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Showing results for "institutional".

  1. 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…

  2. 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…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36419/psn-pdf
    July 14, 2010 - Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. July 14, 2010 Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90690.97. https://psnet.ahrq.gov/issue/tim…

  4. 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. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37830/psn-pdf
    June 18, 2008 - Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? June 18, 2008 Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.1016/j.amjsurg.2008.01.009. https://psn…

  6. Can Research Help Us Improve the Medical Liability System? | PSNet

    psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
    March 01, 2012 - you're in control over that question, it actually brings a sense of calm and personal accountability, or institutional

  7. In Conversation With… Richard C. Boothman, JD | PSNet

    psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
    March 01, 2012 - you're in control over that question, it actually brings a sense of calm and personal accountability, or institutional

  8. 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…

  9. 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…

  10. 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…

  11. 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…

  12. 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-…

  13. 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…

  14. 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…

  15. 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:/…

  16. 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…

  17. 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…

  18. 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…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44946/psn-pdf
    February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40883/psn-pdf
    February 10, 2012 - Consensus statement on effective communication of urgent diagnoses and significant, unexpected diagnoses in surgical pathology and cytopathology from the College of American Pathologists and Association of Directors of Anatomic and Surgical Pathology. February 10, 2012 Nakhleh RE, Myers JL, Allen TC, et al. Conse…
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