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Showing results for "reporting".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44307/psn-pdf
    November 06, 2015 - The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. November 6, 2015 Rutherford JS, Flin R, Irwin A. The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Inci…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34113/psn-pdf
    December 24, 2008 - MEDMARX 5th Anniversary Data Report: A Chartbook of 2003 Findings and Trends 1999-2003. December 24, 2008 Hicks RW, Santell JP, Cousins DD, et al. Rockville, MD: USP Center for the Advancement of Patient Safety; 2004. https://psnet.ahrq.gov/issue/medmarx-5th-anniversary-data-report-chartbook-2003-fi…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43868/psn-pdf
    February 04, 2015 - Implementing a standardized safe surgery program reduces serious reportable events. February 4, 2015 Loftus T, Dahl D, OHare B, et al. Implementing a standardized safe surgery program reduces serious reportable events. J Am Coll Surg. 2015;220(1):12-17.e3. doi:10.1016/j.jamcollsurg.2014.09.018. https://psnet.ahrq.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50925/psn-pdf
    February 19, 2020 - Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020. ISBN 9781528617284. https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson Shari…

  5. Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. | PSNet

    psnet.ahrq.gov/issue/risks-medication-delivery-using-ambulatory-infusion-pumps-design-and-usability-inpatient
    November 29, 2023 - Book/Report Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. Citation Text: Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. Dorset, UK: Health Services Safety Investigatio…

  6. The Report of the Short Life Working Group on Reducing Medication-related Harm. | PSNet

    psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
    September 09, 2015 - Book/Report The Report of the Short Life Working Group on Reducing Medication-related Harm. Citation Text: The Report of the Short Life Working Group on Reducing Medication-related Harm. Department of Health and Social Care. London, England: Crown Publishing; February 2018. Copy Citati…

  7. Improving insulin distribution and administration safety using Lean Six Sigma methodologies. | PSNet

    psnet.ahrq.gov/issue/improving-insulin-distribution-and-administration-safety-using-lean-six-sigma-methodologies
    March 19, 2019 - Study Improving insulin distribution and administration safety using Lean Six Sigma methodologies. Citation Text: Yamamoto J, Abraham D, Malatestinic B. Improving Insulin Distribution and Administration Safety Using Lean Six Sigma Methodologies. Hosp Pharm. 2010;45(3). doi:10.1310/hpj…

  8. Preventing harm from high-alert medications. | PSNet

    psnet.ahrq.gov/issue/preventing-harm-high-alert-medications
    August 14, 2017 - Commentary Preventing harm from high-alert medications. Citation Text: Federico F. Preventing harm from high-alert medications. Jt Comm J Qual Patient Saf. 2007;33(9):537-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  9. Dealing honestly with an honest mistake. | PSNet

    psnet.ahrq.gov/issue/dealing-honestly-honest-mistake
    March 24, 2019 - Commentary Dealing honestly with an honest mistake. Citation Text: Liang NL, Herring ME, Bush RL. Dealing honestly with an honest mistake. J Vasc Surg. 2010;51(2):494-5. doi:10.1016/j.jvs.2009.11.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  10. Correlates of Medication Error in Hospitals. | PSNet

    psnet.ahrq.gov/issue/correlates-medication-error-hospitals
    August 24, 2022 - Book/Report Correlates of Medication Error in Hospitals. Citation Text: Correlates Of Medication Error In Hospitals. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41741/psn-pdf
    October 10, 2012 - Improving America's Hospitals—The Joint Commission's Annual Report on Quality and Safety. October 10, 2012 Oakbrook Terrace, IL: Joint Commission. https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and- safety The Joint Commission's annual report summarizes hospital …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74702/psn-pdf
    January 26, 2022 - Association between physician burnout and self-reported errors: meta-analysis. January 26, 2022 Owoc J, Ma?czak M, Jab?o?ska M, et al. Association between physician burnout and self-reported errors: meta-analysis. J Patient Saf. 2022;18(1):e180-e188. doi:10.1097/pts.0000000000000724. https://psnet.ahrq.gov/issue/a…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74704/psn-pdf
    January 26, 2022 - Improving self-reported empathy and communication skills through harm in healthcare response training. January 26, 2022 Samuels A, Broome ME, McDonald TB, et al. Improving self-reported empathy and communication skills through harm in healthcare response training. J Patient Saf Risk Manage. 2021;26(6):251-260. doi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60932/psn-pdf
    January 01, 2021 - Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. September 23, 2020 Mills PD, Soncrant C, Gunnar W. Retrospective analysis of reported suicide deaths and attempts on Veterans Health Administration campuses and inpatient units. BMJ Qual S…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844053/psn-pdf
    February 28, 2025 - Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. February 28, 2025 Agency for Healthcare Research and Quality; 2011-2025. https://psnet.ahrq.gov/issue/surveys-patient-safety-culture-nursing-home-survey-user-database-report The AHRQ Surveys on Patient Safety Culture™(SOPS®) Nursing Home …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34914/psn-pdf
    February 27, 2009 - Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. February 27, 2009 Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Anaesthesia. 2005;60(3…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43757/psn-pdf
    March 20, 2015 - The association between patient-reported incidents in hospitals and estimated rates of patient harm. March 20, 2015 Bjertnaes O, Deilkås ET, Skudal KE, et al. The association between patient-reported incidents in hospitals and estimated rates of patient harm. Int J Qual Health Care. 2015;27(1):26-30. doi:10.1093/in…

  18. Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-multifaceted-clinical-pharmacist-intervention-medication-safety-after-hospitalization
    April 28, 2021 - Study Emerging Classic Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. Citation Text: Gurwitz JH, Kapoor A, Garber L, et al. Effect of …

  19. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. | PSNet

    psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
    September 01, 2021 - Study Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. Citation Text: Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis…

  20. Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. | PSNet

    psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
    May 20, 2020 - Review Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. Citation Text: Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a …
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