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Total Results: 1,351 records

Showing results for "incorporate".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840255/psn-pdf
     November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions November 16, 2022 Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions . PSNet [internet]. 2022. https://psnet.ahrq.gov/perspecti…

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36549/psn-pdf
     March 21, 2017 - Patients' concerns about medical errors during hospitalization. March 21, 2017 Burroughs TE, Waterman AD, Gallagher TH, et al. Patients' concerns about medical errors during hospitalization. Jt Comm J Qual Patient Saf. 2007;33(1):5-14. https://psnet.ahrq.gov/issue/patients-concerns-about-medical-errors-during-hosp…

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36222/psn-pdf
     March 10, 2011 - Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial. March 10, 2011 McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controll…

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45701/psn-pdf
     December 21, 2016 - Clinical decision support for drug related events: moving towards better prevention. December 21, 2016 Kane-Gill SL, Achanta A, Kellum JA, et al. Clinical decision support for drug related events: Moving towards better prevention. World J Crit Care Med. 2016;5(4):204-211. https://psnet.ahrq.gov/issue/clinical-deci…

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46001/psn-pdf
     July 19, 2017 - Identifying hospitalized patients at risk for harm: a comparison of nurse perceptions vs. electronic risk assessment tool scores. July 19, 2017 Stafos A, Stark S, Barbay K, et al. CE: Original Research: Identifying Hospitalized Patients at Risk for Harm: A Comparison of Nurse Perceptions vs. Electronic Risk Assess…

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34775/psn-pdf
     February 07, 2019 - Escape Fire: Lessons for the Future of Health Care. February 7, 2019 Berwick DM. Washington DC: Commonwealth Fund; 2002. https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for Healthcare Improve…

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36753/psn-pdf
     April 30, 2014 - Medication errors in the outpatient setting: classification and root cause analysis. April 30, 2014 Friedman AL, Geoghegan SR, Sowers NM, et al. Medication errors in the outpatient setting: classification and root cause analysis. Arch Surg. 2007;142(3):278-83; discussion 284. https://psnet.ahrq.gov/issue/medicatio…

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41352/psn-pdf
     May 09, 2012 - ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. May 9, 2012 Pedersen CA, Schneider PJ, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration—2011. American Journal of Health-System Pharmacy. 2012;69(9). doi…

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35623/psn-pdf
     August 05, 2009 - Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. August 5, 2009 Madigosky WS, Headrick LA, Nelson K, et al. Changing and sustaining medical students' knowledge, skills, and attitudes about patient safety and medical fallibility. Acad Med. 2006…

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36551/psn-pdf
     February 17, 2011 - An intervention to decrease catheter-related bloodstream infections in the ICU. February 17, 2011 Pronovost P, Needham DM, Berenholtz SM, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med. 2006;355(26):2725-2732. https://psnet.ahrq.gov/issue/intervention-decrease-c…

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49727/psn-pdf
     March 01, 2015 - Critical Opportunity Lost March 1, 2015 Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/critical-opportunity-lost The Case A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She reported eating a heavy dinner the pre…

352. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
     October 01, 2015 - PowerPoint Presentation Spotlight The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy 1 This presentation is based on the October 2015 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/ CME credit is available Commentary by: Jacob Reider,…

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33863/psn-pdf
     August 01, 2018 - We can also incorporate virtual reality or partial task simulators into the simulation (e.g., strapped … They can also incorporate objects, smells, and sounds that really make you feel you're immersed in the

354. Total Parenteral Nutrition, Multifarious Errors | PSNet
     psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
     January 23, 2017 - Several reported PN-specific cases resulted from failure to incorporate built-in dosing limits in the … Institutions should incorporate all appropriate ASPEN clinical guidelines and best practices documents

355. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2020-01/final_spotlight_near_miss_transfusion_01082020_tocme.pdf
     January 01, 2020 - Spotlight Spotlight “This is the wrong patient’s blood!”: Evaluating a Near-Miss Wrong Transfusion Event Source and Credits • This presentation is based on the January 2020 AHRQ WebM&M Spotlight Case • Commentary by: Sarah Barnhard MD o Medical Director of Transfusion Services at UC-Davis Health o Editors in …

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42692/psn-pdf
     April 21, 2015 - Surgical skill and complication rates after bariatric surgery. April 21, 2015 Birkmeyer JD, Finks JF, O'Reilly A, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434-1442. doi:10.1056/NEJMsa1300625. https://psnet.ahrq.gov/issue/surgical-skill-and-complication-rates…

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42473/psn-pdf
     August 13, 2013 - Surgical technology and operating-room safety failures: a systematic review of quantitative studies. August 13, 2013 Weerakkody RA, Cheshire NJ, Riga C, et al. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. BMJ Qual Saf. 2013;22(9):710-8. doi:10.1136/bmjqs-2012-…

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35611/psn-pdf
     June 23, 2010 - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. June 23, 2010 Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and d…

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34068/psn-pdf
     July 10, 2008 - Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. July 10, 2008 Kucukarslan SN, Peters M, Mlynarek M, et al. Pharmacists on rounding teams reduce preventable adverse drug events in hospital general medicine units. Arch Intern Med. 2003;163(17):2014-8. https://…

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39748/psn-pdf
     August 11, 2010 - Information transfer and communication in surgery: a systematic review. August 11, 2010 Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2. https://psnet.ahrq.gov/issue/information-transfer-and-comm…