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Total Results: 5,529 records

Showing results for "institutional".

4261. Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet
      psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
      March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

4262. Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. | PSNet
      psnet.ahrq.gov/issue/identifying-list-healthcare-never-events-effect-system-change-systematic-review-and-narrative
      April 24, 2019 - Review Identifying a list of healthcare 'never events' to effect system change: a systematic review and narrative synthesis. Citation Text: Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system change: a systematic review and narrative …

4263. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. | PSNet
      psnet.ahrq.gov/issue/enhancing-high-alert-medication-knowledge-among-pharmacy-nursing-and-medical-staff
      December 15, 2021 - Study Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. Citation Text: Sullivan KM, Le PL, Ditoro MJ, et al. Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff. J Patient Saf. 2021;17(4):311-315. doi:10.1097/pts.0b013e…

4264. Clinical alerts to decrease high-risk medication use in older adults. | PSNet
      psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medication-use-older-adults
      September 02, 2015 - Commentary Clinical alerts to decrease high-risk medication use in older adults. Citation Text: Lord-Adem W, Brandt NJ. Clinical Alerts to Decrease High-Risk Medication Use in Older Adults. J Gerontol Nurs. 2017;43(7):7-12. doi:10.3928/00989134-20170614-04. Copy Citation Format: …

4265. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. | PSNet
      psnet.ahrq.gov/issue/appropriateness-commercially-available-and-partially-customized-medication-dosing-alerts
      July 16, 2015 - Study Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. Citation Text: Stultz JS, Nahata MC. Appropriateness of commercially available and partially customized medication dosing alerts among pediatric patients. J Am Med …

4266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836850/psn-pdf
      March 31, 2022 - Annual Perspective: Topics in Medication Safety March 31, 2022 Harris IB, Dowell P, Mossburg SE. Annual Perspective: Topics in Medication Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety Introduction Issues with medication management and errors in medi…

4267. In Conversation With… Lawrence Smith, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
      February 01, 2012 - In Conversation With… Lawrence Smith, MD February 1, 2012  Also Read an Essay Citation Text: In Conversation With… Lawrence Smith, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. …

4268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49720/psn-pdf
      December 01, 2014 - A Stroke of Error December 1, 2014 Barrett KM. A Stroke of Error. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/stroke-error Case Objectives State the key clinical factors to assess in a patient with suspected stroke. Appreciate the relationship between elevated blood pressure and stroke in the acute sett…

4269. Health Care Data Science for Quality Improvement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
      October 01, 2016 - Health Care Data Science for Quality Improvement and Patient Safety Alvin Rajkomar, MD | October 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Rajkomar A. Health Care Data Science for Quality Improvement and Patient S…

4270. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - Safety In Dentistry Rachel Badovinac Ramoni, DMD, ScD; Muhammad Walji, PhD; and Elsbeth Kalenderian, DDS, MPH, PhD | August 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Ramoni R, Walji MF, Kalenderian E. Safety In De…

4271. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
      psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
      June 28, 2023 - Delayed Diagnosis of Gastric Perforation March 15, 2023 Patient harm and institutional

4272. In Conversation With… Vineet Arora, MD, MAPP | PSNet
      psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
      May 31, 2023 - Some people think it's great, and the institutional legal types will always be concerned.

4273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33791/psn-pdf
      September 01, 2015 - Some people think it's great, and the institutional legal types will always be concerned.

4274. A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety. | PSNet
      psnet.ahrq.gov/issue/systematic-review-effect-telepharmacy-services-community-pharmacy-setting-care-quality-and
      October 27, 2021 - Review A systematic review of the effect of telepharmacy services in the community pharmacy setting on care quality and patient safety. Citation Text: Pathak S, Blanchard CM, Moreton E, et al. A systematic review of the effect of telepharmacy services in the community pharmacy setting on…

4275. Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. | PSNet
      psnet.ahrq.gov/issue/culture-and-behaviour-english-national-health-service-overview-lessons-large-multimethod
      May 01, 2015 - Study Classic Culture and behaviour in the English National Health Service: overview of lessons from a large multimethod study. Citation Text: Dixon-Woods M, Baker R, Charles K, et al. Culture and behaviour in the English National Health Service: overview of les…

4276. Using patient safety indicators to estimate the impact of potential adverse events on outcomes. | PSNet
      psnet.ahrq.gov/issue/using-patient-safety-indicators-estimate-impact-potential-adverse-events-outcomes
      July 14, 2009 - Study Using patient safety indicators to estimate the impact of potential adverse events on outcomes. Citation Text: Rivard PE, Luther SL, Christiansen CL, et al. Using Patient Safety Indicators to Estimate the Impact of Potential Adverse Events on Outcomes. Med Care Res Rev. 2008;65(1…

4277. Medication-related problems in critical care survivors: a systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
      August 20, 2018 - Review Medication-related problems in critical care survivors: a systematic review. Citation Text: Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715. …

4278. Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. | PSNet
      psnet.ahrq.gov/issue/patients-and-doctors-views-and-experiences-patient-safety-trajectory-breast-cancer-care
      December 08, 2021 - Study Patients' and doctors' views and experiences of the patient safety trajectory of breast cancer care. Citation Text: Forrest C, O'Sullivan MJ, Ryan M, et al. Patients' and doctors’ views and experiences of the patient safety trajectory of breast cancer care. Breast. 2024;75:103699. …

4279. Methodological variations and their effects on reported medication administration error rates. | PSNet
      psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
      January 15, 2025 - Review Methodological variations and their effects on reported medication administration error rates. Citation Text: McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.…

4280. The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing. | PSNet
      psnet.ahrq.gov/issue/psychological-experience-obstetric-patients-and-health-care-workers-after-implementation
      March 30, 2022 - Study The psychological experience of obstetric patients and health care workers after implementation of universal SARS-CoV-2 testing. Citation Text: Bender WR, Srinivas S, Coutifaris P, et al. The psychological experience of obstetric patients and health care workers after implementatio…