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Showing results for "institution".

2561. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47531/psn-pdf
      June 19, 2019 - Patient Safety. June 19, 2019 Health Aff (Millwood). 2018;37(11):1723-1908. https://psnet.ahrq.gov/issue/patient-safety-14 The Institute of Medicine report, To Err Is Human, marked the founding of the patient safety field. This special issue of Health Affairs, published 20 years after that report, highlights achie…

2562. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39045/psn-pdf
      April 04, 2011 - Risks of complications by attending physicians after performing nighttime procedures. April 4, 2011 Rothschild JM. Risks of Complications by Attending Physicians After Performing Nighttime Procedures. JAMA. 2009;302(14):1565-1572. doi:10.1001/jama.2009.1423. https://psnet.ahrq.gov/issue/risks-complications-attendi…

2563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46806/psn-pdf
      January 01, 2020 - Examining the relationship of an all-cause harm patient safety measure and critical performance measures at the frontline of care. February 28, 2018 Sammer C, Hauck L, Jones C, et al. Examining the Relationship of an All-Cause Harm Patient Safety Measure and Critical Performance Measures at the Frontline of Care. …

2564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40221/psn-pdf
      July 21, 2011 - The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study. July 21, 2011 Ackroyd-Stolarz S, Guernsey R, Mackinnon NJ, et al. The association between a prolonged stay in the emergency department and adverse events in…

2565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40565/psn-pdf
      June 29, 2011 - National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. June 29, 2011 Pham JC, Story JL, Hicks RW, et al. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. J Emerg…

2566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42298/psn-pdf
      December 31, 2014 - Using statistical text classification to identify health information technology incidents. December 31, 2014 Chai KEK, Anthony S, Coiera E, et al. Using statistical text classification to identify health information technology incidents. J Am Med Inform Assoc. 2013;20(5):980-5. doi:10.1136/amiajnl-2012-001409. htt…

2567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47149/psn-pdf
      June 06, 2018 - Reducing serious safety events and priority hospital- acquired conditions in a pediatric hospital with the implementation of a patient safety program. June 6, 2018 Phipps AR, Paradis M, Peterson KA, et al. Reducing Serious Safety Events and Priority Hospital-Acquired Conditions in a Pediatric Hospital with the Imp…

2568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42938/psn-pdf
      February 12, 2014 - Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. February 12, 2014 Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J Infect Control. 2014;42(2):139-43…

2569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43419/psn-pdf
      October 20, 2014 - Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements at an urban medical center. October 20, 2014 McKaig D, Collins C, Elsaid KA. Impact of a reengineered electronic error-reporting system on medication event reporting and care process improvements …

2570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43687/psn-pdf
      November 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er…

2571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46902/psn-pdf
      August 20, 2018 - Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. August 20, 2018 Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. BMJ Qual Saf. 2018;27(9…

2572. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43629/psn-pdf
      May 01, 2015 - Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. May 1, 2015 Jena AB, Schoemaker L, Bhattacharya J. Exposing physicians to reduced residency work hours did not adversely affect patient outcomes after residency. Health Aff (Millwood). 2014;33(10):1832-40.…

2573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45167/psn-pdf
      May 25, 2016 - AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. May 25, 2016 Rockville, MD: Agency for Healthcare Research and Quality; May 2016. https://psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit Traditionally, health systems have disclosed adverse events to patients only through a …

2574. In Conversation With… Richard Kronick, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-kronick-phd
      February 01, 2014 - theme in many of them—that they had initially been developed, often with AHRQ's support, at a single institution

2575. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
      March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity Barbara Pelletreau, RN; John Riggi | March 27, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Pelletreau B, Riggi J. In Conversation with..Barbara Pe…

2576. Cybersecurity and How to Maintain Patient Safety | PSNet
      psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
      March 27, 2024 - Cybersecurity and How to Maintain Patient Safety Barbara Pelletreau, RN; John Riggi; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Pelletreau B, Riggi J, Gale B…

2577. In Conversation With… Ashish K. Jha, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-ashish-k-jha-md-mph
      May 01, 2013 - In Conversation With… Ashish K. Jha, MD, MPH May 1, 2013  Also Read an Essay Citation Text: In Conversation With… Ashish K. Jha, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013…

2578. Patient Safety During Hospital Discharge | PSNet
      psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
      April 01, 2018 - Patient Safety During Hospital Discharge Katherine Liang and Eric Alper, MD | April 1, 2018  Also Read a Conversation View more articles from the same authors. Citation Text: Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. Rockville…

2579. In Conversation With… Harlan Krumholz, MD, SM | PSNet
      psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
      April 01, 2018 - In Conversation With… Harlan Krumholz, MD, SM April 1, 2018  Also Read an Essay Citation Text: In Conversation With… Harlan Krumholz, MD, SM. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

2580. In Conversation With… Brian Jarman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-brian-jarman-phd
      March 01, 2015 - In Conversation With… Brian Jarman, PhD March 1, 2015  Also Read an Essay Citation Text: In Conversation With… Brian Jarman, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy…