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Showing results for "harms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33578/psn-pdf
    September 15, 2024 - Human Factors Engineering September 15, 2024 Human Factors Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/human-factors-engineering PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safe…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - Culture of Safety September 16, 2024 Culture of Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/culture-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

  3. Disclosure of Errors | PSNet

    psnet.ahrq.gov/primer/disclosure-errors
    September 15, 2024 - Disclosure of Errors Citation Text: Disclosure of Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - Root Cause Analysis June 15, 2024 Root Cause Analysis. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/root-cause-analysis PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…

  5. Improving Healthcare Safety by Enhancing Medication Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
    April 30, 2025 - errors and preventable ADEs, followed by side effects and adverse drug reactions (n=37, 30%), and harms … 2019 $1,396,509 Final Report Purpose: Develop a patient-centric risk model of medication-related harms … Key Findings/Impact: Top sources of hazards for medication-related harms identified by professionals … project is that a risk assessment tool was developed that may be implemented to reduce risks of patient harms … products by 37 percent, which could potentially shield close to 6 million older adults from significant harms

  6. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet

    psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
    August 01, 2007 - The PeaceHealth Governance Journey in Support of Quality and Safety John L. Haughom, MD | August 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Haughom JL. The PeaceHealth Governance Journey in Support of Quality and …

  7. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009  Also Read an Essay Citation Text: In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009.In Conversation with...Mark Chassin, MD, MPP, MPH . PSNet [internet]. Rockville (MD): A…

  8. Results | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication4.html
    July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Results Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions References Appendix A. Datab…

  9. In Conversation with...James L. Reinertsen, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
    August 01, 2007 - In Conversation with...James L. Reinertsen, MD August 1, 2007  Also Read an Essay Citation Text: In Conversation with..James L. Reinertsen, MD. PSNet [internet]. 2007.In Conversation with...James L. Reinertsen, MD. PSNet [internet]. Rockville (MD): Agency for Heal…

  10. In Conversation With… Edward Kelley, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-edward-kelley-phd
    December 01, 2014 - In Conversation With… Edward Kelley, PhD December 1, 2014  Also Read an Essay Citation Text: In Conversation With… Edward Kelley, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837959/psn-pdf
    August 31, 2022 - Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy August 31, 2022 Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertio…

  12. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
    March 11, 2005 - AHRQ WebM&M—Online Medical Error Reporting and Analysis 211 AHRQ WebM&M—Online Medical Error Reporting and Analysis Robert M. Wachter, Kaveh G. Shojania, Tracy Minichiello, Scott A. Flanders, Erin E. Hartman Abstract The AHRQ WebM&M Web site represents an unprecedented effort to publish illustrative case…

  13. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
    July 31, 2023 - Healthcare organizations can improve reporting by focusing reports on patient harms rather than requiring

  14. Building Capacity for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/building-capacity-patient-safety
    July 31, 2023 - Healthcare organizations can improve reporting by focusing reports on patient harms rather than requiring

  15. Pediatric Diagnostic Safety: State of the Science and Future Directions (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-pediatric-safety.pdf
    September 01, 2023 - Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms

  16. IHI Lucian Leape Institute. | PSNet

    psnet.ahrq.gov/issue/ihinpsf-lucian-leape-institute
    July 12, 2017 - Multi-use Website IHI Lucian Leape Institute. Citation Text: IHI Lucian Leape Institute. Institute for Healthcare Improvement. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy U…

  17. Doctors learn to say 'I'm Sorry.' | PSNet

    psnet.ahrq.gov/issue/doctors-learn-say-im-sorry
    August 17, 2016 - Newspaper/Magazine Article Doctors learn to say 'I'm Sorry.' Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 4, 2015 View more articles from the same authors. This article …

  18. Preventing adverse events caused by emergency electrical power system failures. | PSNet

    psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
    July 31, 2023 - Sentinel Event Alerts Preventing adverse events caused by emergency electrical power system failures. Citation Text: Preventing adverse events caused by emergency electrical power system failures. Sentinel Event Alert. 2006;37(37):1-3. Copy Citation Format: Google Scholar P…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39790/psn-pdf
    March 21, 2017 - Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. March 21, 2017 Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Jt Comm J Qual Saf. 2010;36(9):40…

  20. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-6
    July 21, 2021 - Multi-use Website Patient Safety. Citation Text: Patient Safety. American Hospital Association; AHA Quality Center. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
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