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Showing results for "increases".

  1. psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
    June 06, 2018 - Commentary Using a change model to reduce the risk of surgical site infection. Citation Text: Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…
  2. psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improving-safety-iv-drug-administration
    March 23, 2012 - Study Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Citation Text: Adachi W, Lodolce AE. Use of failure mode and effects analysis in improving the safety of i.v. drug administration. Am J Health Syst Pharm. 2005;62(9):917-20. Copy Citat…
  3. psnet.ahrq.gov/issue/safety-culture-healthcare-review-concepts-dimensions-measures-and-progress
    November 21, 2014 - Review Safety culture in healthcare: a review of concepts, dimensions, measures and progress. Citation Text: Halligan M, Zecevic A. Safety culture in healthcare: a review of concepts, dimensions, measures and progress. BMJ Qual Saf. 2011;20(4):338-43. doi:10.1136/bmjqs.2010.040964. C…
  4. psnet.ahrq.gov/issue/interruptions-and-geographic-challenges-nurses-cognitive-workload
    March 20, 2019 - Study Interruptions and geographic challenges to nurses' cognitive workload. Citation Text: Redding DA, Robinson S. Interruptions and geographic challenges to nurses' cognitive workload. J Nurs Care Qual. 2009;24(3):194-200; quiz 201-202. doi:10.1097/01.NCQ.0000356907.95076.31. Copy Ci…
  5. psnet.ahrq.gov/issue/dental-patient-safety-military-health-system-joining-medicine-journey-high-reliability
    October 19, 2022 - Study Dental patient safety in the military health system: joining medicine in the journey to high reliability. Citation Text: Stahl JM, Mack K, Cebula S, et al. Dental Patient Safety in the Military Health System: Joining Medicine in the Journey to High Reliability. Mil Med. 2019. doi:1…
  6. psnet.ahrq.gov/issue/100000-lives-campaign-crystallizing-standards-care-hospitals
    August 20, 2018 - Commentary The 100,000 Lives Campaign: crystallizing standards of care for hospitals. Citation Text: Gosfield AG, Reinertsen JL. The 100,000 lives campaign: crystallizing standards of care for hospitals. Health Aff (Millwood). 2005;24(6):1560-70. Copy Citation Format: Goo…
  7. psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
    April 22, 2016 - Newspaper/Magazine Article Hospitals often ignore policies on using qualified medical interpreters. Citation Text: Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. Co…
  8. psnet.ahrq.gov/issue/motivational-influences-anaesthetists-use-practice-guidelines
    April 18, 2011 - Study Motivational influences on anaesthetists' use of practice guidelines. Citation Text: Phipps DL, Beatty PCW, Parker D, et al. Motivational influences on anaesthetists' use of practice guidelines. Br J Anaesth. 2009;102(6):768-74. doi:10.1093/bja/aep082. Copy Citation Format:…
  9. psnet.ahrq.gov/issue/geometric-probability-distribution-modeling-error-risk-during-prescription-dispensing
    December 24, 2008 - Study Geometric probability distribution for modeling of error risk during prescription dispensing. Citation Text: Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk during prescription dispensing. Am J Health Syst Pharm. 2006;63(…
  10. psnet.ahrq.gov/issue/scandal-sentinel-event-recognizing-hidden-cost-quality-trade-offs
    November 04, 2020 - Commentary Scandal as a sentinel event—recognizing hidden cost–quality trade-offs. Citation Text: Bloche G. Scandal as a Sentinel Event--Recognizing Hidden Cost-Quality Trade-offs. N Engl J Med. 2016;374(11):1001-3. doi:10.1056/NEJMp1502629. Copy Citation Format: DOI Google…
  11. psnet.ahrq.gov/issue/ethical-considerations-disclosure-when-medical-error-discovered-during-medicolegal-death
    December 14, 2016 - Commentary Ethical considerations on disclosure when medical error is discovered during medicolegal death investigation. Citation Text: Wolf DA, Drake SA, Snow FK. Ethical Considerations on Disclosure When Medical Error Is Discovered During Medicolegal Death Investigation. Am J Forensic …
  12. psnet.ahrq.gov/issue/outcomes-card-development-systems-based-practice-educational-tool
    July 13, 2010 - Study The outcomes card: development of a systems-based practice educational tool. Citation Text: Tomolo A, Caron A, Perz ML, et al. The outcomes card. J Gen Intern Med. 2005;20(8). doi:10.1111/j.1525-1497.2005.0168.x. Copy Citation Format: DOI Google Scholar BibTeX EndNo…
  13. psnet.ahrq.gov/issue/implementing-nurse-shadowing-program-first-year-medical-students-improve-interprofessional
    January 15, 2025 - Commentary Implementing a nurse-shadowing program for first-year medical students to improve interprofessional collaborations on health care teams. Citation Text: Jain A, Luo E, Yang J, et al. Implementing a nurse-shadowing program for first-year medical students to improve interprofessi…
  14. psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
    August 31, 2011 - Study Retractions in the medical literature: how many patients are put at risk by flawed research? Citation Text: Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133. Copy …
  15. psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
    April 01, 2018 - Impaired mobility from deconditioning increases the risk of falls, as well as preventing the patient
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848108/psn-pdf
    April 26, 2023 - The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. April 26, 2023 Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/do…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33608/psn-pdf
    February 01, 2024 - Maternal Safety January 31, 2024 Shauer M, Nichols A, Lyndon A. Maternal Safety. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/maternal-safety Originally published in 2018 by researchers at the University of California, San Francisco. Updated in February 2024 by Marla Shauer, PhD(c), MSN, CNM, Amy Nichols,…
  18. psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
    November 01, 2005 - Rapid Response Teams: Lessons from the Early Experience William S. Krimsky, MD | November 1, 2005  Also Read a Conversation View more articles from the same authors. Citation Text: Krimsky WS. Rapid Response Teams: Lessons from the Early Experience. PSNet [inter…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60542/psn-pdf
    May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride May 27, 2020 Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride The Case  An infant with trisomy 21 underwent repair of a…
  20. psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
    February 26, 2025 - In Conversation With… J. Bryan Sexton, PhD, MA August 1, 2013  Citation Text: In Conversation With… J. Bryan Sexton, PhD, MA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citati…

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