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Showing results for "institutional".

2301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867804/psn-pdf
      February 26, 2025 - Are We Safer Today? February 26, 2025 Bates DW, Lee M, Mossburg SE. Are We Safer Today? PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/are-we-safer-today In the 1999 report, To Err Is Human: Building a Safer Health System, the Institute of Medicine (now the National Academy of Medicine) drew on two lar…

2302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73106/psn-pdf
      April 01, 2021 - Strategies and Approaches for Tracking Improvements in Patient Safety April 1, 2021 Shaikh U. Strategies and Approaches for Tracking Improvements in Patient Safety . PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/strategies-and-approaches-tracking-improvements-patient-safety Background An essential aspect …

2303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49667/psn-pdf
      October 01, 2012 - Looking for Meds in All the Wrong Places October 1, 2012 Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places The Case A 40-year-old uninsured woman with anxiety ran out of her prescribed clonazepam and had a seizure. She went to t…

2304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33617/psn-pdf
      August 01, 2005 - In Conversation with…Barbara A. Blakeney, MS, RN August 1, 2005 In Conversation with…Barbara A. Blakeney, MS, RN. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn Editor's Note: Barbara A. Blakeney, MS, RN, is President of the 150,000-member American Nurses Associa…

2305. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.326_slideshow.ppt
      June 01, 2014 - PowerPoint Presentation Spotlight Wandering Off the Floors: Safety and Security Risks of Patient Wandering 1 This presentation is based on the June 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas A. Smith, CHPA, CPP, President, Healthc…

2306. Introducing the Redesigned AHRQ Patient Safety Network | PSNet
      psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
      December 01, 2005 - Introducing the Redesigned AHRQ Patient Safety Network Robert M. Wachter, MD | November 1, 2015  View more articles from the same authors. Citation Text: Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. Rockville (MD): Agency f…

2307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33725/psn-pdf
      February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing Tension February 1, 2012 Dine JC, Myers JS. Balancing Supervision and Autonomy: An Ongoing Tension. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension Perspective Graduate Medical Education (GME) has changed …

2308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74194/psn-pdf
      December 15, 2021 - Age-related COVID-19 vaccine mix-ups. December 15, 2021 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.  https://psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups Vaccine missteps are known to …

2309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43579/psn-pdf
      October 08, 2014 - Implications of Health Literacy for Public Health: Workshop Summary. October 8, 2014 Hewitt M, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2014. ISBN: 9780309303651. https://psnet.ahrq.gov/issue…

2310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47738/psn-pdf
      February 06, 2019 - ISMP Guidelines for Safe Electronic Communication of Medication Information. February 6, 2019 Horsham, PA: Institute for Safe Medication Practices; January 2019. https://psnet.ahrq.gov/issue/ismp-guidelines-safe-electronic-communication-medication-information Inaccurate or incomplete data in electronic health reco…

2311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47456/psn-pdf
      April 30, 2019 - ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. April 30, 2019 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices Standardized practices have not been uniformly adopted to support safe IV medicati…

2312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836969/psn-pdf
      April 20, 2022 - Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. April 20, 2022 ISMP Medication Safety Alert! Acute care edition. April 7, 2022; 27(2):1-6. https://psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens- patient-safety…

2313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34715/psn-pdf
      February 18, 2011 - Continuous improvement as an ideal in health care. February 18, 2011 Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. https://psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care Two approaches to improving quality in health care are illustrated in this artic…

2314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45668/psn-pdf
      September 29, 2017 - Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. September 29, 2017 Gupta R, Moriates C, Harrison JD, et al. Development of a high-value care culture survey: a modified Delphi process and psychometric evaluation. BMJ Qual Saf. 2017;26(6):475-483. doi:10.1136/bm…

2315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43633/psn-pdf
      November 05, 2014 - An integrative review: fatigue among nurses in acute care settings. November 5, 2014 Smith-Miller CA, Shaw-Kokot J, Curro B, et al. An integrative review: fatigue among nurses in acute care settings. J Nurs Adm. 2014;44(9):487-94. doi:10.1097/NNA.0000000000000104. https://psnet.ahrq.gov/issue/integrative-review-fa…

2316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40654/psn-pdf
      January 01, 2012 - The computerized rounding report: implementation of a model system to support transitions of care. December 15, 2011 Wohlauer M, Rove KO, Pshak TJ, et al. The computerized rounding report: implementation of a model system to support transitions of care. J Surg Res. 2012;172(1):11-7. doi:10.1016/j.jss.2011.04.015. …

2317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42914/psn-pdf
      June 18, 2014 - 2013 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. June 18, 2014 Joint Commission. January 27, 2014. https://psnet.ahrq.gov/issue/2013-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced The Eisenberg Award honors individuals and organizations who have made vital accom…

2318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42949/psn-pdf
      February 19, 2014 - Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. February 19, 2014 Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. Ann Pharmacot…

2319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60711/psn-pdf
      July 22, 2020 - Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. July 22, 2020 Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4):1239-1246.e3. doi:10.1016/j.jaip.…

2320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46551/psn-pdf
      October 25, 2017 - Inpatient notes: diagnostic excellence starts with an incessant watch. October 25, 2017 Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…