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Showing results for "institutional".

4241. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46640/psn-pdf
      August 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-…

4242. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837000/psn-pdf
      May 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- …

4243. How to Implement a Team-Based Model in Primary Care: Learning Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/tools/practice-team.html
      November 01, 2018 - How to Implement a Team-Based Model in Primary Care: Learning Guide Resource: The Practice Team This online learning module provides a comprehensive overview and guidance for practices to implement a team-based model of primary care to enhance quality of care and productivity. Resources to support Key Drive…

4244. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42301/psn-pdf
      July 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…

4245. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38499/psn-pdf
      March 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…

4246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44204/psn-pdf
      June 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.…

4247. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45043/psn-pdf
      July 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…

4248. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34885/psn-pdf
      February 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-…

4249. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60626/psn-pdf
      June 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…

4250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837517/psn-pdf
      June 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…

4251. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44318/psn-pdf
      December 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…

4252. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34727/psn-pdf
      July 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…

4253. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45369/psn-pdf
      October 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 …

4254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44407/psn-pdf
      April 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…

4255. Alliance of Dedicated Cancer Centers Patient Safety Organization | PSO
      pso.ahrq.gov/pso/alliance-dedicated-cancer-centers-patient-safety-organization
      June 14, 2022 - SHARE: More topics in this section Return to Search Alliance of Dedicated Cancer Centers Patient Safety Organization PSO Number: P0240 Components of Parent Org(s): Alliance of Ded…

4256. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44908/psn-pdf
      June 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…

4257. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43791/psn-pdf
      December 17, 2014 - Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. December 17, 2014 Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383. https:…

4258. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73969/psn-pdf
      October 26, 2021 - Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. October 13, 2021 Institute for Safe Medication Practices. October 26, 2021. https://psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially- harmful-dispensing Community …

4259. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46622/psn-pdf
      December 06, 2017 - White paper on recommendation for systems-based practice competency. December 6, 2017 Stalter AM, Phillips JM, Dolansky MA. QSEN Institute RN-BSN Task Force: White Paper on Recommendation for Systems-Based Practice Competency. J Nurs Care Qual. 2017;32(4):354-358. doi:10.1097/NCQ.0000000000000262. https://psnet.a…

4260. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46554/psn-pdf
      October 25, 2017 - Severe hyperglycemia in patients incorrectly using insulin pens at home. October 25, 2017 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. October 12, 2017. https://psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrect…