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Showing results for "reviews".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34859/psn-pdf
    November 11, 2015 - Patient Safety. November 11, 2015 Minnesota Department of Health https://psnet.ahrq.gov/issue/patient-safety-0 This site reports the results of Minnesota's annual review of reported error in their hospitals statewide and provides additional materials on the state's incident reporting program.  https://psnet.ahrq.…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37783/psn-pdf
    May 21, 2008 - Safety and satisfaction: where are the connections? May 21, 2008 Wolosin RJ. https://psnet.ahrq.gov/issue/safety-and-satisfaction-where-are-connections This article links efforts to improve patient safety with opportunities to increase patient satisfaction in hospital settings and provides a brief review of recent…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38756/psn-pdf
    January 20, 2010 - At VA hospital, a rogue cancer unit. January 20, 2010 Bogdanich W. https://psnet.ahrq.gov/issue/va-hospital-rogue-cancer-unit Flawed safety standards, including a lack of peer review and oversight, led to a series of errors in a cancer unit at a Philadelphia Veterans Affairs hospital. https://psnet.ahrq.gov/issue…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34021/psn-pdf
    March 07, 2005 - Focusing on Medical Errors. March 7, 2005 Temple WJ, ed. J Surg Oncol. 2004;88(3):111-199. https://psnet.ahrq.gov/issue/focusing-medical-errors This issue provides a review of medical error from a variety of perspectives, including pediatrics, anesthesiology, pharmacy, pathology, laboratory medicine, and insurers.…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33941/psn-pdf
    October 11, 2016 - BMJ Quality & Safety. October 11, 2016 Franklin BD, Thomas E, eds. BMJ Publishing Group Ltd and the Health Foundation. ISSN: 2044-5415. https://psnet.ahrq.gov/issue/bmj-quality-safety A monthly peer-reviewed journal that reports research, initiatives, and viewpoints in the growing area of safety and quality improv…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41998/psn-pdf
    January 30, 2013 - Involving Patients in Improving Safety. January 30, 2013 London, UK: The Health Foundation; January 2013. https://psnet.ahrq.gov/issue/involving-patients-improving-safety This review analyzes research on engaging patients in safety improvement and details which strategies are most effective. https://psnet.ahrq.go…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36248/psn-pdf
    September 13, 2006 - Regulating compensation for injuries associated with medical error. September 13, 2006 Corbett A. Sydney Law Review. 2006;28(2):259-296. https://psnet.ahrq.gov/issue/regulating-compensation-injuries-associated-medical-error The author discusses developing "no-fault" systems of compensation for victims of medical e…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36071/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6 This monthly selection of medication error reports provides examples of nimodipine administration mishaps, a lithium overdose, and suggested adopted drug names for review. https://ps…

  9. In Conversation With… Matthew Weinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
    August 01, 2018 - In Conversation With… Matthew Weinger, MD August 1, 2018  Also Read an Essay Citation Text: In Conversation With… Matthew Weinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

  10. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet

    psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
    December 31, 2024 - SPOTLIGHT CASE Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Citation Text: McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39681/psn-pdf
    July 14, 2010 - Do no harm: hospital care in Las Vegas. July 14, 2010 Allen M; Richards A. https://psnet.ahrq.gov/issue/do-no-harm-hospital-care-las-vegas This news series reports on an investigation that included hospital record review and interviews with stakeholders to explore the quality and safety of health care in Las Vegas…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40971/psn-pdf
    June 01, 2012 - Iatrogenic psychological harm. June 1, 2012 Rees C. Iatrogenic psychological harm. Arch Dis Child. 2012;97(5):440-6. doi:10.1136/archdischild-2011- 300362. https://psnet.ahrq.gov/issue/iatrogenic-psychological-harm This review discusses iatrogenic psychological harm, including how it may occur and how to prevent i…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42725/psn-pdf
    November 13, 2013 - Audit of missed or delayed antimicrobial drugs. November 13, 2013 Wright J. https://psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs This record review study found that omitted doses of antimicrobial medications occur frequently in hospital settings in the United Kingdom. https://psnet.ahrq.gov/is…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38703/psn-pdf
    June 10, 2009 - Reduce medication errors through following metrics. June 10, 2009 Drug Formulary Review. June 1, 2009.  https://psnet.ahrq.gov/issue/reduce-medication-errors-through-following-metrics This news piece discusses how using measurement tools in the pharmacy setting could help reduce medication errors. https://psnet.a…

  15. Right Patient, Wrong Sample | PSNet

    psnet.ahrq.gov/web-mm/right-patient-wrong-sample
    June 01, 2004 - Right Patient, Wrong Sample Citation Text: Astion ML. Right Patient, Wrong Sample. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  16. Pseudo-obstruction But a Real Perforation | PSNet

    psnet.ahrq.gov/web-mm/pseudo-obstruction-real-perforation
    April 01, 2015 - SPOTLIGHT CASE Pseudo-obstruction But a Real Perforation Citation Text: Paski SC, Dominitz JA. Pseudo-obstruction But a Real Perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851870/psn-pdf
    July 31, 2023 - In Conversation with... Regina Hoffman about Building Capacity for Patient Safety July 31, 2023 In Conversation with.. Regina Hoffman about Building Capacity for Patient Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety Editor’s no…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49675/psn-pdf
    February 01, 2013 - Delay in Treatment: Failure to Contact Patient Leads to Significant Complications February 1, 2013 Shapiro DS. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complicat…

  19. Slippery Slide Into Life | PSNet

    psnet.ahrq.gov/web-mm/slippery-slide-life
    January 21, 2017 - Slippery Slide Into Life Citation Text: Halamek LP. Slippery Slide Into Life. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  20. Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-01/spotlight_respiratory_distress_after_neck_surgery_two_cases_of_postoperative_cervical_hematoma.pdf
    January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Postop Cervical Hematomas_12.15.2022 FINAL.pptx Spotlight Respiratory Distress after Neck Surgery: Two Cases of Post-Operative Cervical Hematoma Source and Credits • This presentation is based on the January 2023 AHRQ WebM&M Spotlight Case o See the full article at https://…
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