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Total Results: 5,153 records

Showing results for "institutional".

2261. 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 …

2262. 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…

2263. 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 …

2264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42625/psn-pdf
      November 08, 2013 - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. November 8, 2013 Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm J Qual Patient Saf. 2013;39(10):4…

2265. 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…

2266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33934/psn-pdf
      March 02, 2011 - A hospitalization from hell: a patient's perspective on quality. March 2, 2011 Cleary PD. A hospitalization from hell: a patient's perspective on quality. Ann Intern Med. 2003;138(1):33- 39. https://psnet.ahrq.gov/issue/hospitalization-hell-patients-perspective-quality The author shares the unique perspectives of…

2267. 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…

2268. 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…

2269. 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…

2270. 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…

2271. 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…

2272. 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:/…

2273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38907/psn-pdf
      January 03, 2017 - Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. January 3, 2017 Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient Saf. 2009;35(9):439-448. https…

2274. 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…

2275. 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…

2276. 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…

2277. 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…

2278. 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…

2279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34697/psn-pdf
      December 08, 2010 - Sentinel events. In memory of Ben—a case study. December 8, 2010 Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. https://psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study Written from the perspective of a risk manager, the author tells the story of a medication a…

2280. 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…