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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44041/psn-pdfApril 01, 2015 - Potentially dangerous confusion between Bloxiverz (neostigmine) injection and Vazculep (phenylephrine) injection. April 1, 2015 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. March 23, 2015 https://psnet.ahrq.gov/issue/pot… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72733/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46160/psn-pdfJune 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… -
www.ahrq.gov/evidencenow/tools/burnout-in-primary-care.htmlMarch 01, 2023 - Burnout in Primary Care: Assessing and Addressing It in Your Practice Resource: Burnout in Primary Care (PDF, 1.5 MB, 16 pages) Burnout is a serious and growing problem in primary care practices. Burnout can increase worker turnover and reduce quality of care, leading to lower patient satisfaction and pati…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40883/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45496/psn-pdfMay 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-… -
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/addressing-workforce-safety-agenda-062723.pdfJune 27, 2023 - Addressing Violence in the Workplace Agenda: NAA Webinar June 2023 National Action Alliance to Advance Patient Safety Summer Webinar Series Agenda Addressing Violence in the Workplace Tuesday, June 27, 2023 2:00 – 3:00 PM ET Questions We are Running On: 1. What do we know about violence in the workplace an…
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www.ahrq.gov/evidencenow/projects/urinary/resources/outreach-script-healthy-hearts.htmlMarch 01, 2021 - Back to MUI Resources Community Health Care Association of New York State Recruitment Outreach Script Resource Document available on the AHRQ website (PDF, 169 KB). Summary This resource is an example of a recruitment phone call script for conversations with a CMO, CEO or QI …
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www.ahrq.gov/evidencenow/projects/urinary/resources/primary-care-recruitment.htmlJanuary 01, 2019 - Back to MUI Resources Heart of Virginia Healthcare Primary Care Recruitment Package Resource Document available on the AHRQ website (PDF, 7.3 MB) Summary This resource is an example of an in-depth recruitment package for primary care practices; it provides background on the r…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37422/psn-pdfMarch 23, 2011 - Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. March 23, 2011 Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Qual S… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836759/psn-pdfApril 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42625/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46286/psn-pdfSeptember 13, 2017 - Preventing blood transfusion failures: FMEA, an effective assessment method. September 13, 2017 Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. https://psnet.ahrq.gov/issue/pre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60285/psn-pdfApril 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60972/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/838925/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47220/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47028/psn-pdfMay 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38326/psn-pdfJanuary 14, 2009 - Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. January 14, 2009 Clay BJ, Halasyamani L, Stucky ER, et al. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. J Hosp Med. 2008;3(6). doi:10.1002/jhm.370.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38307/psn-pdfJanuary 07, 2009 - Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. January 7, 2009 Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 month…
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