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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - transfer procedures include having a
defined process for initiating a transfer as well as plans to ensure
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psnet.ahrq.gov/node/38685/psn-pdf
August 18, 2010 - HomeNet: ensuring patient safety with medical device use
in the home.
August 18, 2010
Kaufman D, Weick-Brady M. HomeNet: ensuring patient safety with medical device use in the home. Home
Healthc Nurse. 2009;27(5):300-7.
https://psnet.ahrq.gov/issue/homenet-ensuring-patient-safety-medical-device-use-home
This arti…
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psnet.ahrq.gov/node/49409/psn-pdf
July 01, 2003 - Feeling No Pain
July 1, 2003
Bogner MS. Feeling No Pain. PSNet [internet]. 2003.
https://psnet.ahrq.gov/web-mm/feeling-no-pain
The Case
A 33-year-old female underwent hysterectomy for refractory endometriosis. For pain post-operatively, the
patient was placed on a Patient-Controlled Analgesia (PCA) pump containin…
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psnet.ahrq.gov/node/33868/psn-pdf
October 01, 2018 - Safety in the Retail Pharmacy
October 1, 2018
Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018.
https://psnet.ahrq.gov/perspective/safety-retail-pharmacy
Perspective
There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each
year.(1) Many patients interact w…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.362_slideshow.ppt
December 01, 2015 - PowerPoint Presentation
Spotlight
Harm From Alarm Fatigue
This presentation is based on the December 2015
AHRQ WebM&M Spotlight Case
See the full article at https://psnet.ahrq.gov/webmm
CME credit is available
Commentary by: Michele M. Pelter, RN, PhD, and Barbara J. Drew, RN, PhD, University of California, San …
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx
Spotlight
When the Lytes Go Out: A Case
of Inpatient Cardiac Arrest
Source and Credits
• This presentation is based on the September 2020 AHRQ WebM&M
Spotlight Case
o See the full article at https://psne…
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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…
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psnet.ahrq.gov/node/866847/psn-pdf
September 25, 2024 - In Conversation with Carole Stockmeier about Zero Harm:
Striving to Reduce Preventable Harms – Point,
Counterpoint, and Areas of Agreement
September 25, 2024
Stockmeier CA, Mossburg S, Lee M. In Conversation with Carole Stockmeier about Zero Harm: Striving to
Reduce Preventable Harms – Point, Counterpoint, and Are…
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psnet.ahrq.gov/node/35671/psn-pdf
June 25, 2010 - Nursing Homes: Despite Increased Oversight, Challenges
Remain in Ensuring High-Quality Care and Resident
Safety.
June 25, 2010
Washington DC; Government Accountability Office; 2005. Report no. GAO-06-117.
https://psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-
quali…
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psnet.ahrq.gov/node/38948/psn-pdf
September 16, 2009 - Resident duty hours in surgery for ensuring patient
safety, providing optimum resident education and
training, and promoting resident well-being: a response
from the American College of Surgeons to the Report of
the Institute of Medicine, "Resident Duty Hours:
Enhancing Sleep, Supervision, and Safety."
September …
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psnet.ahrq.gov/node/43341/psn-pdf
July 23, 2014 - Effectiveness of different nursing handover styles for
ensuring continuity of information in hospitalised
patients.
July 23, 2014
Smeulers M, Lucas C, Vermeulen H. Effectiveness of different nursing handover styles for ensuring
continuity of information in hospitalised patients. Cochrane Database of Syst Rev. 2014…
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psnet.ahrq.gov/node/45826/psn-pdf
January 18, 2017 - Ensuring staff safety when treating potentially violent
patients.
January 18, 2017
Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA.
2016;316(24):2669-2670. doi:10.1001/jama.2016.18260.
https://psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-…
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psnet.ahrq.gov/node/60586/psn-pdf
June 10, 2020 - Ensuring Healthcare Safety Throughout the COVID-19
Pandemic.
June 10, 2020
US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s
Technical Resources, Assistance Center, & Information Exchange; US Health and Human
Services/FEMA COVID-19 Healthcare Resilience Task Fo…
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psnet.ahrq.gov/node/764408/psn-pdf
March 02, 2022 - Ensuring critical instruments and devices are appropriate
for reuse.
March 2, 2022
Quick Safety. February 14, 2022;(64):1-3.
https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse
Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …
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psnet.ahrq.gov/node/60548/psn-pdf
May 28, 2020 - As we are asked to evaluate new science and new technologies, we are always
trying ensure that we are … technology, such as AI, is developing and changing very quickly, how does the FDA
approach its review to ensure
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psnet.ahrq.gov/node/37419/psn-pdf
December 19, 2007 - Ensuring medication reconciliation.
December 19, 2007
Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November / December 2007.
https://psnet.ahrq.gov/issue/ensuring-medication-reconciliation
The authors describe the team-based process they used to improve medication management at the
admission, t…
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psnet.ahrq.gov/node/35897/psn-pdf
July 23, 2010 - Ensuring patient safety in wireless medical device
networks.
July 23, 2010
Gehlot V; Sloane EB.
https://psnet.ahrq.gov/issue/ensuring-patient-safety-wireless-medical-device-networks
The authors discuss clinical alarm systems from a technical perspective and propose a toolkit to help make
complex clinical IT syste…
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psnet.ahrq.gov/node/49546/psn-pdf
October 17, 2007 - one member of
the team, in this case the doctor, and corrective action often requires teamwork to ensure … Failing to ensure that a competent physician is available
in a timely manner is professional abandonment … 24 hours a day, 7 days a week, 365 days
a year; therefore, physicians participate in systems that ensure … High-reliability
health care systems must balance workload with time off to ensure the physical and … patient care needs in the specialty, or the system may fail to design call or duty schedules that ensure
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psnet.ahrq.gov/node/35080/psn-pdf
February 07, 2019 - To Do No Harm: Ensuring Patient Safety in Health Care
Organizations.
February 7, 2019
Morath JM, Turnbull JE. San Francisco, CA: Jossey-Bass; 2005. ISBN: 9780787967703.
https://psnet.ahrq.gov/issue/do-no-harm-ensuring-patient-safety-health-care-organizations
The authors draw from their backgrounds as health care e…
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psnet.ahrq.gov/node/43657/psn-pdf
November 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the
Hospital.
November 26, 2014
American Society of Health-System Pharmacists
https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital
Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w…