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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852699/psn-pdf
    August 30, 2023 - https://psnet.ahrq.gov/issue/2020-pennsylvania-patient-safety-reporting-analysis-serious-events-and-incidents-nations

  2. Collegiality vs. Competence | PSNet

    psnet.ahrq.gov/web-mm/collegiality-vs-competence
    August 28, 2024 - should serve terms long enough to accumulate experience and institutional memory of prior peer review incidents

  3. Specimen Almost Lost | PSNet

    psnet.ahrq.gov/web-mm/specimen-almost-lost
    September 21, 2022 - Related Resources From the Same Author(s) Pathology trainees rarely report safety incidents

  4. Air on the Side of Caution | PSNet

    psnet.ahrq.gov/web-mm/air-side-caution
    April 21, 2015 - October 25, 2023 Reduced postdischarge incidents after implementation of a hospital-to-home

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33709/psn-pdf
    July 01, 2011 - that poor quality handovers can cause adverse consequences.(1) For example, in a study of critical incidents

  6. Patient Safety in the Physician Office Setting | PSNet

    psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
    November 04, 2015 - July 29, 2015 Patient safety incidents in home hospice care: the experiences of hospice

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - the case review to help address identified system issues and build action plans to prevent future incidents

  8. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet

    psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
    June 15, 2024 - Communication issues contributing to medication incidents: mixed-method analysis of hospitals' incident

  9. Challenging Patient Behaviors and Concerns | The Academy

    integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/challenging-patient-behaviors-and-concerns
    January 01, 2021 - Develop a process for reporting and documenting incidents and review this information regularly to reassess

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849592/psn-pdf
    May 31, 2023 - These incidents are typically considered avoidable.8 Planning and Development Process According to

  11. Hospital Stays for Newborns, 2011 (pdf file)

    hcup-us.ahrq.gov/reports/statbriefs/sb163.pdf
    August 01, 2013 - Hospital Stays for Newborns, 2011 1 October 2013 Hospital Stays for Newborns, 2011 Niranjana M. Kowlessar, Ph.D., H. Joanna Jiang, Ph.D., and Claudia Steiner, M.D., M.P.H. Introduction Almost 99 percent of births in the United States take place in hospitals.1 Live births account for ab…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38857/psn-pdf
    July 31, 2012 - Name and shame. July 31, 2012 Cassidy J. Name and shame. BMJ. 2009;339:b2693. doi:10.1136/bmj.b2693. https://psnet.ahrq.gov/issue/name-and-shame This article examines the impact of whistleblowing on the caregivers involved, using the Bristol incident and other high-profile examples from the United Kingdom. https:…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36817/psn-pdf
    August 26, 2011 - Fault trees uncover complex causes. August 26, 2011 Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52. https://psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes This article discusses the use of a fault tree diagram to identify root causes of an incident within complex syste…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35919/psn-pdf
    January 01, 2019 - Pennsylvania Patient Safety Advisory. August 9, 2017 Patient Safety Authority https://psnet.ahrq.gov/issue/pennsylvania-patient-safety-advisory This quarterly newsletter shares insights and analysis on incident reports submitted through the Pennsylvania Patient Safety Reporting System. In 2019 this open-access pub…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38730/psn-pdf
    June 24, 2009 - Errors in clinical reasoning: causes and remedial strategies. June 24, 2009 Scott IA. Errors in clinical reasoning: causes and remedial strategies. BMJ. 2009;338:b1860. doi:10.1136/bmj.b1860. https://psnet.ahrq.gov/issue/errors-clinical-reasoning-causes-and-remedial-strategies This commentary analyzes how cogniti…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34619/psn-pdf
    March 17, 2011 - Action against Medical Accidents. March 17, 2011 Freedman House, Christopher Wren Yard, 117 High Street, Croydon, UK, CR0 1QG, office@avma.org.uk. https://psnet.ahrq.gov/issue/action-against-medical-accidents Action against Medical Accidents (AvMA) is an independent United Kingdom charity that promotes better pati…

  17. Draft Recommendation: Syphilis Infection During Pregnancy: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/draft-recommendation/syphilis-infection-pregnant-persons
    November 19, 2024 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Draft Recommendation Statement Syphilis Infection During Pregnancy: Screening November 19, 2024 Recommendations made by the USPSTF are independent of the U.S. …

  18. Final Progress Report: Using Barcode Technology to Improve Medication Safety (pdf file)

    www.ahrq.gov/sites/default/files/2024-01/gandhi-report.pdf
    January 01, 2024 - Final Progress Report: Using Barcode Technology to Improve Medication Safety FINAL REPORT: April 16, 2007 Using Barcode Technology to Improve Medication Safety Principal Investigator: Tejal Gandhi, tgandhi@partners.org Brigham and Women’s Hospital Tejal Gandhi MD, MPH, Principle Investigator Eric Poon, MD, MPH, …

  19. Hospital Stays for Newborns, 2011 #163

    hcup-us.ahrq.gov/reports/statbriefs/sb163.jsp
    October 01, 2013 - Hospital Stays for Newborns, 2011 #163 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Up…

  20. Results | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/pfp/haccost2017-results.html
    November 01, 2017 - Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Results Previous Page Next Page Table of Contents Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions Discussion …
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