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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45997/psn-pdf
    April 19, 2017 - Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. April 19, 2017 Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. J Grad Med Educ. 20…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837855/psn-pdf
    August 17, 2022 - Patterns of error in interpretive pathology. August 17, 2022 Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. https://psnet.ahrq.gov/issue/patterns-error-interpretive-pathology Studies have shown diagnostic discordanc…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841488/psn-pdf
    December 14, 2022 - ASHP Guidelines on Preventing Diversion of Controlled Substances. December 14, 2022 Clark J, Fera T, Fortier CR, et al. ASHP Guidelines on Preventing Diversion of Controlled Substances. Am J Health Syst Pharm. 2022;79(24):2279-2306. doi:10.1093/ajhp/zxac246. https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849615/psn-pdf
    May 31, 2023 - Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. May 31, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications- community-languages Gaps in patient…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47830/psn-pdf
    February 27, 2019 - Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. February 27, 2019 Poirier RH; Brown CS; Baggenstos YT; Walden SG; Gann NY; Patty CM; Sandoval RA; McNulty JR. https://psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-o…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41466/psn-pdf
    June 20, 2012 - Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. June 20, 2012 Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longit…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44465/psn-pdf
    November 20, 2015 - Why even good physicians do not wash their hands. November 20, 2015 Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands Insufficient hand hygiene comp…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45124/psn-pdf
    June 22, 2016 - The impact of surgical safety checklists on theatre departments: a critical review of the literature. June 22, 2016 Cadman V. The impact of surgical safety checklists on theatre departments: a critical review of the literature. J Perioper Pract. 2016;26(4):62-71. https://psnet.ahrq.gov/issue/impact-surgical-safety…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866867/psn-pdf
    October 02, 2024 - Report links Georgia's abortion ban to preventable deaths. October 2, 2024 Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024. https://psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths Poorly implemented and communicated policy can affect the a…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34781/psn-pdf
    June 23, 2015 - Standards for patient monitoring during general anesthesia at Harvard Medical School. June 23, 2015 Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. https://psnet.ahrq.gov/issue/standards-patient-monitoring-during-gen…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47057/psn-pdf
    July 14, 2018 - A framework for operationalizing risk: a practical approach to patient safety.  July 14, 2018 Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317. https://psnet.ahrq.gov/issue/frame…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38070/psn-pdf
    March 10, 2011 - Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. March 10, 2011 Jha AK, Laguette J, Seger AC, et al. Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application. J Am Med Inform Assoc. 20…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39922/psn-pdf
    October 13, 2010 - What’s past is prologue: organizational learning from a serious patient injury. October 13, 2010 Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. https://psnet.ahrq.gov/issue/whats-past-prologue-or…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42996/psn-pdf
    March 19, 2014 - The "physician-led chart audit": engaging providers in fortifying a culture of safety. March 19, 2014 Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000000000000057. https://psnet.ahrq.go…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44722/psn-pdf
    March 15, 2016 - Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. March 15, 2016 Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Int J Qual Health C…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74065/psn-pdf
    November 10, 2021 - AHRQ announces interest in research on digital healthcare safety. November 10, 2021 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 28, 2021 Publication No. NOT-HS-22-004. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-digital-healthcare-safety Digital in…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45444/psn-pdf
    December 04, 2016 - Alarm fatigue: use of an evidence-based alarm management strategy. December 4, 2016 Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. https://psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy Reducing nuisance…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50571/psn-pdf
    October 23, 2019 - Medication errors in the context of hematopoietic stem cell transplantation: a systematic review. October 23, 2019 Lermontov SP, Brasil SC, de Carvalho MR. Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review. Cancer Nurs. 2019;42(5):365-372. doi:10.1097/NCC.000000000000…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46266/psn-pdf
    July 19, 2017 - New unintended adverse consequences of electronic health records. July 19, 2017 Sittig DF, Wright A, Ash J, et al. New Unintended Adverse Consequences of Electronic Health Records. Yearb Med Inform. 2016;(1):7-12. https://psnet.ahrq.gov/issue/new-unintended-adverse-consequences-electronic-health-records Pressures…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36558/psn-pdf
    May 27, 2011 - The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. May 27, 2011 Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entry. J Patient Saf. 2008;2(4). doi:10.10…
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