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Showing results for "involvement".

8901. A novel process audit for standardized perioperative handoff protocols. | PSNet
      psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
      June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…

8902. Beyond the medical record: other modes of error acknowledgment. | PSNet
      psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment
      August 03, 2009 - Study Beyond the medical record: other modes of error acknowledgment. Citation Text: Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. Copy Citation Format: Google Scholar PubMe…

8903. When a surgical colleague makes an error. | PSNet
      psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
      December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

8904. Overnight and postcall errors in medication orders. | PSNet
      psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
      May 18, 2022 - Study Overnight and postcall errors in medication orders. Citation Text: Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

8905. Medication errors resulting from computer entry by nonprescribers.   | PSNet
      psnet.ahrq.gov/issue/medication-errors-resulting-computer-entry-nonprescribers
      January 02, 2017 - Study Medication errors resulting from computer entry by nonprescribers.   Citation Text: Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208. Copy Citation …

8906. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. | PSNet
      psnet.ahrq.gov/issue/serious-adverse-drug-events-reported-food-and-drug-administration-1998-2005
      June 07, 2016 - Study Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Citation Text: Moore TJ, Cohen MR, Furberg CD. Serious adverse drug events reported to the Food and Drug Administration, 1998-2005. Arch Intern Med. 2007;167(16):1752-9. Copy Citation Forma…

8907. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. | PSNet
      psnet.ahrq.gov/issue/error-and-patient-safety-ethical-analysis-cases-occupational-and-physical-therapy-practice
      July 14, 2010 - Commentary Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Citation Text: Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2…

8908. A new infusion syringe label system designed to reduce task complexity during drug preparation. | PSNet
      psnet.ahrq.gov/issue/new-infusion-syringe-label-system-designed-reduce-task-complexity-during-drug-preparation
      February 13, 2019 - Study A new infusion syringe label system designed to reduce task complexity during drug preparation. Citation Text: Merry AF, Webster CS, Connell H. A new infusion syringe label system designed to reduce task complexity during drug preparation. Anaesthesia. 2007;62(5). doi:10.1111/j.1…

8909. Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. | PSNet
      psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
      March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Citation Text: Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…

8910. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. | PSNet
      psnet.ahrq.gov/issue/guidance-patient-safety-ophthalmology-royal-college-ophthalmologists
      November 12, 2014 - Review Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Citation Text: Kelly SP, Ophthalmologists RC of. Guidance on patient safety in ophthalmology from the Royal College of Ophthalmologists. Eye (Lond). 2009;23(12):2143-51. doi:10.1038/eye.2009.…

8911. Leveraging trainees to improve quality and safety at the point of care: three models for engagement. | PSNet
      psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
      September 20, 2017 - Commentary Leveraging trainees to improve quality and safety at the point of care: three models for engagement. Citation Text: Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…

8912. Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-and-medication-errors-psychiatry-methodological-issues-regarding
      September 27, 2017 - Review Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. Citation Text: Mann K, Rothschild JM, Keohane C, et al. Adverse drug events and medication errors in psychiatry: methodological issues regarding identificati…

8913. Characteristics of medical professional liability claims against internists. | PSNet
      psnet.ahrq.gov/issue/characteristics-medical-professional-liability-claims-against-internists
      April 21, 2010 - Study Characteristics of medical professional liability claims against internists. Citation Text: Mangalmurti SS, Harold JG, Parikh PD, et al. Characteristics of medical professional liability claims against internists. JAMA Intern Med. 2014;174(6):993-5. doi:10.1001/jamainternmed.2014.1…

8914. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. | PSNet
      psnet.ahrq.gov/issue/examining-effects-obstetrics-interprofessional-programme-reductions-reportable-events-and
      August 04, 2021 - Study Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. Citation Text: Geary M, Ruiter PJA, Yasseen AS. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and t…

8915. Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: ICD-9 codes of the chronic conditions included (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-208-icd-9codes.pdf
      June 02, 2025 - Neonatal Intensive Care All-Condition Readmissions Without Gestational Age: ICD-9 codes of the chronic conditions included ICD-9 codes of the chronic conditions included in our analysis: DIABETES 250-250.91 METABOLIC DISORDERS 270–273.9, 275-.9 270 Disorders of amino-acid transport & metabolism 271 Disorders…

8916. Reducing surgical specimen errors through multidisciplinary quality improvement. | PSNet
      psnet.ahrq.gov/issue/reducing-surgical-specimen-errors-through-multidisciplinary-quality-improvement
      July 28, 2021 - Study Reducing surgical specimen errors through multidisciplinary quality improvement. Citation Text: Holstine JB, Samora JB. Reducing surgical specimen errors through multidisciplinary quality improvement. Jt Comm J Qual Patient Saf. 2021;47(9):563-571. doi:10.1016/j.jcjq.2021.04.003. …

8917. Continuity of Coverage: Duration of First Observed Enrollment: Appendix Table 1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/duration/chipra-156-table1.pdf
      June 02, 2025 - Continuity of Coverage: Duration of First Observed Enrollment: Appendix Table 1 Appendix Table 1. ICD-9-CM codes of the chronic conditions included in this analysis Category Specific Codes Diabetes, 250-250.91 Metabolic Disorders, 270-273.9; 275-.9 270 Disorders of amino-acid transport and metabolism 271 D…

8918. CHIPRA 207: Section 7, ICD Codes Use in the Analysis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-207-section-7-icd-codes.pdf
      June 02, 2025 - CHIPRA 207: Section 7, ICD Codes Use in the Analysis ICD-9 Codes of the Chronic Conditions Used in this Analysis: DIABETES 250-250.91 METABOLIC DISORDERS 270–273.9, 275-.9 270 Disorders of amino-acid transport & metabolism 271 Disorders of carbohydrate transport & metabolism 272 Disorders of lipid metaboli…

8919. Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. | PSNet
      psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
      October 17, 2017 - Review Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. Citation Text: Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…

8920. CLABSI Learning From Defects Tool (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/clabsi-learning-from-defects_revised.docx
      April 01, 2022 - CLABSI Learning From Defects Tool Learn From Defects Tool Worksheet: Central Line-Associated Bloodstream Infection (CLABSI) This worksheet is designed to be used near the bedside and is the shortened version of the CLABSI Event Report Tool: Data for Event Analysis. This worksheet will help your team learn what happ…