Results

Total Results: 7,319 records

Showing results for "initiatives".

2821. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. | PSNet
      psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients
      April 21, 2021 - Study Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. Citation Text: Cataldo RRV, Manaças LAR, Figueira PHM, et al. Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients. J Oncol …

2822. Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. | PSNet
      psnet.ahrq.gov/issue/inaccurate-penicillin-allergy-labeling-electronic-health-record-and-adverse-outcomes-care
      December 09, 2020 - Commentary Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. Citation Text: Olans RD, Olans RN, Marfatia R, et al. Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. Jt Comm J Qual Patient …

2823. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. | PSNet
      psnet.ahrq.gov/issue/responsibility-quality-improvement-and-patient-safety-hospital-board-and-medical-staff
      April 27, 2010 - Review Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challenges. Citation Text: Goeschel CA, Wachter R, Pronovost P. Responsibility for quality improvement and patient safety: hospital board and medical staff leadership challeng…

2824. A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. | PSNet
      psnet.ahrq.gov/issue/comprehensive-patient-safety-program-can-significantly-reduce-preventable-harm-associated
      October 27, 2010 - Study A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. Citation Text: Brilli RJ, McClead RE, Crandall W, et al. A comprehensive patient safety program can significantly reduce preventable harm, associated costs,…

2825. The morbidity and mortality conference: opportunities for enhancing patient safety. | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-conference-opportunities-enhancing-patient-safety
      March 17, 2021 - Commentary The morbidity and mortality conference: opportunities for enhancing patient safety. Citation Text: Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pt…

2826. Factors related to serious safety events in a children's hospital patient safety collaborative. | PSNet
      psnet.ahrq.gov/issue/factors-related-serious-safety-events-childrens-hospital-patient-safety-collaborative
      February 16, 2022 - Study Factors related to serious safety events in a children's hospital patient safety collaborative. Citation Text: Burrus S, Hall M, Tooley E, et al. Factors related to serious safety events in a children's hospital patient safety collaborative. Pediatrics. 2021;148(3):e2020030346. doi…

2827. Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. | PSNet
      psnet.ahrq.gov/issue/embracing-errors-simulation-based-training-effect-error-training-retention-and-transfer
      May 23, 2013 - Study Embracing errors in simulation-based training: the effect of error training on retention and transfer of central venous catheter skills. Citation Text: Gardner AK, Abdelfattah K, Wiersch J, et al. Embracing Errors in Simulation-Based Training: The Effect of Error Training on Retent…

2828. Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-associated-equipment-critical-care-review-reports-uk-national
      November 29, 2023 - Study Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency. Citation Text: Thomas AN, Galvin I. Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patie…

2829. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. | PSNet
      psnet.ahrq.gov/issue/diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-prostatectomy
      June 06, 2008 - Study Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. Citation Text: Parsons K, Messer K, Palazzi K, et al. Diffusion of surgical innovations, patient safety, and minimally invasive radical prostatectomy. JAMA Surg. 2014;149(8):845-51. doi…

2830. Medical errors in US pediatric inpatients with chronic conditions. | PSNet
      psnet.ahrq.gov/issue/medical-errors-us-pediatric-inpatients-chronic-conditions
      November 04, 2014 - Study Medical errors in US pediatric inpatients with chronic conditions. Citation Text: Ahuja N, Zhao W, Xiang H. Medical errors in US pediatric inpatients with chronic conditions. Pediatrics. 2012;130(4):e786-e793. doi:10.1542/peds.2011-2555. Copy Citation Format: DOI Goog…

2831. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? | PSNet
      psnet.ahrq.gov/issue/patient-participation-surgical-site-marking-can-be-additional-tool-help-avoid-wrong-site
      March 14, 2022 - Study Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? Citation Text: Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surger…

2832. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. | PSNet
      psnet.ahrq.gov/issue/impact-hindsight-bias-diagnosis-perioperative-events-anesthesia-providers-multicenter
      December 16, 2020 - Study The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. Citation Text: Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia pro…

2833. Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. | PSNet
      psnet.ahrq.gov/issue/opioids-prescribed-after-low-risk-surgical-procedures-united-states-2004-2012
      May 29, 2024 - Study Opioids prescribed after low-risk surgical procedures in the United States, 2004–2012. Citation Text: Wunsch H, Wijeysundera DN, Passarella MA, et al. Opioids Prescribed After Low-Risk Surgical Procedures in the United States, 2004-2012. JAMA. 2016;315(15):1654-7. doi:10.1001/jama.…

2834. The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. | PSNet
      psnet.ahrq.gov/issue/joint-commissions-ongoing-professional-practice-evaluation-process-costly-ineffective-and
      July 01, 2017 - Study The Joint Commission's ongoing professional practice evaluation process: costly, ineffective, and potentially harmful to safety culture. Citation Text: Donnelly LF, Podberesky DJ, Towbin AJ, et al. The Joint Commission's ongoing professional practice evaluation process: costly, ine…

2835. Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors | PSNet
      psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
      May 31, 2023 - Despite the existence of guidelines, protocols, and continuous performance improvement initiatives, medical

2836. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet
      psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
      July 01, 2004 - Hip Fractures in Older Patients: the Case for Geriatrics Comanagement Citation Text: Rogers S, Ward D. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy…

2837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49613/psn-pdf
      November 01, 2010 - Mother's Milk, but Whose Mother? November 1, 2010 Dougherty D. Mother's Milk, but Whose Mother? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/mothers-milk-whose-mother The Case A 2-month-old otherwise healthy infant was admitted to the hospital to rule out sepsis. The infant had been exclusively breastfed…

2838. Misdiagnosis of a Pelvic Mass versus Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy
      November 25, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy Citation Text: Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google …

2839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73229/psn-pdf
      May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities May 26, 2021 Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…

2840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36137/psn-pdf
      September 29, 2010 - Rapid response teams: ten essentials leaders need to know. September 29, 2010 Dahlen GM, Benz BA. Rapid response teams. Ten essentials leaders need to know. Healthcare executive. 2006;21(4):28-32, 34. https://psnet.ahrq.gov/issue/rapid-response-teams-ten-essentials-leaders-need-know The authors list ten points fo…