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Showing results for "processes".

6281. Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program. | PSNet
      psnet.ahrq.gov/issue/findings-and-lessons-ahrq-ambulatory-safety-and-quality-program
      January 07, 2015 - Book/Report Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program. Citation Text: Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program. Rockville, MD: Agency for Healthcare Research and Quality; August 2013. AHRQ Publication No. 13-0067-EF. Copy C…

6282. Overreaction. | PSNet
      psnet.ahrq.gov/issue/overreaction
      November 15, 2023 - Newspaper/Magazine Article Overreaction. Citation Text: Shell ER. Overreaction. Scientific American. 2015;313(5):28-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Sav…

6283. Nursing Home Complaint Investigations.  | PSNet
      psnet.ahrq.gov/issue/nursing-home-complaint-investigations
      September 27, 2006 - Government Resource Nursing Home Complaint Investigations.  Citation Text: Nursing Home Complaint Investigations.  Levinson DR. Washington DC: Office of the Inspector General; July 2006. OEI-01-04-00340. Copy Citation Save Save to your library Print …

6284. JCAHO tightens leash on medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/jcaho-tightens-leash-medication-reconciliation
      April 12, 2006 - Newspaper/Magazine Article JCAHO tightens leash on medication reconciliation. Citation Text: JCAHO tightens leash on medication reconciliation. Perry LE. Drug Topics. March 20, 2006. Copy Citation Save Save to your library Print Download PDF S…

6285. Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. | PSNet
      psnet.ahrq.gov/issue/errors-medicine-and-law
      August 06, 2016 - Book/Report Classic Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Citation Text: Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. Merry A, Brookbanks W. Cambridge, UK: Cambridge University Press; 2017. ISBN: 9781107180499 Copy …

6286. Medication reconciliation physician order form. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-physician-order-form
      January 21, 2015 - Commentary Medication reconciliation physician order form. Citation Text: Lacy JL, Wilkinson ST. Medication Reconciliation Physician Order Form. Hosp Pharm. 2010;41(11):1117-1119. doi:10.1310/hpj4111-1117. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

6287. Diagnostic Safety Toolkit. | PSNet
      psnet.ahrq.gov/issue/diagnostic-safety-toolkit-0
      January 01, 2019 - Toolkit Diagnostic Safety Toolkit. Citation Text: Diagnostic Safety Toolkit. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your library Print Down…

6288. Needlestick injuries among surgeons in training. | PSNet
      psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training
      November 26, 2008 - Study Needlestick injuries among surgeons in training. Citation Text: Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

6289. NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action. | PSNet
      psnet.ahrq.gov/issue/ny-medicaid-ups-ante-refusing-pay-14-never-events-nations-biggest-medicaid-program-could
      December 16, 2009 - Newspaper/Magazine Article NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid program could propel other states into action. Citation Text: NY Medicaid ups the ante: by refusing to pay for 14 'never events,' the nation's biggest Medicaid p…

6290. Strategies for optimizing OR drug safety. | PSNet
      psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety
      November 30, 2022 - Newspaper/Magazine Article Strategies for optimizing OR drug safety. Citation Text: Strategies for optimizing OR drug safety. Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018. Copy Citation Save Save to your library Print Download PDF …

6291. Latest heparin fatality speaks loudly—what have you done to stop the bleeding? | PSNet
      psnet.ahrq.gov/issue/latest-heparin-fatality-speaks-loudly-what-have-you-done-stop-bleeding
      May 03, 2023 - Newspaper/Magazine Article Latest heparin fatality speaks loudly—what have you done to stop the bleeding? Citation Text: Latest heparin fatality speaks loudly—what have you done to stop the bleeding? ISMP Medication Safety Alert! Acute Care Edition. April 8, 2010;15:1-3. Copy Citation …

6292. Diversion is a Threat to Patient Safety: Adopting Best Practices. | PSNet
      psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
      April 20, 2022 - Webinar Diversion is a Threat to Patient Safety: Adopting Best Practices. Citation Text: Diversion is a Threat to Patient Safety: Adopting Best Practices. Institute for Safe Medication Practices. April 6, 2022.  Copy Citation Save Save to your library P…

6293. A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! | PSNet
      psnet.ahrq.gov/issue/lot-happens-when-you-report-hazard-or-error-ismp-theres-no-black-hole-here
      December 27, 2018 - Newspaper/Magazine Article A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! Citation Text: A lot happens when you report a hazard or error to ISMP—there’s no “black hole” here! ISMP Medication Safety Alert! Acute Care Edition. November 7, 2019 Cop…

6294. Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. | PSNet
      psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential-prevent-harm
      June 10, 2018 - Newspaper/Magazine Article Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. Citation Text: Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. ISMP Medication Safety Alert! Acute Care E…

6295. Your high-alert medication list—relatively useless without associated risk-reduction strategies. | PSNet
      psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-reduction
      May 07, 2014 - Newspaper/Magazine Article Your high-alert medication list—relatively useless without associated risk-reduction strategies. Citation Text: Your high-alert medication list—relatively useless without associated risk-reduction strategies. ISMP Medication Safety Alert! Acute Care Edition. Ap…

6296. Building patient safety skills: common pitfalls when conducting a root cause analysis. | PSNet
      psnet.ahrq.gov/issue/building-patient-safety-skills-common-pitfalls-when-conducting-root-cause-analysis
      May 07, 2018 - Newspaper/Magazine Article Building patient safety skills: common pitfalls when conducting a root cause analysis. Citation Text: Building patient safety skills: common pitfalls when conducting a root cause analysis. ISMP Medication Safety Alert! Acute Care Edition. April 22, 2010;15:1-4.…

6297. Misidentification of alphanumeric symbols in both handwritten and computer-generated information. | PSNet
      psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
      May 07, 2018 - Newspaper/Magazine Article Misidentification of alphanumeric symbols in both handwritten and computer-generated information. Citation Text: Misidentification of alphanumeric symbols in both handwritten and computer-generated information. ISMP Medication Safety Alert! Acute Care Edition. …

6298. Lessons learned from the RaDonda Vaught ruling. | PSNet
      psnet.ahrq.gov/issue/lessons-learned-radonda-vaught-ruling
      April 26, 2023 - Newspaper/Magazine Article Lessons learned from the RaDonda Vaught ruling. Citation Text: Lessons learned from the RaDonda Vaught ruling. Bilski J. Outpatient Surgery. February 2023;16-21 Copy Citation Save Save to your library Print Download PDF …

6299. Patient Safety: Committing to Learn and Acting to Improve. | PSNet
      psnet.ahrq.gov/issue/patient-safety-committing-learn-and-acting-improve
      June 09, 2009 - Special or Theme Issue Patient Safety: Committing to Learn and Acting to Improve. Citation Text: Patient Safety: Committing to Learn and Acting to Improve. Twigg D, Attree M, eds. Nurse Educ Today. 2014;34(2):159-284.    Copy Citation Save Save to yo…

6300. Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. | PSNet
      psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding-investigation-va-hospital
      August 05, 2009 - Newspaper/Magazine Article Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. Citation Text: Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia.…