109. doi:10.10…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42530/psn-pdf
    December 30, 2014 - What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. December 30, 2014 Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. BMJ Open. 2013;3(8):e003104. doi:10.1136/bmjopen-2013-00310…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41031/psn-pdf
    February 10, 2012 - Is patient safety improving? National trends in patient safety indicators: 1998–2007. February 10, 2012 Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi:10.1111/j.1475- 6773.2011.01361…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42548/psn-pdf
    December 29, 2014 - What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. December 29, 2014 Long SJ, Brown KF, Ames D, et al. What is known about adverse events in older medical hospital inpatients? A systematic review of the literature. Int J Health Care Qual. 2013;25(5):542-5…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43037/psn-pdf
    October 31, 2014 - Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries. October 31, 2014 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; February 2014. Report No. OEI-06-11-00370. https://psnet.ahrq.gov/issue/adverse-events-skilled-nu…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45483/psn-pdf
    March 20, 2018 - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. March 20, 2018 Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur Heart J Acute Cardiovasc Care. 20…
  13. psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
    September 13, 2021 - Failure Mode and Effect Analysis (FMEA) September 13, 2021 Anonymous (not verified) A common process used to prospectively identify error risk within a particular process. FMEA begins with a complete process mapping that identifies all the steps that must occur for a given process to occur (e.g., programming an…
  14. www.ahrq.gov/data/hcup/mental-disorders.html
    May 01, 2023 - Geographic Variation in Inpatient Stays for Five Leading Mental Disorders, 2016-2018 This visualization presents rates of hospitalization per 100,000 population for mental disorders during the 3-year period 2016-2018, comparing national, State, and substate areas. Based on an analysis of data from AHRQ's Health…
  15. www.ahrq.gov/action-alliance/index.html
    National Action Alliance for Patient and Workforce Safety Overview of the National Action Alliance for Patient and Workforce Safety Vision, Mission, and Aims. National Ac…
  16. www.ahrq.gov/sites/default/files/publications/files/hacrate2013_0.pdf
    October 01, 2015 - An estimated 1.3 million fewer harms were experienced by patients from 2010 to 2013 than would have
  17. psnet.ahrq.gov/perspective/safety-culture-ems
    May 26, 2021 - How do we shift the thinking to the idea that these are harms that may happen to the patient, be it a
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73334/psn-pdf
    August 01, 2024 - An Inadvertent Bolus of Norepinephrine. May 26, 2021 Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Counc…
  19. psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
    December 04, 2016 - SPOTLIGHT CASE An Inadvertent Bolus of Norepinephrine. Citation Text: Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation F…
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/asd-interventions-disposition.pdf
    May 26, 2017 - Interventions Targeting Sensory Challenges in Children With Autism Spectrum Disorders - An Update Comparative Effectiveness Review Disposition of Comments Report Research Review Title: Interventions Targeting Sensory Challenges in Children With Autism Spectrum Disorder (ASD)—An Update Draft review ava…