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Showing results for "providing".

3721. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44928/psn-pdf
      April 27, 2016 - Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. April 27, 2016 Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center: A 3-Year, Multiphase Study. Pha…

3722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73910/psn-pdf
      October 06, 2021 - Association of hospital public quality reporting with electronic health record medication safety performance. October 6, 2021 Holmgren AJ, Bates DW. Association of hospital public quality reporting with electronic health record medication safety performance. JAMA Netw Open. 2021;4(9):e2125173. doi:10.1001/jamanetw…

3723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72594/psn-pdf
      December 23, 2020 - A qualitative study of prescribing errors among multi- professional prescribers within an e-prescribing system. December 23, 2020 Alshahrani F, Marriott JF, Cox AR. A qualitative study of prescribing errors among multi-professional prescribers within an e-prescribing system. Int J Clin Pharm. 2020;43(4):884-892. do…

3724. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50555/psn-pdf
      October 16, 2019 - Improving critical incident reporting in primary care through education and involvement. October 16, 2019 Müller BS, Beyer M, Blazejewski T, et al. Improving critical incident reporting in primary care through education and involvement. BMJ Open Qual. 2019;8(3):e000556. doi:10.1136/bmjoq-2018-000556. https://psnet…

3725. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37294/psn-pdf
      May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…

3726. San Diego Center for Patient Safety. | PSNet
      psnet.ahrq.gov/issue/san-diego-center-patient-safety
      March 09, 2025 - Multi-use Website San Diego Center for Patient Safety. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 17, 2011 The San Diego Center for Patient Safety (SDCPS) consists o…

3727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863760/psn-pdf
      March 06, 2024 - Imagining improved interactions: patients' designs to address implicit bias. March 6, 2024 Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. https://psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias Implicit biases can compromise decision making a…

3728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850171/psn-pdf
      June 07, 2023 - Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. June 7, 2023 Wimmer S, Toni I, Botzenhardt S, et al. Impact of a computerized physician order entry system on medication safety in pediatrics-The AVOID study. Pharmacol Res Perspect. 2023;11(3):e01092. doi:10.…

3729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39760/psn-pdf
      February 10, 2015 - No harm found when nurse anesthetists work without supervision by physicians. February 10, 2015 Dulisse B, Cromwell J. No harm found when nurse anesthetists work without supervision by physicians. Health Aff (Millwood). 2010;29(8):1469-1475. doi:10.1377/hlthaff.2008.0966. https://psnet.ahrq.gov/issue/no-harm-found…

3730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43137/psn-pdf
      May 28, 2015 - Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. May 28, 2015 Mochan E, Nash DB. Weaving quality improvement and patient safety skills into all levels of medical training: an annotated bibliography. Am J Med Qual. 2015;30(3):232-47. doi:10.1177/1…

3731. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35220/psn-pdf
      May 14, 2015 - Patient Safety and Quality Improvement Act of 2005. May 14, 2015 Pub L No. 109-41.  https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005 This bill amends the Public Health Service Act to encourage a culture of safety in health care organizations. The bill, signed into law July 29, 2005…

3732. Error | PSNet
      psnet.ahrq.gov/taxonomy/term/3475
      June 09, 2025 - Error An act of commission (doing something wrong) or omission (failing to do the right thing) that leads to an undesirable outcome or significant potential for such an outcome. For instance, ordering a medication for a patient with a documented allergy to that medication would be an act of commission. Failing to pre…

3733. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49817/psn-pdf
      January 01, 2018 - Slow Down: Right Drug, Wrong Formulation January 1, 2018 Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation The Case A 65-year-old man presented to his primary care clinic for follow-up after a recent hospitaliz…

3734. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49417/psn-pdf
      October 01, 2003 - Lost in the Black Hole October 1, 2003 Wachter R. Lost in the Black Hole. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/lost-black-hole The Case A 38-year-old married, monogamous female came to the emergency department with aseptic meningitis. She had a remote history of gonorrhea, no environmental exposu…

3735. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33669/psn-pdf
      May 01, 2018 - Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? May 1, 2018 Peterson JF. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-system…

3736. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

3737. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
      April 01, 2015 - PowerPoint Presentation Spotlight Dissecting the Presentation * This presentation is based on the April 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Shirley Beng Suat Ooi, MBBS (S'pore), Emergency Medicine Department, National Univers…

3738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49661/psn-pdf
      August 01, 2012 - Residual Anesthesia: Tepid Burn August 1, 2012 Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn The Case A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula. The pat…

3739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49761/psn-pdf
      May 01, 2016 - The Fluidity of Diagnostic "Wet Reads" May 1, 2016 Lee CS, Hess CP. The Fluidity of Diagnostic "Wet Reads". PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/fluidity-diagnostic-wet-reads The Case A 64-year-old man with heavy tobacco use presented to the emergency department (ED) with chest pain. His electroc…

3740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33581/psn-pdf
      December 15, 2024 - Medication Errors and Adverse Drug Events December 15, 2024 Medication Errors and Adverse Drug Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect cu…