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Showing results for "informed".

4901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39398/psn-pdf
      May 25, 2011 - Patient safety and acute care medicine: lessons for the future, insights from the past. May 25, 2011 Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. https://psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicin…

4902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72558/psn-pdf
      December 09, 2020 - Escape Room. December 9, 2020 Harrisburg, PA: Pennsylvania Safety Authority; 2020. https://psnet.ahrq.gov/issue/escape-room Time pressure can negatively impact critical thinking, information gathering, and communication abilities. This tool builds teamwork and decision-making skills by testing participants as they…

4903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43055/psn-pdf
      May 01, 2017 - AHRQ's Safety Program for Ambulatory Surgery. May 1, 2017 Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May 2017. AHRQ Publication No. 16(17)-0019-1-EF. https://psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery This report provides information about a na…

4904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40829/psn-pdf
      January 05, 2014 - Guide to Reducing Unintended Consequences of Electronic Health Records. January 5, 2014 Jones SS, Koppel R, Ridgely MS, Palen TE, Wu S, Harrison MI. Rockville, MD: Agency for Healthcare Research and Quality; August 2011. https://psnet.ahrq.gov/issue/guide-reducing-unintended-consequences-electronic-health-records …

4905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39825/psn-pdf
      June 10, 2018 - Electronic prescribing vulnerabilities: height and weight mix-up leads to dosing error. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. August 26, 2010;15:1-3. https://psnet.ahrq.gov/issue/electronic-prescribing-vulnerabilities-height-and-weight-mix-leads-dosing-error This article discusses a case …

4906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47019/psn-pdf
      July 11, 2018 - Center of Excellence for Improving Diagnosis. July 11, 2018 Patient Safety Authority. https://psnet.ahrq.gov/issue/center-excellence-improving-diagnosis Diagnostic error has gained recognition as an important patient safety concern. Established within the Pennsylvania Patient Safety Authority, this center will add…

4907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39399/psn-pdf
      February 17, 2011 - Can electronic clinical documentation help prevent diagnostic errors? February 17, 2011 Schiff G, Bates DW. Can electronic clinical documentation help prevent diagnostic errors? New Engl J Med. 2010;362(12):1066-1069. doi:10.1056/NEJMp0911734. https://psnet.ahrq.gov/issue/can-electronic-clinical-documentation-help…

4908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35618/psn-pdf
      June 24, 2010 - Using a computerized sign-out system to improve physician–nurse communication. June 24, 2010 Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36. https://psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve…

4909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41395/psn-pdf
      May 23, 2012 - Bridging gaps in handoffs: a continuity of care based approach. May 23, 2012 Abraham J, Kannampallil TG, Patel VL. Bridging gaps in handoffs: a continuity of care based approach. J Biomed Inform. 2012;45(2):240-54. doi:10.1016/j.jbi.2011.10.011. https://psnet.ahrq.gov/issue/bridging-gaps-handoffs-continuity-care-b…

4910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39191/psn-pdf
      February 08, 2011 - Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. February 8, 2011 Schyve PM. San Diego, CA: Governance Institute; 2009. https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership- standards This white paper provides comprehensive inf…

4911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36456/psn-pdf
      May 27, 2011 - Evaluation and certification of computerized physician order entry systems. May 27, 2011 Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55. https://psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician…

4912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38402/psn-pdf
      February 11, 2009 - Near misses: paradoxical realities in everyday clinical practice. February 11, 2009 Jeffs L, Affonso DD, Macmillan K. Near misses: paradoxical realities in everyday clinical practice. Int J Nurs Pract. 2008;14(6):486-94. doi:10.1111/j.1440-172X.2008.00724.x. https://psnet.ahrq.gov/issue/near-misses-paradoxical-rea…

4913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38222/psn-pdf
      January 05, 2009 - Electronic data collection using MedWatchPlus portal and rational questionnaire. January 5, 2009 Shuren J. Federal Register. October 23, 2008;73:63153-63157. https://psnet.ahrq.gov/issue/electronic-data-collection-using-medwatchplus-portal-and-rational- questionnaire This announcement invites field review of prop…

4914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36945/psn-pdf
      May 20, 2019 - National Time Out Day. May 20, 2019 Association of periOperative Registered Nurses. https://psnet.ahrq.gov/issue/national-time-out-day The Joint Commission requires time outs prior to surgical incision. This Web site includes information and resources for National Time Out Day, an initiative to raise awareness on …

4915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42523/psn-pdf
      October 08, 2013 - Patient safety in clinical research articles. October 8, 2013 Vintzileos AM, Finamore PS, Sicuranza GB, et al. Patient safety in clinical research articles. Int J Gynaecol Obstet. 2013;123(2):93-5. doi:10.1016/j.ijgo.2013.05.006. https://psnet.ahrq.gov/issue/patient-safety-clinical-research-articles This commentar…

4916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35709/psn-pdf
      September 12, 2016 - Taking risky business out of the MRI suite. September 12, 2016 Rozovsky FA, Gilk TB, Latina RJ. Managing liability exposure and safety. Taking risky business out of the MRI suite. Materials management in health care. 2006;15(1):18-23. https://psnet.ahrq.gov/issue/taking-risky-business-out-mri-suite This article di…

4917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43545/psn-pdf
      September 17, 2014 - Feds reverse course, will release hospital mistake data. September 17, 2014 https://psnet.ahrq.gov/issue/feds-reverse-course-will-release-hospital-mistake-data This newspaper article reports on the decision to reinstate distribution of publicly-reported information on hospital-acquired conditions that, in an attemp…

4918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34138/psn-pdf
      January 20, 2016 - National Quality Forum. January 20, 2016 1099 14th Street NW, Suite 500, Washington DC 20005. https://psnet.ahrq.gov/issue/national-quality-forum The National Quality Forum (NQF) is a private, not-for-profit membership organization created to develop and implement a national strategy for quality and safety measure…

4919. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.227_slideshow.ppt
      November 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Treatment Challenges After Discharge * * Source and Credits This presentation is based on the November 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Chase Coffey, MD, Henry Ford Health System,…

4920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33612/psn-pdf
      May 01, 2005 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience May 1, 2005 Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizat…