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Total Results: 2,288 records

Showing results for "establish".

401. 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…

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43772/psn-pdf
     June 24, 2019 - Betsy Lehman Center for Patient Safety. June 24, 2019 501 Boylston Street, 5th Floor, Boston, MA, 02116 info@BetsyLehmanCenterMA.gov https://psnet.ahrq.gov/issue/betsy-lehman-center-patient-safety The Betsy Lehman Center is a nonregulatory Massachusetts state agency named for Betsy Lehman, the Boston Globe columni…

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37602/psn-pdf
     July 03, 2013 - The vanishing nonforensic autopsy. July 3, 2013 Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996. https://psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy Autopsies are rarely performed, despite a wealth of literature demonstrating that diagnost…

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44573/psn-pdf
     October 21, 2015 - Getting the diagnosis wrong. October 21, 2015 Ofri D. New York Times. October 8, 2015. https://psnet.ahrq.gov/issue/getting-diagnosis-wrong This news article offers insights from a physician about the complexities around establishing a diagnosis in frontline practice and the recent IOM report recommendation to imp…

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34623/psn-pdf
     January 28, 2015 - Australian Commission on Safety and Quality in Health Care. January 28, 2015 Australian Commission for Safety and Quality in Health Care. https://psnet.ahrq.gov/issue/australian-commission-safety-and-quality-health-care Established in January 2006, the Commission leads and coordinates improvements in safety and qu…

406. "Never events" and the quest to reduce preventable harm. | PSNet
     psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
     June 01, 2016 - Commentary "Never events" and the quest to reduce preventable harm. Citation Text: Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849339/psn-pdf
     May 24, 2023 - Just a Cup of Tea – an Introduction to the SEIPS Framework. May 24, 2023 Epsom and St Helier University Hospitals. Epsom, UK: National Health Service; March 21, 2023. https://psnet.ahrq.gov/issue/just-cup-tea-introduction-seips-framework The Systems Engineering Initiative for Patient Safety (SEIPS) framework …

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837850/psn-pdf
     August 17, 2022 - Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. August 17, 2022 Berg SH, Rørtveit K, Walby FA, et al. Shared understanding of resilient practices in the context of inpatient suicide prevention: a narrative synthesis. BMC Health Serv Res. 2022;22(1):…

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60718/psn-pdf
     July 22, 2020 - First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. July 22, 2020 Cumberlege J. London, England, Crown Copyright. July 8, 2020. https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety- review Implicit biases are known to affect…

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73093/psn-pdf
     March 31, 2021 - Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. March 31, 2021 Whelehan DF, Algeo N, Brown DA. Leadership through crisis: fighting the fatigue pandemic in healthcare during COVID-19. BMJ Leader. 2021;5:108-112. doi:10.1136/leader-2020-000419. https://psnet.ahrq.gov/issue/lea…

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850927/psn-pdf
     June 21, 2023 - Room of horrors simulation in healthcare education: a systematic review. June 21, 2023 Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824. https://psnet.ahrq.gov/issue/room-horrors-simulation-he…

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47019/psn-pdf
     July 11, 2018 - Center of Excellence for Improving Diagnosis. July 11, 2018 Patient Safety Authority. https://psnet.ahrq.gov/issue/center-excellence-improving-diagnosis Diagnostic error has gained recognition as an important patient safety concern. Established within the Pennsylvania Patient Safety Authority, this center will add…

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34622/psn-pdf
     March 17, 2011 - National Confidential Enquiry into Patient Outcome and Death. March 17, 2011 National Confidential Enquiry into Patient Outcome and Death; NCEPOD https://psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death Launched under the title National Confidential Enquiry into Perioperative Deaths (NC…

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41353/psn-pdf
     May 09, 2012 - Speaking up, being heard: registered nurses' perceptions of workplace communication. May 9, 2012 Garon M. Speaking up, being heard: registered nurses' perceptions of workplace communication. J Nurs Manag. 2012;20(3):361-71. doi:10.1111/j.1365-2834.2011.01296.x. https://psnet.ahrq.gov/issue/speaking-being-heard-reg…

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838914/psn-pdf
     October 26, 2022 - Veterans Health Administration response to the COVID-19 crisis: surveillance to action. October 26, 2022 Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097/pts.0000000000000995. https://psnet…

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50907/psn-pdf
     February 19, 2020 - Oral chemotherapy: a home safety educational framework for healthcare providers, patients, and caregivers. February 19, 2020 Huff C. Oral chemotherapy: A home safety educational framework for healthcare providers, patients, and caregivers. Clin J Oncol Nurs. 2020;24(1):22-30. doi:10.1188/20.cjon.22-30. https://psn…

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72763/psn-pdf
     February 17, 2021 - Apotex Corp. issues voluntary nationwide recall of Enoxaparin Sodium Injection, USP due to mislabeling of syringe barrel measurement markings. February 17, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 3. 2021.    https://psnet.ahrq.gov/issue/apotex-corp-issues…

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72800/psn-pdf
     March 03, 2021 - Reaching the summit of discharge summaries: a quality improvement project. March 3, 2021 Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142. https://psnet.ahrq.gov/issue/reaching-summ…

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73253/psn-pdf
     May 12, 2021 - Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. May 12, 2021 ISMP Medication Safety Alert! Acute Care Edition. April 22, 2021.26(8):1-5. https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease- 2019-c…

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47887/psn-pdf
     August 07, 2019 - Nurses' safety motivation: examining predictors of nurses' willingness to report medication errors. August 7, 2019 Farag A, Lose D, Gedney-Lose A. Nurses' Safety Motivation: Examining Predictors of Nurses' Willingness to Report Medication Errors. West J Nurs Res. 2019;41(7):954-972. doi:10.1177/0193945918815462. h…