-
psnet.ahrq.gov/node/33732/psn-pdf
July 01, 2012 - We already have a substantial number of hospitals, a third with basic electronic health
records. … I
am finding that some of the basic skills and requirements that pertain in public policy also pertain
-
psnet.ahrq.gov/node/43516/psn-pdf
June 15, 2017 - Application of failure mode effect analysis to improve the
care of septic patients admitted through the emergency
department.
June 15, 2017
Alamry A, Owais SMA, Marini AM, et al. Application of Failure Mode Effect Analysis to Improve the Care of
Septic Patients Admitted Through the Emergency Department. J Patient …
-
psnet.ahrq.gov/node/43715/psn-pdf
November 26, 2014 - An intervention to improve transitions from NICU to
ambulatory care: quasi-experimental study.
November 26, 2014
Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory
care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3.
https://psnet.ahrq.gov/issue/inter…
-
psnet.ahrq.gov/node/45112/psn-pdf
July 01, 2016 - Surgical count process for prevention of retained surgical
items: an integrative review.
July 1, 2016
Freitas PS, Silveira RC de CP, Clark AM, et al. Surgical count process for prevention of retained surgical
items: an integrative review. J Clin Nurs. 2016;25(13-14):1835-47. doi:10.1111/jocn.13216.
https://psnet.a…
-
psnet.ahrq.gov/node/43127/psn-pdf
April 23, 2014 - An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the
hospital setting.
April 23, 2014
Rousseau M-P, Beauchesne M-F, Naud A-S, et al. An interprofessional qualitative study of barriers and
potential solutions for the safe use of insulin in the hospital settin…
-
psnet.ahrq.gov/node/34013/psn-pdf
December 22, 2008 - Defining and measuring patient safety.
December 22, 2008
Pronovost P, Thompson DA, Holzmueller CG, et al. Defining and measuring patient safety. Crit Care Clin.
2005;21(1):1-19, vii.
https://psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
This review discusses the increasing demand for improving patient…
-
psnet.ahrq.gov/node/849318/psn-pdf
May 24, 2023 - The impact of a nursing-led intervention bundle with a
bedside checklist to reduce mortality during the initial
COVID-19 pandemic and implications for future
emergencies.
May 24, 2023
Pugh S, Chan F, Han S, et al. The impact of a nursing-led intervention bundle with a bedside checklist to
reduce mortality during …
-
psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
January 31, 2024 - JB : On the one hand, I don't think that too many surgeons were surprised by the basic finding that operative … other military-associated fields, very early rigorous aptitude testing assesses whether you have the basic
-
psnet.ahrq.gov/node/45827/psn-pdf
January 24, 2018 - Using failure mode and effects analysis to reduce patient
safety risks related to the dispensing process in the
community pharmacy setting.
January 24, 2018
Stojkovic T, Marinkovic V, Jaehde U, et al. Using Failure mode and Effects Analysis to reduce patient
safety risks related to the dispensing process in the co…
-
psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
March 27, 2024 - In Conversation With… David Blumenthal, MD, MPP
July 1, 2012
Citation Text:
In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012.
Copy Citati…
-
psnet.ahrq.gov/node/41043/psn-pdf
May 24, 2012 - Toward improving patient safety through voluntary peer-
to-peer assessment.
May 24, 2012
Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-
to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981.
https://psnet.ahrq.gov/issue/toward-impr…
-
psnet.ahrq.gov/node/45683/psn-pdf
January 23, 2017 - Consensus bundle on prevention of surgical site
infections after major gynecologic surgery.
January 23, 2017
Pellegrini JE, Toledo P, Soper DE, et al. Consensus Bundle on Prevention of Surgical Site Infections After
Major Gynecologic Surgery. Obstet Gynecol. 2017;129(1):50-61. doi:10.1097/AOG.0000000000001751.
htt…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.200_slideshow.ppt
May 01, 2009 - Drugs that were recently stopped and may cause withdrawal syndrome (opioids, antidepressants, alcohol)
Basic
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
December 01, 2014 - certification for primary stroke centers as a mechanism to standardize and centralize stroke care in the US
Basic
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
November 01, 2008 - changes
Understand the limits of standardizing handoffs in preventing errors at shift change
Explain basic
-
psnet.ahrq.gov/node/49792/psn-pdf
May 01, 2017 - The ED provider ordered basic laboratory tests and a right upper quadrant ultrasound to look for
cholecystitis … This case highlights how a focus on basic clinical
skills, cognitive processes, and team-based care
-
psnet.ahrq.gov/perspective/playing-well-others-translocational-research-patient-safety
September 01, 2005 - In its purest form, the concept refers to the translation of basic research discoveries into clinical … field over the past decade reflects a different kind of translational research: the translation not of basic
-
psnet.ahrq.gov/primer/fatigue-sleep-deprivation-and-patient-safety
September 15, 2024 - Shiftwork: basic principles. In Kryger MH, Roth T, Dement WC, eds.
-
psnet.ahrq.gov/node/33857/psn-pdf
July 01, 2012 - In Conversation With… David Blumenthal, MD, MPP
July 1, 2012
In Conversation With… David Blumenthal, MD, MPP. PSNet [internet]. 2012.
https://psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
Editor's note: Dr. Blumenthal is President of the Commonwealth Fund and served as the National
Coordinator …
-
psnet.ahrq.gov/node/43193/psn-pdf
June 17, 2014 - Risks in the implementation and use of smart pumps in a
pediatric intensive care unit: application of the failure
mode and effects analysis.
June 17, 2014
Manrique-Rodríguez S, Sánchez-Galindo AC, López-Herce J, et al. Risks in the implementation and use of
smart pumps in a pediatric intensive care unit: applicati…