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Showing results for "represents".

421. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73168/psn-pdf
     April 21, 2021 - Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. April 21, 2021 Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 2021;17(2):e71-e75. doi:10.1097/pts.0…

422. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34789/psn-pdf
     December 23, 2008 - Medication error prevention by pharmacists. December 23, 2008 Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. https://psnet.ahrq.gov/issue/medication-error-prevention-pharmacists This study investigated the impact of hospital pharmacists in preve…

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34798/psn-pdf
     June 23, 2015 - Costs of medical injuries in Utah and Colorado. June 23, 2015 Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA https://psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado This study analyzed more than 450 adverse events from a representative hospital sample in order to est…

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60548/psn-pdf
     May 28, 2020 - In Conversation With... Jeffrey Shuren, MD, JD May 28, 2020 In Conversation With.. Jeffrey Shuren, MD, JD. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-jeffrey-shuren-md-jd Editor’s note: Jeffrey Shuren, MD, JD is the Director of the Center for Devices and Radiological Health at the Food…

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34701/psn-pdf
     January 04, 2017 - Making the business case for patient safety. January 4, 2017 Weeks WB, Bagian JP. Making the business case for patient safety. Jt Comm J Qual Saf. 2003;29(1):51-4, 1. https://psnet.ahrq.gov/issue/making-business-case-patient-safety While the costs of medical error to patients are well appreciated, the direct costs…

426. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34994/psn-pdf
     September 29, 2017 - Advances in Patient Safety: From Research to Implementation. September 29, 2017 Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality (US); 2005. https://psnet.ahrq.gov/issue/advances-patient-safety-research-implementation With 4 volumes and 140 articles (all of …

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35385/psn-pdf
     January 02, 2017 - El Camino Hospital: using health information technology to promote patient safety. January 2, 2017 Bukunt S, Hunter C, Perkins S, et al. El Camino Hospital: Using Health Information Technology to Promote Patient Safety. Jt Comm J Qual Patient Saf. 2016;31(10):561-565. doi:10.1016/s1553-7250(05)31073-7. https://psn…

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41649/psn-pdf
     December 21, 2014 - Last orders: follow-up of tests ordered on the day of hospital discharge. December 21, 2014 Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836. https://psnet.ahrq.gov/issue/last-orde…

429. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34744/psn-pdf
     January 07, 2019 - Judgment under Uncertainty: Heuristics and Biases. January 7, 2019 Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147. https://psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases Judgement is an inherently human activity tha…

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46726/psn-pdf
     January 31, 2018 - Toolkit to Promote Safe Surgery. January 31, 2018 Rockville, MD: Agency for Healthcare Research and Quality; November 2017. https://psnet.ahrq.gov/issue/toolkit-promote-safe-surgery Preventing surgical complications including surgical site infections are a worldwide target for improvement. This toolkit builds on t…

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43952/psn-pdf
     March 04, 2015 - Improving resident morning sign-out by use of daily events reports. March 4, 2015 Nabors C, Patel D, Khera S, et al. Improving resident morning sign-out by use of daily events reports. J Patient Saf. 2015;11(1):36-41. doi:10.1097/PTS.0b013e31829e4f56. https://psnet.ahrq.gov/issue/improving-resident-morning-sign-ou…

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35672/psn-pdf
     June 28, 2010 - How many hospital pharmacy medication dispensing errors go undetected? June 28, 2010 Cina J, Gandhi TK, Churchill WW, et al. How many hospital pharmacy medication dispensing errors go undetected? Jt Comm J Qual Patient Saf. 2006;32(2):73-80. https://psnet.ahrq.gov/issue/how-many-hospital-pharmacy-medication-dispen…

433. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46628/psn-pdf
     December 18, 2017 - Residency evaluations—where is the patient voice? December 18, 2017 Tummalapalli SL. Residency Evaluations-Where Is the Patient Voice? JAMA Intern Med. 2017;177(12):1722-1723. doi:10.1001/jamainternmed.2017.6029. https://psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice Residents rarely receive feedba…

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46244/psn-pdf
     June 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established …

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34981/psn-pdf
     July 14, 2010 - Child-specific risk factors and patient safety. July 14, 2010 Woods DM, Holl JL, Shonkoff JP, et al. J Patient Saf. 2005;1(1):17-22. https://psnet.ahrq.gov/issue/child-specific-risk-factors-and-patient-safety To discover factors that may contribute to a child’s risk for error during hospitalization, this study iden…

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42436/psn-pdf
     August 07, 2013 - Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. August 7, 2013 Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. Health Aff (Millwood). 2013;32(8…

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43910/psn-pdf
     November 23, 2016 - Error disclosure and family members' reactions: does the type of error really matter? November 23, 2016 Leone D, Lamiani G, Vegni E, et al. Error disclosure and family members' reactions: does the type of error really matter? Patient Educ Couns. 2015;98(4):446-52. doi:10.1016/j.pec.2014.12.011. https://psnet.ahrq.…

438. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34809/psn-pdf
     February 18, 2011 - Iatrogenic illness on a general medical service at a university hospital. February 18, 2011 Steel K, Gertman PM, Crescenzi C, et al. Iatrogenic illness on a general medical service at a university hospital. N Engl J Med. 1981;304(11):638-42. https://psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-u…

439. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.107_slideshow.ppt
     November 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case November 2005 Reconciling Doses Source and Credits This presentation is based on the November 2005 Spotlight Case in Emergency Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Frank Federico, RPh,…

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49421/psn-pdf
     October 01, 2003 - Urine a Tough Position October 1, 2003 Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/urine-tough-position The Case A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although she did not want to have a baby at that time, she sta…