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Showing results for "severe".
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49606/psn-pdfAugust 01, 2010 - Mild to moderate OSA may be asymptomatic and of minor importance, but severe and long-term OSA is associated -
psnet.ahrq.gov/web-mm/complaints-safety-surveillanceMay 05, 2021 - The next morning, the patient was still experiencing moderately severe abdominal pain.
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psnet.ahrq.gov/web-mm/treatment-challenges-after-dischargeJanuary 03, 2017 - He was admitted to the hospital with the diagnosis of severe sepsis.
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimerMay 01, 2005 - Autopsy showed severe coronary artery disease, without other ostensible causes of death.
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psnet.ahrq.gov/web-mm/techno-tripMay 01, 2005 - understood failures that can occur in manual systems, these IT-based failures are infrequent but potentially severe
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46338/psn-pdfDecember 21, 2017 - Malpractice claims related to diagnostic errors in the hospital. December 21, 2017 Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774. https://psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45945/psn-pdfApril 24, 2018 - Families as partners in hospital error and adverse event surveillance. April 24, 2018 Khan A, Coffey M, Litterer KP, et al. Families as Partners in Hospital Error and Adverse Event Surveillance. JAMA Pediatr. 2017;171(4):372-381. doi:10.1001/jamapediatrics.2016.4812. https://psnet.ahrq.gov/issue/families-partners-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74050/psn-pdfNovember 10, 2021 - Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. November 10, 2021 Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision- making biases on cancer adverse effects among … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44039/psn-pdfDecember 23, 2016 - Safe use of health information technology. December 23, 2016 Sentinel Event Alert. March 31, 2015;(54):1-6. https://psnet.ahrq.gov/issue/safe-use-health-information-technology The introduction of information technology (IT) has transformed health care, but it is clear that the rapid uptake of IT has profoundly cha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42144/psn-pdfMarch 27, 2013 - Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care. March 27, 2013 Auger C, Forster AJ, Oake N, et al. Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory ca… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45121/psn-pdfSeptember 27, 2016 - Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. September 27, 2016 Aydon L, Hauck Y, Zimmer M, et al. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. J Clin Nurs. 2016;25(17-18):2468-77. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46493/psn-pdfJanuary 24, 2019 - Four states with robust prescription drug monitoring programs reduced opioid dosages. January 24, 2019 Haffajee RL, Mello MM, Zhang F, et al. Four States With Robust Prescription Drug Monitoring Programs Reduced Opioid Dosages. Health Aff (Millwood). 2018;37(6):964-974. doi:10.1377/hlthaff.2017.1321. https://psnet… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37544/psn-pdfJune 16, 2011 - Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training program. June 16, 2011 Cooper JB, Blum RH, Carroll JS, et al. Differences in safety climate among hospital anesthesia departments and the effect of a realistic simulation-based training progr… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40544/psn-pdfOctober 04, 2011 - Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry. October 4, 2011 Spina JR, Glassman PA, Simon B, et al. Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44176/psn-pdfAugust 21, 2015 - Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. August 21, 2015 Hernan AL, Giles SJ, Fuller J, et al. Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study. BMJ Qual Saf. 2015;24(9):583-93. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45255/psn-pdfJanuary 23, 2017 - Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. January 23, 2017 Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop m… -
psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patientsFebruary 06, 2019 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
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psnet.ahrq.gov/issue/ismp-long-term-care-advise-errJune 07, 2017 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home
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psnet.ahrq.gov/issue/clinical-issues-seriesJuly 05, 2006 - 2006 National Partnership for Maternal Safety: consensus bundle on support after a severe
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psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistakeApril 29, 2018 - September 12, 2016 ALERT: reports of severe harm after intravenous administration of
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