-
psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
May 16, 2022 - Organization reported that about 1.3 million people annually are injured by medication errors in the United … States, 7 and 80% of those errors occur during transitions of care. 8 A similar concern about the … hospital discharge in another study. 17 , 18 About one in five new prescriptions are not filled in the United … States and 50% of those filled are taken incorrectly. 19 The Meds-to-Beds program was conceived as
-
psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - including 2 clinically significant errors per week—or 51.5 million errors dispensed each year across the
United … States.
-
psnet.ahrq.gov/node/49457/psn-pdf
September 01, 2004 - In the United States, one in three physicians report not having a personal physician (13). … In the United
Kingdom, where the entire population is required to have a personal physician, up to 99%
-
psnet.ahrq.gov/issue/leadership-improve-diagnosis-call-action
June 28, 2023 - Book/Report
Leadership To Improve Diagnosis: A Call to Action.
Citation Text:
Leadership To Improve Diagnosis: A Call to Action. Rosen M, Ali KJ, Buckley BO, et al. Rockville, MD: Agency for Healthcare Research and Quality; June 2021. AHRQ Publication No. 20(21)-0040-5-EF.
Copy …
-
psnet.ahrq.gov/issue/characteristics-and-outcomes-patients-receiving-medical-emergency-team-review-acute-change
September 17, 2008 - Study
Characteristics and outcomes of patients receiving a medical emergency team review for acute change in conscious state or arrhythmias.
Citation Text:
Downey A, Quach J, Haase M, et al. Characteristics and outcomes of patients receiving a medical emergency team review for acute ch…
-
psnet.ahrq.gov/innovation/implementing-watcher-program-improve-timeliness-recognition-deterioration-hospitalized
June 30, 2021 - EMERGING INNOVATIONS
Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children
Citation Text:
Implementing a watcher program to improve timeliness of recognition of deterioration in hospitalized children Evans S, Green A, Roberson A, et al. …
-
psnet.ahrq.gov/node/49502/psn-pdf
February 01, 2006 - Ethical decision making and patient autonomy: a
comparison of physicians and patients in Japan and the United … States.
-
psnet.ahrq.gov/node/867020/psn-pdf
October 23, 2024 - This article discusses an effort in
the United Kingdom to learn from preventable deaths reported to
-
psnet.ahrq.gov/issue/mix-wrong-route-administration-bladder-irrigation-intravenous-iv-infusions
March 27, 2005 - July 10, 2015
Infant deaths associated with cough and cold medications—two states, 2005
-
psnet.ahrq.gov/issue/preventing-infections-how-portland-hospitals-compare
June 08, 2011 - Newspaper/Magazine Article
Preventing infections: how Portland hospitals compare.
Citation Text:
Preventing infections: how Portland hospitals compare. Rojas-Burke J. The Oregonian. May 8, 2010.
Copy Citation
Save
Save to your library
Print
Download P…
-
psnet.ahrq.gov/issue/radiation-offers-new-cures-and-ways-do-harm
January 20, 2010 - Newspaper/Magazine Article
Radiation offers new cures, and ways to do harm.
Citation Text:
Radiation offers new cures, and ways to do harm. Bogdanich W. New York Times. January 24, 2010:A1.
Copy Citation
Save
Save to your library
Print
Downl…
-
psnet.ahrq.gov/issue/toolkit-improving-perinatal-safety
May 01, 2017 - Toolkit
Toolkit for Improving Perinatal Safety.
Citation Text:
Toolkit for Improving Perinatal Safety. Rockville, MD: Agency for Healthcare Research and Quality. June 2017.
Copy Citation
Save
Save to your library
Print
Download PDF
Share
Face…
-
psnet.ahrq.gov/perspective/conversation-withwilliam-b-munier-md-mba
July 01, 2011 - In many states, you already have significant legal protections around data that you're sharing—at least … Now, that advantage is linked to a legal advantage because the states do differ a great deal in the level … There are many other states where the protection is less than fully adequate. … Most states, even if they do have peer review protection, provide it within institutional walls, and … health care incident reporting systems, including the Pennsylvania Patient Safety Authority and the United
-
psnet.ahrq.gov/primer/missed-nursing-care
September 15, 2024 - Evidence The prevalence of missed nursing care appears to be high, both in the United States and internationally
-
psnet.ahrq.gov/node/44790/psn-pdf
March 15, 2016 - The role of emotion in patient safety: are we brave
enough to scratch beneath the surface?
March 15, 2016
Heyhoe J, Birks Y, Harrison R, et al. The role of emotion in patient safety: Are we brave enough to scratch
beneath the surface? J R Soc Med. 2016;109(2):52-8. doi:10.1177/0141076815620614.
https://psnet.ahrq.…
-
psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
January 31, 2024 - Donor human milk use in advanced neonatal care units - United States, 2020. … Giving Life": The lived experiences of Black women diagnosed with severe maternal morbidity in the United … States.
-
psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
March 03, 2021 - Commentary
How to do no harm: empowering local leaders to make care safer in low-resource settings.
Citation Text:
Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1…
-
psnet.ahrq.gov/issue/patient-safety-incidents-endoscopy-human-factors-analysis-non-procedural-significant-harm
January 29, 2020 - In this study, researchers used a large, centralized incident reporting database in the United Kingdom
-
psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical
March 03, 2021 - Commentary
First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality.
Citation Text:
English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and …
-
psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
April 01, 2013 - Accreditation Council for Graduate Medical Education (ACGME) oversees all graduate medical education in the United … States, including all accredited residency and fellowship programs. … laparoscopic surgery skills (measured via simulation) have been shown to be worse in sleep-deprived states … The second problem is that realistically when you look at workforce trends in the United States, with … My suspicion would be that in the States things are more likely to go that way than mandated work hours