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Showing results for "reporting".

  1. Delayed Diagnosis of Mesenteric Ischemia | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia
    March 31, 2021 - the healthcare system should better support the diagnostic process, with improved feedback via error reporting

  2. HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. | PSNet

    psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada
    June 22, 2015 - Book/Report HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. Citation Text: HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832. Copy Citation …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43834/psn-pdf
    September 16, 2015 - Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes. September 16, 2015 Schumacher DJ, Frintner MP, Winn A, et al. Graduating Pediatrics Residents' Reports on the Impact of Fatigue Over the Past Decade of Duty Hour Changes. Acad Pediatr. 2015;15(4):362-6. doi…

  4. An observational study of how patients are identified before medication administrations in medical and surgical wards. | PSNet

    psnet.ahrq.gov/issue/observational-study-how-patients-are-identified-medication-administrations-medical-and
    June 24, 2020 - Study An observational study of how patients are identified before medication administrations in medical and surgical wards. Citation Text: Härkänen M, Kervinen M, Ahonen J, et al. An observational study of how patients are identified before medication administrations in medical and surg…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43132/psn-pdf
    April 23, 2014 - Hospital Survey on Patient Safety Culture: 2014 User Comparative Database Report. April 23, 2014 Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2014. AHRQ Publication No. 14-0019-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2014-use…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74178/psn-pdf
    December 15, 2021 - Strategies to Improve Patient Safety: Final Report to Congress Required by the Patient Safety and Quality Improvement Act of 2005. December 15, 2021 Rockville, MD: Agency for Healthcare Research and Quality; December 2021. AHRQ Publication No. 22- 0009. https://psnet.ahrq.gov/issue/strategies-improve-patient-safe…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853963/psn-pdf
    September 27, 2023 - Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. September 27, 2023 DeCoster MM, Spiller HA, Badeti J, et al. Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021. Pediatrics. 2023;152(4):e2023061942. doi:10.1542/peds.2023-061942. https://p…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40400/psn-pdf
    June 20, 2011 - Determinants of patient-reported medication errors: a comparison among seven countries. June 20, 2011 Lu CY, Roughead E. Determinants of patient-reported medication errors: a comparison among seven countries. Int J Clin Pract. 2011;65(7):733-40. doi:10.1111/j.1742-1241.2011.02671.x. https://psnet.ahrq.gov/issue/de…

  9. Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS. | PSNet

    psnet.ahrq.gov/issue/sentinel-event-alert-63-optimizing-smart-infusion-pump-safety-ders
    March 22, 2023 - Sentinel Event Alerts Sentinel Event Alert 63: optimizing smart infusion pump safety with DERS. Citation Text: Sentinel Event Alert 63: Optimizing Smart Infusion Pump Safety with DERS. Jt Comm J Qual Patient Saf. 2021;47(6):394-397. doi:10.1016/j.jcjq.2021.03.013. Copy Citation For…

  10. The “Great Pretender” (Syphilis) is Still Stumping Healthcare Providers | PSNet

    psnet.ahrq.gov/web-mm/great-pretender-syphilis-still-stumping-healthcare-providers
    January 07, 2022 - August 20, 2018 When safety event reporting is seen as punitive: "I've been PSN-ed!"

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36964/psn-pdf
    March 24, 2011 - Patients use an internet technology to report when things go wrong. March 24, 2011 Wasson JH, MacKenzie TA, Hall M. Patients use an internet technology to report when things go wrong. Qual Saf Health Care. 2007;16(3):213-5. https://psnet.ahrq.gov/issue/patients-use-internet-technology-report-when-things-go-wrong …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848814/psn-pdf
    May 10, 2023 - A critical appraisal of AHRQ's "Diagnostic Errors" report. May 10, 2023 Carpenter C, Jotte R, Griffey RT, et al. A critical appraisal of AHRQ's "Diagnostic Errors" report. Mo Med. 2023;120(2):114-120. https://psnet.ahrq.gov/issue/critical-appraisal-ahrqs-diagnostic-errors-report AHRQ's 2022 report Diagnostic Error…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41232/psn-pdf
    December 31, 2014 - Using FDA reports to inform a classification for health information technology safety problems. December 31, 2014 Magrabi F, Ong M-S, Runciman WB, et al. Using FDA reports to inform a classification for health information technology safety problems. J Am Med Inform Assoc. 2012;19(1):45-53. doi:10.1136/amiajnl- 201…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36078/psn-pdf
    July 03, 2013 - Inquiry into reporter's death finds multiple failures in care. July 3, 2013 Stout D. New York Times. June 17, 2006. https://psnet.ahrq.gov/issue/inquiry-reporters-death-finds-multiple-failures-care This article reports on the investigation following the death of New York Times reporter David E. Rosenbaum. The inve…

  15. Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. | PSNet

    psnet.ahrq.gov/issue/selecting-quality-and-resource-use-measures-decision-guide-community-quality-collaboratives
    November 17, 2010 - Government Resource Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Citation Text: Selecting Quality and Resource Use Measures: A Decision Guide for Community Quality Collaboratives. Romano PS, Hussey P, Ritley D. Rockville, MD:…

  16. Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. | PSNet

    psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-commissioner
    March 30, 2022 - Book/Report Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. Citation Text: Medication Safety and Hospital Referrals: A Report by the Health and Disability Commissioner. Paterson R. Auckland, NZ; Office of the Health and Disability Commiss…

  17. Medication errors and drug-dispensing systems in a hospital pharmacy. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-drug-dispensing-systems-hospital-pharmacy
    November 18, 2016 - Commentary Medication errors and drug-dispensing systems in a hospital pharmacy. Citation Text: Anacleto TA, Perini E, Rosa MB, et al. Medication errors and drug-dispensing systems in a hospital pharmacy. Clinics. 2006;60(4). doi:10.1590/s1807-59322005000400011. Copy Citation For…

  18. Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. | PSNet

    psnet.ahrq.gov/issue/wrong-drug-and-wrong-dose-dispensing-errors-identified-pharmacist-professional-liability
    August 31, 2016 - Study Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Citation Text: Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. Reiner G, Pierce SL, Flynn J. J Am Pharm Assoc (2003). 2020;60(5):e…

  19. Pharmacy mixes up prescriptions. | PSNet

    psnet.ahrq.gov/issue/pharmacy-mixes-prescriptions
    March 10, 2021 - Commentary Pharmacy mixes up prescriptions. Citation Text: Brushwood DB. Pharmacy error leads to fatal medication mix-up. Pharmacy Today. 2017;23(12):42. doi:10.1016/j.ptdy.2017.11.012. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50753/psn-pdf
    December 18, 2019 - The contribution of staffing to medication administration errors: a text mining analysis of incident report data. December 18, 2019 Härkänen M, Vehviläinen?Julkunen K, Murrells T, et al. The Contribution of Staffing to Medication Administration Errors: A Text Mining Analysis of Incident Report Data. J Nurs Scholars…
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