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Showing results for "hospitalization".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837077/psn-pdf
    May 11, 2022 - At US hospitals, a drug mix-up is just a few keystrokes away. May 11, 2022 Kelman B. Kaiser Health News. April 29, 2022. https://psnet.ahrq.gov/issue/us-hospitals-drug-mix-just-few-keystrokes-away Technological solutions harbor unique risks that can result in patient harm. This article shares a response to report…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39875/psn-pdf
    January 22, 2017 - Mobile in situ obstetric emergency simulation and teamwork training to improve maternal–fetal safety in hospitals. January 22, 2017 Guise J-M, Lowe NK, Deering S, et al. Mobile in situ obstetric emergency simulation and teamwork training to improve maternal-fetal safety in hospitals. Jt Comm J Qual Patient Saf. 20…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47233/psn-pdf
    November 02, 2018 - The STEP-up programme: engaging all staff in patient safety. November 2, 2018 Hamblin-Brown DJ; Ingram J. https://psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety A transparent and respectful hospital culture is the foundation for improving working conditions to reduce preventable harm. This …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44863/psn-pdf
    July 01, 2016 - Rating the raters: the inconsistent quality of health care performance measurement. July 1, 2016 Shahian DM, Normand S-LT, Friedberg MW, et al. Rating the Raters: The Inconsistent Quality of Health Care Performance Measurement. Ann Surg. 2016;264(1):36-8. doi:10.1097/SLA.0000000000001631. https://psnet.ahrq.gov/is…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44564/psn-pdf
    October 14, 2015 - Reducing falls with a safety spotter program. October 14, 2015 Primmer P, Borenstein KK, Downing MT, et al. Reducing falls with a safety spotter program. Nursing (Brux). 2015;45(8):16-9. doi:10.1097/01.NURSE.0000469244.89222.27. https://psnet.ahrq.gov/issue/reducing-falls-safety-spotter-program Patients at high ri…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44190/psn-pdf
    June 03, 2015 - Minimizing medical mistakes: mother's mission to reduce hospital errors. June 3, 2015 Takahara D. KDVR. May 19, 2015. https://psnet.ahrq.gov/issue/minimizing-medical-mistakes-mothers-mission-reduce-hospital-errors Parents of children who experience harm in the course of medical care serve as advocates to drive saf…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34033/psn-pdf
    April 11, 2011 - Adverse events and preventable adverse events in children. April 11, 2011 Woods D, Thomas EJ, Holl JL, et al. Adverse events and preventable adverse events in children. Pediatrics. 2005;115(1):155-60. https://psnet.ahrq.gov/issue/adverse-events-and-preventable-adverse-events-children Adverse events in hospitalize…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45326/psn-pdf
    January 03, 2017 - Consumer rankings and health care: toward validation and transparency. January 3, 2017 Hota B, Webb TA, Stein BD, et al. Consumer Rankings and Health Care: Toward Validation and Transparency. Jt Comm J Qual Patient Saf. 2016;42(10):439-446. https://psnet.ahrq.gov/issue/consumer-rankings-and-health-care-toward-vali…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45070/psn-pdf
    October 03, 2017 - When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? October 3, 2017 National Health Policy Forum. Washington, DC: George Washington University. March 11, 2016. https://psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend This report provides the insight…
  10. psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
    December 20, 2023 - September 22, 2021 Preventable Hospitalizations: A Window Into Primary and Preventive
  11. psnet.ahrq.gov/issue/patient-safety-dermatology-review-literature
    May 25, 2022 - Trends in maternal mortality and severe maternal morbidity during delivery-related hospitalizations
  12. psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
    November 01, 2005 - Rapid Response Teams: Lessons from the Early Experience William S. Krimsky, MD | November 1, 2005  Also Read a Conversation View more articles from the same authors. Citation Text: Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [inter…
  13. psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
    January 01, 2020 - Spotlight Too Many Cooks in the Kitchen Source and Credits • This presentation is based on the August 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Richard P. Dutton, MD, MBA o AHRQ WebM&M Editors in Chief: Patrick Romano, MD…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49493/psn-pdf
    November 01, 2005 - Infused, Not Ingested November 1, 2005 Foley M. Infused, Not Ingested. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/infused-not-ingested The Case A patient in the ICU was scheduled for a CT scan. The nurse prepared the patient by administering contrast, an unfamiliar task for this particular nurse. Rathe…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33682/psn-pdf
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009 In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent s…
  16. psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
    May 01, 2006 - Medication Reconciliation Pitfalls Citation Text: Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…
  17. psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
    February 01, 2012 - In Conversation With… Lawrence Smith, MD February 1, 2012  Also Read an Essay Citation Text: In Conversation With… Lawrence Smith, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. …
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33878/psn-pdf
    April 01, 2019 - In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD April 1, 2019 In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd Editor's note: Dr. Schulz Moore is the Director of Learning and Teaching at…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49692/psn-pdf
    September 01, 2013 - A Picture Speaks 1000 Words September 1, 2013 Hemphill RR. A Picture Speaks 1000 Words. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/picture-speaks-1000-words The Case A 62-year-old man with a past medical history of hypertension, hyperlipidemia, and type A aortic dissection repair presented with chest p…
  20. psnet.ahrq.gov/primer/reporting-patient-safety-events
    March 30, 2022 - Reporting Patient Safety Events Citation Text: Reporting Patient Safety Events. 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 tagge…

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