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Total Results: 2,073 records

Showing results for "month".

2001. Elucidating reasons for resident underutilization of electronic adverse event reporting. | PSNet
      psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
      November 21, 2021 - Study Elucidating reasons for resident underutilization of electronic adverse event reporting. Citation Text: Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615…

2002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35275/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis This monthly selection of medication error reports provides examples from the field of potential errors and helpful tips on how to avoid similar mistakes. https://psnet.ahrq.gov/issue/…

2003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38933/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-38 This monthly selection of error reports discusses incidents involving insulin preparation, automated medication cabinet stocking, and medication list filing. https://psnet.ahrq.gov/…

2004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37897/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-26 This monthly selection of medication error reports includes examples of look-alike/sound-alike medications and a discussion of immunosuppressant dosing errors. https://psnet.ahrq.go…

2005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36257/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-7 This monthly selection of medication error reports provides examples of problems related to poorly scanned pharmacy orders, ambiguous labeling, and abbreviation use. https://psnet.ah…

2006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35560/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-2 This monthly selection of medication error reports provides examples of problems with neuromuscular blocking agents, confusion with drug names, and unclear labeling practices. https:…

2007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36840/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-11 This monthly selection of medication error reports provides examples of problems related to abbreviations, electronic prescribing, and communication of critical lab values. https://…

2008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36071/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6 This monthly selection of medication error reports provides examples of nimodipine administration mishaps, a lithium overdose, and suggested adopted drug names for review. https://ps…

2009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38266/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Smetzer JL; Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-31 This monthly selection of error reports includes examples of confusion regarding medication delivery instructions and sound-alike mistakes involving epinephrine and ephed…

2010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37084/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-15 This monthly selection of medication error reports discusses product name confusion, an unsafe process for outdated drug replacement, and smart pump dose administration problems. ht…

2011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73902/psn-pdf
      September 29, 2021 - Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome September 29, 2021 Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome. PSNet [internet]. 2021. https://psnet.ahrq.go…

2012. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles Chalapathy Venkatesan, MD, MS, CPPS, Kathy Helak, MSN, BSN, RN, FACHE, CPPS, Zoe Sousane, BS, Cindy Manaoat Van, MHSA, CPPS | August 28, 2024  Also Read the Essay View more arti…

2013. Patient Engagement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
      February 01, 2013 - Patient Engagement and Patient Safety Saul N. Weingart, MD, PhD | February 1, 2013  Also Read a Conversation View more articles from the same authors. Citation Text: Weingart SN. Patient Engagement and Patient Safety. PSNet [internet]. Rockville (MD): Agency fo…

2014. In Conversation with...J. Bryan Sexton, PhD, MA | PSNet
      psnet.ahrq.gov/perspective/conversation-withj-bryan-sexton-phd-ma
      December 01, 2006 - In Conversation with...J. Bryan Sexton, PhD, MA December 1, 2006  Also Read an Essay Citation Text: In Conversation with..J. Bryan Sexton, PhD, MA. PSNet [internet]. 2006.In Conversation with...J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for…

2015. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet
      psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
      July 08, 2022 - SPOTLIGHT CASE Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy Citation Text: Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Resear…

2016. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. | PSNet
      psnet.ahrq.gov/issue/prevention-retained-surgical-sponges-decision-analytic-model-predicting-relative-cost
      January 04, 2010 - Study Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Citation Text: Regenbogen SE, Greenberg CC, Resch SC, et al. Prevention of retained surgical sponges: a decision-analytic model predicting relative cost-effectiveness. Surger…

2017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49458/psn-pdf
      September 01, 2004 - Predictors of six-month survival among patients with dementia: an evaluation of hospice Medicare guidelines

2018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49665/psn-pdf
      September 01, 2012 - reported that introduction of data matrix–labeled sponges eliminated cotton sponge RSIs over an 18-month

2019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33941/psn-pdf
      October 11, 2016 - BMJ Quality & Safety. October 11, 2016 Franklin BD, Thomas E, eds. BMJ Publishing Group Ltd and the Health Foundation. ISSN: 2044-5415. https://psnet.ahrq.gov/issue/bmj-quality-safety A monthly peer-reviewed journal that reports research, initiatives, and viewpoints in the growing area of safety and quality improv…

2020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37461/psn-pdf
      May 11, 2014 - ISMP medication error report analysis. May 11, 2014 Cohen MR; Smetzer JL. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-20 This monthly selection of medication error reports discusses problems related to a lack of standardization in IV dosing and talc misadministration. https://psnet.ahrq.gov…