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Showing results for "incidents".

  1. Reducing accidental extubation in neonates. | PSNet

    psnet.ahrq.gov/issue/reducing-accidental-extubation-neonates
    September 09, 2011 - Study Reducing accidental extubation in neonates. Citation Text: Loughead JL, Brennan RA, DeJuilio P, et al. Reducing accidental extubation in neonates. Jt Comm J Qual Patient Saf. 2008;34(3):164-170, 125. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  2. Analysis of medical emergency team calls comparing subjective to "objective" call criteria. | PSNet

    psnet.ahrq.gov/issue/analysis-medical-emergency-team-calls-comparing-subjective-objective-call-criteria
    December 01, 2008 - Study Analysis of medical emergency team calls comparing subjective to "objective" call criteria. Citation Text: Santiano N, Young L, Hillman K, et al. Analysis of medical emergency team calls comparing subjective to "objective" call criteria. Resuscitation. 2009;80(1):44-9. doi:10.101…

  3. Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-context-hematopoietic-stem-cell-transplantation-systematic-review
    June 19, 2024 - Review Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. Citation Text: Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-3…

  4. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. | PSNet

    psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
    May 13, 2009 - Study Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …

  5. Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units. | PSNet

    psnet.ahrq.gov/issue/attitude-everything-impact-workload-safety-climate-and-safety-tools-medical-errors-study
    March 11, 2020 - Study Attitude is everything?: The impact of workload, safety climate, and safety tools on medical errors: a study of intensive care units. Citation Text: Steyrer J, Schiffinger M, Huber C, et al. Attitude is everything? The impact of workload, safety climate, and safety tools on med…

  6. Putting the patient in patient safety investigations: barriers and strategies for involvement. | PSNet

    psnet.ahrq.gov/issue/putting-patient-patient-safety-investigations-barriers-and-strategies-involvement
    June 23, 2021 - Review Putting the patient in patient safety investigations: barriers and strategies for involvement. Citation Text: 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/pt…

  7. Concerns regarding tablet splitting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/concerns-regarding-tablet-splitting-systematic-review
    February 10, 2015 - Review Concerns regarding tablet splitting: a systematic review. Citation Text: Saran AK, Holden NA, Garrison SR. Concerns regarding tablet splitting: a systematic review. BJGP Open. 2022;6(3):BJGPO.2022.0001. doi:10.3399/bjgpo.2022.0001. Copy Citation Format: DOI Google Sc…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861760/psn-pdf
    January 31, 2024 - approach to medication management is crucial for improving overall patient care and preventing such incidents

  9. Debriefing for Clinical Learning | PSNet

    psnet.ahrq.gov/primer/debriefing-clinical-learning
    September 15, 2024 - evolved from post-mission analysis of military or police actions and grew to include use in critical incidents

  10. National Web-Based Teleconference on Utilizing Health IT to Improve Medication Management for the Care of Elderly Patients (pdf file)

    digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
    August 18, 2011 - 1229 beds Methods • Chart reviews were performed by trained clinical pharmacist investigators • Incidents

  11. JAMA JATS (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/Nvjr8BPsZhy4XGc7-rGjAH
    June 18, 2018 - JAMA JATS Screening for Cervical Cancer US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force IMPORTANCE The number of deaths from cervical cancer in the United States has decreased substantially since the implementation of widespread cervical cancer screening and has declined …

  12. Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (pdf file)

    www.ahrq.gov/sites/default/files/2024-04/dykes-report.pdf
    January 01, 2024 - Final Progress Report: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS Project Title: Generalizability and Spread of an Evidenced-based Fall Prevention Toolkit: Fall TIPS (Tailoring Interventions for Patient Safety) Principal Investigator and Team Members. Patricia C. Dykes, An…

  13. Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults (pdf file)

    www.ahrq.gov/sites/default/files/2024-02/wei-report.pdf
    January 01, 2024 - Final Progress Report: Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid-Related Hospitalizations in Older Adults AHRQ Grant Final Progress Report Prescription Opioid Use Trajectories and Risk Factors Associated with Opioid- Related Hospitalizations in Older Adults Principal Investigat…

  14. 6Jfgjyjsbmc48Mj2Uksahb (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/6jFgJYJSbMc48mj2uKsAhB
    October 01, 2014 - Behavioral Counseling to Promote a Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: U.S. Preventive Services Task Force Recommendation Statement Michael L. LeFevre, MD, MSPH, on behalf of the U.S. Preventive Services Task Force* Description: Update …

  15. Archived: Skin Cancer: Screening and Behavioral Counseling, 1996 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/skin-cancer-screening-behavioral-counseling-1996
    January 01, 1996 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Final Recommendation Statement Skin Cancer: Screening and Behavioral Counseling, 1996 January 01, 1996 Recommendations made by the USPSTF are independent of th…

  16. Microsoft Word - cognitive-decline-protocol-160322.docx (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/cognitive-decline_research-protocol.pdf
    March 22, 2016 - Microsoft Word - cognitive-decline-protocol-160322.docx   Evidence-based Practice Center Systematic Review Protocol Project Title: Interventions for Preventing Cognitive Decline, Mild Cognitive Impairment, and Alzheimer’s Disea…

  17. Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/phillips-report.pdf
    January 01, 2024 - Final Progress Report: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges FINAL PROGRESS REPORT Project Title: Preventing/Managing C. Diff for Nursing Home Residents, Admissions, and Discharges Principal Investigator: Charles D. Phillips, PhD, MPH, Regents Professor, Texas A&M …

  18. From Quality Measures to Quality Care: Examples of Quality Improvement at Work | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/quality-measures/21st-century/challenges.html
    June 01, 2018 - The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality Measures to Quality Care: Examples of Quality Improvement at Work Previous Page Next Page Table of Contents The Challenge and Potential for Assuring Quality Health Care for the 21st Century From Quality …

  19. Simulation-Based Education Improves Patient Safety in Ambulatory Care (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
    March 12, 2008 - literature,17, 18 HealthPartners system quality data indicated that the vast majority of our clinic incidents … were related to prescriptions, but only a handful of reported incidents were associated with actual … Patient safety concerns were identified through a review of the clinic quality incidents, observations

  20. Making Healthcare Safer Practices: 11. Patient Identification Errors in the Operating Room (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/patient-id-errors-1.pdf
    March 01, 2020 - Not provided Incidents may be underestimated by at least a factor of 20 because they are self-reported
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