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8761. Nrdbrochure 050218 (pdf file)
      hcup-us.ahrq.gov/news/exhibit_booth/NRDBrochure_050218.pdf
      May 16, 2018 - What is the NRD? The Nationwide Readmissions Database (NRD) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NRD is a unique and powerful database designed to support various types of analyses of national readmission rates for all payers and the…

8762. State of science: human factors and ergonomics in healthcare. | PSNet
      psnet.ahrq.gov/issue/state-science-human-factors-and-ergonomics-healthcare
      April 01, 2015 - Commentary State of science: human factors and ergonomics in healthcare. Citation Text: Hignett S, Carayon P, Buckle P, et al. State of science: human factors and ergonomics in healthcare. Ergonomics. 2013;56(10):1491-503. doi:10.1080/00140139.2013.822932. Copy Citation Format: …

8763. Implementing patient safety and quality improvement in dermatology. | PSNet
      psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology
      September 30, 2015 - Commentary Implementing patient safety and quality improvement in dermatology. Citation Text: Implementing patient safety and quality improvement in dermatology. Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67. Copy Citation Save …

8764. Nedsbrochure 050218 (pdf file)
      hcup-us.ahrq.gov/news/exhibit_booth/NEDSBrochure_050218.pdf
      May 16, 2018 - What is the NEDS? The Nationwide Emergency Department Sample (NEDS) is part of the family of databases and software tools developed for the Healthcare Cost and Utilization Project (HCUP). The NEDS produces national estimates about emergency department visits across the country. The NEDS describes emergency department v…

8765. Understanding and responding to adverse events. | PSNet
      psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
      July 19, 2019 - Commentary Classic Understanding and responding to adverse events. Citation Text: Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051-1056. doi:10.1056/nejmhpr020760. Copy Citation Format: DOI Google Scho…

8766. Evidence Brief: Implementation of High Reliability Organization Principles. | PSNet
      psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
      November 11, 2020 - Book/Report Evidence Brief: Implementation of High Reliability Organization Principles. Citation Text: Evidence Brief: Implementation of High Reliability Organization Principles. Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019. …

8767. Elimination of emergency department medication errors due to estimated weights. | PSNet
      psnet.ahrq.gov/issue/elimination-emergency-department-medication-errors-due-estimated-weights
      July 08, 2020 - Commentary Elimination of emergency department medication errors due to estimated weights. Citation Text: Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5…

8768. Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. | PSNet
      psnet.ahrq.gov/issue/surveys-patient-safety-culture-nursing-home-survey-user-database-report
      February 28, 2024 - Book/Report Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. Citation Text: Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. Agency for Healthcare Research and Quality; 2011-2025. Copy Citation Save Save to y…

8769. Ethical challenges in child abuse: what is the harm of a misdiagnosis? | PSNet
      psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnosis
      September 01, 2021 - Commentary Ethical challenges in child abuse: what is the harm of a misdiagnosis? Citation Text: Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4. Copy Citation Format: DOI …

8770. Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet
      psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
      September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts in the NHS. Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…

8771. Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet
      psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
      February 01, 2023 - Book/Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…

8772. Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. | PSNet
      psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
      May 13, 2020 - Book/Report Classic Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Citation Text: Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Sharpe VA, Faden AI. Cambridge NY; Cambridge University…

8773. An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. | PSNet
      psnet.ahrq.gov/issue/evaluation-collaborative-safety-focused-nurse-pharmacist-intervention-improving-accuracy
      April 28, 2010 - Study An evaluation of a collaborative, safety focused, nurse–pharmacist intervention for improving the accuracy of the medication history. Citation Text: Henneman EA, Tessier EG, Nathanson BH, et al. An evaluation of a collaborative, safety focused, nurse-pharmacist intervention for imp…

8774. Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. | PSNet
      psnet.ahrq.gov/issue/partnering-pediatric-patients-and-families-high-reliability-identify-and-reduce-preventable
      December 02, 2020 - Commentary Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Citation Text: Partnering with pediatric patients and families in high reliability to identify and reduce preventable safety events. Kirby J, Cannon C, Darrah …

8775. A prevalence study of errors in opioid prescribing in a large teaching hospital. | PSNet
      psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital
      October 19, 2022 - Study A prevalence study of errors in opioid prescribing in a large teaching hospital. Citation Text: Davies D, Schneider F, Childs S, et al. A prevalence study of errors in opioid prescribing in a large teaching hospital. Int J Clin Pract. 2011;65(9):923-9. doi:10.1111/j.1742-1241.201…

8776. Technical mistakes during the acquisition of the electrocardiogram. | PSNet
      psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
      March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

8777. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. | PSNet
      psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
      November 18, 2016 - Study Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. Citation Text: Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…

8778. Johns Hopkins Children’s Center Uses AHRQ-Funded I-PASS Tool to Boost Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201903.html
      April 01, 2019 - Johns Hopkins Children’s Center Uses AHRQ-Funded I-PASS Tool to Boost Patient Safety Search All Impact Case Studies April 2019 Pediatric residents at Johns Hopkins Children’s Center in Baltimore, MD, changed the way they handed off patients between shift changes by closely adhering—sometimes by as much as …

8779. AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. | PSNet
      psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
      May 25, 2016 - Toolkit AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Citation Text: AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. Copy Citation Save Save to your library Print …

8780. Task Forces Issues Draft Recommendation Statement on Folic Acid Supplementation to Prevent Neural Tube Defects (pdf file)
      www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/file/supporting_documents/folic-acid-suppl-draft-rec-bulletin.pdf
      March 20, 2023 - Task Forces Issues Draft Recommendation Statement on Folic Acid Supplementation to Prevent Neural Tube Defects www.uspreventiveservicestaskforce.org 1 Task Force Issues Draft Recommendation Statement on Folic Acid Supplementation to Prevent Neural Tube Defects Taking folic acid before and during early…