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Showing results for "institution".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34681/psn-pdf
    February 09, 2011 - No-fault compensation for medical injuries: the prospect for error prevention. February 9, 2011 Studdert DM, Brennan TA. No-Fault Compensation for Medical Injuries. JAMA. 2003;286(2). doi:10.1001/jama.286.2.217. https://psnet.ahrq.gov/issue/no-fault-compensation-medical-injuries-prospect-error-prevention The auth…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60833/psn-pdf
    September 15, 2020 - Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. August 19, 2020 Institute for Safe Medication Practices. September 15, 2020. https://psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global- medication-safety Medication error reporting is key to …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37577/psn-pdf
    July 12, 2016 - Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. July 12, 2016 Ulmer C, Wolman DM, Johns MME, eds. Committee on Optimizing Graduate Medical Trainee (Resident) Hours and Work Schedules to Improve Patient Safety. 2009. Washington DC; Institute of Medicine: ISBN: 9781…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44998/psn-pdf
    April 20, 2016 - High reliability: excellent care every time. April 20, 2016 Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. https://psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time Achieving high reliability has attracted attention as a goal in health care. This article provides an…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60976/psn-pdf
    September 30, 2020 - Dangerous wrong-route errors with tranexamic acid. September 30, 2020 National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices. National Alert Network. September 9, 2020. https://psnet.ahrq.gov/issue/dangerous-wrong…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36881/psn-pdf
    April 12, 2011 - Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. April 12, 2011 Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. Ann Surg Innov Res. …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46160/psn-pdf
    June 07, 2017 - ISMP Guidelines for Optimizing Safe Subcutaneous Insulin Use in Adults. June 7, 2017 Horsham, PA: Institute for Safe Medication Practices; May 2017. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-subcutaneous-insulin-use-adults Insulin is a widely used medication that can contribute to serious patien…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36620/psn-pdf
    January 14, 2024 - ISMP's List of High-Alert Medications in Acute Care Settings. January 14, 2024 Horsham, PA; Institute for Safe Medication Practices: 2024. https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings This fact sheet lists medications with a high risk of causing significant harm to patients wh…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72865/psn-pdf
    March 17, 2021 - 5 pandemic mistakes we keep repeating. We can learn from our failures. March 17, 2021 Zeynep Tufekci. The Atlantic. February 26, 2021 https://psnet.ahrq.gov/issue/5-pandemic-mistakes-we-keep-repeating-we-can-learn-our-failures Failures in communication have impacts on patients, teams, organizations and society. Th…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60574/psn-pdf
    June 10, 2020 - Preventing a parallel pandemic - a national strategy to protect clinicians' well-being. June 10, 2020 Dzau VJ, Kirch D, Nasca TJ. Preventing a parallel pandemic - a national strategy to protect clinicians' well- being. N Engl J Med. 2020;383(6):513-515. doi:10.1056/nejmp2011027. https://psnet.ahrq.gov/issue/preven…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837192/psn-pdf
    May 25, 2022 - Declaration to Advance Patient Safety. May 25, 2022 National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022. https://psnet.ahrq.gov/issue/declaration-advance-patient-safety Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46069/psn-pdf
    February 28, 2018 - Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. February 28, 2018 Joint Commission Resources. Oak Brook, IL: Joint Commission; 2017. ISBN: 9781599409474. https://psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care- seco…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45496/psn-pdf
    May 09, 2017 - The application of the Global Trigger Tool: a systematic review. May 9, 2017 Hibbert PD, Molloy CJ, Hooper TD, et al. The application of the Global Trigger Tool: a systematic review. Int J Qual Health Care. 2016;28(6):640-649. doi:10.1093/intqhc/mzw115. https://psnet.ahrq.gov/issue/application-global-trigger-tool-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838925/psn-pdf
    March 03, 2025 - Improving Quality and Safety in Healthcare. March 3, 2025 Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. https://psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare Improvement activities are complex initiatives that require synergistic actions by organizations to be s…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60972/psn-pdf
    January 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. January 30, 2003 Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Press: 2003. ISBN 9780309082655. https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41246/psn-pdf
    April 06, 2012 - Utilizing improvement science methods to improve physician compliance with proper hand hygiene. April 6, 2012 White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50. doi:10.1542/peds.2011-1864. https:/…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764413/psn-pdf
    March 02, 2022 - Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. March 2, 2022 Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.  https://psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care The emergence of telemedicine during…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47220/psn-pdf
    September 12, 2018 - Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. September 12, 2018 Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018. https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state- hospitals Hospital patien…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60285/psn-pdf
    April 29, 2020 - How Collective Design Triumphed Over Competition in the Fight Against HAIs. April 29, 2020 Wilson T. St Louis, MO; Facilities Guidelines Institute; 2020. https://psnet.ahrq.gov/issue/how-collective-design-triumphed-over-competition-fight-against-hais Health care environment design can affect safety. This report sh…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72511/psn-pdf
    November 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA:  Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the …
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