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  1. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. | PSNet

    psnet.ahrq.gov/issue/toward-zero-harm-mackenzie-healths-journey-toward-becoming-high-reliability-organization-and
    September 14, 2022 - Study Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. Citation Text: Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and e…

  2. On-Time Prevention Program for Long Term Care: Clinical Decision Support | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/care/resources/ontime/pruprev/spectorhudaktxt.html
    December 01, 2017 - On-Time Prevention Program for Long Term Care: Clinical Decision Support Slide Presentation On June 17, 2013, William Spector and Sandra Hudak made a presentation at the American Health Information Management Association (AHIMA) Long-Term and Post-Acute Care (LTPAC) Health IT (HIT) Summit. This is the text ve…

  3. Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. | PSNet

    psnet.ahrq.gov/issue/remote-video-auditing-real-time-feedback-academic-surgical-suite-improves-safety-and
    August 04, 2021 - Study Remote video auditing with real-time feedback in an academic surgical suite improves safety and efficiency metrics: a cluster randomised study. Citation Text: Overdyk FJ, Dowling O, Newman S, et al. Remote video auditing with real-time feedback in an academic surgical suite improve…

  4. Standardized Nursing Protocol: Use of Nasal Iodophor (10% Povidone-Iodine) (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standard-protocol-iodophor.pdf
    March 01, 2022 - Standardized Nursing Protocol: Use of Nasal Iodophor (10% Povidone-Iodine) Decolonization of Non-ICU Patients With Devices Section 9-4 – Standardized Nursing Protocol: Use of Nasal Iodophor (10% Povidone-Iodine) The following is a standing order protocol for implementing nasal decolonization in adult non- i…

  5. Standardized Nursing Protocol for Iodophor (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standard-protocol-iodophor.docx
    March 01, 2022 - Standardized Nursing Protocol for Iodophor Decolonization of Non-ICU Patients With Devices Section 9-4 – Standardized Nursing Protocol: Use of Nasal Iodophor (10% Povidone-Iodine) The following is a standing order protocol for implementing nasal decolonization in adult non-intensive care unit (ICU) patients who are m…

  6. Standing Order Protocol: Nasal Mupirocin (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/nursing-protocols/standing-order-protocol-mupirocin.pdf
    March 01, 2022 - Standing Order Protocol: Nasal Mupirocin Decolonization of Non-ICU Patients With Devices Section 9-3 – Standing Order Protocol: Nasal Mupirocin The following is a standing order protocol for implementing nasal decolonization in adult non- intensive care unit (ICU) patients who are methicillin-resistant S…

  7. Final Research Plan: Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/statin-use-in-adults-preventive-medication
    November 05, 2020 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Statin Use for the Primary Prevention of Cardiovascular Disease in Adults: Preventive Medication November 05, 2020 Recommendations made by the USPSTF are i…

  8. Vital signs: improving antibiotic use among hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/vital-signs-improving-antibiotic-use-among-hospitalized-patients
    February 27, 2019 - Study Classic Vital signs: improving antibiotic use among hospitalized patients. Citation Text: Fridkin SK, Baggs J, Fagan R, et al. Vital signs: improving antibiotic use among hospitalized patients. MMWR Morb Mortal Wkly Rep. 2014;63(9):194-200. Copy Citation…

  9. Prologue: Technology and Medication Safety (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Prologue_Grady_Vol4.pdf
    June 02, 2025 - Prologue: Technology and Medication Safety Prologue Technology and Medication Safety Mary L. Grady, BS This volume comprises papers devoted to the development and use of technology— principally health information technology (health IT)—and strategies to enhance medication safety, both of which are critical …

  10. Treatments for Adults with Schizophrenia: A Systematic Review (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/schizophrenia-adult_research-protocol.pdf
    September 23, 2016 - Treatments for Adults with Schizophrenia: A Systematic Review Source: www.effectivehealthcare.ahrq.gov Published online: September 23, 2016 Evidence-based Practice Center Systematic Review Protocol Project Title: Treatments for Adults with Schizophrenia: A Systematic Review Initial publication date: August …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42491/psn-pdf
    September 18, 2013 - The incidence of diagnostic error in medicine. September 18, 2013 Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615. https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine This review examines eight research methods used to es…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838144/psn-pdf
    September 21, 2022 - Eliminating Unintentionally Retained Surgical Items - Special Report. September 21, 2022 Saver C. AORN J. 2022;116(2):111-132. https://psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report Retained surgical items (RSI) are regarded as “never events” but are a persistent cause of p…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47569/psn-pdf
    April 10, 2019 - The computerized ECG: friend and foe. April 10, 2019 Smulyan H. The Computerized ECG: Friend and Foe. Am J Med. 2019;132(2):153-160. doi:10.1016/j.amjmed.2018.08.025. https://psnet.ahrq.gov/issue/computerized-ecg-friend-and-foe Misinterpretations of critical tests can lead to diagnostic delays and patient harm. Th…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41697/psn-pdf
    September 19, 2012 - From good to better: toward a patient safety initiative in dentistry. September 19, 2012 Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60. https://psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39091/psn-pdf
    June 28, 2011 - Integration of prospective and retrospective methods for risk analysis in hospitals. June 28, 2011 Kessels-Habraken M, van der Schaaf TW, De Jonge J, et al. Integration of prospective and retrospective methods for risk analysis in hospitals. Int J Qual Health Care. 2009;21(6):427-32. doi:10.1093/intqhc/mzp043. ht…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43607/psn-pdf
    October 15, 2014 - Dallas Ebola case shows even sound plans can fail spectacularly. October 15, 2014 Loftis RL. Dallas Morning News. October 5, 2014. https://psnet.ahrq.gov/issue/dallas-ebola-case-shows-even-sound-plans-can-fail-spectacularly Guidelines and rules are developed to help augment safety, but they cannot guarantee it. Th…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853445/psn-pdf
    December 15, 2022 - Jake Tapper shares harrowing story of daughter's near- fatal misdiagnosis. December 15, 2022 CNN. December 15, 2022. https://psnet.ahrq.gov/issue/jake-tapper-shares-harrowing-story-daughters-near-fatal-misdiagnosis Diagnostic errors are a recognized cause of preventable patient harm.  This video highlights a teen’…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39440/psn-pdf
    September 19, 2016 - Toward understanding errors in inpatient psychiatry: a qualitative inquiry. September 19, 2016 Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z. https://psnet.ahrq.gov/issue/toward-understanding…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60808/psn-pdf
    August 12, 2020 - Paediatric International Patient Safety and Quality Community. August 12, 2020 Paediatric International Patient Safety and Quality Community. 525 University Ave, Suite 630, Toronto, Ontario M5G 2L3, Canada. https://psnet.ahrq.gov/issue/paediatric-international-patient-safety-and-quality-community The safety of ch…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73224/psn-pdf
    May 05, 2021 - Survey by Ohio regulator shows stress, fatigue among pharmacists at chain stores. May 5, 2021 Kaplan A. NBC News. April 21, 2021. https://psnet.ahrq.gov/issue/survey-ohio-regulator-shows-stress-fatigue-among-pharmacists-chain-stores Pharmacies are high-pressure environments generating conditions that undermin…
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