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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39501/psn-pdf
    January 03, 2017 - Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. January 3, 2017 Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low- molecular-weight heparin in three patient safety reporting programs…

  2. Global Patient Safety Alerts. | PSNet

    psnet.ahrq.gov/issue/global-patient-safety-alerts
    May 12, 2009 - Database/Directory Global Patient Safety Alerts. Citation Text: Global Patient Safety Alerts. Canadian Patient Safety Institute; CPSI. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  3. 162-Example-Completed-Learning-Defects-Tool (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/162-example-completed-learning-defects-tool.docx
    October 01, 2024 - This could include incidents that you believe caused patient harm or put patients at risk for significant

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33612/psn-pdf
    May 01, 2005 - We embedded in our practice a robust root cause analysis system to analyze critical incidents, report

  5. Asthma-Immunotherapy-2011 Research (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/asthma-immunotherapy-2011_research.pdf
    January 01, 2011 - Methods Research Report Development of Quality Criteria To Evaluate Nontherapeutic Studies of Incidence, Prevalence, or Risk Factors of Chronic Diseases: Pilot Study of New Checklists This report is based on research conducted by the Minnesota Evidence-based Practice Center und…

  6. Pf-Engagement-Facilitator-Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/engage/pf-engagement-facilitator-guide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Engage Patients and Families for Perinatal Safety Engage Patients and Families for Perinatal Safety SAY: The Patient and Family Engagement module focuses on an important topic: making sure patients and their family members understand what is happening during the patient’s hospi…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35633/psn-pdf
    January 16, 2024 - Patient Safety. January 16, 2024 Province of Manitoba, CA. https://psnet.ahrq.gov/issue/patient-safety-25 This government organization supports patient safety efforts in Manitoba by supporting activities that include mandatory critical incident reporting and investigations. https://psnet.ahrq.gov/issue/patient-sa…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39611/psn-pdf
    June 16, 2010 - Avoidable mistakes rise despite hospital efforts. June 16, 2010 Colliver V. https://psnet.ahrq.gov/issue/avoidable-mistakes-rise-despite-hospital-efforts This newspaper article details the incidence of retained foreign objects after surgery in California hospitals and explains how fines collected by the state will…

  9. The incidence of opioid misuse among the surgical patients with persistent opioid use. | PSNet

    psnet.ahrq.gov/issue/incidence-opioid-misuse-among-surgical-patients-persistent-opioid-use
    October 13, 2018 - Study The incidence of opioid misuse among the surgical patients with persistent opioid use. Citation Text: Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760. Copy Ci…

  10. Incidence of adverse drug events and medication errors in Japan: the JADE Study. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-drug-events-and-medication-errors-japan-jade-study
    September 25, 2019 - Study Incidence of adverse drug events and medication errors in Japan: the JADE Study. Citation Text: Sakuma M, Bates DW, Morimoto T. Clinical prediction rule to identify high-risk inpatients for adverse drug events: the JADE Study. Pharmacoepidemiol Drug Saf. 2012;21(11). doi:10.1002/pd…

  11. Critical incident stress debriefing after adverse patient safety events. | PSNet

    psnet.ahrq.gov/issue/critical-incident-stress-debriefing-after-adverse-patient-safety-events
    April 03, 2019 - Review Critical incident stress debriefing after adverse patient safety events. Citation Text: Harrison R, Wu AW. Critical incident stress debriefing after adverse patient safety events. Am J Med Qual. 2017;23(5):310-312. Copy Citation Format: Google Scholar PubMed BibTeX E…

  12. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. | PSNet

    psnet.ahrq.gov/issue/patient-record-review-incidence-consequences-and-causes-diagnostic-adverse-events
    July 02, 2014 - Study Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Citation Text: Zwaan L, de Bruijne M, Wagner C, et al. Patient record review of the incidence, consequences, and causes of diagnostic adverse events. Arch Intern Med. 2010;170(12):1015-21…

  13. Classifying laboratory incident reports to identify problems that jeopardize patient safety. | PSNet

    psnet.ahrq.gov/issue/classifying-laboratory-incident-reports-identify-problems-jeopardize-patient-safety
    May 13, 2020 - Study Classifying laboratory incident reports to identify problems that jeopardize patient safety. Citation Text: Classifying laboratory incident reports to identify problems that jeopardize patient safety. Astion ML; Shojania KG; Hamill TR; Kim S; Ng VL. Copy Citation …

  14. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. | PSNet

    psnet.ahrq.gov/issue/patient-and-caregiver-factors-ambulatory-incident-reports-mixed-methods-analysis
    October 21, 2020 - Study Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. Citation Text: Sharma AE, Huang B, Del Rosario JB, et al. Patient and caregiver factors in ambulatory incident reports: a mixed-methods analysis. BMJ Open Qual. 2021;10(3):e001421. doi:10.1136/b…

  15. ADVERSE drug events: incidence and risk reduction across the care continuum. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-incidence-and-risk-reduction-across-care-continuum
    April 12, 2019 - Image/Poster ADVERSE drug events: incidence and risk reduction across the care continuum. Citation Text: Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. Copy C…

  16. Section 5.A, Table 4 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0138-section-5a.pdf
    December 01, 2013 - Section 5.A, Table 4                                                                                                 Q‐METRIC Sickle Cell Disease Measure 3: Appropriate Antibiotic Prophylaxis for Children with Sickle Cell Disease Graphics for Section V. …

  17. Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study
    April 08, 2011 - Study Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. Citation Text: Zeeshan MF, Dembe AE, Seiber EE, et al. Incidence of adverse events in an integrated US healthcare system: a retrospective obse…

  18. The nature and causes of unintended events reported at 10 internal medicine departments. | PSNet

    psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
    August 17, 2016 - Study The nature and causes of unintended events reported at 10 internal medicine departments. Citation Text: Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…

  19. Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-related-health-care-spain-results-spanish-national-study-adverse
    December 01, 2011 - Study Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. Citation Text: Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, et al. Incidence of adverse events related to health care in Spain: results of the Spanish Nat…

  20. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
    February 18, 2011 - Study Classic Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. Citation Text: Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…
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