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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38289/psn-pdf
    July 05, 2008 - Resident Duty Hours: Enhancing Sleep, Supervision, and Safety. July 5, 2008 Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedule to Improve Patient Safety, Institute of Medicine. Washington, DC: The National Academies Press; 2008. ISBN: 97803091277…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41451/psn-pdf
    October 19, 2012 - Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. October 19, 2012 Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi- site survey of primary care physicians. BMJ Qual Saf. 2012;21(8):641-648. doi:10.113…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47437/psn-pdf
    November 02, 2018 - Engaging hospital patients in the medication reconciliation process using tablet computers. November 2, 2018 Prey JE, Polubriaginof F, Grossman L, et al. Engaging hospital patients in the medication reconciliation process using tablet computers. J Am Med Inform Assoc. 2018;25(11):1460-1469. doi:10.1093/jamia/ocy11…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46822/psn-pdf
    April 12, 2019 - Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial. April 12, 2019 Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist Intervention on the Risk of Readmission: A Randomized Clinical Trial…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47071/psn-pdf
    January 23, 2019 - Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study. January 23, 2019 Larochelle MR, Bernson D, Land T, et al. Medication for Opioid Use Disorder After Nonfatal Opioid Overdose and Association With Mortality: A Cohort Study. Ann Intern Med. 2018;169(3):13…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46344/psn-pdf
    October 13, 2018 - Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. October 13, 2018 Han B, Compton WM, Blanco C, et al. Prescription opioid use, misuse, and use disorders in U.S. adults: 2015 National Survey on Drug Use and Health. Ann Intern Med. 2017;167(5):293-301. do…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40800/psn-pdf
    December 09, 2014 - 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. December 9, 2014 Amalberti R, Brami J. 'Tempos' management in primary care: a key factor for classifying adverse events, and improving quality and safety. BMJ Qual Saf. 2012;21(9):729-36. doi:10.1136…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73258/psn-pdf
    May 12, 2021 - Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. May 12, 2021 Horberg MA, Nassery N, Rubenstein KB, et al. Rate of s…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38612/psn-pdf
    May 06, 2009 - Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home. May 6, 2009 Lee BH, Lehmann CU, Jackson E, et al. Assessing controlled substance prescribing errors in a pediatric teaching …

  10. 130-Dec-Patient-Daily-Bathing-Chg-Handout (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/130-dec-patient-daily-bathing-chg-handout.docx
    October 01, 2024 - Daily Bathing With Chlorhexidine Gluconate Why Am I Getting Special Bathing? There are some common bacteria that can live on your skin and in your nose that normally don’t cause you any problems. But when you’re in the hospital, because you’re more vulnerable, these common bacteria can end up causing a severe …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48168/psn-pdf
    July 24, 2019 - Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort study. July 24, 2019 Sankaran R, Sukul D, Nuliyalu U, et al. Changes in hospital safety following penalties in the US Hospital Acquired Condition Reduction Program: retrospective cohort stud…

  12. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/resources/simulation-issue-brief2.html
    July 01, 2024 - Simulation To Improve Patient Safety: Getting Started Introduction Previous Page Next Page Table of Contents Simulation To Improve Patient Safety: Getting Started Introduction Leverage Patient Safety Infrastructure Use Simulation To Adopt and Adapt Best Practices Use Simulation To Improve He…

  13. Resident Physicians as Champions in Preventing Device-Associated Infections Pocket Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/resphys-champions-pocketgd.pdf
    June 02, 2025 - Resident Physicians as Champions in Preventing Device-Associated Infections Pocket Guide PREVENT DEVICE-ASSOCIATED INFECTIONS EVALUATE ALL DEVICES DAILY! Indwelling devices that HEAL may also HARM! Use them only when necessary. • What is the INDICATION for the device? • Can the device be DISCONTINUED? • …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47605/psn-pdf
    January 17, 2019 - Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. January 17, 2019 Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Operating Room: A Follow-up Study Fr…

  15. Module 4: Summary and Next Steps: Slide Presentation | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod4-slides.html
    February 01, 2023 - Module 4: Summary and Next Steps: Slide Presentation Preventing CAUTI in the ICU Setting Slide 1 AHRQ Safety Program for Reducing CAUTI in Hospitals Preventing CAUTI in the ICU Setting Module 4: Summary and Next Steps AHRQ Pub No. 15-0073-4-EF September 2015 Slide 2 Summary of Module 1 CAU…

  16. Talking With Residents and Family Members About Urinary Tract Infections (UTIs) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-members-UTI.pdf
    June 01, 2021 - Talking With Residents and Family Members About Urinary Tract Infections (UTIs) Talking With Residents and Family Members About Urinary Tract Infections (UTIs) My father is not himself today. His urine is dark and smells bad. Does he have a urinary tract infection? Last time this happened, the do…

  17. Talking With Residents and Family Members About Lower Respiratory Tract Infections (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/family-RTI.pdf
    June 01, 2021 - Talking With Residents and Family Members About Lower Respiratory Tract Infections — Talking With Residents and Family Members About Lower Respiratory Tract Infections My mother has a cough. She’s bringing up yellow phlegm. Does she have pneumonia? Last time this happened, the doctor prescribed an …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47778/psn-pdf
    March 06, 2019 - Teamwork- Part 1: Divided We Fall; Part 2: Cursed By Knowledge: Building a Culture of Psychological Safety; and Part 3: The Not-My-Problem Problem. March 6, 2019 Rosenbaum L. Divided We Fall. N Engl J Med. 2019;380(7):684-688. doi:10.1056/NEJMms1813427. https://psnet.ahrq.gov/issue/teamwork-part-1-divided-we-fall-…

  19. Senior Leader Checklist | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/checklist.html
    March 01, 2017 - Senior Leader Checklist AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Purpose: To provide senior leaders a checklist to plan and implement quality improvement and resident safety projects in a long-term care facility. Who should use this tool? Senior leaders (long-term care facility admin…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43264/psn-pdf
    June 18, 2014 - CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008. June 18, 2014 Scott D, Sinkowitz-Cochran R, Wise ME, et al. CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 Million during 1990-2008. Health Af…
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