Results

Total Results: over 10,000 records

Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45387/psn-pdf
    August 15, 2016 - Preventing medication errors. August 15, 2016 Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. https://psnet.ahrq.gov/issue/preventing-medication-errors Nursing home patients are particularly vulnerable to medication errors. This commentar…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43752/psn-pdf
    January 21, 2015 - Organizational and social-psychological conditions in healthcare and their importance for patient and staff safety. A critical incident study among doctors and nurses. January 21, 2015 Eklöf M, Törner M, Pousette A. Organizational and social-psychological conditions in healthcare and their importance for patient …
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37689/psn-pdf
    April 16, 2008 - Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. April 16, 2008 Farnan JM, Johnson JK, Meltzer DO, et al. Resident uncertainty in clinical decision making and impact on patient care: a qualitative study. Qual Saf Health Care. 2008;17(2):122-6. doi:10.1136/qshc.2007.0…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43366/psn-pdf
    March 04, 2015 - Safety of medication use in primary care. March 4, 2015 Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. https://psnet.ahrq.gov/issue/safety-medication-use-primary-care This systematic review found that incidence rates of…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838192/psn-pdf
    September 28, 2022 - When medical error becomes personal, activism becomes painful. September 28, 2022 Millenson M. Forbes. September 16, 2022. https://psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful Unnecessary medication infusions indicate weaknesses in medication service processes. While no harm w…
  6. psnet.ahrq.gov/issue/diagnostic-safety-event-reporting
    August 05, 2020 - Newspaper/Magazine Article Diagnostic safety event reporting. Citation Text: Diagnostic safety event reporting. Carr S. ImproveDx. July 2021;8(4). Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  7. psnet.ahrq.gov/print/pdf/node/74279
    January 01, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality COVID-19 Pandemic Impact on Healthcare Associated Conditions Curated Library All Library Content The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary of data reported to the National Healt…
  8. psnet.ahrq.gov/issue/learning-investigations
    July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…
  9. psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death
    November 25, 2009 - Multi-use Website National Confidential Enquiry into Patient Outcome and Death. Citation Text: National Confidential Enquiry into Patient Outcome and Death. National Confidential Enquiry into Patient Outcome and Death; NCEPOD Copy Citation Save Save to your libr…
  10. www.ahrq.gov/sites/default/files/2024-02/zierler-report.pdf
    January 01, 2024 - Final Progress Report: VTE Safety Toolkit: A Systems Approach to Patient Safety Title: VTE Safety Toolkit: A Systems Approach to Patient Safety Principal Investigator: Brenda K. Zierler, PhD1 Team Members: Ann Wittkowsky, PharmD2 Robb Glenny, MD3 Seth Wolpin, PhD1 Jung-Ah Lee, MN1 Gene Peterson, MD, PhD3 Fre…
  11. www.uspreventiveservicestaskforce.org/home/getfilebytoken/9Tse2TwVFQgYb-aNCq4Ngv
    September 04, 2018 - Screening for Syphilis Infection in Pregnant Women: Updated Evidence Report and Systematic Review for the USPSTF Screening for Syphilis Infection in Pregnant Women Updated Evidence Report and Systematic Review for the US Preventive Services Task Force Jennifer S. Lin, MD; Michelle L. Eder, PhD; Sarah I. Bean, MPH IM…
  12. www.ahrq.gov/research/findings/final-reports/iomracereport/reldata2b.html
    May 01, 2018 - Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Chapter 2: Evidence of Disparities Among Ethnicity Groups (continued, 2) Previous Page Next Page Table of Contents Race, Ethnicity, and Language Data: Standardization for Health Care Quality Improvement Summary…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47241/psn-pdf
    October 10, 2018 - Impact of high-reliability education on adverse event reporting by registered nurses. October 10, 2018 McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.0000000000000291. https://psnet.ahrq.gov/issu…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49591/psn-pdf
    October 01, 2009 - The great difference between enforcing rules on faculty behavior compared with incidents involving residents
  15. AHRQ PSNet Webinar (pdf file)

    psnet.ahrq.gov/sites/default/files/2025-03/PSNet%20Webinar%20Feb%202025_0.pdf
    January 01, 2025 - AHRQ PSNet Webinar AHRQ PSNet Webinar Making Healthcare Safer (MHS) IV: Rapid Response Systems and Opioid Stewardship February 10, 2025 Agenda 2 • Logistics • Introduction to the Making Healthcare Safer (MHS) IV Reports • Report 1 – Rapid Response Systems ► Discussion ► PSNet Resources • Report 2 – Opioi…
  16. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2010
    January 01, 2010 - Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2010 Project Name Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home Princi…
  17. www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan150/iron-deficiency-anemia-in-young-children-screening
    July 18, 2013 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Iron Deficiency Anemia in Young Children: Screening July 18, 2013 Recommendations made by the USPSTF are independent of the U.S. government. They shoul…
  18. S131 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/s131.pdf
    October 01, 2007 - ORIGINAL ARTICLE Increasing Levels of Restriction in Pharmacoepidemiologic Database Studies of Elderly and Comparison With Randomized Trial Results Sebastian Schneeweiss, MD, ScD,* Amanda R. Patrick, MS,* Til Stürmer, MD, MPH,* M. Alan Brookhart, PhD,* Jerry Avorn, MD,* Malcolm Maclure, ScD,* Kenneth J. Rothman, DM…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36494/psn-pdf
    August 29, 2016 - Medication prescribing errors involving the route of administration. August 29, 2016 Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. https://psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40117/psn-pdf
    March 18, 2011 - Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiology and contributing factors. March 18, 2011 Lessing C, Schmitz A, Albers B, et al. Impact of sample size on variation of adverse events and preventable adverse events: systematic review on epidemiolo…