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Showing results for "focuses".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836832/psn-pdf
    March 30, 2022 - Improving Education—A Key to Better Diagnostic Outcomes. March 30, 2022 Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes Diagnostic skil…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60164/psn-pdf
    March 25, 2020 - Patient Safety, Spring 2019 Final CDP Report. March 25, 2020 Patient Safety Standing Committee. February 6, 2020. Washington DC; National Quality Forum. February 2020. https://psnet.ahrq.gov/issue/patient-safety-spring-2019-final-cdp-report The development of effective measures to document and track patient safety…

  3. Psn-Pdf (pdf file)

    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 …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36016/psn-pdf
    September 27, 2016 - Strategies used by nurses to recover medical errors in an academic emergency department setting. September 27, 2016 Henneman EA, Blank FSJ, Gawlinski A, et al. Strategies used by nurses to recover medical errors in an academic emergency department setting. Appl Nurs Res. 2006;19(2):70-7. https://psnet.ahrq.gov/iss…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42376/psn-pdf
    December 18, 2013 - Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. December 18, 2013 Bradley F, Schafheutle EI, Willis SC, et al. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Health Soc Care Community. 2013;21(6):644-54. doi:10.1111/hsc.12053. …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73383/psn-pdf
    January 01, 2020 - Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care January 1, 2020 Irvine, CA: The Patient Safety Movement; 2020. https://psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable- care Patient safety success requires leadership, …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44472/psn-pdf
    January 22, 2016 - Understanding medical errors and adverse events in ICU patients. January 22, 2016 Garrouste-Orgeas M, Flaatten H, Moreno R. Understanding medical errors and adverse events in ICU patients. Intensive Care Med. 2016;42(1):107-9. doi:10.1007/s00134-015-3968-x. https://psnet.ahrq.gov/issue/understanding-medical-errors…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45661/psn-pdf
    November 09, 2016 - Center for Diagnostic Excellence. November 9, 2016 Armstrong Institute for Patient Safety and Quality https://psnet.ahrq.gov/issue/center-diagnostic-excellence Diagnostic error has recently been recognized as a serious patient safety concern. Established within the Armstrong Center for Patient Safety and Quality, …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38418/psn-pdf
    February 18, 2009 - Using snowball sampling method with nurses to understand medication administration errors. February 18, 2009 Sheu S-J, Wei I-L, Chen C-H, et al. Using snowball sampling method with nurses to understand medication administration errors. J Clin Nurs. 2009;18(4):559-69. doi:10.1111/j.1365-2702.2007.02048.x. https://p…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38546/psn-pdf
    June 16, 2009 - Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. June 16, 2009 Okon TR, Lutz PS, Liang H. Improved pain resolution in hospitalized patients through targeting of pain mismanagement as medical error. J Pain Symptom Manage. 2009;37(6):1039-49. doi:10.1016/j.j…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38734/psn-pdf
    July 01, 2009 - Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. July 1, 2009 Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;133(6):933-7. doi:10.1043/1543-2165- …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47983/psn-pdf
    May 01, 2019 - Health systems and hospitals in pursuit of high reliability. May 1, 2019 Cheney C. HealthLeaders Media. April 17, 2019. https://psnet.ahrq.gov/issue/health-systems-and-hospitals-pursuit-high-reliability This news article describes how a 19-hospital health system successfully applied high reliability principles to …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46634/psn-pdf
    November 22, 2017 - Ambulatory Care Patient Safety 2017–2018. November 22, 2017 National Quality Forum; NQF. https://psnet.ahrq.gov/issue/ambulatory-care-patient-safety-2017-2018 Patient safety in ambulatory care is emerging as a focus of research, regulation, and measurement efforts. This website provides information and resources r…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46452/psn-pdf
    November 15, 2017 - Quality Improvement. November 15, 2017 Gupta M, Kaplan HC, eds. Clin Perinatol. 2017;44(3):469-728. https://psnet.ahrq.gov/issue/quality-improvement Improvement efforts in health care focus on quality and patient safety. Articles in this special issue explore the complexities of providing effective perinatal–neona…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40249/psn-pdf
    June 20, 2011 - Nurses' perceptions of how rapid response teams affect the nurse, team, and system. June 20, 2011 Williams DJ, Newman A, Jones CB, et al. Nurses' perceptions of how rapid response teams affect the nurse, team, and system. J Nurs Care Qual. 2011;26(3):265-72. doi:10.1097/NCQ.0b013e318209f135. https://psnet.ahrq.gov…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41194/psn-pdf
    March 11, 2013 - Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. March 11, 2013 Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract. 2013;19(2):285-91. doi:10.1111/j.13…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45359/psn-pdf
    September 21, 2016 - Health care worker fatigue. September 21, 2016 Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85. https://psnet.ahrq.gov/issue/health-care-worker-fatigue Fatigue can contribute to human error. This commentary discusses incidents reported to Penns…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847547/psn-pdf
    March 12, 2025 - National Action Alliance to Advance Patient and Workforce Safety Webinar Series. March 12, 2025 US Department of Health and Human Services. 2023-2025.  https://psnet.ahrq.gov/issue/national-action-alliance-advance-patient-safety-webinar-series Work toward zero harm in health care is gaining national attention…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865588/psn-pdf
    April 17, 2024 - Inattentional blindness in medicine. April 17, 2024 Hults CM, Ding Y, Xie GG, et al. Inattentional blindness in medicine. Cogn Res Princ Implic. 2024;9(1):18. doi:10.1186/s41235-024-00537-x. https://psnet.ahrq.gov/issue/inattentional-blindness-medicine Inattentional blindness occurs when a person is focused so int…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50607/psn-pdf
    December 01, 2020 - Digital Health and Patient Safety. December 1, 2020 Health Informatics J. 2020;26:181-189;576-591;683-718;1017-1042;2295-2299;3123-3162. https://psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand This special collection examines the use of novel health information technology (HIT) to p…
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