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Total Results: 2,253 records

Showing results for "produced".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34951/psn-pdf
    February 28, 2011 - Ambiguity and workarounds as contributors to medical error. February 28, 2011 Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. https://psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error This commentary discusses the ro…

  2. Failure Mode and Effect Analysis (FMEA) | PSNet

    psnet.ahrq.gov/glossary/failure-mode-and-effect-analysis-fmea
    September 13, 2021 - Failure Mode and Effect Analysis (FMEA) September 13, 2021 Anonymous (not verified) A common process used to prospectively identify error risk within a particular process. FMEA begins with a complete process mapping that identifies all the steps that must occur for a given process to occur (e.g., programming an…

  3. Intervention to reduce transmission of resistant bacteria in intensive care. | PSNet

    psnet.ahrq.gov/issue/intervention-reduce-transmission-resistant-bacteria-intensive-care
    February 29, 2012 - February 15, 2017 CDC central-line bloodstream infection prevention efforts produced

  4. Patient Safety Indicators | PSNet

    psnet.ahrq.gov/primer/patient-safety-indicators
    June 15, 2024 - by medical management (rather than the underlying disease) and that prolonged the hospitalization, produced

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34648/psn-pdf
    April 21, 2015 - Gaps in the continuity of care and progress on patient safety. April 21, 2015 Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety This commentary discusses the concept o…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34927/psn-pdf
    June 23, 2009 - Health Care Quality and Disparities: Lessons from the First National Reports. June 23, 2009 Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports Highlights from AHRQ's two inaugural reports, the 2003 National …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60217/psn-pdf
    January 01, 2012 - MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. January 1, 2012 Oxford, UK: The National Perinatal Epidemiology Unit, University of Oxford. https://psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential- enquiries-acro…

  8. Lap Burn | PSNet

    psnet.ahrq.gov/web-mm/lap-burn
    March 01, 2018 - generated by the light source.( 4 ) Within the light source is a heat filter to help remove the excess heat produced … For example, high temperatures may be produced if any of the heat minimizing devices fail within the

  9. Don't Push | PSNet

    psnet.ahrq.gov/web-mm/dont-push
    March 02, 2011 - Intramuscular ziprasidone produced greater improvement in agitation and psychopathology with fewer EPS

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36511/psn-pdf
    January 07, 2011 - Facing ambiguous threats. January 7, 2011 Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. https://psnet.ahrq.gov/issue/facing-ambiguous-threats This study describes how organizations respond to signs that may or may not portend future catastrophes. The authors…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35553/psn-pdf
    July 03, 2013 - Maximizing the Use of State Adverse Event Data to Improve Patient Safety. July 3, 2013 Rosenthal J, Booth M. National Academy for State Health Policy; 2005. https://psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety This report, generated by the National Academy for State Health Po…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35127/psn-pdf
    February 24, 2011 - Beyond the medical record: other modes of error acknowledgment. February 24, 2011 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. https://psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment Thi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33828/psn-pdf
    March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil March 1, 2017 In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil Editor's note: Dr. Dixon-Woods is RAND Professor of Health Services Research at Cambridge University and Deputy …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35060/psn-pdf
    November 04, 2015 - Risk factors for adverse drug events: a 10-year analysis. November 4, 2015 Evans S, Lloyd JF, Stoddard GJ, et al. Risk factors for adverse drug events: a 10-year analysis. Ann Pharmacother. 2005;39(7-8):1161-8. https://psnet.ahrq.gov/issue/risk-factors-adverse-drug-events-10-year-analysis Many medications remain a…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45243/psn-pdf
    September 14, 2016 - Incidence of speech recognition errors in the emergency department. September 14, 2016 Goss FR, Zhou L, Weiner SG. Incidence of speech recognition errors in the emergency department. Int J Med Inform. 2016;93:70-73. doi:10.1016/j.ijmedinf.2016.05.005. https://psnet.ahrq.gov/issue/incidence-speech-recognition-error…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34682/psn-pdf
    February 10, 2011 - Avoiding the unintended consequences of growth in medical care: how might more be worse? February 10, 2011 Fisher ES, Welch HG. Avoiding the unintended consequences of growth in medical care: how might more be worse? JAMA. 1999;281(5):446-53. https://psnet.ahrq.gov/issue/avoiding-unintended-consequences-growth-med…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33682/psn-pdf
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009 In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent s…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45452/psn-pdf
    August 24, 2016 - What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers. August 24, 2016 ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3. https://psnet.ahrq.gov/issue/what-price-must-we-pay-safety-excessive-cost-e…

  19. Did We Forget Something? | PSNet

    psnet.ahrq.gov/web-mm/did-we-forget-something
    April 28, 2021 - Did We Forget Something? Citation Text: Gibbs VC. Did We Forget Something?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  20. Patient Safety and the Evolution of WebM&M and PSNet | PSNet

    psnet.ahrq.gov/perspective/patient-safety-and-evolution-webmm-and-psnet
    April 01, 2008 - Our technology partner, Silverchair of Charlottesville, VA, has produced and maintained a highly functional
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