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Showing results for "standards".

3481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42678/psn-pdf
      February 21, 2015 - The reliability of AHRQ Common Format Harm Scales in rating patient safety events. February 21, 2015 Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3182948ef9. https://psnet.ahrq.…

3482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44401/psn-pdf
      November 20, 2015 - Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. November 20, 2015 Belda-Rustarazo S, Cantero-Hinojosa J, Salmeron-García A, et al. Medication reconciliation at admission and discharge: an analysis of prevalence and associated risk factors. Int J Clin Prac…

3483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865598/psn-pdf
      April 17, 2024 - Guardians of grafts: reducing medication errors in transplant recipients. April 17, 2024 ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4. https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients Safe medication therapy for transplant patients is complex and h…

3484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41911/psn-pdf
      December 12, 2012 - Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. December 12, 2012 Shorr RI, Chandler M, Mion LC, et al. Effects of an intervention to increase bed alarm use to prevent falls in hospitalized patients: a cluster randomized trial. Ann Intern …

3485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837847/psn-pdf
      August 17, 2022 - Defining and studying errors in surgical care: a systematic review. August 17, 2022 Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. https://psnet.ahrq.gov/issue/defining-and-studying-err…

3486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46534/psn-pdf
      January 31, 2018 - Safety considerations in learning new procedures: a survey of surgeons. January 31, 2018 Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. https://psnet.ahrq.gov/issue/safety-considerations-learni…

3487. Communication Error in a Closed ICU | PSNet
      psnet.ahrq.gov/web-mm/communication-error-closed-icu
      July 01, 2016 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization

3488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73456/psn-pdf
      June 30, 2021 - Anesthesiology academic programs lack standardization in the roles of residents and fellows.

3489. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
      May 01, 2007 - of Antiseizure Medications 7th most common ADR in study of 1 million hospitalized patients Lack of standardization

3490. Patient Safety in the Physician Office Setting | PSNet
      psnet.ahrq.gov/perspective/patient-safety-physician-office-setting
      November 04, 2015 - Patient Safety in the Physician Office Setting Nancy C. Elder, MD, MSPH | May 1, 2006  View more articles from the same authors. Citation Text: Elder NC. Patient Safety in the Physician Office Setting. PSNet [internet]. Rockville (MD): Agency for Healthcare Researc…

3491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49476/psn-pdf
      March 02, 2005 - Around the Block March 1, 2005 Minichiello T. Around the Block. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/around-block The Case A 77-year-old woman with multiple medical problems was admitted to the hospital for an elective knee replacement. The orthopedic surgeon, recognizing the risk of deep vein th…

3492. Outbreak | PSNet
      psnet.ahrq.gov/web-mm/outbreak
      January 29, 2015 - Outbreak Citation Text: Rothman R, Stapleton S. Outbreak. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

3493. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
      psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
      January 12, 2022 - If the generally accepted performance standards are not met, then actions are required to improve patient

3494. EMS Perils from Hospital Overcrowding | PSNet
      psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
      November 25, 2020 - the transfer of the individual from a facility.” 21 The best approach is to follow all applicable standards

3495. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
      January 12, 2022 - If the generally accepted performance standards are not met, then actions are required to improve patient

3496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49416/psn-pdf
      September 01, 2003 - Check the Bags September 1, 2003 Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/check-bags The Case A 50-year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department for rate control. After arriving at the cardiac care unit (CCU…

3497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73303/psn-pdf
      May 26, 2021 - Safety Culture in EMS May 26, 2021 Cebollero C, Fitall E, Hall KK, et al. Safety Culture in EMS. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/safety-culture-ems Defining a Just Culture A Just Culture is one that supports transparent and honest error reporting with the goal of fostering an environmen…

3498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50827/psn-pdf
      January 22, 2020 - Becoming a high-reliability organization through shared learning of safety events January 22, 2020 Klenklen J. Patient Saf Qual HCare. December 19, 2019. https://psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events High reliability organizations consistently examine wha…

3499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867639/psn-pdf
      February 26, 2025 - Framing diagnostic error: an epidemiological perspective. February 26, 2025 Hunter MK, Singareddy C, Mundt KA. Framing diagnostic error: an epidemiological perspective. Front Public Health. 2024;12:1479750. doi:10.3389/fpubh.2024.1479750. https://psnet.ahrq.gov/issue/framing-diagnostic-error-epidemiological-perspec…

3500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47456/psn-pdf
      April 30, 2019 - ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. April 30, 2019 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices Standardized practices have not been uniformly adopted to support safe IV medicati…