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Total Results: 2,105 records

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1861. ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. | PSNet
      psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious-adverse-drug-events
      June 10, 2018 - May 2, 2018 Benefits and risks of including patients on RCA teams.

1862. FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels. | PSNet
      psnet.ahrq.gov/issue/fda-advise-err-prevent-dangerous-drug-device-interaction-causing-falsely-elevated-glucose
      May 02, 2018 - Citation Related Resources From the Same Author(s) Benefits and risks of including

1863. Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. | PSNet
      psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families
      September 08, 2010 - October 21, 2009 Council recommendation on patient safety, including the prevention and

1864. Introducing the Redesigned AHRQ Patient Safety Network | PSNet
      psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
      December 01, 2005 - 360 cases, which have been widely used in teaching and republished by several other organizations, including … The site now contains nearly 11,000 resources, including 7400 journal articles, 1050 newspaper/magazine

1865. FDA Advise-ERR: medication errors associated with Cerebyx. | PSNet
      psnet.ahrq.gov/issue/fda-advise-err-medication-errors-associated-cerebyx
      May 02, 2018 - June 10, 2018 Benefits and risks of including patients on RCA teams.

1866. Advancing Anticoagulation Stewardship: A Playbook. | PSNet
      psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook
      March 23, 2012 - Conference Innovation Summary July 23, 2024 Contributory factors and patient harm including

1867. Treatment Challenges After Discharge | PSNet
      psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
      January 03, 2017 - The ED obtained routine laboratory tests (including urinalysis and complete blood count [CBC]) that indicated … separation creates significant obstacles to communication, resulting in poor handoff of the care plan, including … These projects, including Project RED (Re-Engineering the Discharge [ 18 ]), Project BOOST (Better Outcomes

1868. Code Status Confusion | PSNet
      psnet.ahrq.gov/web-mm/code-status-confusion
      September 01, 2006 - The resident had discussed the case briefly with the intern (including her interpretation that the patient … Case & Commentary: Part 4 The patient did receive cardiopulmonary resuscitation, including medications … Consider including other life-prolonging interventions (ie, tube feeds, antibiotics, dialysis) that may

1869. The Wrongful Resuscitation | PSNet
      psnet.ahrq.gov/web-mm/wrongful-resuscitation
      October 12, 2012 - Steps can be undertaken to prevent this error, including the following: The use of a bracelet identifying … are communicated across settings of care and considering whether transfers from setting to setting (including … Good communication (including telephone calls from the primary care physician to the ED staff and the

1870. Failed Interpretation of Screening Tool: Delayed Treatment | PSNet
      psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
      August 20, 2018 - He had no spinal tenderness and a normal neurological examination, including mental status. … The case illustrates several important lessons, including the clinical presentation of infections and … Furthermore, elderly patients with infection can initially present with nonspecific symptoms including

1871. The Inside of a Time Out | PSNet
      psnet.ahrq.gov/web-mm/inside-time-out
      March 01, 2004 - Some states, including New York, also require the presence and review of relevant radiologic images ( … Lingard and colleagues point to three cultural barriers to effective time outs, including that the members … health care providers performing invasive procedures must adopt the Joint Commission Universal Protocol, including

1872. Administration of concentrated potassium chloride for injection during a code: still deadly! | PSNet
      psnet.ahrq.gov/issue/administration-concentrated-potassium-chloride-injection-during-code-still-deadly
      May 02, 2018 - Citation Related Resources From the Same Author(s) Benefits and risks of including

1873. Guide to Reducing Unintended Consequences of Electronic Health Records. | PSNet
      psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records
      May 25, 2016 - Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including

1874. Prioritizing Patient Safety Through Quality Measurement. | PSNet
      psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement
      November 14, 2011 - Same Author(s) Medicaid program; payment adjustment for provider-preventable conditions including

1875. Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. | PSNet
      psnet.ahrq.gov/issue/effect-implementation-barcode-technology-and-electronic-medication-administration-record
      February 24, 2011 - 14, 2018 Successful implementation of standardized multidisciplinary bedside rounds, including

1876. Supplement on Deepening our Understanding of Quality in Australia (DUQuA). | PSNet
      psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua
      February 04, 2009 - December 19, 2007 Bundle interventions including nontechnical skills for surgeons can

1877. Preliminary assessment of pediatric health care quality and patient safety in the United States using readily available administrative data. | PSNet
      psnet.ahrq.gov/issue/preliminary-assessment-pediatric-health-care-quality-and-patient-safety-united-states-using
      December 23, 2008 - July 1, 2009 Impact of including readmissions for qualifying events in the Patient Safety

1878. Health IT Patient Safety Action and Surveillance Plan. | PSNet
      psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
      December 18, 2013 - Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including

1879. The effect of medication reconciliation in elderly patients at hospital discharge. | PSNet
      psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge
      February 04, 2009 - Quality standards for safe medication in nursing homes: development through a multistep approach including

1880. Adverse Events in Hospitals: National Incidence Among Medicare Beneficiaries. | PSNet
      psnet.ahrq.gov/issue/adverse-events-hospitals-national-incidence-among-medicare-beneficiaries
      October 16, 2012 - Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including