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Showing results for "harms".

9541. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42039/psn-pdf
      December 31, 2014 - Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommendations from AMIA. December 31, 2014 Middleton B, Bloomrosen M, Dente MA, et al. Enhancing patient safety and quality of care by improving the usability of electronic health record systems: recommen…

9542. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46493/psn-pdf
      January 24, 2019 - Four states with robust prescription drug monitoring programs reduced opioid dosages. January 24, 2019 Haffajee RL, Mello MM, Zhang F, et al. Four States With Robust Prescription Drug Monitoring Programs Reduced Opioid Dosages. Health Aff (Millwood). 2018;37(6):964-974. doi:10.1377/hlthaff.2017.1321. https://psnet…

9543. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47333/psn-pdf
      October 10, 2018 - Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. October 10, 2018 Jalal H, Buchanich JM, Roberts MS, et al. Changing dynamics of the drug overdose epidemic in the United States from 1979 through 2016. Science (1979). 2018;361(6408). doi:10.1126/science.aau1184. https://p…

9544. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45385/psn-pdf
      January 03, 2017 - Viewing prevention of catheter-associated urinary tract infection as a system: using systems engineering and human factors engineering in a quality improvement project in an academic medical center. January 3, 2017 Rhee C, Phelps E, Meyer B, et al. Viewing Prevention of Catheter-Associated Urinary Tract Infection …

9545. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47835/psn-pdf
      April 24, 2019 - Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? April 24, 2019 Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of New Technology While Simultaneousl…

9546. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41479/psn-pdf
      December 21, 2014 - Surgical training, duty-hour restrictions, and implications for meeting the Accreditation Council for Graduate Medical Education core competencies: views of surgical interns compared with program directors. December 21, 2014 Antiel RM, Van Arendonk K, Reed DA, et al. Surgical training, duty-hour restrictions, and …

9547. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46843/psn-pdf
      June 21, 2018 - Electronic health record reviews to measure diagnostic uncertainty in primary care. June 21, 2018 Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912. https://psnet.ahrq.gov/issue/elect…

9548. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38961/psn-pdf
      September 01, 2016 - An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care. September 1, 2016 Weingart SN, Simchowitz B, Padolsky H, et al. An empirical model to estimate the potential impact of medication safety alerts on patient safety,…

9549. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44197/psn-pdf
      November 03, 2015 - Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. November 3, 2015 Haugen AS, Søfteland E, Almeland SK, et al. Effect of the World Health Organization checklist on patient outcomes: a stepped wedge cluster randomized controlled trial. Ann Su…

9550. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43553/psn-pdf
      August 28, 2017 - Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. August 28, 2017 Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Saf. 2014;13(3):111-121. doi:10.1…

9551. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44709/psn-pdf
      November 18, 2016 - Lost information during the handover of critically injured trauma patients: a mixed-methods study. November 18, 2016 Zakrison TL, Rosenbloom B, McFarlan A, et al. Lost information during the handover of critically injured trauma patients: a mixed-methods study. BMJ Qual Saf. 2016;25(12):929-936. doi:10.1136/bmjqs-2…

9552. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44447/psn-pdf
      September 02, 2015 - Community-, healthcare-, and hospital-acquired severe sepsis hospitalizations in the University HealthSystem Consortium. September 2, 2015 Page DB, Donnelly JP, Wang HE. Community-, Healthcare-, and Hospital-Acquired Severe Sepsis Hospitalizations in the University HealthSystem Consortium. Crit Care Med. 2015;43(9…

9553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41408/psn-pdf
      October 19, 2012 - Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. October 19, 2012 Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001-201…

9554. AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/senior-leader-checklist.docx
      May 01, 2017 - AHRQ Safety Program for Perinatal Care: CEO/Senior Leader Checklist AHRQ Safety Program for Perinatal Care CEO/Senior Leader Checklist 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 o…

9555. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38805/psn-pdf
      April 04, 2011 - Disclosing medical errors to patients: it's not what you say, it's what they hear. April 4, 2011 Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1012-7. doi:10.1007/s11606-009-1044-3. https://psnet.ahrq.gov/issue/dis…

9556. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46232/psn-pdf
      February 10, 2018 - Implications of electronic health record downtime: an analysis of patient safety event reports. February 10, 2018 Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Med Inform Assoc. 2018;25(2):187-191. doi:10.1093/jamia/ocx057. ht…

9557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41967/psn-pdf
      May 10, 2013 - A comparative review of patient safety initiatives for national health information technology. May 10, 2013 Magrabi F, Aarts J, Nohr C, et al. A comparative review of patient safety initiatives for national health information technology. Int J Med Inform. 2013;82(5):e139-48. doi:10.1016/j.ijmedinf.2012.11.014. htt…

9558. Core-Discussion-Key (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/infection-prevention/environment-and-equipment/core-discussion-key.docx
      March 01, 2017 - AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Facilitator Notes Training Module 2 — Core Team Discussion Guide 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 practices at your facility. …

9559. Talking With Residents and Family Members About Antibiotics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-antibiotics.pdf
      June 01, 2021 - Talking With Residents and Family Members About Antibiotics AHRQ Pub. No. 17(21)-0029 June 2021 Talking With Residents and Family Members About Antibiotics The last time this happened, the doctor prescribed an antibiotic and my family member got better. Can’t we do that again… just in case? Five …

9560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47372/psn-pdf
      January 01, 2019 - Patient safety culture, health information technology implementation, and medical office problems that could lead to diagnostic error. October 3, 2018 Campione JR, Mardon RE, McDonald KM. Patient Safety Culture, Health Information Technology Implementation, and Medical Office Problems That Could Lead to Diagnostic…