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Showing results for "severe".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40393/psn-pdf
    December 21, 2014 - Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. December 21, 2014 O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Med. 2011;171(7):678-684. doi:10.1001/archinternmed.2011.128. http…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38628/psn-pdf
    May 13, 2009 - Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. May 13, 2009 Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. J Am Geriatr So…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47716/psn-pdf
    June 26, 2019 - Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. June 26, 2019 Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital admissions: a systematic review and meta-analysis. BMJ Open. 2019;9(6):e025764. doi:10.1136/…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42530/psn-pdf
    December 30, 2014 - What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. December 30, 2014 Buetow S, Davis R, Callaghan K, et al. What attributes of patients affect their involvement in safety? A key opinion leaders' perspective. BMJ Open. 2013;3(8):e003104. doi:10.1136/bmjopen-2013-00310…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44545/psn-pdf
    December 20, 2017 - Work conditions, mental workload and patient care quality: a multisource study in the emergency department. December 20, 2017 Weigl M, Müller A, Holland S, et al. Work conditions, mental workload and patient care quality: a multisource study in the emergency department. BMJ Qual Saf. 2016;25(7):499-508. doi:10.113…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41031/psn-pdf
    February 10, 2012 - Is patient safety improving? National trends in patient safety indicators: 1998–2007. February 10, 2012 Downey JR, Hernandez-Boussard T, Banka G, et al. Is patient safety improving? National trends in patient safety indicators: 1998-2007. Health Serv Res. 2012;47(1 Pt 2):414-30. doi:10.1111/j.1475- 6773.2011.01361…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36699/psn-pdf
    March 28, 2011 - Hospital staff should use more than one method to detect adverse events and potential adverse events: incident reporting, pharmacist surveillance and local real-time record review may all have a place. March 28, 2011 Olsen S, Neale G, Schwab K, et al. Hospital staff should use more than one method to detect advers…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46173/psn-pdf
    August 20, 2018 - Advances in Patient Safety and Medical Liability. August 20, 2018 Battles J, Azam I, Grady M, Reback K, eds. Rockville, MD: Agency for Healthcare Research and Quality; 2017. AHRQ Publication No. 17-0017-EF. https://psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability This publication describes the re…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41609/psn-pdf
    October 11, 2012 - Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. October 11, 2012 Schneider EB, Hirani SA, Hambridge HL, et al. Beating the weekend trend: increased mortality in older adult traumatic brain injury (TBI) patients admitted on weekends. J Surg R…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45190/psn-pdf
    February 15, 2017 - Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. February 15, 2017 Li L, Rothwell PM, Study OV. Biases in detection of apparent "weekend effect" on outcome with administrative coding data: population based study of stroke. BMJ. 2016;353:…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37768/psn-pdf
    April 27, 2010 - The wisdom and justice of not paying for "preventable complications." April 27, 2010 Pronovost P, Goeschel CA, Wachter R. The wisdom and justice of not paying for "preventable complications". JAMA. 2008;299(18):2197-9. doi:10.1001/jama.299.18.2197. https://psnet.ahrq.gov/issue/wisdom-and-justice-not-paying-prevent…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41816/psn-pdf
    September 26, 2016 - Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. September 26, 2016 Colligan L, Guerlain S, Steck SE, et al. Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station. BMJ Qual Saf. 2012;…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45231/psn-pdf
    February 14, 2017 - 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. February 14, 2017 Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. BMJ. 2016;352:h6781. doi:10.1136/bmj.h6781. https://psnet.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60174/psn-pdf
    March 30, 2020 - Making Healthcare Safer III Report March 30, 2020 Gaffey AD, Spurlock B, Fitall E, et al. Making Healthcare Safer III Report. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report What is the Making Healthcare Safer Report? The Making Healthcare Safer Report represents an ef…

  15. Diagnosing a Missed Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
    October 26, 2022 - that reduces a patient's access to free water can unmask nephrogenic diabetes insipidus and lead to a severe

  16. How Do Providers Recover From Errors? | PSNet

    psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
    May 22, 2024 - which the provider feels directly and fully responsible, and those that result in patient death or severe

  17. 10 Medication Safety Tips for Hospitalized Patients. | PSNet

    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. ISMP Long-Term Care Advise-ERR. | PSNet

    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. Clinical Issues Series. | PSNet

    psnet.ahrq.gov/issue/clinical-issues-series
    July 05, 2006 - 2006 National Partnership for Maternal Safety: consensus bundle on support after a severe

  20. Fatal gas line mix-up: How to avoid making this "gastly" mistake. | PSNet

    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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