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Showing results for "occurred".

  1. Hospital Reporting Program: Annual Summary. | PSNet

    psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
    August 17, 2022 - Book/Report Hospital Reporting Program: Annual Summary. Citation Text: Hospital Reporting Program: Annual Summary. Portland, OR: Oregon Patient Safety Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  2. Defending a "never event." | PSNet

    psnet.ahrq.gov/issue/defending-never-event
    February 14, 2017 - Commentary Defending a "never event." Citation Text: Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  3. Adoption of technology to improve medication safety: perspectives of pharmacy directors. | PSNet

    psnet.ahrq.gov/issue/adoption-technology-improve-medication-safety-perspectives-pharmacy-directors
    February 15, 2011 - Study Adoption of technology to improve medication safety: perspectives of pharmacy directors. Citation Text: Bussard BE, McAlearney AS, Pedersen CA, et al. Adoption of Technology to Improve Medication Safety. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000236914.48955.99. Copy Cit…

  4. New mother number 14. | PSNet

    psnet.ahrq.gov/issue/new-mother-number-14
    August 18, 2021 - Commentary New mother number 14. Citation Text: New mother number 14. Sangarlangkarn A. Healthc (Amst). 2019;7:31-32. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  5. Implement strategies to prevent persistent medication errors and hazards. | PSNet

    psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
    March 14, 2023 - Newspaper/Magazine Article Implement strategies to prevent persistent medication errors and hazards. Citation Text: Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. Copy Citation …

  6. Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. | PSNet

    psnet.ahrq.gov/issue/emergency-preparedness-be-ready-unanticipated-electronic-health-record-ehr-downtime
    April 20, 2022 - Newspaper/Magazine Article Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. Citation Text: Emergency preparedness: be ready for unanticipated electronic health record (EHR) downtime. ISMP Medication Safety Alert! Acute care edition! August 25, 2…

  7. Northwestern University | Digital Healthcare Research

    digital.ahrq.gov/organization/northwestern-university
    January 01, 2023 - Northwestern University Implementation of Digital Mental Health Tools in Ambulatory Care Coordination Description This research will adapt and implement a digital mental health intervention to improve care coordination of mental health services in ambulatory care settings. …

  8. Patient safety: listen to whistleblowers. | PSNet

    psnet.ahrq.gov/issue/patient-safety-listen-whistleblowers
    May 22, 2019 - Commentary Patient safety: listen to whistleblowers. Citation Text: Kirkup B, Titcombe J. Patient safety: listen to whistleblowers. BMJ. 2023;382:1972. doi:10.1136/bmj.p1972. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  9. Canadian Incident Analysis Framework. | PSNet

    psnet.ahrq.gov/issue/canadian-incident-analysis-framework
    December 04, 2016 - Book/Report Canadian Incident Analysis Framework. Citation Text: Canadian Incident Analysis Framework. Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN: 9781926541440. Copy Citation Save Save to your library …

  10. Epstein (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/epstein1.pdf
    January 01, 2009 - Epstein Slide 1: Response to Naik and Singh Ronald M Epstein MD Professor of Family Medicine, Psychiatry and Oncology Director, Rochester Center to Improve Communication in Health Care University  of Rochester  Medical Center Slide 2: Starting  points • Synchronous asynchrono…

  11. FDA public health notification: unretrieved device fragments. | PSNet

    psnet.ahrq.gov/issue/fda-public-health-notification-unretrieved-device-fragments
    June 02, 2021 - Press Release/Announcement FDA public health notification: unretrieved device fragments. Citation Text: FDA public health notification: unretrieved device fragments. Silver Spring MD, Center for Devices and Radiological Health, US Food and Drug Administration; January 15, 2008. Copy Ci…

  12. Knowledge Creation | Digital Healthcare Research

    digital.ahrq.gov/goal/knowledge-creation
    January 01, 2023 - Knowledge Creation Improving Healthcare Quality with User-Centric Patient Portals Description This project studied patient portals, their use in primary care, and the impact of use on chronic conditions, and identified opportunities to improve adoption of patient portals. …

  13. Improving Electronic Health Records Patient Education Materials - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-electronic-health-records-patient-education-materials/annual-summary/2012
    January 01, 2012 - Improving Electronic Health Records Patient Education Materials - 2012 Project Name Improving Electronic Health Records Patient Education Materials Principal Investigator Shoemaker, Sarah Organization Abt Associates, Inc. Funding Mechanism National Resource Center T…

  14. Report on the Safe Use of Pick Lists in Ambulatory Care Settings. | PSNet

    psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
    June 29, 2016 - Government Resource Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Citation Text: Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016. Copy Citation …

  15. Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
    July 08, 2015 - Newspaper/Magazine Article Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. Citation Text: Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;…

  16. As university hospital hounds debtors, doctors say it's doing harm. | PSNet

    psnet.ahrq.gov/issue/university-hospital-hounds-debtors-doctors-say-its-doing-harm
    December 18, 2019 - Newspaper/Magazine Article As university hospital hounds debtors, doctors say it's doing harm. Citation Text: As university hospital hounds debtors, doctors say it's doing harm. Garcia-Navarro L. Weekend Edition Sunday. National Public Radio. December 1, 2019. Copy Citation …

  17. Drug shortages: national survey reveals high level of frustration, low level of safety. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
    April 05, 2023 - Newspaper/Magazine Article Drug shortages: national survey reveals high level of frustration, low level of safety. Citation Text: Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010:1…

  18. "It's not our ass": medical resident sense-making regarding lawsuits. | PSNet

    psnet.ahrq.gov/issue/its-not-our-ass-medical-resident-sense-making-regarding-lawsuits
    December 02, 2015 - Study "It's not our ass": medical resident sense-making regarding lawsuits. Citation Text: Noland CM, Carl WJ. "It's not our ass": medical resident sense-making regarding lawsuits. Health Commun. 2006;20(1):81-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  19. Pharmacy student knowledge and communication of medication errors. | PSNet

    psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
    June 24, 2009 - Study Pharmacy student knowledge and communication of medication errors. Citation Text: Rickles NM, Noland CM, Tramontozzi A, et al. Pharmacy student knowledge and communication of medication errors. Am J Pharm Educ. 2010;74(4):60. Copy Citation Format: Google Scholar Pub…

  20. Nurses' perceptions of multidisciplinary team work in acute health-care. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care
    January 06, 2017 - Image/Poster Nurses' perceptions of multidisciplinary team work in acute health-care. Citation Text: Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract. 2006;12(6):359-65. Copy Citation Format: Google Scholar Pub…
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