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Total Results: 804 records

Showing results for "purposes".

141. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73113/psn-pdf
     April 07, 2021 - Analysis of results from event investigations in industrial and patient safety contexts. April 7, 2021 Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. https://psnet.ahrq.gov/issue/analysis-results-event-inve…

142. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840167/psn-pdf
     November 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022 Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022.  ISBN: 9781528636759. https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata…

143. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49728/psn-pdf
     March 01, 2015 - Medication Mix-Up: From Bad to Worse March 1, 2015 Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/medication-mix-bad-worse The Case A 69-year-old man with chronic kidney disease and essential hypertension was admitted to the hospital with chest …

144. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837505/psn-pdf
     June 22, 2022 - Parent participation in morbidity and mortality review: parent and physician perspectives. June 22, 2022 de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:237437352211026. doi:10.1177/23743735221102674.…

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838069/psn-pdf
     September 14, 2022 - Experience of learning from everyday work in daily safety huddles: a multi-method study. September 14, 2022 Wahl K, Stenmarker M, Ros A. Experience of learning from everyday work in daily safety huddles—a multi- method study. BMC Health Serv Res. 2022;22(1):1101. doi:10.1186/s12913-022-08462-9. https://psnet.ahrq.…

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47864/psn-pdf
     April 08, 2019 - Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? April 8, 2019 Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126. https://psnet.ahrq.gov/issue/healthcar…

147. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73061/psn-pdf
     March 24, 2021 - Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. March 24, 2021 Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. BMJ Qual Saf. 2021;…

148. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42755/psn-pdf
     November 20, 2013 - Using good design to eliminate medical errors. November 20, 2013 Jaffe E. https://psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors This article reports on a British initiative that studied health care processes for the purpose of designing devices to prevent medical errors. https://psnet.ahrq.gov/i…

149. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33959/psn-pdf
     January 17, 2012 - Healthcare Failure Mode and Effect Analysis. January 17, 2012 National Center for Patient Safety. https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis These materials provide an introduction to the purpose of healthcare failure mode and effect analysis (HFMEA), the steps of the HFMEA process, a…

150. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73239/psn-pdf
     May 12, 2021 - Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adults using multiple medications. May 12, 2021 Jungo KT, Streit S, Lauffenburger JC. Patient factors associated with new prescribing of potentially inappropriate medications in multimorbid US older adu…

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36866/psn-pdf
     August 31, 2011 - Evaluating teamwork in a simulated obstetric environment. August 31, 2011 Morgan PJ, Pittini R, Regehr G, et al. Evaluating teamwork in a simulated obstetric environment. Anesthesiology. 2007;106(5):907-915. https://psnet.ahrq.gov/issue/evaluating-teamwork-simulated-obstetric-environment The investigators used tw…

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851200/psn-pdf
     July 05, 2023 - Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. July 5, 2023 Washington DC:  Department of Veterans Affairs, Office of Inspector General; May 10, 2023.  Report no. 22-01116-110. https://psnet.ahrq.gov/issue/defi…

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48014/psn-pdf
     July 10, 2019 - Patient safety morning report: innovation in teaching core patient safety principles to third-year medical students. July 10, 2019 Beekman M, Emani VK, Wolford R, et al. Patient Safety Morning Report: Innovation in Teaching Core Patient Safety Principles to Third-Year Medical Students. J Med Educ Curric Dev. 2019;…

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49659/psn-pdf
     July 01, 2012 - Documentation not only summarizes and communicates clinical care, it also serves as a record of care for purposes … Trainees may feel that longer, copy-and-pasted notes better address these purposes but there is no evidence

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33786/psn-pdf
     May 01, 2015 - patients that photographs or video recordings may be taken for security or health care operations purposes … These objections can often be addressed by open discussion regarding the purposes of video recording

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41943/psn-pdf
     August 15, 2013 - Medication reconciliation: a qualitative analysis of clinicians' perceptions. August 15, 2013 Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.2012.08.002. https://psnet.ahrq.gov/is…

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33821/psn-pdf
     December 01, 2016 - data will be held by an independent safety unit and will not be used for disciplinary or punitive purposes

158. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36778/psn-pdf
     August 26, 2011 - What medications does your patient take? Enhancing medication safety in the outpatient setting. August 26, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/what-medications-does-your-patient-take-enhancing-medication-safety- outpatient-setting This article discusses the importance of me…

159. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41016/psn-pdf
     December 21, 2011 - Health literacy and medication understanding among hospitalized adults. December 21, 2011 Marvanova M, Roumie CL, Eden SK, et al. Health literacy and medication understanding among hospitalized adults. J Hosp Med. 2011;6(9):488-93. doi:10.1002/jhm.925. https://psnet.ahrq.gov/issue/health-literacy-and-medication-un…

160. Medication Mix-Up: From Bad to Worse | PSNet
     psnet.ahrq.gov/web-mm/medication-mix-bad-worse
     March 01, 2018 - Medication Mix-Up: From Bad to Worse Citation Text: Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote …