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Showing results for "hospitalized".

8121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37390/psn-pdf
      December 05, 2007 - Third wrong-sided brain surgery at R.I. hospital. December 5, 2007 Associated Press; AP. https://psnet.ahrq.gov/issue/third-wrong-sided-brain-surgery-ri-hospital This news article reports repeated incidents of wrong-side surgery at the same facility, and state and hospital reactions to the errors. https://psnet.a…

8122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39846/psn-pdf
      February 17, 2011 - Patient safety beyond the hospital. February 17, 2011 Gandhi TK, Lee TH. Patient safety beyond the hospital. N Engl J Med. 2010;363(11):1001-3. doi:10.1056/NEJMp1003294. https://psnet.ahrq.gov/issue/patient-safety-beyond-hospital This commentary discusses challenges for patient safety improvement work in the ambul…

8123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35818/psn-pdf
      July 20, 2010 - Environmental changes increase hospital safety for dementia patients. July 20, 2010 Goodall D. Environmental changes increase hospital safety for dementia patients. Holist Nurs Pract. 2006;20(2):80-84. https://psnet.ahrq.gov/issue/environmental-changes-increase-hospital-safety-dementia-patients The author present…

8124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34120/psn-pdf
      December 30, 2012 - Strategies for Hospitals to Improve Patient Safety: A Review of the Literature. December 30, 2012 Wong J, Beglaryan H. Toronto, ON: The Change Foundation; February 2004. https://psnet.ahrq.gov/issue/strategies-hospitals-improve-patient-safety-review-literature A literature review of preventable adverse events in a…

8125. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.155_slideshow.ppt
      July 01, 2007 - Spotlight Case [MONTH] 2003 Spotlight Case July 2007 Resuscitation Errors: A Shocking Problem Source and Credits This presentation is based on the July 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available online Commentary by: Benjamin Abella, MD, MPhil, …

8126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49710/psn-pdf
      May 01, 2014 - Discontinued Medications: Are They Really Discontinued? May 1, 2014 Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued? PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued The Case A 69-year-old man with a history of chronic atrial f…

8127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33651/psn-pdf
      June 01, 2007 - In Conversation with...Diane Rydrych, MA June 1, 2007 In Conversation with..Diane Rydrych, MA. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma Editor's Note: Diane Rydrych, MA, is Assistant Director of the Division of Health Policy at the Minnesota Department of Health,…

8128. Just Culture and its critical link to patient safety—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/just-culture-and-its-critical-link-patient-safety-part-1-and-part-2
      June 10, 2018 - Newspaper/Magazine Article Just Culture and its critical link to patient safety—part 1 and part 2. Citation Text: Just Culture and its critical link to patient safety—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. May 17, 2012;17:1-4; July 12, 2012;17:1-3. Copy …

8129. Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. | PSNet
      psnet.ahrq.gov/issue/hospitals-two-states-denied-abortion-miscarrying-patient-investigators-say-they-broke-federal
      September 20, 2023 - Newspaper/Magazine Article Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Citation Text: Hospitals in two states denied an abortion to a miscarrying patient. Investigators say they broke federal law. Surana K. Pro Publica. M…

8130. Preventing falls and fall-related injuries in health care facilities. | PSNet
      psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities
      December 23, 2016 - Sentinel Event Alerts Preventing falls and fall-related injuries in health care facilities. Citation Text: Preventing falls and fall-related injuries in health care facilities. Sentinel Event Alert. September 28, 2015;(55):1-5. Copy Citation Save Save to your li…

8131. Quality and patient safety teams in the perioperative setting. | PSNet
      psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting
      October 19, 2022 - Commentary Quality and patient safety teams in the perioperative setting. Citation Text: Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006. Copy Citation Format: DOI Google Scholar PubMed Bib…

8132. Improving the Emergency Department Discharge Process. | PSNet
      psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
      April 23, 2014 - Book/Report Improving the Emergency Department Discharge Process. Citation Text: Improving the Emergency Department Discharge Process. Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF.…

8133. Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. | PSNet
      psnet.ahrq.gov/issue/preventable-tragedies-superbugs-and-how-ineffective-monitoring-medical-device-safety-fails
      May 18, 2011 - Book/Report Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Citation Text: Preventable Tragedies: Superbugs and How Ineffective Monitoring of Medical Device Safety Fails Patients. Murray P. Washington, DC; Senate Health, Education,…

8134. How to Identify and Address Unsafe Conditions Associated With Health IT. | PSNet
      psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
      June 29, 2016 - Book/Report How to Identify and Address Unsafe Conditions Associated With Health IT. Citation Text: How to Identify and Address Unsafe Conditions Associated With Health IT. Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for…

8135. Learning from error: identifying contributory causes of medication errors in an Australian hospital. | PSNet
      psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
      October 19, 2022 - Study Learning from error: identifying contributory causes of medication errors in an Australian hospital. Citation Text: Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…

8136. An exploratory study measuring verbal order content and context. | PSNet
      psnet.ahrq.gov/issue/exploratory-study-measuring-verbal-order-content-and-context
      June 25, 2008 - Study An exploratory study measuring verbal order content and context. Citation Text: Wakefield DS, Brokel J, Ward MM, et al. An exploratory study measuring verbal order content and context. Qual Saf Health Care. 2009;18(3):169-73. doi:10.1136/qshc.2008.029827. Copy Citation Form…

8137. Ten ERs in Colorado tried to curtail opioids and did better than expected. | PSNet
      psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
      December 04, 2016 - Newspaper/Magazine Article Ten ERs in Colorado tried to curtail opioids and did better than expected. Citation Text: Ten ERs in Colorado tried to curtail opioids and did better than expected. Daley J. Colorado Public Radio. February 23, 2018. Copy Citation Save Sa…

8138. A 10-Rights framework for patient care quality and safety. | PSNet
      psnet.ahrq.gov/issue/10-rights-framework-patient-care-quality-and-safety
      July 23, 2010 - Commentary A 10-Rights framework for patient care quality and safety. Citation Text: Wakefield DS, Ward MM, Wakefield BJ. A 10-Rights framework for patient care quality and safety. Am J Med Qual. 2007;22(2):103-11. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

8139. Patient handoffs. | PSNet
      psnet.ahrq.gov/issue/patient-handoffs
      June 17, 2014 - Newspaper/Magazine Article Patient handoffs. Citation Text: Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

8140. Staying safe while getting well. | PSNet
      psnet.ahrq.gov/issue/staying-safe-while-getting-well
      February 05, 2014 - Newspaper/Magazine Article Staying safe while getting well. Citation Text: Staying safe while getting well. Salamon M. Harvard Women's Health Watch. August 1, 2023 Copy Citation Save Save to your library Print Download PDF Share Facebook …