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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44350/psn-pdf
    July 29, 2015 - Reporting and using near-miss events to improve patient safety in diverse primary care practices: a collaborative approach to learning from our mistakes. July 29, 2015 Crane S, Sloane PD, Elder NC, et al. Reporting and Using Near-miss Events to Improve Patient Safety in Diverse Primary Care Practices: A Collaborat…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46571/psn-pdf
    October 25, 2017 - Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. October 25, 2017 Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;26(11):929-932. doi:10.1136/bmjqs-2017…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74058/psn-pdf
    November 10, 2021 - Transmission of community- and hospital-acquired SARS-CoV-2 in hospital settings in the UK: a cohort study. November 10, 2021 Mo Y, Eyre DW, Lumley SF, et al. Transmission of community- and hospital-acquired SARS-CoV-2 in hospital settings in the UK: a cohort study. PLoS Med. 2021;18(10):e1003816. doi:10.1371/jou…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36632/psn-pdf
    July 28, 2010 - Operating room briefings and wrong-site surgery. July 28, 2010 Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. https://psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery Although wrong-site surgeries are rare, they have…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851663/psn-pdf
    July 26, 2023 - Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. July 26, 2023 Washington, DC: VA Office of the Inspector General; June 28, 2023. Report no. 22-02725-132. https://psnet.ahrq.gov/issue/quality-care-concerns-and-facility-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35551/psn-pdf
    June 08, 2010 - Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. June 8, 2010 Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthesiology. 2005;103(6):1121-1129. https…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840479/psn-pdf
    January 01, 2023 - A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022 Carmack A, Valleru J, Randall KH, et al. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. Jt Comm J Qual Patient Saf. 2023;49(1):3-13. doi:10.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41043/psn-pdf
    May 24, 2012 - Toward improving patient safety through voluntary peer- to-peer assessment. May 24, 2012 Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer- to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. https://psnet.ahrq.gov/issue/toward-impr…

  9. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
    February 12, 2004 - When designing the MSR spreadsheet, relevant categories for reported incidents had to be selected for

  10. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet

    psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
    July 22, 2020 - approach to medication management is crucial for improving overall patient care and preventing such incidents

  11. Overview of Prostate Cancer Screening Decision Models: A Contextual Review for the U.S. Preventive Services Task Force (pdf file)

    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 …

  12. Overview of Prostate Cancer Screening Decision Models: A Contextual Review for the U.S. Preventive Services Task Force (pdf file)

    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 …

  13. The Role of Bar Coding and Smart Pumps in Safety | PSNet

    psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
    September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN | September 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Rothschild JM, Keohane C. The Role of Bar Coding and Sm…

  14. untitled (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/y_ApQN4Tw4RtnoWWrofH8d
    December 20, 2016 - untitled Copyright 2016 American Medical Association. All rights reserved. Serologic Screening for Genital Herpes Infection US Preventive Services Task Force Recommendation Statement US Preventive Services Task Force T he US Preventive Services Task Force (USPSTF) makes rec- ommendations about the effectiveness of …

  15. Recommendation: Ovarian Cancer: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/ovarian-cancer-screening
    February 13, 2018 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Ovarian Cancer: Screening February 13, 2018 Recommendations made by the USPSTF are independent of the U.S. government. They should not be co…

  16. Evidence Summary: BRCA-Related Cancer: Risk Assessment, Genetic Counseling, and Genetic Testing | United States Preventive Services Taskforce

    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.…

  17. Estimating the Additional Hospital Inpatient Cost and Mortality Associated With Selected Hospital-Acquired Conditions | Agency for Healthcare Research and Quality

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

  18. Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/secola-report.pdf
    January 01, 2024 - Final Progress Report: Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer 1 Central Venous Catheter (CVC)–Related Bloodstream Infections in Pediatric Cancer Principal Investigator: Rita Secola, RN, PhD, CPON Organization: University of California Los Angeles, NIHAward@research.ucla.e…

  19. Appendix C: Alternate Care Facility Questionnaire | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/shuttered/acfselection/appendixc.html
    July 01, 2018 - Disaster Alternate Care Facilities: Report and Interactive Tools Appendix C: Alternate Care Facility Questionnaire Previous Page Next Page Table of Contents Disaster Alternate Care Facilities: Report and Interactive Tools Executive Summary Chapter 1. Objectives Chapter 2. Background Chapter …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33624/psn-pdf
    December 01, 2005 - employers were smart, they would search for a different approach that accurately identifies when these incidents
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