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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33769/psn-pdfJune 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed? June 1, 2014 Haskell H. Patient Advocacy in Patient Safety: Have Things Changed? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed Perspective In 1981, a cancer patient named Paula Carroll founded… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49633/psn-pdfSeptember 01, 2011 - The Safety and Quality of Long Term Care September 1, 2011 Vogelsmeier AA. The Safety and Quality of Long Term Care. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/safety-and-quality-long-term-care Case Objectives Identify commonly reported adverse events in long-term care. Identify two to three challenges… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33635/psn-pdfJuly 01, 2006 - In Conversation with...Allan Frankel, MD July 1, 2006 In Conversation with..Allan Frankel, MD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withallan-frankel-md Dr. Robert Wachter, Editor, AHRQ WebM&M: Tell us a little bit about how you became interested in this kind of work. Dr. Allan … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45543/psn-pdfFebruary 17, 2017 - Deriving ICD-10 codes for patient safety indicators for large-scale surveillance using administrative hospital data. February 17, 2017 Southern DA, Burnand B, Droesler SE, et al. Deriving ICD-10 Codes for Patient Safety Indicators for Large- scale Surveillance Using Administrative Hospital Data. Med Care. 2017;55(… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836842/psn-pdfApril 07, 2022 - Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. April 7, 2022 Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J Clin Pharm. 2021;43(5):1404-1411. doi:10.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43475/psn-pdfJuly 18, 2016 - A cross-sectional analysis investigating organizational factors that influence near-miss error reporting among hospital pharmacists. July 18, 2016 Patterson ME, Pace HA. A Cross-sectional Analysis Investigating Organizational Factors That Influence Near-Miss Error Reporting Among Hospital Pharmacists. J Patient Sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38435/psn-pdfFebruary 25, 2009 - Prescribing discrepancies likely to cause adverse drug events after patient transfer. February 25, 2009 Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc.2007.025957. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39176/psn-pdfDecember 16, 2009 - A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. December 16, 2009 Hanson CC, Randolph GD, Erickson JA, et al. A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response syste… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43914/psn-pdfMarch 13, 2015 - Medication-related emergency department visits in pediatrics: a prospective observational study. March 13, 2015 Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43. doi:10.1542/peds.2014-1827. http… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43547/psn-pdfJuly 03, 2016 - Health care-associated infections among critically ill children in the US, 2007-2012. July 3, 2016 Patrick SW, Kawai AT, Kleinman K, et al. Health care-associated infections among critically ill children in the US, 2007-2012. Pediatrics. 2014;134(4):705-712. doi:10.1542/peds.2014-0613. https://psnet.ahrq.gov/issue… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41609/psn-pdfOctober 11, 2012 - Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. October 11, 2012 Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. J Surg R… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44635/psn-pdfJune 21, 2016 - Evaluation of perioperative medication errors and adverse drug events. June 21, 2016 Nanji KC, Patel A, Shaikh S, et al. Evaluation of Perioperative Medication Errors and Adverse Drug Events. Anesthesiology. 2016;124(1):25-34. doi:10.1097/ALN.0000000000000904. https://psnet.ahrq.gov/issue/evaluation-perioperative-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73121/psn-pdfApril 07, 2021 - The impact of introducing automated dispensing cabinets, barcode medication administration, and closed- loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review. April 7, 2021 Zheng WY, Lichtner V, Van Dort BA, et al. The impact of intr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41786/psn-pdfOctober 24, 2012 - Minnesota hospitals are testing ways to reduce return trips. October 24, 2012 Lerner M. Lerner M. Star Tribune. October 11, 2012. https://psnet.ahrq.gov/issue/minnesota-hospitals-are-testing-ways-reduce-return-trips This newspaper article reports on how transition coaches can help improve transfer and discharge c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35727/psn-pdfFebruary 22, 2006 - Risk of medication errors at hospital discharge and barriers to problem resolution. February 22, 2006 Enguidanos SM; Brumley RD. https://psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution The authors reviewed discharge medication records for elderly patients to assess do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42265/psn-pdfDecember 04, 2016 - Hospital safety: your responsibility or theirs? December 4, 2016 Teegardin C. Atlanta Journal-Constitution. April 28, 2013. https://psnet.ahrq.gov/issue/hospital-safety-your-responsibility-or-theirs This newspaper article reports on the role of patients and families in preventing health care–associated infections.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42148/psn-pdfMarch 27, 2013 - Healing the hospital hierarchy. March 27, 2013 Brown T. New York Times. March 17, 2013:SR5. https://psnet.ahrq.gov/issue/healing-hospital-hierarchy This newspaper article relates a nursing perspective on how authority gradients and disruptive behavior can influence health care delivery and patient safety. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41581/psn-pdfAugust 08, 2012 - How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. August 8, 2012 Cambridge, MA: Institute for Healthcare Improvement; June 2012. https://psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations This series, developed in conjunct… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40082/psn-pdfDecember 15, 2010 - Achieving Strong Teamwork Practices in Hospital Labor and Delivery Units. December 15, 2010 Farley DO, Sorbero ME, Lovejoy SL, Salisbury M. Santa Monica, CA: Rand Corporation; 2010. ISBN: 9780833050557. https://psnet.ahrq.gov/issue/achieving-strong-teamwork-practices-hospital-labor-and-delivery-units This report … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41350/psn-pdfMay 02, 2012 - Medication reconciliation in the hospital: what, why, where, when, who and how? May 2, 2012 Fernandes O; Shojania KG. https://psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how This commentary examines the practical considerations required to implement a high quality medication…
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