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Total Results: 6,506 records

Showing results for "enhancing".

  1. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. | PSNet

    psnet.ahrq.gov/issue/experience-wrong-site-surgery-and-surgical-marking-practices-among-clinicians-uk
    October 20, 2010 - Study Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Citation Text: Giles SJ, Rhodes P, Clements G, et al. Experience of wrong site surgery and surgical marking practices among clinicians in the UK. Qual Saf Health Care. 2006;15(5):363-8. …

  2. The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. | PSNet

    psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
    January 09, 2025 - Tools/Toolkit The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Citation Text: The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022.  Copy Citation Sav…

  3. Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. | PSNet

    psnet.ahrq.gov/issue/standardized-postoperative-handover-process-improves-outcomes-intensive-care-unit-model
    June 21, 2015 - Study Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. Citation Text: Bhakta RT, Stockwell DC. Transitions of care in the pediatric cardiac intensive care unit*. Crit Care Med…

  4. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet

    psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
    June 07, 2017 - Commentary Development of a standardized, citywide process for managing smart-pump drug libraries. Citation Text: Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900…

  5. Safe medication management at ambulatory surgery centers. | PSNet

    psnet.ahrq.gov/issue/safe-medication-management-ambulatory-surgery-centers
    December 14, 2016 - Commentary Safe medication management at ambulatory surgery centers. Citation Text: Ubaldi K. Safe Medication Management at Ambulatory Surgery Centers. AORN J. 2019;109(4):435-442. doi:10.1002/aorn.12635. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  6. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. | PSNet

    psnet.ahrq.gov/issue/adverse-events-medicine-easy-count-complicated-understand-and-complex-prevent
    July 15, 2009 - Commentary Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. Citation Text: Amalberti R, Benhamou D, Auroy Y, et al. Adverse events in medicine: easy to count, complicated to understand, and complex to prevent. J Biomed Inform. 2011;44(3):390…

  7. One hospital's initiatives to encourage safe opioid use. | PSNet

    psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
    October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…

  8. Developing and evaluating a trigger response system. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-trigger-response-system
    August 29, 2018 - Study Developing and evaluating a trigger response system. Citation Text: Cherry K, Martinek J, Esleck S, et al. Developing and Evaluating a Trigger Response System. The Joint Commission Journal on Quality and Patient Safety. 2016;35(6). doi:10.1016/s1553-7250(09)35047-3. Copy Citation…

  9. Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. | PSNet

    psnet.ahrq.gov/issue/supporting-patient-safety-and-clinical-pharmacy-services-collaborative
    February 08, 2023 - Commentary Supporting the Patient Safety and Clinical Pharmacy Services Collaborative. Citation Text: Mitchell JR. Supporting the patient safety and clinical pharmacy services collaborative. Am J Health Syst Pharm. 2012;69(14):1246-50. doi:10.2146/ajhp110558. Copy Citation Format…

  10. Using fault trees to advance understanding of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
    November 11, 2020 - Commentary Using fault trees to advance understanding of diagnostic errors. Citation Text: Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007. Copy Citation F…

  11. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
    August 01, 2015 - PowerPoint Presentation Spotlight Privacy or Safety? 1 This presentation is based on the July/August 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John D. Halamka, MD, MS, Beth Israel Deaconess Medical Center; and Deven McGraw, JD, MPH, LLM…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49581/psn-pdf
    March 21, 2009 - Double Dosing, by the Rules March 21, 2009 Cohen H. Double Dosing, by the Rules. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/double-dosing-rules The Case A 65-year-old woman with rheumatoid arthritis and chronic obstructive pulmonary disease (COPD) was admitted to a medical unit during the night with wo…

  13. Accountability in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/accountability-patient-safety
    January 01, 2018 - Annual Perspective Accountability in Patient Safety Christopher Moriates, MD, and Robert M. Wachter, MD | January 1, 2015  View more articles from the same authors. Citation Text: Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. Rock…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49439/psn-pdf
    March 01, 2004 - Lethal Cap March 1, 2004 Schillinger D. Lethal Cap. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lethal-cap The Case A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866265/psn-pdf
    July 31, 2024 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport July 31, 2024 MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/misplaced-vial-medicatio…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841139/psn-pdf
    December 14, 2022 - for patients with limited English proficiency (LEP).3 To this end, AHRQ has produced the TeamSTEPPS® Enhancing

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49437/psn-pdf
    March 01, 2004 - bronchoscopy, which revealed a pyogenic lung abscess, and an MRI of the brain, which showed multiple ring-enhancing

  18. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.332_slideshow.ppt
    September 01, 2014 - found to have new acute renal insufficiency, which likely had contributed to a build-up of opioids, enhancing

  19. July Syndrome | PSNet

    psnet.ahrq.gov/web-mm/july-syndrome
    July 01, 2011 - July 2, 2014 Enhancing patient safety and resident education during the academic year-end

  20. Impact of System Failures on Healthcare Workers | PSNet

    psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
    August 30, 2023 - develop ways to support healthcare workers including encouraging transparent and safe error reporting, enhancing
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