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Showing results for "reporting".

  1. Independent Neurology Inquiry. | PSNet

    psnet.ahrq.gov/issue/independent-neurology-inquiry
    November 16, 2022 - Book/Report Independent Neurology Inquiry. Citation Text: Independent Neurology Inquiry. Lockhart B, Mascie-Taylor H. Crown Copyright: London, England; June 2022.  ISBN 9781912313631. Copy Citation Save Save to your library Print Download PDF …

  2. Hard Truths: the Journey to Putting Patients First. | PSNet

    psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first
    December 04, 2015 - Book/Report Hard Truths: the Journey to Putting Patients First. Citation Text: Hard Truths: the Journey to Putting Patients First. Department of Health. London, England: Crown Publishing; January 2014. ISBN: 9780101877725. Copy Citation Save Save to your libr…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73257/psn-pdf
    December 01, 2021 - Peer Review of a Report on Strategies to Improve Patient Safety. May 12, 2021 Washington DC: National Academies of Sciences, Engineering, and Medicine; 2021. ISBN: 9780309462808. https://psnet.ahrq.gov/issue/peer-review-report-strategies-improve-patient-safety The Patient Safety and Quality Improvement Act of 200…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50448/psn-pdf
    October 09, 2019 - Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. October 9, 2019 Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healthcare and emergency departments…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846448/psn-pdf
    March 22, 2023 - Understanding patient and clinician reported nonroutine events in ambulatory surgery. March 22, 2023 Salwei ME, Anders S, Slagle JM, et al. Understanding patient and clinician reported nonroutine events in ambulatory surgery. J Patient Saf. 2023;19(2):e38-e45. doi:10.1097/pts.0000000000001089. https://psnet.ahrq.g…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38296/psn-pdf
    May 21, 2014 - Assessment of the AHRQ Patient Safety Initiative: Final Report Evaluation Report IV. May 21, 2014 Farley DO, Damberg CL, Ridgely MS, et al. Santa Monica, CA: RAND Corporation; 2008. ISBN: 9780833044808 https://psnet.ahrq.gov/issue/assessment-ahrq-patient-safety-initiative-final-report-evaluation-report-iv This re…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865338/psn-pdf
    March 27, 2024 - Analysis of intervention employability in pharmacy- related medication safety reports at a tertiary medical center. March 27, 2024 Crozier N, Robinson E, Murtagh NC, et al. Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center. Hosp Pharm. 2024;59(2):210-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865703/psn-pdf
    May 01, 2024 - Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. May 1, 2024 McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. In…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42425/psn-pdf
    August 13, 2013 - The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test–retest reliability and hospital-level reliability. August 13, 2013 Bjertnaes O, Skudal KE, Iversen HH, et al. The Patient-Reported Incident in Hospital Instrument (PRIH-I): assessments of data quality, test-retest reli…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60318/psn-pdf
    January 01, 2022 - Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-proficient patients. May 13, 2020 Benda NC, Wesley DB, Nare M, et al. Social determinants of health and patient safety: an analysis of patient safety event reports related to limited English-pro…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45793/psn-pdf
    July 19, 2024 - SHOT Annual Report. July 19, 2024 S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. https://psnet.ahrq.gov/issue/shot-annual-report-2019 Although errors in the blood transfusion process are rare, they can be harmful. This annual report provides an anal…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38582/psn-pdf
    May 22, 2023 - Serious Reportable Events in Massachusetts. May 22, 2023 Fillo KT, Saunders K. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; 2023. https://psnet.ahrq.gov/issue/serious-reportable-events-massachusetts This reoccurring report compiles patient safety…

  13. The Life and Death of Elizabeth Dixon: A Catalyst for Change. | PSNet

    psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change
    November 16, 2022 - Book/Report The Life and Death of Elizabeth Dixon: A Catalyst for Change. Citation Text: The Life and Death of Elizabeth Dixon: A Catalyst for Change. Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714. Copy Citation Save Save to your libr…

  14. First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety-review
    December 09, 2020 - Book/Report First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. Citation Text: First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. Cumberlege J. London, England, Crown Copyright. July 8, 2020. Copy Cita…

  15. A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. | PSNet

    psnet.ahrq.gov/issue/crack-our-best-armor-wrong-patient-injections-insulin-pens-alarmingly-frequent-even-barcode
    October 22, 2014 - Newspaper/Magazine Article A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. Citation Text: A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. ISMP M…

  16. Drug package inserts get mixed reception. | PSNet

    psnet.ahrq.gov/issue/drug-package-inserts-get-mixed-reception
    September 12, 2016 - Newspaper/Magazine Article Drug package inserts get mixed reception. Citation Text: Mitka M. Drug package inserts get mixed reception. JAMA. 2006;295(10):1110-1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. | PSNet

    psnet.ahrq.gov/issue/incorporating-health-information-technology-workflow-redesign-request-information-summary
    September 29, 2017 - Book/Report Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. Citation Text: Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary Report. Carayon P, Karsh B-T, Cartmill RS, et al.…

  18. Becoming a High Reliability Organization: Operational Advice for Hospital Leaders. | PSNet

    psnet.ahrq.gov/issue/becoming-high-reliability-organization-operational-advice-hospital-leaders
    January 10, 2018 - Book/Report Becoming a High Reliability Organization: Operational Advice for Hospital Leaders. Citation Text: Becoming a High Reliability Organization: Operational Advice for Hospital Leaders. Hines S, Luna K, Lofthus J, et al. Rockville, MD: Agency for Healthcare Research and Quality; F…

  19. Action needed to prevent dangerous heparin-insulin confusion. | PSNet

    psnet.ahrq.gov/issue/action-needed-prevent-dangerous-heparin-insulin-confusion
    May 07, 2018 - Newspaper/Magazine Article Action needed to prevent dangerous heparin-insulin confusion. Citation Text: Action needed to prevent dangerous heparin-insulin confusion. ISMP Medication Safety Alert! Acute care edition. May 3, 2007;12:1-2. Copy Citation Save Save to y…

  20. Sterile water should not be given "freely." | PSNet

    psnet.ahrq.gov/issue/sterile-water-should-not-be-given-freely
    March 18, 2010 - Newspaper/Magazine Article Sterile water should not be given "freely." Citation Text: Sterile water should not be given "freely." PA-PSRS Patient Saf Advis. June 2008;5:53-56. Copy Citation Save Save to your library Print Download PDF Share…
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