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Total Results: 5,153 records

Showing results for "institutional".

1941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38342/psn-pdf
      September 08, 2022 - Consumermedsafety.org September 8, 2022 Institute for Safe Medication Practices; 5200 Butler Pike, Plymouth Meeting, PA 19462. https://psnet.ahrq.gov/issue/consumermedsafetyorg This redesigned Web site provides information about drug safety alerts and allows consumers to help report and prevent medication errors. …

1942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37085/psn-pdf
      July 15, 2013 - Critical Care Safety: Essentials for ICU Patient Care and Technology. July 15, 2013 Plymouth Meeting PA: ECRI Institute; 2007. ISBN 9780977914258. https://psnet.ahrq.gov/issue/critical-care-safety-essentials-icu-patient-care-and-technology This guide provides comprehensive tools for assessment, training, and imple…

1943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36465/psn-pdf
      September 27, 2010 - An interview with Donald Berwick. September 27, 2010 Berwick DM. An interview with Donald Berwick. Interview by Paul M Schyve. Jt Comm J Qual Patient Saf. 2006;32(12):661-666. https://psnet.ahrq.gov/issue/interview-donald-berwick Dr. Berwick, president of the Institute for Healthcare Improvement, discusses his lif…

1944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49483/psn-pdf
      June 01, 2005 - Getting to the Root of the Matter June 1, 2005 Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/getting-root-matter Case Objectives Appreciate the goals and limitations of root cause analysis Outline the steps to conduct root cause analysis The Case A…

1945. Getting to the Root of the Matter | PSNet
      psnet.ahrq.gov/web-mm/getting-root-matter
      September 01, 2005 - SPOTLIGHT CASE Getting to the Root of the Matter Citation Text: Saint S, Flanders S. Getting to the Root of the Matter. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Schola…

1946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33590/psn-pdf
      September 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…

1947. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36931/psn-pdf
      September 09, 2011 - Customer focused incident monitoring in anaesthesia. September 9, 2011 Khan FA, Khimani S. Customer focused incident monitoring in anaesthesia. Anaesthesia. 2007;62(6):586- 90. https://psnet.ahrq.gov/issue/customer-focused-incident-monitoring-anaesthesia The authors studied anesthesia-related incident reports at o…

1948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39415/psn-pdf
      March 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…

1949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41902/psn-pdf
      November 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…

1950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37407/psn-pdf
      September 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…

1951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34010/psn-pdf
      June 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…

1952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35569/psn-pdf
      April 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…

1953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38250/psn-pdf
      June 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 …

1954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40112/psn-pdf
      July 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…

1955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39906/psn-pdf
      July 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…

1956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40987/psn-pdf
      February 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…

1957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33903/psn-pdf
      November 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…

1958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40388/psn-pdf
      April 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://…

1959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35509/psn-pdf
      January 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…

1960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35937/psn-pdf
      June 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…