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Showing results for "consideration".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73299/psn-pdf
     May 19, 2021 - More can be done to alleviate errors associated with pharmaceutical product labeling and packaging. May 19, 2021 ISMP Medication Safety Alert! Acute Care Edition. May 6, 2021;26(9):1-4. https://psnet.ahrq.gov/issue/more-can-be-done-alleviate-errors-associated-pharmaceutical-product- labeling-and-packaging Look-al…

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/843084/psn-pdf
     January 25, 2023 - A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. January 25, 2023 Kelly D, Koay A, Mineva G, et al. A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies. Public Health. 202…

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838257/psn-pdf
     October 05, 2022 - Fatal Solutions: How a Healthcare System Used Tragedy to Transform Itself and Redefine Just Culture. October 5, 2022 Davies JM, Steinke C, Flemons WW. New York, NY: Productivity Press; 2022. ISBN: 9781032028132. https://psnet.ahrq.gov/issue/fatal-solutions-how-healthcare-system-used-tragedy-transform-itself-and- r…

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60336/psn-pdf
     May 13, 2020 - Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. May 13, 2020 Buckinghamshire, UK.  Clinical Human Factors Group. April 2020. https://psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors- specification-and Poor eq…

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73708/psn-pdf
     September 15, 2021 - Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. September 15, 2021 Preston-Suni K, Celedon MA, Cordasco KM. Patient safety and ethical implications of healthcare sick leave policies in the pandemic era. Jt Comm J Qual Patient Saf. 2021;47(10):673-676. doi:10.1016/j.jc…

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60334/psn-pdf
     May 13, 2020 - Crisis Standards of Care: Ten Years of Successes and Challenges–Proceedings of a Workshop. May 13, 2020 National Academies of Sciences, Engineering, and Medicine. Washington, DC; The National Academies Press: 2020. ISBN 9780309676250. https://psnet.ahrq.gov/issue/crisis-standards-care-ten-years-successes-and-…

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47386/psn-pdf
     September 19, 2018 - Active-shooter response at a health care facility. September 19, 2018 Inaba K, Eastman AL, Jacobs LM, et al. Active-Shooter Response at a Health Care Facility. N Engl J Med. 2018;379(6):583-586. doi:10.1056/NEJMms1800582. https://psnet.ahrq.gov/issue/active-shooter-response-health-care-facility Physical and verbal…

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41051/psn-pdf
     February 20, 2012 - What do patients and relatives know about problems and failures in care? February 20, 2012 Iedema R, Allen S, Britton K, et al. What do patients and relatives know about problems and failures in care? BMJ Qual Saf. 2012;21(3):198-205. doi:10.1136/bmjqs-2011-000100. https://psnet.ahrq.gov/issue/what-do-patients-and…

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35836/psn-pdf
     March 28, 2011 - Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. March 28, 2011 Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. Qual Saf Health Care. 2006;15(2)…

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46810/psn-pdf
     April 18, 2018 - Unintended doses in radiotherapy—over, under and outside? April 18, 2018 Eaton DJ, Byrne JP, Cosgrove VP, et al. Unintended doses in radiotherapy-over, under and outside? Br J Radiol. 2018;91(1084):20170863. doi:10.1259/bjr.20170863. https://psnet.ahrq.gov/issue/unintended-doses-radiotherapy-over-under-and-outside…

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40764/psn-pdf
     December 29, 2014 - Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. December 29, 2014 Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.1093/intqhc/mzr045. https://psnet…

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/839319/psn-pdf
     November 02, 2022 - Improving safety in the operating room: medication icon labels increase visibility and discrimination. November 2, 2022 Lusk C, Catchpole K, Neyens DM, et al. Improving safety in the operating room: medication icon labels increase visibility and discrimination. Appl Ergon. 2022;104:103831. doi:10.1016/j.apergo.2022…

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840149/psn-pdf
     November 16, 2022 - Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety. November 16, 2022 Sutherland A, Jones MD, Howlett M, et al. Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intraven…

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72658/psn-pdf
     January 20, 2021 - “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. January 20, 2021 Kandasamy S, Vanstone M, Colvin E, et al. “I made a mistake!”: a narrative analysis of experienced physicians' stories of preventable error. J Eval Clin Pract. 2021;27(2):236-245. doi:10.1111/jep.1353…

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43043/psn-pdf
     September 19, 2016 - "Second victim" casualties and how physician leaders can help. September 19, 2016 MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8- 12. https://psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help Second victims are clinicians who …

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35501/psn-pdf
     June 15, 2011 - Ethical issues in patient safety. June 15, 2011 Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501. https://psnet.ahrq.gov/issue/ethical-issues-patient-safety This commentary, written by patient safety expert Lucian Leape, begins with a retrospective view on the birth of patient safety…

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47085/psn-pdf
     June 06, 2018 - Medical Device Safety Action Plan: Protecting Patients, Promoting Public Health. June 6, 2018 Silver Spring, MD: US Food and Drug Administration; April 2018. https://psnet.ahrq.gov/issue/medical-device-safety-action-plan-protecting-patients-promoting-public-health Reliable use of medical devices is an important co…

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46881/psn-pdf
     March 28, 2018 - Designing for Safety in the ICU. March 28, 2018 Hamilton DK, ed. Crit Care Nurs Q. 2018;41(1):1-92. https://psnet.ahrq.gov/issue/designing-safety-icu Systems and space design are important considerations for safe care delivery. This special issue explores how the built environment can affect safety in intensive ca…

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42507/psn-pdf
     December 18, 2013 - Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. December 18, 2013 Lederman R, Dreyfus S, Matchan J, et al. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurs Outlook. 2013;61(6):417-426.e5. doi:10.1016/j…

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40011/psn-pdf
     November 17, 2010 - Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. November 17, 2010 Lin MY, Hota B, Khan YM, et al. Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates. JAMA. 2010;304(18):2035-41. doi:10.1001/jama.2010.1637. https://p…