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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45704/psn-pdf
    December 14, 2016 - National Report of Findings 2016: Issue Brief No. 2: Patient Safety. December 14, 2016 Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016. https://psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety Integrating patient safet…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851191/psn-pdf
    July 05, 2023 - Disclosing medical errors: prioritising the needs of patients and families. July 5, 2023 Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880. https://psnet.ahrq.gov/issue/disclosing-med…

  3. Scaling Established Clinical Decision Support to Facilitate the Dissemination and Implementation of Evidence-Based Research Findings (R18) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/scaling-established-clinical-decision-support-facilitate-dissemination-and
    January 01, 2023 - Scaling Established Clinical Decision Support to Facilitate the Dissemination and Implementation of Evidence-Based Research Findings (R18) Scaling E.Q.U.I.P.P.E.D. Clinical Decision Support Description This research successfully adapted and evaluated scaling of the Enhancing Q…

  4. Update on Methods: Insufficient Evidence - Table 2 | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/update-on-methods-insufficient-evidence---table-2
    February 01, 2009 - Update on Methods: Insufficient Evidence - Table 2 Share to Facebook Share to X Share to WhatsApp Share to Email Print Table 2. The 4 Domains of Information Pertinent to Clinical Decisionmaking for Preventive Services Domain Descrip…

  5. 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

  6. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use (July 8, 2014) | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-transcript.html
    December 01, 2017 - Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use (July 8, 2014) Webinar Transcript July National Content Call July 8, 2014 11:00AM CT Operator: This is a recording of the Paul Tedrick conference, the July National Content Call, on July 8, 2014 at 11:00AM Central. Excuse …

  7. Paul Tedrick (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-focus-procedure-related-cath-use-transcript.doc
    July 08, 2014 - Paul Tedrick July National Content Call July 8, 2014 11:00AM CT Operator: This is a recording of the Paul Tedrick conference, the July National Content Call, on July 8, 2014 at 11:00AM Central. Excuse me, everyone. We now have our speakers in conference. Please note the participation on this call is by express wri…

  8. The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety | PSNet

    psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
    May 01, 2012 - The Emergence of the Trigger Tool as the Premier Measurement Strategy for Patient Safety Paul J. Sharek, MD, MPH | May 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Sharek PJ. The Emergence of the Trigger Tool as the …

  9. In Conversation With…David C. Classen, MD, MS | PSNet

    psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
    May 01, 2012 - In Conversation With…David C. Classen, MD, MS May 1, 2012  Also Read an Essay Citation Text: In Conversation With…David C. Classen, MD, MS. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

  10. Identifying, Understanding, and Communicating Medical Device Use Errors: Observations from an FDA Pilot Program (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flack.pdf
    January 01, 2005 - produced that depicts a device-related adverse event and demonstrates why it is important to report such incidents … They will be asked to report all device related incidents, including “close-calls” through the facilities

  11. The Impact of a Web-based Reporting System on the Collection of Medication Error Occurrence Data (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Rudman.pdf
    January 01, 2004 - .32 Vanderbilt Medical Center has built a Web-based system for reporting pediatric chemotherapy incidents … medication errors was low and needed to be increased to accurately represent the actual number of incidents

  12. Final Progress Report: Developing a Medical Biometric Identification System with a Secure Database Network That Can Access Electronic Medical Databases (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/sohn-report.pdf
    January 01, 2024 - The  sentinel  report  update  in  December  2001  from  The  Joint  Commission  analyzed  126  incidents … Of  the  126  incidents,  only  81%  were  self‐ reported[2]. 

  13. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet

    psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
    April 24, 2024 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents … June 8, 2016 Patient safety incidents in hospice care: observations from interdisciplinary

  14. Evidence Summary: Breast Cancer: Medication Use to Reduce Risk | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary/breast-cancer-medications-for-risk-reduction
    September 03, 2019 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Evidence Summary Breast Cancer: Medication Use to Reduce Risk September 03, 2019 Recommendations made by the USPSTF are independent of the U.S. government. They should not be c…

  15. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet

    psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
    February 26, 2025 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL A…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49489/psn-pdf
    September 01, 2005 - Double Trouble September 1, 2005 Gurwitz JH. Double Trouble. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/double-trouble Case Objectives Appreciate the incidence of adverse drug events in older persons List preventative measures that can be used to minimize medication errors in this population Encourage…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33597/psn-pdf
    April 10, 2024 - Long-term Care and Patient Safety April 10, 2024 Bakerjian D. Long-term Care and Patient Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/long-term-care-and-patient-safety Background For many years, the patient safety field focused on improving safety in hospital and ambulatory care settings. More re…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49495/psn-pdf
    December 01, 2005 - Low on the Totem Pole December 1, 2005 Wachter R. Low on the Totem Pole. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/low-totem-pole Case Objectives Understand the concept of authority gradient List steps that can be taken to increase communication across an authority gradient Consider the current cultu…

  19. Two Wrongs Don't Make a Right (Kidney) | PSNet

    psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
    April 01, 2010 - SPOTLIGHT CASE Two Wrongs Don't Make a Right (Kidney) Citation Text: DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Schola…

  20. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-470
    December 31, 2024 - January 15, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…
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