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Showing results for "incidents".

  1. Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/impact-medical-errors-and-malpractice-health-economics-quality-and-patient-safety
    November 28, 2018 - Book/Report Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. Citation Text: Impact of Medical Errors and Malpractice on Health Economics, Quality, and Patient Safety. Riga M, ed. Hershey, PA: IGI Global; 2017. ISBN: 9781522523376. Copy Citation…

  2. National Patient Safety Board Act of 2022. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-board-act-2022
    July 20, 2022 - Legislation/Regulation National Patient Safety Board Act of 2022. Citation Text: National Patient Safety Board Act of 2022. HR 9377, 117th Cong, 2d Sess (2022). Copy Citation Save Save to your library Print Download PDF Share Facebook …

  3. Recommended Infection Prevention Components of Quality Assessment and Performance Improvement (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/recommendedinfectionprev-components.pdf
    June 02, 2025 - Recommended Infection Prevention Components of Quality Assessment and Performance Improvement Recommended Infection Prevention Components of Quality Assessment and Performance Improvement The facility quality assessment and performance improvement program should implement ongoing and effective processes to …

  4. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0367_11-08-2010.pdf
    January 01, 2010 - Effective Health Care Topic Number: 0309 Document Completion Date: 03-22-11 1 Results of Topic Selection Process & Next Steps  Efficacy and safety of screening and treatment of postpartum depression will go forward for refinement as a systematic review. The scope of this topic, including popula…

  5. Entire UPMC transplant team missed hepatitis alert. | PSNet

    psnet.ahrq.gov/issue/entire-upmc-transplant-team-missed-hepatitis-alert
    March 06, 2005 - Newspaper/Magazine Article Entire UPMC transplant team missed hepatitis alert. Citation Text: Entire UPMC transplant team missed hepatitis alert. Hamill SD. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  6. Patients taking their own medications while in the hospital. | PSNet

    psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
    March 14, 2012 - Newspaper/Magazine Article Patients taking their own medications while in the hospital. Citation Text: Patients taking their own medications while in the hospital. PA-PSRS Patient Saf Advis. June 2012;9:50-57.  Copy Citation Save Save to your library …

  7. Shifting the Mindset: A Closer Look at Hospital Complaints. | PSNet

    psnet.ahrq.gov/issue/shifting-mindset-closer-look-hospital-complaints
    June 12, 2024 - Book/Report Shifting the Mindset: A Closer Look at Hospital Complaints. Citation Text: Shifting the Mindset: A Closer Look at Hospital Complaints. Newcastle upon Tyne, UK: Healthwatch; January 2020. Copy Citation Save Save to your library Print Downloa…

  8. The best medical care in the U.S. | PSNet

    psnet.ahrq.gov/issue/best-medical-care-us
    June 27, 2018 - Newspaper/Magazine Article The best medical care in the U.S. Citation Text: The best medical care in the U.S. Arnst C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  9. Hospital takes a page from Toyota. | PSNet

    psnet.ahrq.gov/issue/hospital-takes-page-toyota
    April 03, 2005 - Newspaper/Magazine Article Hospital takes a page from Toyota. Citation Text: Hospital takes a page from Toyota. Connolly C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy …

  10. Developing a reporting culture: learning from close calls and hazardous conditions. | PSNet

    psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-conditions
    February 26, 2025 - Sentinel Event Alerts Developing a reporting culture: learning from close calls and hazardous conditions. Citation Text: Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert. 2018;(60):1-8. Copy Citation Format: Google Sch…

  11. Distractions in the operating room. | PSNet

    psnet.ahrq.gov/issue/distractions-operating-room
    March 13, 2013 - Newspaper/Magazine Article Distractions in the operating room. Citation Text: Distractions in the operating room. Feil M. PA-PSRS Patient Saf Advis. June 2014;11:45-52. Copy Citation Save Save to your library Print Download PDF Share Facebook…

  12. 2008 Recommendations for Pre-Anesthesia Checkout Procedures.  | PSNet

    psnet.ahrq.gov/issue/2008-recommendations-pre-anesthesia-checkout-procedures
    April 22, 2020 - Organizational Policy/Guidelines 2008 Recommendations for Pre-Anesthesia Checkout Procedures.  Citation Text: 2008 Recommendations for Pre-Anesthesia Checkout Procedures.  ASA Committee on Equipment and Facilities. Park Ridge, IL: American Society of Anesthesiologists; 2008.  Copy Cita…

  13. Fatal mistakes. | PSNet

    psnet.ahrq.gov/issue/fatal-mistakes
    October 19, 2016 - Newspaper/Magazine Article Fatal mistakes. Citation Text: Fatal mistakes. Kliff S. Vox Media. March 15, 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  14. Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge. | PSNet

    psnet.ahrq.gov/issue/investigation-electronic-prescribing-and-medicines-administration-systems-and-safe-discharge
    April 01, 2019 - Book/Report Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge. Citation Text: Investigation into Electronic Prescribing and Medicines Administration Systems and Safe Discharge. Farnborough, UK: Healthcare Safety Investigation Branch; Octobe…

  15. Pump up the volume—tips for increasing error reporting. | PSNet

    psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting
    March 14, 2023 - Newspaper/Magazine Article Pump up the volume—tips for increasing error reporting. Citation Text: Pump up the volume—tips for increasing error reporting. ISMP Medication Safety Alert! Acute Care Edition. February 9, 2006;11:1-2,4. Copy Citation Save Save to your l…

  16. Improving Diagnosis in Medicine Act of 2022. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2022
    December 21, 2022 - Legislation/Case Law Improving Diagnosis in Medicine Act of 2022. Citation Text: Improving Diagnosis in Medicine Act of 2022. 117th Cong, 2d Sess (2022) Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

  17. Distributing Cognition: ICU Handoffs Conform to Grice's Maxims. | PSNet

    psnet.ahrq.gov/issue/distributing-cognition-icu-handoffs-conform-grices-maxims
    May 09, 2015 - Image/Poster Distributing Cognition: ICU Handoffs Conform to Grice's Maxims. Citation Text: Distributing Cognition: ICU Handoffs Conform to Grice's Maxims. Brandwijk M; Nemeth C; O'Conner M; Kahana M; Cook RI Copy Citation Save Save to your library Print …

  18. ‘No one is listening to us’. | PSNet

    psnet.ahrq.gov/issue/no-one-listening-us
    July 01, 2020 - Newspaper/Magazine Article ‘No one is listening to us’. Citation Text: ‘No one is listening to us’. Yong E. The Atlantic. November 13, 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

  19. The National Report Card on the State of Emergency Medicine. | PSNet

    psnet.ahrq.gov/issue/national-report-card-state-emergency-medicine
    February 18, 2011 - Multi-use Website The National Report Card on the State of Emergency Medicine. Citation Text: The National Report Card on the State of Emergency Medicine. American College of Emergency Physicians; ACEP Copy Citation Save Save to your library Print …

  20. No pay for "never event" errors becoming standard. | PSNet

    psnet.ahrq.gov/issue/no-pay-never-event-errors-becoming-standard
    March 07, 2012 - Newspaper/Magazine Article No pay for "never event" errors becoming standard. Citation Text: No pay for "never event" errors becoming standard. O'Reilly KB. American Medical News. January 7, 2008. Copy Citation Save Save to your library Print Downl…
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