-
psnet.ahrq.gov/node/45900/psn-pdf
June 07, 2017 - Blood bank specimen mislabeling: a College of American
Pathologists Q-Probes study of 41,333 blood bank
specimens in 30 institutions.
June 7, 2017
Novis DA, Lindholm PF, Ramsey G, et al. Blood Bank Specimen Mislabeling: A College of American
Pathologists Q-Probes Study of 41 333 Blood Bank Specimens in 30 Institut…
-
psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - DC : At a national level, it's incredibly important because then it allows us to move from sampling a … retrospectively, which is how the IHI Global Trigger Tool is currently used, to actually doing 100% of sampling … per 100 admissions or per 1000 patient days)• Focuses on harm, but includes errors as well• Allows sampling
-
psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - per 100 admissions or per 1000 patient days)• Focuses on harm, but includes errors as well• Allows sampling … DC : At a national level, it's incredibly important because then it allows us to move from sampling a … retrospectively, which is how the IHI Global Trigger Tool is currently used, to actually doing 100% of sampling
-
psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - artery disease (e.g., untreated
hypertension, cigarette smoking, and premature family history), serial sampling
-
psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
September 01, 2011 - levels.( 6 ) It is also necessary to verify that all doses have been taken for 60 hours prior to blood sampling
-
psnet.ahrq.gov/web-mm/making-do
September 05, 2018 - this case, since the patient experienced postmenopausal bleeding, thorough inspection and endometrial sampling
-
psnet.ahrq.gov/node/49680/psn-pdf
March 01, 2013 - often exists on whether a given pathology error was secondary to misinterpretation or poor clinical
sampling
-
psnet.ahrq.gov/issue/inappropriate-medication-national-sample-us-elderly-patients-receiving-home-health-care
September 09, 2020 - Study
Inappropriate medication in a national sample of US elderly patients receiving home health care.
Citation Text:
Bao Y, Shao H, Bishop TF, et al. Inappropriate medication in a national sample of US elderly patients receiving home health care. J Gen Intern Med. 2012;27(3):304-310. do…
-
psnet.ahrq.gov/issue/prevalence-and-severity-patient-harm-sample-uk-hospitalised-children-detected-paediatric
February 15, 2023 - Study
Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool.
Citation Text:
Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatr…
-
psnet.ahrq.gov/node/49527/psn-pdf
December 01, 2006 - Simplifying process—removing
unnecessary steps
Analyzer with direct tube sampling reduces the frequency
-
psnet.ahrq.gov/node/60044/psn-pdf
March 16, 2020 - Patient Safety in Medical, Nursing, and Other Clinical
Education
March 16, 2020
Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNet
[internet]. 2020.
https://psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
Background
Despit…
-
psnet.ahrq.gov/issue/relationships-between-pediatric-safety-indicators-across-national-sample-pediatric-hospitals
April 06, 2022 - Study
Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital.
Citation Text:
Milliren CE, Bailey G, Graham DA, et al. Relationships between pediatric safety indicators across a national sample of ped…
-
psnet.ahrq.gov/issue/are-surgeons-and-anesthesiologists-lying-each-other-or-gaming-system-national-random-sample
June 29, 2022 - Study
Are surgeons and anesthesiologists lying to each other or gaming the system? A national random sample survey about "truth-telling practices" in the perioperative setting in the United States.
Citation Text:
Nurok M, Lee Y-Y, Ma Y, et al. Are surgeons and anesthesiologists lying to …
-
psnet.ahrq.gov/issue/potential-preanalytical-and-analytical-vulnerabilities-laboratory-diagnosis-coronavirus
August 10, 2016 - Commentary
Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19).
Citation Text:
Lippi G, Simundic A-M, Plebani M. Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease…
-
psnet.ahrq.gov/node/865336/psn-pdf
March 27, 2024 - Transfusion-related errors and associated adverse
reactions and blood product wastage as reported to the
National Healthcare Safety Network Hemovigilance
Module, 2014-2022.
March 27, 2024
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion?related errors and associated adverse reactions
and blood product …
-
psnet.ahrq.gov/issue/comparison-quality-care-patients-veterans-health-administration-and-patients-national-sample
February 24, 2011 - Study
Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sample.
Citation Text:
Asch SM, McGlynn EA, Hogan MM, et al. Comparison of quality of care for patients in the Veterans Health Administration and patients in a national sam…
-
psnet.ahrq.gov/issue/transfusion-related-errors-and-associated-adverse-reactions-and-blood-product-wastage
September 23, 2020 - Study
Transfusion-related errors and associated adverse reactions and blood product wastage as reported to the National Healthcare Safety Network Hemovigilance Module, 2014-2022.
Citation Text:
Chavez Ortiz JL, Griffin I, Kazakova SV, et al. Transfusion‐related errors and associated adve…
-
psnet.ahrq.gov/node/74077/psn-pdf
November 17, 2021 - Factors associated with wrong blood in tube errors: an
international case series - The BEST collaborative study.
November 17, 2021
Dunbar NM, Kaufman RM. Factors associated with wrong blood in tube errors: an international case series
– The BEST collaborative study. Transfusion (Paris). 2022;62(1):44-50. doi:10.111…
-
psnet.ahrq.gov/issue/missed-diagnosis-stroke-emergency-department-cross-sectional-analysis-large-population-based
April 08, 2018 - Study
Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-based sample.
Citation Text:
Newman-Toker DE, Moy E, Valente E, et al. Missed diagnosis of stroke in the emergency department: a cross-sectional analysis of a large population-b…
-
psnet.ahrq.gov/node/43080/psn-pdf
March 26, 2014 - Hospital-based transfusion error tracking from 2005 to
2010: identifying the key errors threatening patient
transfusion safety.
March 26, 2014
Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010:
identifying the key errors threatening patient transfusion safety. Transfu…