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Showing results for "implementing".

  1. Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. | PSNet

    psnet.ahrq.gov/issue/association-postoperative-readmissions-surgical-quality-using-delphi-consensus-process
    September 25, 2018 - Study Association of postoperative readmissions with surgical quality using a Delphi consensus process to identify relevant diagnosis codes. Citation Text: Mull HJ, Graham LA, Morris MS, et al. Association of Postoperative Readmissions With Surgical Quality Using a Delphi Consensus Proce…

  2. Anatomic pathology databases and patient safety. | PSNet

    psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
    April 08, 2008 - Study Anatomic pathology databases and patient safety. Citation Text: Raab SS, Grzybicki DM, Zarbo RJ, et al. Anatomic pathology databases and patient safety. Arch Pathol Lab Med. 2005;129(10):1246-1251. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  3. Diagnostic errors in primary care pediatrics: Project RedDE. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-primary-care-pediatrics-project-redde
    April 08, 2018 - Study Diagnostic errors in primary care pediatrics: Project RedDE. Citation Text: Rinke ML, Singh H, Heo M, et al. Diagnostic Errors in Primary Care Pediatrics: Project RedDE. Acad Peds. 2018;18(2):220-227. doi:10.1016/j.acap.2017.08.005. Copy Citation Format: DOI Google Sc…

  4. Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. | PSNet

    psnet.ahrq.gov/issue/introduction-sts-national-database-series-outcomes-analysis-quality-improvement-and-patient
    August 04, 2021 - Commentary Introduction to the STS National Database Series: outcomes analysis, quality improvement, and patient safety. Citation Text: Fernandez FG, Shahian DM, Kormos R, et al. The Society of Thoracic Surgeons National Database 2019 Annual Report. Ann Thorac Surg. 2019;108(6):1625-1632…

  5. Incidence and types of adverse events and negligent care in Utah and Colorado. | PSNet

    psnet.ahrq.gov/issue/incidence-and-types-adverse-events-and-negligent-care-utah-and-colorado
    December 24, 2008 - Study Classic Incidence and types of adverse events and negligent care in Utah and Colorado. Citation Text: Thomas EJ, Studdert DM, Burstin HR, et al. Incidence and types of adverse events and negligent care in Utah and Colorado. Med Care. 2000;38(3):261-71. C…

  6. Patterns of error in interpretive pathology. | PSNet

    psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
    April 07, 2021 - Study Patterns of error in interpretive pathology. Citation Text: Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  7. Body of evidence: do autopsy findings impact medical malpractice claim outcomes? | PSNet

    psnet.ahrq.gov/issue/body-evidence-do-autopsy-findings-impact-medical-malpractice-claim-outcomes
    August 19, 2020 - Study Body of evidence: do autopsy findings impact medical malpractice claim outcomes? Citation Text: Gartland RM, Myers LC, Iorgulescu JB, et al. Body of evidence: do autopsy findings impact medical malpractice claim outcomes? J Patient Saf. 2020;17(8):576-582. doi:10.1097/pts.000000000…

  8. Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. | PSNet

    psnet.ahrq.gov/issue/drug-related-problem-outcomes-and-program-satisfaction-comprehensive-brown-bag-medication
    September 23, 2020 - Review Drug-related-problem outcomes and program satisfaction from a comprehensive brown bag medication review. Citation Text: O'Connell MB, Chang F, Tocco A, et al. Drug-Related-Problem Outcomes and Program Satisfaction from a Comprehensive Brown Bag Medication Review. J Am Geriatr Soc.…

  9. Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. | PSNet

    psnet.ahrq.gov/issue/prescription-long-acting-opioids-and-mortality-patients-chronic-noncancer-pain
    August 08, 2018 - Study Prescription of long-acting opioids and mortality in patients with chronic noncancer pain. Citation Text: Ray WA, Chung CP, Murray KT, et al. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-23. doi:10.1001/jama.2016…

  10. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. | PSNet

    psnet.ahrq.gov/issue/impact-intraoperative-distractions-patient-safety-prospective-descriptive-study-using
    August 18, 2017 - Study Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated instruments. Citation Text: Sevdalis N, Undre S, McDermott J, et al. Impact of intraoperative distractions on patient safety: a prospective descriptive study using validated ins…

  11. ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-monitoring-and-patient-education-0
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. Citation Text: Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Monitoring and patient education-2015. Am J Health Syst …

  12. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. | PSNet

    psnet.ahrq.gov/issue/usage-and-accuracy-medication-data-nationwide-health-information-exchange-quebec-canada
    June 17, 2020 - Study Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. Citation Text: Motulsky A, Weir DL, Couture I, et al. Usage and accuracy of medication data from nationwide health information exchange in Quebec, Canada. J Am Med Inform Assoc. 201…

  13. Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. | PSNet

    psnet.ahrq.gov/issue/addressing-dual-patient-and-staff-safety-through-team-based-standardized-patient-simulation
    December 03, 2018 - Study Addressing dual patient and staff safety through a team-based standardized patient simulation for agitation management in the emergency department. Citation Text: Wong AH, Auerbach MA, Ruppel H, et al. Addressing Dual Patient and Staff Safety Through A Team-Based Standardized Patie…

  14. Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing
    June 04, 2014 - Study Randomized controlled trial of a pictogram-based intervention to reduce liquid medication dosing errors and improve adherence among caregivers of young children.  Citation Text: Yin S, Dreyer BP, van Schaick L, et al. Randomized controlled trial of a pictogram-based intervention …

  15. Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/assessing-clinical-economic-and-health-resource-utilization-impacts-prefilled-syringes-versus
    August 15, 2018 - Review Assessing the clinical, economic, and health resource utilization impacts of prefilled syringes versus conventional medication administration methods: results from a systematic literature review. Citation Text: Benhamou D, Weiss M, Borms M, et al. Assessing the clinical, economic,…

  16. 30-day potentially avoidable readmissions due to adverse drug events. | PSNet

    psnet.ahrq.gov/issue/30-day-potentially-avoidable-readmissions-due-adverse-drug-events
    June 14, 2017 - Study 30-day potentially avoidable readmissions due to adverse drug events. Citation Text: Dalleur O, Beeler PE, Schnipper JL, et al. 30-Day Potentially Avoidable Readmissions Due to Adverse Drug Events. J Patient Saf. 2021;17(5):e379-e386. doi:10.1097/pts.0000000000000346. Copy Citati…

  17. Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. | PSNet

    psnet.ahrq.gov/issue/effect-pharmacist-led-multicomponent-intervention-focusing-medication-monitoring-phase
    June 29, 2011 - Study Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes. Citation Text: Lapane KL, Hughes C, Daiello LA, et al. Effect of a pharmacist-led multicomponent intervention focusing on …

  18. Principles of automation for patient safety in intensive care: learning from aviation. | PSNet

    psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
    April 20, 2022 - Commentary Principles of automation for patient safety in intensive care: learning from aviation. Citation Text: Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…

  19. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. | PSNet

    psnet.ahrq.gov/issue/pharmacists-rounding-teams-reduce-preventable-adverse-drug-events-hospital-general-medicine
    October 19, 2022 - Study Classic Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Citation Text: Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital …

  20. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet

    psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
    March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…
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