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Showing results for "institutional".

2201. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73327/psn-pdf
      January 25, 2022 - ISMP Medication Safety Self Assessment® for Perioperative Settings. January 25, 2022 Institute for Safe Medication Practices https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings The perioperative setting is a high-risk area for medication errors, should they occur. This asses…

2202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39518/psn-pdf
      May 12, 2010 - Improving patient safety in radiology: concepts for a comprehensive patient safety program. May 12, 2010 Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety in radiology: concepts for a comprehensive patient safety program. Semin Ultrasound CT MR. 2010;31(2):67-70. doi:10.1053/j.sult.2009.11.…

2203. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38405/psn-pdf
      February 11, 2009 - Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. February 11, 2009 Schnall R, Stone PW, Currie L, et al. Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. J Nurs Scholarsh. 2008;40(4):391-4. doi:10.1111/j.1547- 506…

2204. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34636/psn-pdf
      June 14, 2011 - The wrong patient. June 14, 2011 Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833. https://psnet.ahrq.gov/issue/wrong-patient This case study describes the events of a patient who underwent an unintended invasive cardiac electrophysiology study. While reviewing the details of the case…

2205. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43409/psn-pdf
      February 25, 2015 - Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. February 25, 2015 Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.002. https://psnet.ahrq.gov/issu…

2206. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44159/psn-pdf
      July 08, 2016 - Vital Signs: Core Metrics for Health and Health Care Progress. July 8, 2016 Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309324939. https://psnet.ahrq.gov/issue/vital-signs-cor…

2207. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60889/psn-pdf
      January 01, 2021 - Expert consensus on currently accepted measures of harm. September 9, 2020 Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. https://psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measu…

2208. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45890/psn-pdf
      February 15, 2017 - A Framework for Safe, Reliable, and Effective Care. February 15, 2017 Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. https://psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care A systems approach to safety ca…

2209. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842432/psn-pdf
      January 11, 2023 - Medication errors: the year in review: January through December 2021. January 11, 2023 Pharmacy Practice News Special Edition. December 13, 2022: 43-54. https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur despite long-standing efforts to redu…

2210. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34994/psn-pdf
      September 29, 2017 - Advances in Patient Safety: From Research to Implementation. September 29, 2017 Henriksen K, Battles JB, Marks ES, et al, eds. Rockville, MD: Agency for Healthcare Research and Quality (US); 2005. https://psnet.ahrq.gov/issue/advances-patient-safety-research-implementation With 4 volumes and 140 articles (all of …

2211. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42907/psn-pdf
      August 02, 2015 - Innovation in safety, and safety in innovation. August 2, 2015 Eisenberg D, Wren SM. Innovation in safety, and safety in innovation. JAMA Surg. 2014;149(1):7-9. doi:10.1001/jamasurg.2013.5112. https://psnet.ahrq.gov/issue/innovation-safety-and-safety-innovation This commentary discusses systems-focused innovations…

2212. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842775/psn-pdf
      January 18, 2023 - Safer Together Survey: Advancing Patient and Workforce Safety January 18, 2023 Cambridge, MA: Institute for Healthcare Improvement: January 2023. https://psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety The National Steering Committee for Patient Safety (NSC) was formed to engage w…

2213. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43335/psn-pdf
      July 09, 2014 - Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. July 9, 2014 Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.0000000000000266. https://psnet.ahrq.gov/is…

2214. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38211/psn-pdf
      May 21, 2009 - Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. May 21, 2009 Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration system in reducing preventable adverse…

2215. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837979/psn-pdf
      August 31, 2022 - Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional). August 31, 2022 National Institutes of Health.  August 11, 2022. RFA-HD-23-035. https://psnet.ahrq.gov/issue/maternal-health-research-centers-excellence-u54-clinical-trial-optional Maternity care is increasingly being recognized as …

2216. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34737/psn-pdf
      November 19, 2015 - First, Do No Harm Part 1: A Case Study of Systems Failure. November 19, 2015 Chicago: Partnership for Patient Safety, Harvard Risk Management Foundation; 2000. https://psnet.ahrq.gov/issue/first-do-no-harm-part-1-case-study-systems-failure This video, produced by the Partnership for Patient Safety and the Harvard …

2217. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837907/psn-pdf
      August 24, 2022 - ISMP Guidelines for Safe Medication Use in Perioperative and Procedural Settings. August 24, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-medication-use-perioperative-and-procedural-settings Medication errors associated with surgery and…

2218. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43529/psn-pdf
      October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr…

2219. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44909/psn-pdf
      March 23, 2016 - Root Cause Analysis Workbook for Community/Ambulatory Pharmacy. March 23, 2016 Horsham, PA: Institute for Safe Medication Practices; 2013. https://psnet.ahrq.gov/issue/root-cause-analysis-workbook-communityambulatory-pharmacy Root cause analysis offers a structured way to detect and address system weaknesses. This…

2220. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45223/psn-pdf
      September 27, 2017 - Hospital safety climate and safety behavior: a social exchange perspective. September 27, 2017 Ancarani A, Di Mauro C, Giammanco MD. Hospital safety climate and safety behavior: A social exchange perspective. Health Care Manage Rev. 2017;42(4):341-351. doi:10.1097/HMR.0000000000000118. https://psnet.ahrq.gov/issue…