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Total Results: 395 records

Showing results for "the department of defense".

101. Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet
     psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
     July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the … Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville … May 25, 2022 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … at the John Cochran Division of the VA St. … April 29, 2020 Defense Health Agency Should Improve Tracking of Serious Adverse Medical

102. Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids | PSNet
     psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
     October 30, 2024 - Department of Defense (DOD) to VHA when service members transition out of DOD. … Department of Veterans Affairs (VA) study of nearly 124,000 veterans, those receiving the highest doses … Department of Veterans Affairs (VA), U.S. Department of Defense (DoD). … Department of Veterans Affairs (VA), U.S. Department of Defense (DoD). … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter

103. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60977/psn-pdf
     January 08, 2020 - The next day her daughter found her extremely weak and took her to the Emergency Department (ED).  … That’s why patients, the end-users of medications, play a vital role as the last defense in preventing … Kristine Chin, PharmD, CSP  UC Davis Cypress Pharmacy Supervisor  Department of Pharmacy Services  … Department of Health and Human Services. … Department of Health and Human Services.

104. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33673/psn-pdf
     September 01, 2008 - last line of defense in the medication use process, administration errors at the point of care often … defense in detecting patient deterioration and protecting patients by recovering errors caused by other … ref12 https://psnet.ahrq.gov//#ref13 https://psnet.ahrq.gov//#ref14 https://psnet.ahrq.gov//#ref5 Department … Department of Medicine Brigham and Women's Hospital References Back to Top 1. … Barcoded medication administration: a last line of defense. JAMA. 2008;299:2200-2202.

105. In Conversation with…Troyen A. Brennan, MD, JD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withtroyen-brennan-md-jd-mph
     December 21, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … As well, defense attorneys are not interested in it either. … Department of Health and Human Services. … Department of Health and Human Services.

106. A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements in care beyond the immediate postoperative period. | PSNet
     psnet.ahrq.gov/issue/handoff-protocol-cardiovascular-operating-room-cardiac-icu-associated-improvements-care
     December 09, 2020 - in care beyond the immediate postoperative period. … View more articles from the same authors. … care unit led to decreases in unplanned extubations and the amount of time spent on ventilators. … 2019 Department of Defense Patient Safety Culture Survey. … patients to the intensive care unit.

107. Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. | PSNet
     psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
     July 13, 2022 - Washington, DC: VA Office of the Inspector General; June 28, 2023. … Washington, DC: VA Office of the Inspector General; June 28, 2023. … April 19, 2023 Deficiencies in Emergency Department Care for a Patient Who Died by Suicide … at the John Cochran Division of the VA St. … April 29, 2020 Defense Health Agency Should Improve Tracking of Serious Adverse Medical

108. Now is the time to routinely ask patients about safety. | PSNet
     psnet.ahrq.gov/issue/now-time-routinely-ask-patients-about-safety
     March 08, 2023 - 2019 Department of Defense Patient Safety Culture Survey. … February 23, 2022 The effect of transitions intervention to ensure patient safety and … May 4, 2022 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report … March 18, 2025 - March 18, 2025 Artificial intelligence in the provision of health … December 6, 2023 Disclosing medical errors: prioritising the needs of patients and families

109. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet
     psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
     December 23, 2020 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … SLICE 4: Patient’s Role as the Last Defense in Medication Safety  But even the most experienced healthcare … That’s why patients, the end-users of medications, play a vital role as the last defense in preventing … Department of Health and Human Services. … Department of Health and Human Services.

110. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. | PSNet
     psnet.ahrq.gov/issue/patient-surgeon-and-health-care-worker-safety-during-covid-19-pandemic
     August 25, 2021 - beginning of the COVID-19 pandemic. … May 12, 2021 The perception of patient safety in an alternate site of care for elective … surgery during the first wave of the novel coronavirus pandemic in the United Kingdom: a survey of 158 … July 22, 2020 Blueprint for restructuring a department of surgery in concert with the … May 6, 2020 Perioperative COVID-19 defense: an evidence-based approach for optimization

111. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. | PSNet
     psnet.ahrq.gov/issue/error-disclosure-neonatal-intensive-care-multicentre-prospective-observational-study
     November 29, 2023 - Same Author(s) Overnight stay in the emergency department and mortality in older patients … November 7, 2018 Error in intensive care: psychological repercussions and defense mechanisms … June 30, 2021 Development of an emergency department trigger tool using a systematic … patients: an analysis of the Wake Up Safe database. … in the NICU: the protective role of coworker support.

112. Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence rate for patient safety indicators: results from 66 Georgia hospitals. | PSNet
     psnet.ahrq.gov/issue/availability-hospital-it-applications-associated-hospitals-risk-adjusted-incidence-rate
     September 01, 2021 - Study Is the availability of hospital IT applications associated with a hospital's … Is the availability of hospital IT applications associated with a hospital's risk adjusted incidence … This study found no association between the number of information technology applications available in … 2019 Department of Defense Patient Safety Culture Survey. … at the time of hospital admission?

113. Safety culture across cultures. | PSNet
     psnet.ahrq.gov/issue/safety-culture-across-cultures
     February 12, 2020 - February 12, 2020 The ‘new view’ of human error. … 2019 Department of Defense Patient Safety Culture Survey. … August 3, 2022 Safety-II and the study of healthcare safety routines: two paths forward … July 13, 2022 The patient died: what about involvement in the investigation process? … Culture of Safety Research Directions

114. Becoming a high-reliability organization through shared learning of safety events | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
     February 12, 2020 - View more articles from the same authors. … 2019 Department of Defense Patient Safety Culture Survey. … February 12, 2020 Bracing for the storm: one health care system's planning for the COVID … challenges and successes of implementing the Safer Dx Learning Lab. … September 16, 2020 The Safety and Quality of Health Care: Where are We Now?

115. Mock trial at 2009 RSNA annual meeting: jury exonerates radiologist for failure to communicate abnormal finding—but... | PSNet
     psnet.ahrq.gov/issue/mock-trial-2009-rsna-annual-meeting-jury-exonerates-radiologist-failure-communicate-abnormal
     October 23, 2018 - This commentary provides insights into the legal process through a fictitious malpractice trial of a … March 4, 2015 The effect of race and sex on physicians' recommendations for cardiac catheterization … A content analysis of accreditation reports. … department. … age of defensive medicine: a review.

116. Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence. | PSNet
     psnet.ahrq.gov/issue/are-physicians-safely-prescribing-opioids-chronic-noncancer-pain-systematic-review-current
     November 07, 2018 - November 7, 2018 Overnight stay in the emergency department and mortality in older patients … December 20, 2023 Accuracy of emergency department clinical findings for diagnosis of … June 1, 2022 Error in intensive care: psychological repercussions and defense mechanisms … June 19, 2019 Pain states, the opioid epidemic, and the role of radiologists. … January 11, 2017 The effectiveness and risks of long-term opioid therapy for chronic

117. Medication errors and adverse drug events in an intensive care unit: direct observation approach for detection. | PSNet
     psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-intensive-care-unit-direct-observation-approach
     August 26, 2011 - medication error interception in the emergency department. … reconciliation in the U.S. … Department of Veterans Affairs: a qualitative analysis. … an emergency department pharmacist. … December 21, 2018 Error in intensive care: psychological repercussions and defense mechanisms

118. Operating room organization and surgical performance: a systematic review. | PSNet
     psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
     March 05, 2025 - the risk of adverse outcomes. … March 5, 2025 Overnight stay in the emergency department and mortality in older patients … November 29, 2023 Error in intensive care: psychological repercussions and defense mechanisms … October 29, 2014 Cluster randomized trial to evaluate the impact of team training on … January 30, 2013 Selected medical errors in the intensive care unit: results of the IATROREF

119. Cultural Issues Related to Allegations of Bullying and Harassment in NHS Highland: Independent Review Report. | PSNet
     psnet.ahrq.gov/issue/cultural-issues-related-allegations-bullying-and-harassment-nhs-highland-independent-review
     July 29, 2015 - June 2, 2010 Associations of workflow disruptions in the operating room with surgical … The Report of the Gosport Independent Panel. … November 7, 2018 Freedom to Speak Up: A Review of Whistleblowing in the NHS. … November 6, 2015 Learning from Bristol: The Report of the Public Inquiry into Children's … December 9, 2009 Department of Defense Health Care Quality.

120. Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. | PSNet
     psnet.ahrq.gov/issue/implementing-world-health-organization-surgical-safety-checklist-model-future-perioperative
     March 30, 2022 - March 19, 2019 Effect of an emergency department process improvement package on suicide … May 31, 2023 View More Related Resources Perioperative COVID-19 defense … May 20, 2019 Reducing surgical mortality in Scotland by use of the WHO Surgical Safety … January 9, 2013 The implementation of a perioperative checklist increases patients' perioperative … March 2, 2012 Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital