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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33590/psn-pdfSeptember 15, 2024 - Leadership Role in Improving Safety September 15, 2024 Leadership Role in Improving Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/leadership-role-improving-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33616/psn-pdfAugust 01, 2005 - The Unfinished Patient Safety Agenda August 1, 2005 Aiken LH. The Unfinished Patient Safety Agenda. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda Perspective The goal set by the Institute of Medicine (IOM) in 1999 to reduce medical errors by half within 5 years has no… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39415/psn-pdfMarch 31, 2010 - ISMP's Guidelines for Standard Order Sets. March 31, 2010 Horsham, PA: Institute for Safe Medication Practices; March 2010. https://psnet.ahrq.gov/issue/ismps-guidelines-standard-order-sets To ensure the safety and effectiveness of standard order sets, this guide provides recommendations on content, design, approv… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41902/psn-pdfNovember 19, 2018 - High-Alert Medication Learning Guides for Consumers. November 19, 2018 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/high-alert-medication-learning-guides-consumers This set of leaflets provides patients with information about taking high-alert medications safely. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37407/psn-pdfSeptember 02, 2014 - HSMR: A New Approach for Measuring Hospital Mortality Trends in Canada. September 2, 2014 Ottowa, Ontario, CA: Canadian Institute for Health Information; 2007. ISBN 9781554651832. https://psnet.ahrq.gov/issue/hsmr-new-approach-measuring-hospital-mortality-trends-canada This report describes a new metric used to an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34010/psn-pdfJune 20, 2019 - ISMP Medication Safety Alert!® Nurse-Advise ERR. June 20, 2019 Plymouth Meeting, PA: Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-medication-safety-alertr-nurse-advise-err ISMP's newsletter was designed to specifically meet the needs of nurses who transcribe medication orders, adminis… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35569/psn-pdfApril 29, 2018 - Fatal misadministration of IV vincristine. April 29, 2018 ISMP Medication Safety Alert! Acute care edition. December 1, 2005 https://psnet.ahrq.gov/issue/fatal-misadministration-iv-vincristine This alert responds to fatal medication errors involving vincristine and reiterates the importance of adhering to error re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38250/psn-pdfJune 10, 2018 - Using external errors to signal a clear and present danger. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 6, 2008;13:1-2. https://psnet.ahrq.gov/issue/using-external-errors-signal-clear-and-present-danger This article addresses the biases inherent when hearing reports of errors at other … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40112/psn-pdfJuly 12, 2016 - Panel set to study safety of electronic patient data. July 12, 2016 Freudenheim M. https://psnet.ahrq.gov/issue/panel-set-study-safety-electronic-patient-data This article reports on a committee created by the Institute of Medicine to analyze the potential impact of electronic medical records (EMR) on costs and qu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39906/psn-pdfJuly 08, 2013 - Safe Site Invasive Procedure—Non-Operating Room. July 8, 2013 Institute for Clinical Systems Improvement. https://psnet.ahrq.gov/issue/safe-site-invasive-procedure-non-operating-room This protocol is designed to protect against wrong-site incidents in ambulatory care and to improve team communication and patient e… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40987/psn-pdfFebruary 22, 2017 - Partnering with Patients and Families to Enhance Safety and Quality: A Mini Toolkit. February 22, 2017 Bethesda, MD: Institute for Patient- and Family-Centered Care; 2011. https://psnet.ahrq.gov/issue/partnering-patients-and-families-enhance-safety-and-quality-mini-toolkit This toolkit provides strategies for enga… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33903/psn-pdfNovember 28, 2018 - ECRI Guidelines Trust. November 28, 2018 ECRI Institute. https://psnet.ahrq.gov/issue/ecri-guidelines-trust This website is a practical resource to review existing clinical practice guidelines in a centralized location. Key components of the site include links to full-text guidelines and an assessment function tha… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40388/psn-pdfApril 20, 2011 - Still Crossing The Quality Chasm. April 20, 2011 Health Aff (Millwood). 2011;30(4):554-800. https://psnet.ahrq.gov/issue/still-crossing-quality-chasm This special issue contains articles on progress made in patient safety since the landmark Institute of Medicine report, Crossing the Quality Chasm. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35509/psn-pdfJanuary 17, 2025 - Patient Safety Awareness Week. January 17, 2025 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/patient-safety-awareness-week This website provides resources for promoting patient safety during Patient Safety Awareness Week, including a webinar archive, selected readings and communication strate… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35937/psn-pdfJune 19, 2007 - Ounce of prevention: to reduce errors, hospitals prescribe innovative designs. June 19, 2007 Naik G. Wall Street Journal. May 8, 2006; A1. https://psnet.ahrq.gov/issue/ounce-prevention-reduce-errors-hospitals-prescribe-innovative-designs This article reports on innovations implemented at a Wisconsin hospital to im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35942/psn-pdfJuly 16, 2018 - Graduate Programs in Healthcare Quality and Patient Safety. July 16, 2018 Center for Education in the Health Sciences, Northwestern University, Chicago, IL. https://psnet.ahrq.gov/issue/graduate-programs-healthcare-quality-and-patient-safety Northwestern University's Institute of Healthcare Studies offers an 18-mo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45424/psn-pdfSeptember 21, 2016 - Shift to Safety. September 21, 2016 Canadian Patient Safety Institute. https://psnet.ahrq.gov/issue/shift-safety This initiative facilitates a patient safety approach that focuses on the roles of patients, clinicians, and organizations. The website provides tools and resources to inform and engage individuals as l… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/49687/psn-pdfAugust 21, 2013 - Emergency Error August 21, 2013 Symons NRA. Emergency Error. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/emergency-error Case Objectives State that emergency surgery is high risk and has high mortality. Appreciate that emergency laparotomy is a particularly high-risk procedure with a high likelihood of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33622/psn-pdfNovember 01, 2005 - In Conversation with…Donald M. Berwick, MD, MPP November 1, 2005 In Conversation with…Donald M. Berwick, MD, MPP. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withdonald-m-berwick-md-mpp Editor's Note: Dr. Berwick is President and Chief Executive Officer of the Institute for Healthcare I… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33743/psn-pdfDecember 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012 Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit. PSNet [internet]. 2012. https://psnet.ahrq.gov…
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