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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/840163/psn-pdfNovember 16, 2022 - Deep Dive: Racial and Ethnic Disparities in Health and Healthcare. November 16, 2022 Plymouth Meeting, PA: ECRI and the Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/deep-dive-racial-and-ethnic-disparities-health-and-healthcare Racist behavior directed at either patients or clinicians… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43284/psn-pdfNovember 28, 2016 - Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. November 28, 2016 Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490. doi:10.1155/2014/791490. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41917/psn-pdfMay 04, 2022 - ISMP Guidelines for Sterile Compounding and the Safe Use of Sterile Compounding Technology. May 4, 2022 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2022. https://psnet.ahrq.gov/issue/ismp-guidelines-sterile-compounding-and-safe-use-sterile-compounding- technology This updated report describes b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46640/psn-pdfAugust 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72829/psn-pdfMarch 10, 2021 - Safe Practices to Reduce CPOE Alert Fatigue through Monitoring, Analysis, and Optimization. March 10, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/safe-practices-reduce-cpoe-alert-fatigue-through-monitoring-analysis-and- optimization Alert… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44674/psn-pdfDecember 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. December 18, 2017 Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390. https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health Since the publication of the Inst… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837000/psn-pdfMay 06, 2022 - Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. May 6, 2022 Institute for Safe Medication Practices and the Just Culture Company. May 6, 2022. https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath- … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42301/psn-pdfJuly 22, 2013 - Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. July 22, 2013 Ahmed M, Arora S, Baker P, et al. Building capacity and capability for patient safety education: a train-the- trainers programme for senior doctors. BMJ Qual Saf. 2013;22(8):618-25. doi:1… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38499/psn-pdfMarch 01, 2011 - The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. March 1, 2011 Cravero JP, Beach ML, Blike G, et al. The incidence and nature of adverse events during pediatric sedatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44204/psn-pdfJune 17, 2015 - Effectiveness of interventions to improve patient handover in surgery: a systematic review. June 17, 2015 Pucher PH, Johnston MJ, Aggarwal R, et al. Effectiveness of interventions to improve patient handover in surgery: A systematic review. Surgery. 2015;158(1):85-95. doi:10.1016/j.surg.2015.02.017. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45043/psn-pdfJuly 01, 2016 - Exclusion of residents from surgery-intensive care team communication: a qualitative study. July 1, 2016 Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j.jsurg.2016.02.002. https://psnet.a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34885/psn-pdfFebruary 07, 2019 - Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. February 7, 2019 Knox RA. Boston Globe. March 23, 1995; metro/region:1. https://psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose- caused-death-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60626/psn-pdfJune 24, 2020 - A nursing home’s 64-day Covid siege: ‘They’re all going to die’. June 24, 2020 Barker K. A nursing home’s 64-day Covid siege: ‘They’re all going to die’. New York Times. 2020;June 10. https://psnet.ahrq.gov/issue/nursing-homes-64-day-covid-siege-theyre-all-going-die This feature story describes the COVID-19 experi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837517/psn-pdfJune 22, 2022 - Zero: Eliminating Unnecessary Deaths in a Post- pandemic NHS. June 22, 2022 Hunt J. London, UK: Swift Press; 2022. ISBN: ? 9781800751224. https://psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs The National Health Service (NHS) has been a leader in patient safety for over 20 years, and y… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44318/psn-pdfDecember 04, 2016 - At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. December 4, 2016 J Med Toxicol. 2015;11(2):165-166, 252-273. https://psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and- medication-safety This special issue hi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34727/psn-pdfJuly 13, 2016 - Human Error in Medicine. July 13, 2016 Bogner MSE, ed. Hillsdale, NJ: L. Erlbaum Associates; 1994. ISBN 9780805813852. https://psnet.ahrq.gov/issue/human-error-medicine This book, published well in advance of the Institute of Medicine report To Err is Human, includes chapters by a number of leaders in their fields… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45369/psn-pdfOctober 29, 2017 - The aging physician and the medical profession: a review. October 29, 2017 Dellinger P, Pellegrini CA, Gallagher TH. The Aging Physician and the Medical Profession: A Review. JAMA Surg. 2017;152(10):967-971. doi:10.1001/jamasurg.2017.2342. https://psnet.ahrq.gov/issue/aging-physician-and-medical-profession-review … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44407/psn-pdfApril 15, 2016 - Frequency and severity of parenteral nutrition medication errors at a large children's hospital after implementation of electronic ordering and compounding. April 15, 2016 MacKay M, Anderson C, Boehme S, et al. Frequency and Severity of Parenteral Nutrition Medication Errors at a Large Children's Hospital After Im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44908/psn-pdfJune 07, 2016 - Speak up! Addressing the paradox plaguing patient- centered care. June 7, 2016 Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care. Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416. https://psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-center… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39960/psn-pdfSeptember 19, 2016 - Respectful Management of Serious Clinical Adverse Events. Second Edition. September 19, 2016 Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Healthcare Improvement; 2011. https://psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition This white paper e…
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