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Showing results for "harms".
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psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancerFebruary 26, 2025 - transform thinking from a root-cause analysis framework to a systems-focused framework to prevent future harms
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72911/psn-pdfMarch 15, 2021 - In particular, anticoagulation errors can cause harms such as bruising and bleeding and those occurring -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851389/psn-pdfJuly 31, 2023 - transform thinking from a root-cause analysis framework to a systems-focused framework to prevent future harms -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/846935/psn-pdfMarch 29, 2023 - Maternal Safety and Perinatal Mental Health March 29, 2023 Allen C, Van CM, Mossburg S. Maternal Safety and Perinatal Mental Health . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/maternal-safety-and-perinatal-mental-health Maternal patient safety is a critical aspect of healthcare given the complex pr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49586/psn-pdfMay 01, 2009 - Vial Mistakes Involving Heparin May 1, 2009 Vanderveen T. Vial Mistakes Involving Heparin. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin The Case A 65-year-old man was admitted to the hospital for an elective left carotid endarterectomy. During the procedure, the surgeon re… -
psnet.ahrq.gov/web-mm/mixup-beyond-medication-labelJune 01, 2014 - Mixup Beyond the Medication Label Citation Text: Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote …
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33856/psn-pdfApril 01, 2018 - Patient Safety During Hospital Discharge April 1, 2018 Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge Perspective Patients are admitted to the hospital in the United States 35 million times per year.(1)… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49853/psn-pdfFebruary 01, 2019 - Adverse Event During Intrahospital Transport February 1, 2019 Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport The Case A 4-year-old boy underwent surgery under general anesthesia for correction o… -
psnet.ahrq.gov/sites/default/files/2020-06/final_june-spotlight_case_slides_06.12.2020.pdfJanuary 01, 2020 - Microsoft PowerPoint - FINAL June-Spotlight Case Slides_06.12.2020.pptx Spotlight When the Indications for Drug Administration Blur Source and Credits • This presentation is based on the June 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm • Commentary by: Julia Munsch,…
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psnet.ahrq.gov/web-mm/hazards-loading-dosesDecember 01, 2003 - Hazards of Loading Doses Citation Text: Mucksavage JJ, Tesoro EP. Hazards of Loading Doses. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-module_1-speaker-notes.docxSeptember 01, 2015 - AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 1: Overview SAY: “Preventing CAUTI in the ICU Setting” is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in catheter-associated urinary tra…
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www.ahrq.gov/hai/cauti-tools/facil-guide/preventing-cauti-icu-setting-module1-speaker-notes.htmlFebruary 01, 2023 - Module 1: Overview - Facilitator's Notes Preventing CAUTI in the ICU Setting Slide 1. Preventing CAUTI in the ICU Setting Say: "Preventing CAUTI in the ICU Setting" is a four-module program designed for intensive care unit, or ICU, nurses to gain a sense of confidence and demonstrate competence in cathe…
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/safety/patient-safety-slides.pptxNovember 01, 2019 - Improving Antibiotic Use is a Patient Safety Issue Making the Case That Improving Antibiotic Use Is a Patient Safety Issue Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF November 2019 Improving Antibiotic Use – Patient Safety Issue AHRQ Safety Program for Improving Antibio…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion.pptxApril 01, 2022 - Indwelling Urinary Catheter Insertion Facilitator Notes Indwelling Urinary Catheter Insertion Ensuring Aseptic Placement AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI AHRQ Pub. No. 17(22)-0019 April 2022 1 Why Is Aseptic Insertion So Important?1-3 2020 National Healthcare Safety Netw…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33633/psn-pdfMay 01, 2006 - Patient Safety in the Physician Office Setting May 1, 2006 Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/patient-safety-physician-office-setting Perspective Dr. Jones was sure he had increased Mr. H's cholesterol-lowering medication to 80 mg 6 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49572/psn-pdfOctober 01, 2008 - Mistaken Identity October 1, 2008 Hall LW. Mistaken Identity. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mistaken-identity The Case An 85-year-old Cantonese-speaking woman was admitted to the medical service with altered mental status and a reported fall. After finding tenderness in her left hip, the p… -
psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddlesDecember 15, 2024 - Improving Patient Safety and Team Communication through Daily Huddles Citation Text: Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citatio…
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130-Ss-Swiss-Cheese-Fg (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/130-ss-swiss-cheese-fg.docxApril 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects: Applying the “Swiss cheese model” of System Failure Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects: Applying the “Swiss C… -
integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/engaging-and-educatingJanuary 01, 2024 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38981/psn-pdfSeptember 30, 2009 - Computerized decision support to reduce potentially inappropriate prescribing to older emergency department patients: a randomized, controlled trial. September 30, 2009 Terrell KM, Perkins AJ, Dexter P, et al. Computerized decision support to reduce potentially inappropriate prescribing to older emergency departme…
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