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Showing results for "incidents".

  1. psnet.ahrq.gov/issue/effects-healthcare-organization-actions-and-policies-related-covid-19-perceived
    March 24, 2021 - Study Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. Citation Text: Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to COVID-19 on…
  2. psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous
    December 16, 2020 - Study Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. Citation Text: Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology interven…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33594/psn-pdf
    November 18, 2021 - evolved from post-mission analysis of military or police actions and grew to include use in critical incidents
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44436/psn-pdf
    October 30, 2017 - Overreaction. October 30, 2017 Shell ER. Overreaction. Scientific American. 2015;313(5):28-9. https://psnet.ahrq.gov/issue/overreaction Reporting on how test inaccuracies can lead to misdiagnosis of food allergies in children and the potential consequences, this magazine article describes a diagnostic tool to dete…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41144/psn-pdf
    February 15, 2012 - Implementing AORN recommended practices for prevention of retained surgical items. February 15, 2012 Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010. https://psnet.ahrq.gov/issue/implem…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36651/psn-pdf
    January 05, 2017 - Conscious sedation on a general ward: the MET and clinical governance. January 5, 2017 Warrillow S, Bellomo R, Jones D. Conscious sedation on a general ward: the MET and clinical governance. Jt Comm J Qual Patient Saf. 2007;33(2):112-7, 61. https://psnet.ahrq.gov/issue/conscious-sedation-general-ward-met-and-clini…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36933/psn-pdf
    September 09, 2011 - Retained foreign bodies after surgery. September 9, 2011 Lincourt AE, Harrell A, Cristiano J, et al. Retained Foreign Bodies After Surgery. Journal of Surgical Research. 2007;138(2). doi:10.1016/j.jss.2006.08.001. https://psnet.ahrq.gov/issue/retained-foreign-bodies-after-surgery The authors performed a case contr…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38755/psn-pdf
    July 01, 2009 - Review of Patient Safety for Children and Young People. July 1, 2009 London, UK: National Patient Safety Agency; 2009. ISBN: 978906624071. https://psnet.ahrq.gov/issue/review-patient-safety-children-and-young-people Analyzing research and more than 900,000 incident reports submitted to the National Patient Safety …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36670/psn-pdf
    January 18, 2011 - Nurses' perceptions of multidisciplinary team work in acute health-care. January 18, 2011 Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract. 2006;12(6):359-65. https://psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37727/psn-pdf
    April 30, 2008 - Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. April 30, 2008 Sheppard JE, Weidner LCE, Zakai S, et al. Ambiguous abbreviations: an audit of abbreviations in paediatric note keeping. Arch Dis Child. 2008;93(3):204-6. https://psnet.ahrq.gov/issue/ambiguous-abbreviations-audit-abbrevi…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38901/psn-pdf
    September 02, 2009 - Quantitative analysis of adverse events in neurosurgery. September 2, 2009 Houkin K, Baba T, Minamida Y, et al. Quantitative analysis of adverse events in neurosurgery. Neurosurgery. 2009;65(3):587-94; discussion 594. doi:10.1227/01.NEU.0000350860.59902.68. https://psnet.ahrq.gov/issue/quantitative-analysis-adverse…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43674/psn-pdf
    November 12, 2014 - Living with cancer: not talking about medical mistakes. November 12, 2014 Gubar S. https://psnet.ahrq.gov/issue/living-cancer-not-talking-about-medical-mistakes This newspaper article describes how surgical complications, health care–associated infections, and ineffective patient–provider communication contributed…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35673/psn-pdf
    June 28, 2010 - Recovery from medical errors: the critical care nursing safety net. June 28, 2010 Rothschild JM, Hurley A, Landrigan CP, et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf. 2006;32(2):63-72. https://psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursin…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40568/psn-pdf
    June 29, 2011 - Tubing misconnections: normalization of deviance. June 29, 2011 Simmons D, Symes L, Guenter P, et al. Tubing misconnections: normalization of deviance. Nutr Clin Pract. 2011;26(3):286-293. doi:10.1177/0884533611406134. https://psnet.ahrq.gov/issue/tubing-misconnections-normalization-deviance Analyzing published ca…
  15. www.uspreventiveservicestaskforce.org/Home/GetFile/1/16813/prostate-cancer-models-overview/pdf
    May 01, 2018 - Overview of Prostate Cancer Screening Decision Models: A Contextual Review for the U.S. Preventive Services Task Force Contextual Review Overview of Prostate Cancer Screening Decision Models: A Contextual Review for the U.S. Preventive Services Task Force Prepared for: Agency for Healthcare Research and …
  16. www.uspreventiveservicestaskforce.org/home/getfilebytoken/vTHBrY6VuqjoouJvUmtkr4
    May 01, 2018 - Overview of Prostate Cancer Screening Decision Models: A Contextual Review for the U.S. Preventive Services Task Force Contextual Review Overview of Prostate Cancer Screening Decision Models: A Contextual Review for the U.S. Preventive Services Task Force Prepared for: Agency for Healthcare Research and …
  17. www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/brca-related-cancer-risk-assessment-genetic-counseling-and-genetic-testing
    August 20, 2019 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Evidence Summary BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing August 20, 2019 Recommendations made by the USPSTF are independent of the U.S.…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45840/psn-pdf
    February 08, 2017 - Implementation of the safety huddle. February 8, 2017 Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80- 82. https://psnet.ahrq.gov/issue/implementation-safety-huddle The safety huddle is becoming common within health care practice as a way to inform clinician…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40384/psn-pdf
    April 20, 2011 - A "back to basics" approach to reduce ED medication errors. April 20, 2011 Blank FSJ, Tobin J, Macomber S, et al. A "back to basics" approach to reduce ED medication errors. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2011;37(2):141-7. doi:10.1016/j.jen.…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50662/psn-pdf
    November 13, 2019 - Deep Dive: Safe Ambulatory Care, Strategies for Patient Safety & Risk Reduction. November 13, 2019 Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/deep-dive-safe-ambulatory-care-strategies-patient-safety-risk-reduction Outpatient safety is gaining traction as a focal point of analysis and …