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Total Results: 7,319 records

Showing results for "initiative".

4021. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838127/psn-pdf
      September 21, 2022 - Opioid dependence and overdose after surgery: rate, risk factors, and reasons. September 21, 2022 Wylie JA, Kong L, Barth RJ. Opioid dependence and overdose after surgery: rate, risk factors, and reasons. Ann Surg. 2022;276(3):e192-e198. doi:10.1097/sla.0000000000005546. https://psnet.ahrq.gov/issue/opioid-depende…

4022. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837514/psn-pdf
      June 22, 2022 - Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022 Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(5):553-569…

4023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45643/psn-pdf
      November 30, 2016 - Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. November 30, 2016 Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric hospita…

4024. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60039/psn-pdf
      March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. March 11, 2020 Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020. https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw- delays Delays in emergency r…

4025. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47510/psn-pdf
      June 30, 2019 - Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. June 30, 2019 Guttman O, Keebler JR, Lazzara EH, et al. J Patient Saf Risk Manag. 2019;24:127–133. https://psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-…

4026. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47870/psn-pdf
      April 17, 2019 - Saving without compromising: teaching trainees to safely provide high value care. April 17, 2019 Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003. https://psnet.ahrq.gov/issue/saving-with…

4027. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36552/psn-pdf
      January 12, 2011 - Toward learning from patient safety reporting systems. January 12, 2011 Pronovost P, Thompson DA, Holzmueller CG, et al. Toward learning from patient safety reporting systems. J Crit Care. 2006;21(4):305-15. https://psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems This study reports the initia…

4028. The Dangerous Detour | PSNet
      psnet.ahrq.gov/web-mm/dangerous-detour
      November 28, 2018 - The Dangerous Detour Citation Text: Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

4029. Patient Safety in the Physician Office Setting | PSNet
      psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
      November 04, 2015 - Patient Safety in the Physician Office Setting Nancy C. Elder, MD, MSPH | May 1, 2006  View more articles from the same authors. Citation Text: Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. Rockville (MD): Agency for Healthcare Researc…

4030. Diuretics and Electrolyte Abnormalities | PSNet
      psnet.ahrq.gov/web-mm/diuretics-and-electrolyte-abnormalities
      February 15, 2017 - Diuretics and Electrolyte Abnormalities Citation Text: Dreischulte T. Diuretics and Electrolyte Abnormalities. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

4031. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33751/psn-pdf
      January 01, 2014 - Strengthening the Business Case for Patient Safety May 1, 2013 Lindenauer PK. Strengthening the Business Case for Patient Safety. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety Perspective After more than a decade in the national spotlight, the problem of pati…

4032. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49641/psn-pdf
      November 01, 2011 - Liver Failure After Chemotherapy: Did We Forget Something? November 1, 2011 Lubel J. Liver Failure After Chemotherapy: Did We Forget Something? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/liver-failure-after-chemotherapy-did-we-forget-something The Case A 51-year-old Cantonese-speaking female with a his…

4033. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.140_slideshow.ppt
      December 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case December 2006 Hidden Heparins: HIT Happens Source and Credits This presentation is based on the December 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Patrick F. Fogarty,…

4034. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33780/psn-pdf
      July 01, 2015 - Safety and Medical Education January 1, 2014 Ranji SR. Safety and Medical Education. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/safety-and-medical-education Annual Perspective 2014 As the patient safety field has grown, so too has the appreciation for the need to improve safety in medical educatio…

4035. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49559/psn-pdf
      April 01, 2008 - The Forgotten Drip April 1, 2008 Josephson AS. The Forgotten Drip. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/forgotten-drip The Case A 45-year-old man was brought to the emergency department by his friends because of a 1-day history of a severe headache and "bizarre behavior." A computed tomography (C…

4036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33576/psn-pdf
      December 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery December 15, 2024 Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editoria…

4037. Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? | PSNet
      psnet.ahrq.gov/issue/using-harm-based-weights-ahrq-patient-safety-selected-indicators-composite-psi-90-does-it
      March 15, 2016 - Study Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? Citation Text: Chen Q, Rosen AK, Borzecki A, et al. Using Harm-Bas…

4038. An Easily Forgotten Tube | PSNet
      psnet.ahrq.gov/web-mm/easily-forgotten-tube
      June 01, 2016 - 2015 Improving departmental psychological safety through a medical school-wide initiative

4039. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851389/psn-pdf
      July 31, 2023 - RADAR: a closed-loop quality improvement initiative leveraging a safety net model for incidental pulmonary

4040. Promising Areas for Patient Safety Research | PSNet
      psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
      November 02, 2016 - agency's Health Information Technology program launched an Ambulatory Safety and Quality (ASQ) grant initiative