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Showing results for "improvements".

8001. Where should patient safety be installed? | PSNet
      psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
      October 05, 2022 - Commentary Where should patient safety be installed? Citation Text: Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17. doi:10.1002/jhrm.21285. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

8002. Performing an inadvertent procedure. | PSNet
      psnet.ahrq.gov/issue/performing-inadvertent-procedure
      October 16, 2019 - Commentary Performing an inadvertent procedure. Citation Text: Gupta A, Jain S, Croft C. Performing an Inadvertent Procedure. JAMA. 2019;321(5):504-505. doi:10.1001/jama.2018.21438. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

8003. Risk models to improve safety of dispensing high-alert medications in community pharmacies. | PSNet
      psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies
      December 02, 2020 - Study Risk models to improve safety of dispensing high-alert medications in community pharmacies. Citation Text: Cohen MR, Smetzer JL, Westphal JE, et al. Risk models to improve safety of dispensing high-alert medications in community pharmacies. J Am Pharm Assoc (2003). 2012;52(5):584-6…

8004. Using information from external errors to signal a "clear and present danger." | PSNet
      psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger
      March 14, 2023 - Newspaper/Magazine Article Using information from external errors to signal a "clear and present danger." Citation Text: Using information from external errors to signal a "clear and present danger." ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. Copy Citati…

8005. The Patients' View: 2004 ISQSH National Survey. | PSNet
      psnet.ahrq.gov/issue/patients-view-2004-isqsh-national-survey
      July 20, 2022 - Book/Report The Patients' View: 2004 ISQSH National Survey. Citation Text: The Patients' View: 2004 ISQSH National Survey. Dublin: Irish Society for Quality and Safety in Healthcare; 2004. Copy Citation Save Save to your library Print Download PDF…

8006. Drug shortages continue to compromise patient care. | PSNet
      psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care
      February 24, 2016 - Newspaper/Magazine Article Drug shortages continue to compromise patient care. Citation Text: Drug shortages continue to compromise patient care. ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. Copy Citation Save Save to your library …

8007. ASHP statement on the pharmacist's role in medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/ashp-statement-pharmacists-role-medication-reconciliation
      June 30, 2021 - Commentary ASHP statement on the pharmacist's role in medication reconciliation. Citation Text: ASHP Statement on the Pharmacist’s Role in Medication Reconciliation. Am J Health Syst Pharm. 2013;70(5):453-456. doi:10.2146/sp120009. Copy Citation Format: DOI Google Scholar B…

8008. Medical errors kill thousands of people each year. But are hospitals getting any safer? | PSNet
      psnet.ahrq.gov/issue/medical-errors-kill-thousands-people-each-year-are-hospitals-getting-any-safer
      June 17, 2020 - Newspaper/Magazine Article Medical errors kill thousands of people each year. But are hospitals getting any safer? Citation Text: Medical errors kill thousands of people each year. But are hospitals getting any safer? Weintraub K. USA Today. May 3, 2023. Copy Citation …

8009. Simple strategies to avoid medication errors. | PSNet
      psnet.ahrq.gov/issue/simple-strategies-avoid-medication-errors
      April 22, 2017 - Commentary Simple strategies to avoid medication errors. Citation Text: Jenkins RH, Vaida AJ. Simple strategies to avoid medication errors. Fam Pract Manag. 2007;14(2):41-47. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

8010. Preventing overdiagnosis: how to stop harming the healthy. | PSNet
      psnet.ahrq.gov/issue/preventing-overdiagnosis-how-stop-harming-healthy
      January 02, 2013 - Commentary Preventing overdiagnosis: how to stop harming the healthy. Citation Text: Moynihan R, Doust J, Henry D. Preventing overdiagnosis: how to stop harming the healthy. BMJ. 2012;344:e3502. doi:10.1136/bmj.e3502. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

8011. Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. | PSNet
      psnet.ahrq.gov/issue/day-passes-vulnerable-patients-psychiatric-hospitals-can-have-dangerous-even-fatal
      October 29, 2014 - Newspaper/Magazine Article Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Citation Text: Day passes for vulnerable patients of psychiatric hospitals can have dangerous, even fatal consequences. Woodruff E. Baltimore Sun. June 9, 2…

8012. Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. | PSNet
      psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
      November 03, 2021 - Book/Report Classic Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Citation Text: Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Helmreich RL, Merritt AC. Brookfi…

8013. Reducing Adverse Drug Events Related to Opioids Implementation Guide. | PSNet
      psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide
      January 26, 2022 - Toolkit Reducing Adverse Drug Events Related to Opioids Implementation Guide. Citation Text: Reducing Adverse Drug Events Related to Opioids Implementation Guide. Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. Copy Citation …

8014. Back to basics: the Universal Protocol. | PSNet
      psnet.ahrq.gov/issue/back-basics-universal-protocol
      March 17, 2021 - Commentary Back to basics: the Universal Protocol. Citation Text: Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

8015. Failure to Rescue | PSNet
      psnet.ahrq.gov/primer/failure-rescue
      September 15, 2024 - Failure to Rescue Citation Text: Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

8016. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-04/final_psnet_spotlight_retained_vaginal_packing_04.08.2021.pdf
      January 01, 2021 - Spotlight Spotlight Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough Source and Credits • This presentation is based on the April 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Verna Gibbs, MD o AHRQ W…

8017. Watch the Warfarin! | PSNet
      psnet.ahrq.gov/web-mm/watch-warfarin
      December 01, 2013 - SPOTLIGHT CASE Watch the Warfarin! Citation Text: Khanna R, Fang MC. Watch the Warfarin!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNot…

8018. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. | PSNet
      psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
      October 26, 2022 - Commentary Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Citation Text: Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…

8019. Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. | PSNet
      psnet.ahrq.gov/issue/pharmacist-transition-care-services-improve-patient-satisfaction-and-decrease-hospital
      March 11, 2020 - Study Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. Citation Text: Pharmacist transition-of-care services improve patient satisfaction and decrease hospital readmissions. March KL, Peters MJ, Finch CK, et al. J Pharm Pract. 2…

8020. Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey. | PSNet
      psnet.ahrq.gov/issue/pediatric-clinician-comfort-discussing-diagnostic-errors-improving-patient-safety-survey
      July 06, 2022 - Study Pediatric clinician comfort discussing diagnostic errors for improving patient safety: a survey. Citation Text: Grubenhoff JA, Ziniel SI, Cifra CL, et al. Pediatric Clinician Comfort Discussing Diagnostic Errors for Improving Patient Safety. Pediatr Qual Saf. 2020;5(2):e259. doi:10…