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Showing results for "identifying".

  1. Patient Safety Indicators | PSNet

    psnet.ahrq.gov/primer/patient-safety-indicators
    June 15, 2024 - using routinely collected administrative data. 2 Twenty PSIs were released in 2003 to aid hospitals in identifying

  2. A Mistaken Dose of Naloxone  | PSNet

    psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
    March 21, 2009 - naloxone use. 14,15   Individual providers and healthcare systems need to do a better job of identifying

  3. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Checklists have been shown to be effective in multiple different clinical settings, for tasks such as identifying

  4. Wandering Off the Floors: Safety and Security Risks of Patient Wandering | PSNet

    psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
    August 21, 2007 - search procedures including assigning one individual to be responsible for coordinating the search; identifying

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45077/psn-pdf
    May 11, 2016 - Quality of Care and Information Technology. May 11, 2016 Suresh S, ed. Pediatr Clin North Am. 2016;63:221-388. https://psnet.ahrq.gov/issue/quality-care-and-information-technology Utilizing informatics has shown promise for enhancing quality and patient safety, but this has also introduced unintended consequences.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867747/psn-pdf
    March 12, 2025 - A framework for the analysis of communication errors in health care. March 12, 2025 Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303. https://psnet.ahrq.gov/issue/framework-analysis-co…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837192/psn-pdf
    May 25, 2022 - Declaration to Advance Patient Safety. May 25, 2022 National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022. https://psnet.ahrq.gov/issue/declaration-advance-patient-safety Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73613/psn-pdf
    August 18, 2021 - Implementing universal suicide risk screening in a pediatric hospital. August 18, 2021 Sullivant SA, Brookstein D, Camerer M, et al. Implementing universal suicide risk screening in a pediatric hospital. Jt Comm J Qual Patient Saf. 2021;47(8):496-502. doi:10.1016/j.jcjq.2021.05.001. https://psnet.ahrq.gov/issue/im…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40081/psn-pdf
    December 21, 2014 - Electronic health record adoption by children's hospitals in the United States. December 21, 2014 Nakamura MM, Ferris T, DesRoches CM, et al. Electronic health record adoption by children's hospitals in the United States. Arch Pediatr Adolesc Med. 2010;164(12):1145-51. doi:10.1001/archpediatrics.2010.234. https://…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34086/psn-pdf
    May 27, 2011 - Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. May 27, 2011 Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. Health Aff (Millwood). 2004;23(4):184-90.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73638/psn-pdf
    August 25, 2021 - The pain was unbearable. So why did doctors turn her away? August 25, 2021 Szalavitz M. Wired Magazine. August 11, 2021.  https://psnet.ahrq.gov/issue/pain-was-unbearable-so-why-did-doctors-turn-her-away The opioid epidemic has contributed to uncertainties for pain management patients that result in harm…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38062/psn-pdf
    March 04, 2011 - Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. March 4, 2011 Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Health Serv Res. 2008;43(5 Pt 2):1849-68. doi:10.1111/j.1…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42122/psn-pdf
    May 23, 2013 - High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. May 23, 2013 Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. BMJ Qual Saf. 2013;2…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851653/psn-pdf
    July 26, 2023 - Content analysis of nurses' reflections on medication errors in a regional hospital. July 26, 2023 Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.2220432. https://psnet.ahrq.gov/issue/co…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60555/psn-pdf
    January 01, 2021 - Putting the patient in patient safety investigations: barriers and strategies for involvement. June 3, 2020 Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pts.0000000000000699. https://psnet.ah…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45545/psn-pdf
    October 05, 2016 - How to Improve Electronic Health Record Usability and Patient Safety. October 5, 2016 Philadelphia, PA: Pew Charitable Trusts; September 6, 2016. https://psnet.ahrq.gov/issue/how-improve-electronic-health-record-usability-and-patient-safety The usability of electronic health record (EHR) systems can affect clinici…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47128/psn-pdf
    October 13, 2018 - Matt's story: learning from heartbreak. October 13, 2018 Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657. doi:10.1093/intqhc/mzy076. https://psnet.ahrq.gov/issue/matts-story-learning-heartbreak Medical error affects the lives of patients, families, and member…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38307/psn-pdf
    January 07, 2009 - Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. January 7, 2009 Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 month…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38762/psn-pdf
    June 28, 2011 - Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. June 28, 2011 Smits M, Janssen J, de Vet R, et al. Analysis of unintended events in hospitals: inter-rater reliability of constructing causal trees and classifying root causes. Int J Qual H…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837593/psn-pdf
    June 29, 2022 - Adverse event reporting priorities: an integrative review. June 29, 2022 Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. https://psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrat…
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