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Showing results for "assessing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35579/psn-pdf
    November 26, 2008 - Perioperative Issues for Surgeons: Improving Patient Safety and Outcomes. November 26, 2008 Napolitano LM, ed. Surg Clin North Am. 2005;85(6):1061-1380. https://psnet.ahrq.gov/issue/perioperative-issues-surgeons-improving-patient-safety-and-outcomes This issue focuses on the safety of surgical patients, with artic…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35472/psn-pdf
    September 21, 2009 - Clinical alarms: improving efficiency and effectiveness. September 21, 2009 Phillips J, Barnsteiner JH. Clinical alarms: improving efficiency and effectiveness. Crit Care Nurs Q. 2005;28(4):317-323. https://psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness The authors outline a process fo…

  3. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion | PSNet

    psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
    June 14, 2023 - SPOTLIGHT CASE A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion Citation Text: Duong T, Boctor N, Bourgeois JA. A Complicated Course: Severe Alcohol Withdrawal with Dexmedetomidine Infusion.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33563/psn-pdf
    September 16, 2024 - Culture of Safety September 16, 2024 Culture of Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/culture-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

  5. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
    August 28, 2024 - Traditional root cause analysis limits the learning that can be gained from assessing adverse events

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35895/psn-pdf
    August 24, 2018 - Building a case for medication reconciliation. August 24, 2018 ISMP Medication Safety Alert! Acute care edition. April 21, 2005. https://psnet.ahrq.gov/issue/building-case-medication-reconciliation This article presents examples of medication errors caused by failed communication, briefly reviews the steps for med…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38661/psn-pdf
    May 27, 2009 - Quality and safety indicators in anesthesia: a systematic review. May 27, 2009 Haller G, Stoelwinder J, Myles PS, et al. Quality and safety indicators in anesthesia: a systematic review. Anesthesiology. 2009;110(5):1158-75. doi:10.1097/ALN.0b013e3181a1093b. https://psnet.ahrq.gov/issue/quality-and-safety-indicator…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37442/psn-pdf
    January 02, 2008 - Fatal errors in nitrous oxide delivery. January 2, 2008 Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. https://psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery This review assessed published evidence …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36963/psn-pdf
    September 12, 2011 - Health literacy and its influence on patient safety. September 12, 2011 Ross J. Health Literacy and Its Influence on Patient Safety. Journal of PeriAnesthesia Nursing. 2007;22(3). doi:10.1016/j.jopan.2007.03.005. https://psnet.ahrq.gov/issue/health-literacy-and-its-influence-patient-safety The author discusses the…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41202/psn-pdf
    March 07, 2012 - Reducing latent errors, drift errors, and stakeholder dissonance. March 7, 2012 Samaras GM. Work: J Prev Assess Rehabil. 2012;41:1948-1955. https://psnet.ahrq.gov/issue/reducing-latent-errors-drift-errors-and-stakeholder-dissonance This commentary discusses system and user errors in health information technology a…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37611/psn-pdf
    February 15, 2011 - SBAR for patients. February 15, 2011 Denham CR. SBAR for Patients. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e2181660c06. https://psnet.ahrq.gov/issue/sbar-patients This commentary presents information and background on the standardized communication process known as SBAR (situation, background, assessment, a…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36095/psn-pdf
    September 28, 2010 - The safety culture in a children's hospital. September 28, 2010 Grant MJC, Donaldson AE, Larsen G. The safety culture in a children's hospital. J Nurs Care Qual. 2006;21(3):223-229. https://psnet.ahrq.gov/issue/safety-culture-childrens-hospital The investigators used the Safety Attitudes Questionnaire to assess st…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35727/psn-pdf
    February 22, 2006 - Risk of medication errors at hospital discharge and barriers to problem resolution. February 22, 2006 Enguidanos SM; Brumley RD. https://psnet.ahrq.gov/issue/risk-medication-errors-hospital-discharge-and-barriers-problem-resolution The authors reviewed discharge medication records for elderly patients to assess do…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36953/psn-pdf
    June 13, 2007 - Quality and Safety Education for Nurses. June 13, 2007 Cronenwett L, ed. Nurs Outlook. 2007;55(3):117-162. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurses This issue covers a variety of topics related to quality and safety education for nurses, including the integration of safety content into dail…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35860/psn-pdf
    March 11, 2019 - Patient safety in the office-based setting. March 11, 2019 Horton B, Reece EM, Broughton G, et al. Patient safety in the office-based setting. Plast Reconstr Surg. 2006;117(4):61e-80e. https://psnet.ahrq.gov/issue/patient-safety-office-based-setting The authors discuss improving patient safety in the office-based …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36861/psn-pdf
    November 23, 2016 - Patients as Partners: How to Involve Patients and Families in Their Own Care. November 23, 2016 McGreevey M. Oakbrook Terrace, IL: Joint Commission Resources: 2006. ISBN 9780866889964. https://psnet.ahrq.gov/issue/patients-partners-how-involve-patients-and-families-their-own-care This book illustrates how health c…

  17. Falling Through the Crack (in the Bedrails) | PSNet

    psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
    February 19, 2020 - SPOTLIGHT CASE Falling Through the Crack (in the Bedrails) Citation Text: Dykes PC, Vacca V, Leung WY. Falling Through the Crack (in the Bedrails). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation F…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41214/psn-pdf
    August 02, 2016 - Safety Culture: Building and Sustaining a Cultural Change in Aviation and Healthcare. August 2, 2016 Patankar MS, Brown JP, Sabin EJ, Bigda-Peyton TG. Burlington, VT: Ashgate; 2012. ISBN: 9780754672371. https://psnet.ahrq.gov/issue/safety-culture-building-and-sustaining-cultural-change-aviation-and-healthcare Thi…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37370/psn-pdf
    March 28, 2012 - Communication skills and error in the intensive care unit. March 28, 2012 Reader TW, Flin R, Cuthbertson BH. Communication skills and error in the intensive care unit. Curr Opin Crit Care. 2007;13(6):732-6. https://psnet.ahrq.gov/issue/communication-skills-and-error-intensive-care-unit This article examines how ef…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38844/psn-pdf
    June 30, 2011 - What's the difference between a hospital and a bottling factory? June 30, 2011 Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. https://psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory This commentary a…
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