Results

Total Results: 1,293 records

Showing results for "submit".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39298/psn-pdf
     June 11, 2010 - Medication error reporting in nursing homes: identifying targets for patient safety improvement. June 11, 2010 Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19(3):218-22. doi:10.1136/qshc.2008.031…

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47002/psn-pdf
     April 25, 2018 - Making Health Care Safer in Ambulatory Care Settings and Long Term Care Facilities (R18). April 25, 2018 Rockville, MD: Agency for Healthcare Research and Quality; April 10, 2018. PA-18-750. https://psnet.ahrq.gov/issue/making-health-care-safer-ambulatory-care-settings-and-long-term-care- facilities-r18 Research …

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44351/psn-pdf
     October 21, 2015 - Heparin-containing medical devices and combination products: recommendations for labeling and safety testing. Draft guidance for industry and Food and Drug Administration staff. October 21, 2015 Federal Register. Washington, DC: US Department of Health and Human Services. Baltimore, MD: Food and Drug Administrati…

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35138/psn-pdf
     July 10, 2008 - Adverse drug event surveillance and drug withdrawals in the United States, 1969-2002. July 10, 2008 Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969- 2002: the importance of reporting suspected reactions. Arch Intern Med. 2005;165(12):1363-9. https://psnet.ahrq…

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46047/psn-pdf
     May 17, 2017 - Medicare failed to investigate suspicious infection cases from 96 hospitals. May 17, 2017 Jewett C. Kaiser Health News. May 9, 2017. https://psnet.ahrq.gov/issue/medicare-failed-investigate-suspicious-infection-cases-96-hospitals The Centers for Medicare and Medicaid Services decision to withhold payment for certa…

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47257/psn-pdf
     September 26, 2018 - The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. September 26, 2018 Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in Reporting Adverse Events. J Pa…

247. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47426/psn-pdf
     October 13, 2018 - Patient-centered insights: using health care complaints to reveal hot spots and blind spots in quality and safety. October 13, 2018 Gillespie A, Reader TW. Patient-Centered Insights: Using Health Care Complaints to Reveal Hot Spots and Blind Spots in Quality and Safety. Milbank Q. 2018;96(3):530-567. doi:10.1111/14…

248. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45743/psn-pdf
     June 21, 2017 - Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. June 21, 2017 Kabadi SJ, Krishnaraj A. Strategies for improving the value of the radiology report: a retrospective analysis of errors in formally over-read studies. J Am Coll Radiol. 2017;1…

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45768/psn-pdf
     July 02, 2017 - What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative research study. July 2, 2017 Mattarozzi K, Sfrisi F, Caniglia F, et al. What patients' complaints and praise tell the health practitioner: implications for health care quality. A qualitative resea…

250. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43255/psn-pdf
     June 18, 2014 - Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. June 18, 2014 Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. BMJ Open. 20…

251. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45130/psn-pdf
     July 18, 2018 - Surgical fires: decreasing incidence relies on continued prevention efforts. July 18, 2018 Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts Although surgical fir…

252. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44020/psn-pdf
     March 25, 2015 - Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. March 25, 2015 Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27. https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience Wrong-site surgeries are considered never events by the National Qu…

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45767/psn-pdf
     April 17, 2017 - Medication errors attributed to health information technology. April 17, 2017 Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8. https://psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology The unintended consequences associated with health information technologies for …

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45218/psn-pdf
     June 15, 2016 - Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. June 15, 2016 Agency for Healthcare Research and Quality. Fed Regist. 2016;81(100);32655-32660. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hh…

255. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35220/psn-pdf
     May 14, 2015 - Patient Safety and Quality Improvement Act of 2005. May 14, 2015 Pub L No. 109-41.  https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005 This bill amends the Public Health Service Act to encourage a culture of safety in health care organizations. The bill, signed into law July 29, 2005…

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837692/psn-pdf
     July 20, 2022 - Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. July 20, 2022 Keller SC, Caballero TM, Tamma PD, et al. Assessment of changes in visits and antibiotic prescribing during the Agen…

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47680/psn-pdf
     January 16, 2019 - Perioperative medication errors: uncovering risk from behind the drapes. January 16, 2019 Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. 2018;15(4):1-17. https://psnet.ahrq.gov/issue/perioperative-medication-errors-uncovering-risk-behind-drapes The operating room environment harbors particular pat…

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37992/psn-pdf
     August 20, 2008 - Medication errors reported by US family physicians and their office staff. August 20, 2008 Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. https://psnet.ahrq.gov/issue/medic…

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45400/psn-pdf
     August 10, 2016 - ISMP National Vaccine Errors Reporting Program: one in three vaccine errors associated with age-related factors. August 10, 2016 ISMP Medication Safety Alert! Acute Care Edition. July 28, 2016;21:1-6. https://psnet.ahrq.gov/issue/ismp-national-vaccine-errors-reporting-program-one-three-vaccine-errors- associated-a…

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37585/psn-pdf
     April 29, 2010 - Medication errors involving patient-controlled analgesia.   April 29, 2010 Hicks RW, Sikirica V, Nelson W, et al. Medication errors involving patient-controlled analgesia. Am J Health Syst Pharm. 2008;65(5):429-40. doi:10.2146/ajhp070194. https://psnet.ahrq.gov/issue/medication-errors-involving-patient-controlled-a…