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Showing results for "requirements".

5681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43444/psn-pdf
      August 27, 2014 - Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. August 27, 2014 Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010-2012. PLoS Med. 201…

5682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36154/psn-pdf
      September 29, 2010 - Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program. September 29, 2010 Hicks RW, Becker SC, Cousins DD. Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX program. J Pediatr Nurs. 2006;21(4):290-8. https://psnet.ahrq.gov/issue/har…

5683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41703/psn-pdf
      November 08, 2012 - Anatomy of an incident disclosure: the importance of dialogue. November 8, 2012 Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. https://psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue Physician organizations who…

5684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844991/psn-pdf
      February 22, 2023 - Is anybody 'Learning' from deaths? Sequential content and reflexive thematic analysis of national statutory reporting within the NHS in England 2017-2020. February 22, 2023 Brummell Z, Braun D, Hussein Z, et al. Is anybody ‘Learning’ from deaths? Sequential content and reflexive thematic analysis of national statu…

5685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41686/psn-pdf
      September 19, 2012 - The association between sepsis and potential medical injury among hospitalized patients. September 19, 2012 Liu V, Turk BJ, Rizk NW, et al. The association between sepsis and potential medical injury among hospitalized patients. Chest. 2012;142(3):606-613. doi:10.1378/chest.11-2556. https://psnet.ahrq.gov/issue/as…

5686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46794/psn-pdf
      May 17, 2018 - Implementation of diagnostic pauses in the ambulatory setting. May 17, 2018 Huang GC, Kriegel G, Wheaton C, et al. Implementation of diagnostic pauses in the ambulatory setting. BMJ Qual Saf. 2018;27(6):492-497. doi:10.1136/bmjqs-2017-007192. https://psnet.ahrq.gov/issue/implementation-diagnostic-pauses-ambulatory…

5687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34775/psn-pdf
      February 07, 2019 - Escape Fire: Lessons for the Future of Health Care. February 7, 2019 Berwick DM. Washington DC: Commonwealth Fund; 2002. https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for Healthcare Improve…

5688. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36303/psn-pdf
      October 25, 2010 - Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. October 25, 2010 Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. …

5689. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843329/psn-pdf
      February 01, 2023 - Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. February 1, 2023 Chew MM, Rivas S, Chesser M, et al. Improving administration and documentation of enteral nutrition su…

5690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46981/psn-pdf
      May 04, 2019 - Lessons learned from implementing a principled approach to resolution following patient harm. May 4, 2019 Smith KM, Smith LL, (Jack) Gentry JC, et al. Lessons learned from implementing a principled approach to resolution following patient harm. J Patient Saf Risk Manag. 2018;24(2):83-89. doi:10.1177/25160435188138…

5691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60361/psn-pdf
      May 20, 2020 - Novel, High-Impact Studies Evaluating Health System and Healthcare Professional Responsiveness to COVID-19 (R01). May 20, 2020 Rockville, MD: Agency for Healthcare Research and Quality; May 14, 2020. https://psnet.ahrq.gov/issue/novel-high-impact-studies-evaluating-health-system-and-healthcare- professional-respo…

5692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37655/psn-pdf
      September 24, 2010 - Reducing anticoagulant medication adverse events and avoidable patient harm. September 24, 2010 Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. https://psnet.ahrq.gov/issue/reducing-anticoagulant…

5693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865969/psn-pdf
      May 29, 2024 - Impact of pharmacist-led interventions on medication- related problems among patients treated for cancer: a systematic review and meta-analysis of randomized control trials. May 29, 2024 Fentie AM, Huluka SA, Gebremariam GT, et al. Impact of pharmacist-led interventions on medication- related problems among patie…

5694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867384/psn-pdf
      December 18, 2024 - Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. December 18, 2024 Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital…

5695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47587/psn-pdf
      February 13, 2019 - Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. February 13, 2019 Ilgen JS, Eva KW, de Bruin A, et al. Comfort with uncertainty: reframing our conceptions of how clinicians navigate complex clinical situations. Adv Health Sci Edu: Theory Pract. 2019;24(4):…

5696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46256/psn-pdf
      August 09, 2017 - What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. August 9, 2017 Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and middle-income countries (LMICs) at…

5697. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60599/psn-pdf
      June 17, 2020 - Do professionalism lapses in medical school predict problems in residency and clinical practice? June 17, 2020 Krupat E, Dienstag JL, Padrino SL, et al. Do professionalism lapses in medical school predict problems in residency and clinical practice? Acad Med. 2020;95(6):888-895. doi:10.1097/acm.0000000000003145. h…

5698. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47198/psn-pdf
      August 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…

5699. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36386/psn-pdf
      July 14, 2010 - Learning from different lenses: reports of medical errors in primary care by clinicians, staff, and patients: a project of the American Academy of Family Physicians National Research Network. July 14, 2010 Phillips RL, Dovey SM, Graham D, et al. Learning From Different Lenses: Reports of Medical Errors in Primary…

5700. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40839/psn-pdf
      December 30, 2014 - How event reporting by US hospitals has changed from 2005 to 2009. December 30, 2014 Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. https://psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-c…