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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45062/psn-pdfMay 18, 2016 - Opioid Epidemic & Health IT May 18, 2016 Section 4. Health IT Playbook. Office of the National Coordinator for Health Information Technology. https://psnet.ahrq.gov/issue/attacking-opioid-crisis-head-health-it Overdoses of opioid medications are considered an epidemic in the United States. This website provides ac… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46242/psn-pdfJune 21, 2017 - Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. June 21, 2017 Woodruff E. Baltimore Sun. June 9, 2017. https://psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous- even-fatal Psychiatric patients are vulnerable to pa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764409/psn-pdfMarch 02, 2022 - She was headed to a locked psych ward. Then an ER doctor made a startling discovery. March 2, 2022 Boodman SG. Washington Post. February 12, 2022. https://psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery Misdiagnosis over a long period of time can be exacerbated by stig… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46352/psn-pdfOctober 15, 2018 - Optimal Resources for Surgical Quality and Safety. October 15, 2018 Hoyt DB, Ko CY, eds. Chicago, IL: American College of Surgeons; 2017. ISBN: 9780996826242. https://psnet.ahrq.gov/issue/optimal-resources-surgical-quality-and-safety Surgery is complex and involves a wide range of possibilities for error that can r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44785/psn-pdfJanuary 27, 2016 - Reducing Adverse Drug Events Related to Opioids Implementation Guide. January 27, 2016 Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide Opioids are high-risk medication… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46476/psn-pdfOctober 04, 2017 - The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. October 4, 2017 Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nurs. 2017;26(17-18):2511-2526. doi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43284/psn-pdfNovember 28, 2016 - Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. November 28, 2016 Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490. doi:10.1155/2014/791490. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34800/psn-pdfDecember 23, 2008 - A classification system for incidents and accidents in the health-care system. December 23, 2008 Runciman WB, Helps SC, Sexton EJ, et al. A classification for incidents and accidents in the health-care system. J Qual Clin Pract. 1998;18(3):199-211. https://psnet.ahrq.gov/issue/classification-system-incidents-and-a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47074/psn-pdfAugust 22, 2018 - Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. August 22, 2018 Litchfield I, Gill P, Avery T, et al. Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives. BMC Fam Pract. 20… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47681/psn-pdfJanuary 30, 2019 - Infection prevention in the operating room anesthesia work area. January 30, 2019 Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303. https://psnet.ahrq.gov/issue/infection-prevention-operat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42931/psn-pdfApril 20, 2014 - Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. April 20, 2014 Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf. 2014;40(2):77-82. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44285/psn-pdfNovember 06, 2015 - Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. November 6, 2015 Millar R, Freeman T, Mannion R. Hospital board oversight of quality and safety: a stakeholder analysis exploring the role of trust and intelligence. BMC Health Serv Res. 2015;15:196… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46374/psn-pdfAugust 30, 2017 - Structured patient handoffs: the movement toward adverse event reduction in the perioperative unit. August 30, 2017 Hamilton WL. https://psnet.ahrq.gov/issue/structured-patient-handoffs-movement-toward-adverse-event-reduction- perioperative-unit Miscommunication during care transitions can contribute to medical e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45952/psn-pdfMay 31, 2017 - Surgeon, Heal Thyself: Optimising Surgical Performance by Managing Stress. May 31, 2017 Shiralkar U. Boca Raton, FL: CRC Press; 2017. ISBN: 9781498724036. https://psnet.ahrq.gov/issue/surgeon-heal-thyself-optimising-surgical-performance-managing-stress Stress, information overload, and high-risk decisions are prev… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41803/psn-pdfDecember 16, 2013 - E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. December 16, 2013 Odukoya OK, Chui MA. E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care. Res Social Adm Pharm. 2013;9(6):996-1003. doi:10.1016/j.sapharm.2012.09.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74117/psn-pdfDecember 16, 2021 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals. November 24, 2021 Rockville, MD: Agency for Healthcare Research and Quality; December 16, 2021. https://psnet.ahrq.gov/issue/new-ahrq-sopsr-workplace-safety-supplemental-items-hospitals The release of the Workplace Safety supplemental items for… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46699/psn-pdfMarch 20, 2018 - Disclosure of harmful medical error to patients: a review with recommendations for pathologists. March 20, 2018 Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181. https://psnet… -
www.ahrq.gov/evidencenow/tools/practice-team.htmlNovember 01, 2018 - How to Implement a Team-Based Model in Primary Care: Learning Guide Resource: The Practice Team This online learning module provides a comprehensive overview and guidance for practices to implement a team-based model of primary care to enhance quality of care and productivity. Resources to support Key Drive…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46254/psn-pdfOctober 09, 2017 - Using risk stratification to reduce medical errors in cervical cancer prevention. October 9, 2017 Perkins RB, Cain JM, Feldman S. Using Risk Stratification to Reduce Medical Errors in Cervical Cancer Prevention. JAMA Intern Med. 2017;177(10):1411-1412. doi:10.1001/jamainternmed.2017.3999. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44994/psn-pdfOctober 11, 2017 - Diagnostic delays and errors in head and neck cancer patients: opportunities for improvement. October 11, 2017 Franco J, Elghouche AN, Harris MS, et al. Diagnostic Delays and Errors in Head and Neck Cancer Patients: Opportunities for Improvement. Am J Med Qual. 2017;32(3):330-335. doi:10.1177/1062860616638413. ht…
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