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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36833/psn-pdf
    March 03, 2011 - Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. March 3, 2011 Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Ann S…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47834/psn-pdf
    February 27, 2019 - Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals. February 27, 2019 Rhee C, Jones TM, Hamad Y, et al. Prevalence, Underlying Causes, and Preventability of Sepsis- Associated Mortality in US Acute Care Hospitals. JAMA Netw Open. 2019;2(2):e187571. doi:10.10…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41011/psn-pdf
    March 04, 2015 - Ambulatory prescribing errors among community-based providers in two states. March 4, 2015 Abramson EL, Bates DW, Jenter CA, et al. Ambulatory prescribing errors among community-based providers in two states. J Am Med Inform Assoc. 2012;19(4):644-8. doi:10.1136/amiajnl-2011-000345. https://psnet.ahrq.gov/issue/amb…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39358/psn-pdf
    October 13, 2010 - Hospital safety climate and safety outcomes: is there a relationship in the VA? October 13, 2010 Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. https://psnet.ahrq.gov/issue/hospi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72669/psn-pdf
    January 27, 2021 - Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. January 27, 2021 Abbas M, Robalo Nunes T, Martischang R, et al. Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. A…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60911/psn-pdf
    September 16, 2020 - Prevalence and characterisation of diagnostic error among 7-day all-cause hospital medicine readmissions: a retrospective cohort study. September 16, 2020 Raffel KE, Kantor MA, Barish P, et al. Prevalence and characterisation of diagnostic error among 7-day all- cause hospital medicine readmissions: a retrospectiv…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74866/psn-pdf
    February 23, 2022 - Eliminating explicit and implicit biases in health care: evidence and research needs. February 23, 2022 Vela MB, Erondu AI, Smith NA, et al. Eliminating explicit and implicit biases in health care: evidence and research needs. Annu Rev Public Health. 2022;43(1):477-501. doi:10.1146/annurev-publhealth-052620- 10352…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37062/psn-pdf
    January 02, 2017 - The emotional impact of medical errors on practicing physicians in the United States and Canada. January 2, 2017 Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada. Jt Comm J Qual Saf. 2007;33(8):467-476. https://psnet.ahrq.gov/is…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40394/psn-pdf
    January 01, 2019 - Partnership for Patients. October 6, 2016 Washington, DC: US Department of Health and Human Services. https://psnet.ahrq.gov/issue/partnership-patients Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals.…

  10. Williams, Andrew | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/williams-andrew
    January 01, 2023 - Williams, Andrew Factors affecting medication adherence trajectories for patients with heart failure. Citation Juarez DT, Williams AE, Chen C, et al. Factors affecting medication adherence trajectories for patients with heart failure. Am J Manag Care 2015 Mar 1;21(3):e197-205.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867689/psn-pdf
    March 05, 2025 - Medication administration in aged care facilities: a mixed- methods systematic review. March 5, 2025 Garratt S, Dowling A, Manias E. Medication administration in aged care facilities: a mixed?methods systematic review. J Adv Nurs. 2025;81(2):621-640. doi:10.1111/jan.16318. https://psnet.ahrq.gov/issue/medication-a…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40477/psn-pdf
    March 23, 2012 - Adverse drug events in U.S. adult ambulatory medical care. March 23, 2012 Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x. https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848811/psn-pdf
    May 10, 2023 - Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. May 10, 2023 Mahajan P, Grubenhoff JA, Cranford J, et al. Types of diagnostic errors reported by paediatric emergency providers in a global paediatric emergency care research network. BMJ O…

  14. 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 …

  15. 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…

  16. Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/evidencenow-it2.pdf
    July 01, 2025 - Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women Identify, Teach and Treat (IT2): Automating Clinical Decision Pathways for the Care of Women Project Overview This intervention implements screening for urinary incontinence using a questionnaire sent through the pati…

  17. In response to “Getting to the Root of the Matter” (June 2005) | PSNet

    psnet.ahrq.gov/perspective/response-getting-root-matter-june-2005
    June 01, 2005 - In response to “Getting to the Root of the Matter” (June 2005) September 1, 2005  View more articles from the same authors. Citation Text: Grondin L, Saint S, Flanders S, et al. In response to “Getting to the Root of the Matter” (June 2005). PSNet [internet]. Rockv…

  18. Final Research Plan: Perinatal Depression: Preventive Interventions | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/perinatal-depression-interventions-to-prevent
    June 01, 2023 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Final Research Plan Perinatal Depression: Preventive Interventions June 01, 2023 Recommendations made by the USPSTF are independent of the U.S. government. T…

  19. Final Research Plan: Cervical Cancer: Screening | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/cervical-cancer-screening-adults-adolescents
    March 17, 2022 - Share to Facebook Share to X Share to WhatsApp Share to Email Print in progress Final Research Plan Cervical Cancer: Screening March 17, 2022 Recommendations made by the USPSTF are independent of the U.S. government. They should not be co…

  20. Evaluation and Integration of an Automatic Fall Prediction System - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluation-and-integration-automatic-fall-prediction-system/annual-summary/2012
    January 01, 2012 - Evaluation and Integration of an Automatic Fall Prediction System - 2012 Project Name Evaluation and Integration of an Automatic Fall Prediction System Principal Investigator Kearns, William D. Organization University of South Florida Funding Mechanism PAR: HS08-269…
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