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Showing results for "consideration".

381. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867647/psn-pdf
     January 01, 2022 - Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. January 27, 2021 Centers for Disease Control and Prevention (CDC); 2021. Creating a Culture of Safety for Opioid Prescribing: A Handbook for Healthcare Executives. https://psnet.ahrq.gov/issue/creating-culture-safety-opioid-…

382. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35528/psn-pdf
     February 22, 2010 - The Swiss cheese model of safety incidents: are there holes in the metaphor? February 22, 2010 Perneger T. The Swiss cheese model of safety incidents: are there holes in the metaphor? BMC Health Serv Res. 2005;5:71. https://psnet.ahrq.gov/issue/swiss-cheese-model-safety-incidents-are-there-holes-metaphor The auth…

383. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41350/psn-pdf
     May 02, 2012 - Medication reconciliation in the hospital: what, why, where, when, who and how? May 2, 2012 Fernandes O; Shojania KG. https://psnet.ahrq.gov/issue/medication-reconciliation-hospital-what-why-where-when-who-and-how This commentary examines the practical considerations required to implement a high quality medication…

384. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/848754
     January 01, 2025 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Implementation of Patient Safety Projects Curated Library Foundations Leading change: why transformation efforts fail. Kotter JP. Harvard Bus Rev  1995;73(2);59-67. Kotter, a professor at Harvard Business School, outlines the eight stages …

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40001/psn-pdf
     November 17, 2010 - Contributions from Ergonomics and Human Factors. November 17, 2010 Qual Saf Health Care. 2010;19(suppl 3):i1-i79.   https://psnet.ahrq.gov/issue/contributions-ergonomics-and-human-factors This special issue contains articles discussing human factors and ergonomics in health care simulation, information techno…

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35592/psn-pdf
     June 17, 2010 - Noise levels in Johns Hopkins Hospital. June 17, 2010 Busch-Vishniac IJ, West JE, Barnhill C, et al. Noise levels in Johns Hopkins Hospital. J Acoust Soc Am. 2005;118(6):3629-45. https://psnet.ahrq.gov/issue/noise-levels-johns-hopkins-hospital The investigators conducted a noise survey at Johns Hopkins Hospital an…

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37186/psn-pdf
     September 25, 2008 - The variability and quality of medication container labels. September 25, 2008 Shrank WH, Agnew-Blais J, Choudhry NK, et al. The variability and quality of medication container labels. Arch Intern Med. 2007;167(16):1760-1765. https://psnet.ahrq.gov/issue/variability-and-quality-medication-container-labels Pharmacy…

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854386/psn-pdf
     January 01, 2024 - Caregivers' perspectives on ethical challenges and patient safety in tele-palliative care: an integrative review. October 11, 2023 Schuessler N, Glarcher M. Caregivers' perspectives on ethical challenges and patient safety in tele- palliative care: an integrative review. J Hosp Palliat Nurs. 2024;26(1):e1-e12. doi…

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866951/psn-pdf
     October 16, 2024 - Toward a responsible future: recommendations for AI- enabled clinical decision support. October 16, 2024 Labkoff S, Oladimeji B, Kannry J, et al. Toward a responsible future: recommendations for AI-enabled clinical decision support. J Am Med Inform Assoc. 2024;31(11):2730-2739. doi:10.1093/jamia/ocae209. https://p…

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837607/psn-pdf
     June 29, 2022 - Common Formats for Event Reporting - Diagnostic Safety Version 1.0 June 29, 2022 Agency for Healthcare Research and Quality.  https://psnet.ahrq.gov/issue/common-formats-event-reporting-diagnostic-safety-version-10 Effective measurement of diagnostic error is essential for understanding the problem and genera…

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844551/psn-pdf
     February 15, 2023 - Emotional safety is patient safety. February 15, 2023 Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369- 372. doi:10.1136/bmjqs-2022-015573. https://psnet.ahrq.gov/issue/emotional-safety-patient-safety Patient perspectives can provide unique insights into care …

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47643/psn-pdf
     February 20, 2019 - Pro/con debate: color-coded medication labels. February 20, 2019 Janik LS, Vender JS,  Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75. https://psnet.ahrq.gov/issue/procon-debate-color-coded-medication-labels This pair of commentaries reviews the use of color-coded medications as an anesthesia safe…

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60258/psn-pdf
     April 22, 2020 - Operational Measurement of Diagnostic Safety: State of the Science. April 22, 2020 Singh H, Bradford A, Goeschel C. Rockville, MD: Agency for Healthcare Research and Quality; April 2020. AHRQ Publication No. 20-0040-1-EF. https://psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science This is…

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73894/psn-pdf
     February 22, 2022 - Achieving Excellence in Cancer Diagnosis: Proceedings of a Workshop—in Brief. February 22, 2022 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press; 2022.  https://psnet.ahrq.gov/issue/achieving-excellence-cancer-diagnosis Diagnostic errors remain an o…

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36242/psn-pdf
     March 06, 2019 - Your attention please... designing effective warnings. March 6, 2019 ISMP Medication Safety Alert! Acute care edition. February 28, 2019. https://psnet.ahrq.gov/issue/your-attention-please-designing-effective-warnings Medication warnings inform providers and patients about risks associated with medication use. As w…

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60971/psn-pdf
     September 30, 2020 - Health Worker Safety: A Priority for Patient Safety. September 30, 2020 Geneva, Switzerland: World Health Organization; September 17, 2020. https://psnet.ahrq.gov/issue/health-worker-safety-priority-patient-safety The intersection of worker well-being and safety with patient harm prevention has become apparent due …

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36850/psn-pdf
     June 30, 2011 - Confronting medical errors in oncology and disclosing them to cancer patients. June 30, 2011 Surbone A, Rowe M, Gallagher TH. Confronting medical errors in oncology and disclosing them to cancer patients. J Clin Oncol. 2007;25(12):1463-7. https://psnet.ahrq.gov/issue/confronting-medical-errors-oncology-and-disclos…

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39137/psn-pdf
     June 07, 2016 - The rise of patient safety organizations. June 7, 2016 Ivill DS, Kearbey AH. New York Law J. November 2, 2009. https://psnet.ahrq.gov/issue/rise-patient-safety-organizations This news feature discusses legal aspects of Patient Safety Organizations' (PSO) role in data collection and evaluation, work product designa…

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36710/psn-pdf
     May 11, 2014 - Developing a medication patient safety program — infrastructure and strategy. May 11, 2014 Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149. https://psnet.ahrq.gov/issue/developing-medication-patient-safety-prog…

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43259/psn-pdf
     June 11, 2014 - OpenFDA. June 11, 2014 US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/openfda This Web site provides access to large publicly available datasets for adverse drug events to enable developers, researchers, and consumers to use this information when designing medication safety improvement plans o…