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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38625/psn-pdf
    November 19, 2009 - The design of the SAFE or SORRY? study: a cluster randomised trial on the development and testing of an evidence based inpatient safety program for the prevention of adverse events. November 19, 2009 van Gaal BGI, Schoonhoven L, Hulscher M, et al. The design of the SAFE or SORRY? study: a cluster randomised trial…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60251/psn-pdf
    April 22, 2020 - Exploring the association between organizational culture and large-scale adverse events: evidence from the Veterans Health Administration. April 22, 2020 George J, Elwy AR, Charns MP, et al. Exploring the Association Between Organizational Culture and Large-Scale Adverse Events: Evidence from the Veterans Health A…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40291/psn-pdf
    September 09, 2011 - Outcomes of emergency department patients presenting with adverse drug events. September 9, 2011 Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.01.003. https://psnet.ahrq.gov/is…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39579/psn-pdf
    June 11, 2014 - Outpatient adverse drug events identified by screening electronic health records. June 11, 2014 Gandhi TK, Seger AC, Overhage M, et al. Outpatient adverse drug events identified by screening electronic health records. J Patient Saf. 2010;6(2):91-6. doi:10.1097/PTS.0b013e3181dcae06. https://psnet.ahrq.gov/issue/out…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72726/psn-pdf
    February 10, 2021 - Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. February 10, 2021 Gualano MR, Lo Moro G, Voglino G, et al. Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic. Expert Opin Pharmaco…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42250/psn-pdf
    June 03, 2013 - A long-term follow-up evaluation of electronic health record prescribing safety. June 3, 2013 Abramson EL, Malhotra S, Osorio N, et al. A long-term follow-up evaluation of electronic health record prescribing safety. J Am Med Inform Assoc. 2013;20(e1):e52-8. doi:10.1136/amiajnl-2012-001328. https://psnet.ahrq.gov/…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61066/psn-pdf
    October 28, 2020 - Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. October 28, 2020 Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(4)…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45458/psn-pdf
    November 30, 2016 - Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics. November 30, 2016 Office of Disease Prevention and Heal…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37655/psn-pdf
    September 24, 2010 - Reducing anticoagulant medication adverse events and avoidable patient harm. September 24, 2010 Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. https://psnet.ahrq.gov/issue/reducing-anticoagulant…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47105/psn-pdf
    August 10, 2018 - A systems approach to identify factors influencing adverse drug events in nursing homes. August 10, 2018 Al-Jumaili AA, Doucette WR. A Systems Approach to Identify Factors Influencing Adverse Drug Events in Nursing Homes. J Am Geriatr Soc. 2018;66(7):1420-1427. doi:10.1111/jgs.15389. https://psnet.ahrq.gov/issue/s…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36154/psn-pdf
    September 29, 2010 - Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. September 29, 2010 Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. https://psnet.ahrq.gov/issue/har…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73665/psn-pdf
    September 01, 2021 - Challenges and potential solutions for patient safety in an infectious-agent-isolation environment: a study of 484 COVID-19-related event reports across 94 hospitals September 1, 2021 Taylor M, Reynolds C, Jones RM. Challenges and potential solutions for patient safety in an infectious- agent-isolation environment…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37425/psn-pdf
    March 28, 2012 - Frequency and outcome of cervical cancer prevention failures in the United States. March 28, 2012 Raab SS, Grzybicki DM, Zarbo RJ, et al. Frequency and outcome of cervical cancer prevention failures in the United States. Am J Clin Pathol. 2007;128(5):817-24. https://psnet.ahrq.gov/issue/frequency-and-outcome-cervi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36486/psn-pdf
    June 13, 2011 - Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network. June 13, 2011 Poon EG, Blumenfeld B, Hamann C, et al. Design and Implementation of an Application and Associated Services to Support Inte…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842770/psn-pdf
    January 18, 2023 - A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. January 18, 2023 Pollock BD, Dykhoff HJ, Breeher LE, et al. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. Mayo Clin Proc Innov Qual Outcomes. 2023;7(1):51-57.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39236/psn-pdf
    May 25, 2010 - Do emergency physicians attribute drug-related emergency department visits to medication-related problems? May 25, 2010 Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Ann Emerg Med. 2010;55(6):493-502.e4. doi:10.1016…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47845/psn-pdf
    April 24, 2019 - Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. April 24, 2019 Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 2019;2(4):e191912. doi:10.1001/jama…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74154/psn-pdf
    December 08, 2021 - Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. December 8, 2021 Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication-related follow-up after hospi…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45238/psn-pdf
    September 29, 2017 - Unprofessional behaviors among tomorrow's physicians: review of the literature with a focus on risk factors, temporal trends, and future directions. September 29, 2017 Fargen KM, Drolet BC, Philibert I. Unprofessional Behaviors Among Tomorrow's Physicians: Review of the Literature With a Focus on Risk Factors, Tem…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45708/psn-pdf
    October 31, 2017 - Development and preliminary testing of the Coordination Process Error Reporting Tool (CPERT), a prospective clinical surveillance mechanism for teamwork errors in the pediatric cardiac ICU. October 31, 2017 Bates KE, Shea JA, Bird GL, et al. Development and Preliminary Testing of the Coordination Process Error Re…
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