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Showing results for "institution".

2041. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844556/psn-pdf
      February 15, 2023 - Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. February 15, 2023 Feske-Kirby K, Whittington J, McGaffigan P. Boston, MA: Institute for Healthcare Improvement; 2022. https://psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults T…

2042. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47766/psn-pdf
      March 27, 2019 - Advancing the Safety of Acute Pain Management. March 27, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/advancing-safety-acute-pain-management Pain management has emerged as a complex safety concern. This report discusses four organizational prerequisites to improve pain …

2043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37422/psn-pdf
      March 23, 2011 - Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. March 23, 2011 Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Qual S…

2044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35383/psn-pdf
      January 02, 2017 - North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. January 2, 2017 Murphree J, Englert J, Koch K, et al. North Mississippi Medical Center: a focus on quality, safety, and financial critical success factors. Jt Comm J Qual Patient Saf. 2005;31(10):545-53. https://p…

2045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855002/psn-pdf
      November 01, 2023 - Temporarily holding medication orders safely in order to prevent patient harm. November 1, 2023 ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. https://psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm Process disconnects can cause administr…

2046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72733/psn-pdf
      February 10, 2021 - Start the year off right by preventing these top 10 medication errors and hazards from 2020. February 10, 2021 ISMP Medication Safety Alert! Acute care edition. January 27, 2021;26(2). https://psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020 Medication safety is chal…

2047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43440/psn-pdf
      August 13, 2014 - Hospital Experiences Using Electronic Health Records to Support Medication Reconciliation. August 13, 2014 Grossman JM, Gourevitch R, Cross D. Washington, DC: National Institute for Health Care Reform; July 2014. NIHCR Research Brief No. 17. https://psnet.ahrq.gov/issue/hospital-experiences-using-electronic-health…

2048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864865/psn-pdf
      March 20, 2024 - The Top Five: A Review of Post-Pandemic Patient Safety Priorities. March 20, 2024 Sacramento, CA: Hospital Quality Institute; 2024. https://psnet.ahrq.gov/issue/top-five-review-post-pandemic-patient-safety-priorities The COVID pandemic posed wide-ranging challenges to both society at large as well as to the health…

2049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34570/psn-pdf
      March 07, 2005 - Measuring the Success of the Regional Medication Safety Program for Hospitals. March 7, 2005 Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005. https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals The Regional Medication Safety Prog…

2050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60555/psn-pdf
      January 01, 2021 - Putting the patient in patient safety investigations: barriers and strategies for involvement. June 3, 2020 Busch IM, Saxena A, Wu AW. Putting the patient in patient safety investigations: barriers and strategies for involvement. J Patient Saf. 2021;17(5):358-362. doi:10.1097/pts.0000000000000699. https://psnet.ah…

2051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44594/psn-pdf
      March 15, 2016 - ICU attending handoff practices: results from a national survey of academic intensivists. March 15, 2016 Lane-Fall MB, Collard ML, Turnbull AE, et al. ICU Attending Handoff Practices: Results From a National Survey of Academic Intensivists. Crit Care Med. 2016;44(4):690-8. doi:10.1097/CCM.0000000000001470. https:/…

2052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43399/psn-pdf
      August 06, 2014 - Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. August 6, 2014 Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code medication administration system.…

2053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42233/psn-pdf
      May 01, 2013 - From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of safety issues in clinical settings. May 1, 2013 Cooper E. From the school of nursing quality and safety officer: nursing students' use of safety reporting tools and their perception of saf…

2054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35786/psn-pdf
      May 07, 2007 - When Things Go Wrong: Responding to Adverse Events. May 7, 2007 Boston, MA: Massachusetts Coalition for the Prevention of Medical Errors; 2006. https://psnet.ahrq.gov/issue/when-things-go-wrong-responding-adverse-events This consensus paper of the Harvard-affiliated hospitals was prepared by clinicians, risk manage…

2055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35766/psn-pdf
      March 02, 2011 - Unexpected hypoglycemia in a critically ill patient. March 2, 2011 Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. https://psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient This case study shares the experiences of a patient who suffered a medicati…

2056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47028/psn-pdf
      May 02, 2018 - Medication errors 2018: the year in review. May 2, 2018 Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018. https://psnet.ahrq.gov/issue/medication-errors-2018-year-review Despite considerable effort, medication errors continue to occur and result in patient harm. Summari…

2057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38307/psn-pdf
      January 07, 2009 - Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. January 7, 2009 Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 month…

2058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836759/psn-pdf
      April 06, 2022 - Diversion is a Threat to Patient Safety: Adopting Best Practices. March 16, 2022 Institute for Safe Medication Practices. April 6, 2022.  https://psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices Drug diversion can result in patient harm due to reduced medication availability, impai…

2059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60008/psn-pdf
      July 09, 2024 - IHI Patient Safety Congress. July 9, 2024 Institute for Healthcare Improvement. San Diego, CA, March 10-11, 2025. https://psnet.ahrq.gov/issue/ihi-patient-safety-congress This annual conference will host pre-session workshops, panels, and presentations covering a variety of patient safety topics that ali…

2060. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72762/psn-pdf
      February 17, 2021 - Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. February 17, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care Effective integration of hea…