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Showing results for "severe".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38941/psn-pdf
    November 25, 2009 - Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. November 25, 2009 Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient Saf. 2009;5(3):145-152. doi:10.10…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43280/psn-pdf
    November 30, 2016 - Medical Office Survey on Patient Safety Culture: 2014 User Comparative Database Report. November 30, 2016 Sorra J, Famolaro T, Yount ND, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2014. Report No. 14-0032-EF. https://psnet.ahrq.gov/issue/medical-office-survey-patient-safety-culture-2014…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45116/psn-pdf
    February 15, 2017 - Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. February 15, 2017 de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events inconsistently improved by the World Health Organization surgical s…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40048/psn-pdf
    December 01, 2010 - Temporal trends in rates of patient harm resulting from medical care. December 1, 2010 Landrigan CP, Parry G, Bones CB, et al. Temporal trends in rates of patient harm resulting from medical care. N Engl J Med. 2010;363(22):2124-34. doi:10.1056/NEJMsa1004404. https://psnet.ahrq.gov/issue/temporal-trends-rates-pati…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38411/psn-pdf
    December 16, 2014 - A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. December 16, 2014 Jack BW, Chetty VK, Anthony D, et al. A reengineered hospital discharge program to decrease rehospitalization: a randomized trial. Ann Intern Med. 2009;150(3):178-87. https://psnet.ahrq.gov/issue/reengine…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39457/psn-pdf
    April 12, 2011 - Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors. April 12, 2011 Matlow AG, Moody L, Laxer R, et al. Disclosure of medical error to parents and paediatric patients: assessment of parents' attitudes and influencing factors. Arch Dis Child. 2009…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41455/psn-pdf
    June 13, 2012 - Medication errors during medical emergencies in a large, tertiary care, academic medical center. June 13, 2012 Gokhman R, Seybert AL, Phrampus P, et al. Medication errors during medical emergencies in a large, tertiary care, academic medical center. Resuscitation. 2012;83(4):482-7. doi:10.1016/j.resuscitation.2011…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47152/psn-pdf
    October 12, 2018 - A quality initiative: a system-wide reduction in serious medication events through targeted simulation training. October 12, 2018 Hebbar KB, Colman N, Williams L, et al. A Quality Initiative: A System-Wide Reduction in Serious Medication Events Through Targeted Simulation Training. Simul Healthc. 2018;13(5):324-330…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42693/psn-pdf
    December 23, 2016 - Preventing unintended retained foreign objects. December 23, 2016 Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. https://psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects Sentinel event alerts are issued periodically by The Joint Commission to identify common …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46323/psn-pdf
    October 29, 2017 - Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. October 29, 2017 O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39583/psn-pdf
    October 30, 2010 - The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. October 30, 2010 Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Qual Saf Health Care. 2010;19(5):440-5. …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40726/psn-pdf
    July 03, 2014 - Automated identification of postoperative complications within an electronic medical record using natural language processing. July 3, 2014 Murff HJ, FitzHenry F, Matheny ME, et al. Automated identification of postoperative complications within an electronic medical record using natural language processing. JAMA. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46986/psn-pdf
    June 27, 2018 - A multi-hospital before–after observational study using a point-prevalence approach with an infusion safety intervention bundle to reduce intravenous medication administration errors. June 27, 2018 Schnock KO, Dykes PC, Albert J, et al. A Multi-hospital Before-After Observational Study Using a Point- Prevalence A…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38076/psn-pdf
    February 15, 2011 - Consequences of inadequate sign-out for patient care. February 15, 2011 Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. https://psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care W…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43617/psn-pdf
    September 24, 2016 - Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? September 24, 2016 Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.acra.2014.08.001. https://psne…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43341/psn-pdf
    July 23, 2014 - Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. July 23, 2014 Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014…
  17. psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
    February 06, 2019 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
  18. psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
    June 07, 2017 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
  19. psnet.ahrq.gov/issue/clinical-issues-series
    July 05, 2006 - 2006 National Partnership for Maternal Safety: consensus bundle on support after a severe
  20. psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
    April 29, 2018 - September 12, 2016 ALERT: reports of severe harm after intravenous administration of

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