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Showing results for "institutional".

6401. Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. | PSNet
      psnet.ahrq.gov/issue/medmarx-data-report-chartbook-medication-error-findings-perioperative-settings-1998-2005
      August 24, 2015 - Book/Report Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Citation Text: Medmarx Data Report: A Chartbook of Medication-Error Findings from the Perioperative Settings from 1998-2005. Hicks RW, Becker SC, Cousins DD. Rock…

6402. Topic 0487 De-escalate Aggressive Behavior in Psychiatric Pts NSD FINAL CC clean (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND-0576-150420.pdf
      December 10, 2014 - Topic 0487 De-escalate Aggressive Behavior in Psychiatric Pts NSD FINAL CC clean Comparative Effectiveness of Strategies to De-escalate Aggressive Beha…

6403. Temporarily holding medication orders safely in order to prevent patient harm. | PSNet
      psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
      March 14, 2023 - Newspaper/Magazine Article Temporarily holding medication orders safely in order to prevent patient harm. Citation Text: Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. Copy Ci…

6404. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet
      psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
      September 29, 2021 - Newspaper/Magazine Article RaDonda Vaught says some system practices contributed to fatal mistake. Citation Text: RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024. Copy Citation Save Save to…

6405. Ashamed to admit it: owning up to medical error. | PSNet
      psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
      April 03, 2019 - Commentary Ashamed to admit it: owning up to medical error. Citation Text: Ofri D. Ashamed to admit it: owning up to medical error. Health Aff (Millwood). 2010;29(8):1549-51. doi:10.1377/hlthaff.2009.0946. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

6406. Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet
      psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
      June 16, 2019 - Study Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Citation Text: Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…

6407. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet
      psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
      January 06, 2017 - Study High-risk, high-alert medication management practices in a regional state psychiatric facility. Citation Text: McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…

6408. Strengthening the medical error "meme pool." | PSNet
      psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
      August 08, 2012 - Commentary Strengthening the medical error "meme pool." Citation Text: Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264-2267. doi:10.1007/s11606-019-05156-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

6409. Prevent medication errors: a New Year's resolution: teaching patients about their medications. | PSNet
      psnet.ahrq.gov/issue/prevent-medication-errors-new-years-resolution-teaching-patients-about-their-medications
      January 18, 2011 - Commentary Prevent medication errors: a New Year's resolution: teaching patients about their medications. Citation Text: Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications. Home Healthc Nurse. 2007;25(1):59-62. Copy Citation F…

6410. Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases | Agency for Healthcare Research and Quality
      www.ahrq.gov/data/apcd/backgroundrpt/index.html
      April 01, 2017 - Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Next Page Table of Contents Inventory and Prioritization of Measures To Support the Growing Effort in Transparency Using All-Payer Claims Databases Introduction Reviewing the Lan…

6411. The challenges in defining and measuring diagnostic error. | PSNet
      psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
      February 24, 2021 - Commentary The challenges in defining and measuring diagnostic error. Citation Text: Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2(2):97-103. doi:10.1515/dx-2014-0069. Copy Citation Format: DOI Google Scholar PubMed Bi…

6412. Performing the wrong procedure. | PSNet
      psnet.ahrq.gov/issue/performing-wrong-procedure
      April 24, 2018 - Commentary Performing the wrong procedure. Citation Text: Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

6413. Surgical 'never events': how common are adverse occurrences? | PSNet
      psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
      November 16, 2022 - Commentary Surgical 'never events': how common are adverse occurrences? Citation Text: West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105. Copy Citation Format: DOI Google Sc…

6414. Probability error in diagnosis: the conjunction fallacy among beginning medical students. | PSNet
      psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
      June 21, 2017 - Study Probability error in diagnosis: the conjunction fallacy among beginning medical students. Citation Text: Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5. Copy Citation Format: Google Scholar P…

6415. Otolaryngologists' responses to errors and adverse events. | PSNet
      psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
      October 27, 2010 - Study Otolaryngologists' responses to errors and adverse events. Citation Text: Lander LI, Connor JA, Shah RK, et al. Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

6416. How reliable is your hospital? A qualitative framework for analysing reliability levels. | PSNet
      psnet.ahrq.gov/issue/how-reliable-your-hospital-qualitative-framework-analysing-reliability-levels
      October 19, 2022 - Commentary How reliable is your hospital? A qualitative framework for analysing reliability levels. Citation Text: Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. Copy Citation Format…

6417. Reduction in pediatric identification band errors: a quality collaborative. | PSNet
      psnet.ahrq.gov/issue/reduction-pediatric-identification-band-errors-quality-collaborative
      March 14, 2022 - Study Reduction in pediatric identification band errors: a quality collaborative. Citation Text: Phillips SC, Saysana M, Worley S, et al. Reduction in pediatric identification band errors: a quality collaborative. Pediatrics. 2012;129(6):e1587-93. doi:10.1542/peds.2011-1911. Copy Cit…

6418. ASPEN parenteral nutrition safety consensus recommendations: translation into practice. | PSNet
      psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice
      February 17, 2015 - Commentary ASPEN parenteral nutrition safety consensus recommendations: translation into practice. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.…

6419. Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. | PSNet
      psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
      December 22, 2021 - Special or Theme Issue Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Citation Text: Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…

6420. Confronting a colleague who covers up a medical error. | PSNet
      psnet.ahrq.gov/issue/confronting-colleague-who-covers-medical-error
      September 16, 2020 - Commentary Confronting a colleague who covers up a medical error. Citation Text: Brody H. Confronting a colleague who covers up a medical error. Am Fam Physician. 2006;73(7):1272, 1274. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…