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Showing results for "suggests".

2781. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48139/psn-pdf
      July 17, 2019 - 'Poking the skunk': ethical and medico-legal concerns in research about patients' experiences of medical injury. July 17, 2019 Moore JS, Mello MM, Bismark M. 'Poking the skunk': Ethical and medico-legal concerns in research about patients' experiences of medical injury. Bioethics. 2019;33(8):948-957. doi:10.1111/bi…

2782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42945/psn-pdf
      February 19, 2014 - Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. February 19, 2014 Tregunno D, Ginsburg LR, Clarke B, et al. Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharma…

2783. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43745/psn-pdf
      December 17, 2014 - Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. December 17, 2014 Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increased cost, length of stay, and ri…

2784. A Painful Medication Reconciliation Mishap | PSNet
      psnet.ahrq.gov/web-mm/painful-medication-reconciliation-mishap
      May 01, 2008 - SPOTLIGHT CASE A Painful Medication Reconciliation Mishap Citation Text: Chou R. A Painful Medication Reconciliation Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google S…

2785. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49519/psn-pdf
      September 01, 2006 - Triple Handoff September 1, 2006 Vidyarthi A. Triple Handoff. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/triple-handoff Case Objectives Appreciate the prevalence of handoffs and sign out related errors. Understand the key elements of a safe and effective written and verbal sign out. List Kotter’s 8 st…

2786. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
      psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
      January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia Citation Text: Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…

2787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39004/psn-pdf
      April 04, 2011 - Balancing "no blame" with accountability in patient safety. April 4, 2011 Wachter R, Pronovost P. Balancing "no blame" with accountability in patient safety. New Engl J Med. 2009;361(14):1401-1406. doi:10.1056/NEJMsb0903885. https://psnet.ahrq.gov/issue/balancing-no-blame-accountability-patient-safety An early fo…

2788. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47530/psn-pdf
      June 19, 2019 - Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. June 19, 2019 Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. Health Aff (Millwood). 2018;37(11):1736-1743. doi:10.1377/hlthaff.2018.0738…

2789. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45883/psn-pdf
      March 25, 2017 - The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations. March 25, 2017 Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Implications for Safety Net Care for …

2790. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45897/psn-pdf
      August 20, 2018 - Clinical reasoning education at US medical schools: results from a national survey of internal medicine clerkship directors. August 20, 2018 Rencic J, Trowbridge RL, Fagan M, et al. Clinical Reasoning Education at US Medical Schools: Results from a National Survey of Internal Medicine Clerkship Directors. J Gen In…

2791. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42685/psn-pdf
      December 06, 2013 - Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. December 6, 2013 Zahar JR, Garrouste-Orgeas M, Vesin A, et al. Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events. Intensive Care M…

2792. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43418/psn-pdf
      April 24, 2017 - Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of patient safety for doctors in training. April 24, 2017 Jha V, Buckley H, Gabe R, et al. Patients as teachers: a randomised controlled trial on the use of personal stories of harm to raise awareness of p…

2793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39501/psn-pdf
      January 03, 2017 - Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. January 3, 2017 Grissinger MC, Hicks RW, Keroack MA, et al. Harmful medication errors involving unfractionated and low- molecular-weight heparin in three patient safety reporting programs…

2794. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44342/psn-pdf
      November 03, 2015 - How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over time. November 3, 2015 Baines RJ, Langelaan M, de Bruijne M, et al. How effective are patient safety initiatives? A retrospective patient record review study of changes to patient safety over…

2795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44744/psn-pdf
      June 21, 2016 - Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. June 21, 2016 Howell A-M, Burns EM, Bouras G, et al. Can Patient Safety Incident Reports Be Used to Compare Hospital Safety? Results from a Quanti…

2796. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38778/psn-pdf
      March 04, 2011 - What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? March 4, 2011 Schedlbauer A, Prasad V, Mulvaney C, et al. What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior? J Am Med Inform Assoc. 2009;16(4):53…

2797. ISMP medication error report analysis. | PSNet
      psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6
      June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

2798. Where Does Risk-Adjusted Mortality Fit Into a Safety Measurement Program? | PSNet
      psnet.ahrq.gov/perspective/where-does-risk-adjusted-mortality-fit-safety-measurement-program
      March 01, 2015 - only 5% can be attributed to unsafe care.( 4 ) Because of these low frequencies, mathematical modeling suggests

2799. Anticoagulation: Held Too Long | PSNet
      psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
      April 01, 2008 - This result confirms that perioperative transition errors are common and suggests that the transition

2800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49852/psn-pdf
      February 01, 2019 - Lastly, recent data suggests that the use of telemedicine may reduce the volume of transfers (by obviating