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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/864865/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764413/psn-pdfMarch 02, 2022 - Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. March 2, 2022 Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021. https://psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care The emergence of telemedicine during… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41246/psn-pdfApril 06, 2012 - Utilizing improvement science methods to improve physician compliance with proper hand hygiene. April 6, 2012 White CM, Statile AM, Conway PH, et al. Utilizing improvement science methods to improve physician compliance with proper hand hygiene. Pediatrics. 2012;129(4):e1042-50. doi:10.1542/peds.2011-1864. https:/… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43399/psn-pdfAugust 06, 2014 - Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. August 6, 2014 Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code medication administration system.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37809/psn-pdfNovember 21, 2016 - Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices. November 21, 2016 Johnson B, Abraham M, Conway J, et al. Bethesda, MD: Institute for Family-Centered Care; April 2008. https://psnet.ahrq.gov/issue/partnering-patients-and-fam… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35766/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72511/psn-pdfNovember 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837192/psn-pdfMay 25, 2022 - Declaration to Advance Patient Safety. May 25, 2022 National Steering Committee for Patient Safety. Boston, MA: Institute for Healthcare Improvement; May 2022. https://psnet.ahrq.gov/issue/declaration-advance-patient-safety Leadership commitment is crucial to attaining sustainable improvement in patient safety. Th… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47766/psn-pdfMarch 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/844556/psn-pdfFebruary 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… -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/impl-guide/implementation-guide-appendix-d.pdfOctober 05, 2015 - Appendix D. Poster on Indications for Urinary Catheters AHRQ Safety Program for Reducing CAUTI in Hospitals Appendix D. Poster on Indications for Urinary Catheters In lower right, use Adobe Acrobat Pro to insert contact information for your institution. Does yo ur patie nt really …
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www.ahrq.gov/talkingquality/resources/initiatives.htmlNovember 01, 2018 - Key Initiatives in Measuring and Reporting Health Care Quality Several individual organizations and collaborative initiatives have helped to shape the national health care agenda with respect to transparency, accountability, improvement, and informed choice. Within their respective areas of focus, they have spu…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855002/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45565/psn-pdfMay 24, 2017 - Leading a Culture of Safety: a Blueprint for Success. May 24, 2017 Chicago, IL: American College of Healthcare Executives, National Patient Safety Foundation's Lucian Leape Institute; 2017. https://psnet.ahrq.gov/issue/leading-culture-safety-blueprint-success Health care leadership plays an undeniable role in sust… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44946/psn-pdfFebruary 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33934/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72762/psn-pdfFebruary 17, 2021 - Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care. February 17, 2021 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2021. https://psnet.ahrq.gov/issue/optimizing-health-it-safe-integration-behavioral-health-and-primary-care Effective integration of hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46069/psn-pdfFebruary 28, 2018 - Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. February 28, 2018 Joint Commission Resources. Oak Brook, IL: Joint Commission; 2017. ISBN: 9781599409474. https://psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care- seco… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50867/psn-pdfFebruary 05, 2020 - Cognitive testing of older clinicians prior to recredentialing. February 5, 2020 Cooney L, Balcezak T. Cognitive Testing of Older Clinicians Prior to Recredentialing. JAMA. 2020;323(2):179-180. doi:10.1001/jama.2019.18665. https://psnet.ahrq.gov/issue/cognitive-testing-older-clinicians-prior-recredentialing In an… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60008/psn-pdfJuly 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…
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