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Showing results for "involving".

3061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72770/psn-pdf
      February 24, 2021 - Communication about medical errors. February 24, 2021 Kaldjian LC. Communication about medical errors. Patient Educ Couns. 2021;104(5):989-993. doi:10.1016/j.pec.2020.11.035. https://psnet.ahrq.gov/issue/communication-about-medical-errors Disclosure of and communication about errors and adverse events is increasin…

3062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866863/psn-pdf
      October 02, 2024 - The nature of adverse events in dentistry. October 2, 2024 Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255. https://psnet.ahrq.gov/issue/nature-adverse-events-dentistry Patient safety in dentistry is relatively und…

3063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43233/psn-pdf
      June 17, 2014 - Quality and safety education for nurses: a nursing leadership skills exercise. June 17, 2014 Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…

3064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43838/psn-pdf
      September 12, 2016 - The US has a drug shortage—and people are dying. September 12, 2016 Koba M. https://psnet.ahrq.gov/issue/us-has-drug-shortage-and-people-are-dying National drug shortages are a persisting and serious patient safety issue in the United States. Reporting on the drug shortage problem, this magazine article explores u…

3065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854393/psn-pdf
      October 11, 2023 - Pharmacy-led medication reconciliation is best practice. October 11, 2023 Tanski MC. Pharmacy Times Health Systems edition. September 2023;12(5):34-35. https://psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice Medication reconciliation should be completed at admission, discharge, and during …

3066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37840/psn-pdf
      June 28, 2016 - Engaging Patients as Safety Partners: a Guide for Reducing Errors and Improving Satisfaction. June 28, 2016 Spath P, ed. Chicago, IL: AHA Press; 2008. ISBN: 9781556483530. https://psnet.ahrq.gov/issue/engaging-patients-safety-partners-guide-reducing-errors-and-improving- satisfaction This book discusses strategie…

3067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43396/psn-pdf
      July 30, 2014 - Patient safety and quality care. July 30, 2014 Nelson K. Patient safety and quality care. Clin Dermatol. 2014;32(4):542-4. doi:10.1016/j.clindermatol.2013.12.001. https://psnet.ahrq.gov/issue/patient-safety-and-quality-care This commentary reveals insights from a physician who was involved in a misidentified speci…

3068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44535/psn-pdf
      September 30, 2015 - Diagnostic experiences of children with attention- deficit/hyperactivity disorder. September 30, 2015 Visser SN, Zablotsky B, Holbrook JR, Danielson ML, Bitsko RH. Natl Health Stat Report. 2015;(81):1-8. https://psnet.ahrq.gov/issue/diagnostic-experiences-children-attention-deficithyperactivity-disorder This surve…

3069. The Wrongful Resuscitation | PSNet
      psnet.ahrq.gov/web-mm/wrongful-resuscitation
      October 12, 2012 - Transitions of care involving frail, older persons are often problematic.

3070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47740/psn-pdf
      April 10, 2019 - Abandon the term "second victim." April 10, 2019 Clarkson MD, Haskell H, Hemmelgarn C, et al. Abandon the term "second victim". BMJ. 2019;364:l1233. doi:10.1136/bmj.l1233. https://psnet.ahrq.gov/issue/abandon-term-second-victim The term "second victim," coined by Dr. Albert Wu, has engendered mixed responses from …

3071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34754/psn-pdf
      February 06, 2018 - Patient Safety in Anesthetic Practice. February 6, 2018 Morell RC; Eichhorn JH, eds. New York: Churchill Livingstone, 1997. ISBN: 9780443076824. https://psnet.ahrq.gov/issue/patient-safety-anesthetic-practice Anesthesiology made its mark early on in the quest for patient safety. Eichhorn was a part of the converge…

3072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43680/psn-pdf
      November 19, 2014 - FDA Pharmacists Help Consumers Use Medicines Safely. November 19, 2014 Silver Spring, MD: United States Food and Drug Administration; October 31, 2014. https://psnet.ahrq.gov/issue/fda-pharmacists-help-consumers-use-medicines-safely Studies have shown that pharmacist involvement can prevent medication errors. To he…

3073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35271/psn-pdf
      June 29, 2009 - Use of specific indicators to detect warfarin-related adverse events.   June 29, 2009 Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404. https://psnet.ahrq.gov/issue/use-specific-indic…

3074. Forcing Function | PSNet
      psnet.ahrq.gov/glossary/forcing-function
      September 13, 2021 - Forcing Function September 13, 2021 Anonymous (not verified) An aspect of a design that prevents a target action from being performed or allows its performance only if another specific action is performed first. For example, automobiles are now designed so that the driver cannot shift into reverse without first…

3075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35439/psn-pdf
      October 26, 2005 - Medical research and the Institutional Review Board: the librarian's role in human subject testing. October 26, 2005 Robinson JG; Gehle JL. Reference Services Review. 2005;33(1); https://psnet.ahrq.gov/issue/medical-research-and-institutional-review-board-librarians-role-human-subject- testing The authors discuss…

3076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43520/psn-pdf
      July 16, 2015 - Relationship of adverse events and support to RN burnout. July 16, 2015 Lewis EJ, Baernholdt MB, Yan G, et al. Relationship of adverse events and support to RN burnout. J Nurs Care Qual. 2015;30(2):144-52. doi:10.1097/NCQ.0000000000000084. https://psnet.ahrq.gov/issue/relationship-adverse-events-and-support-rn-bur…

3077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35479/psn-pdf
      June 14, 2011 - Implementing root cause analysis in an area health service: views of the participants. June 14, 2011 Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8. https://psnet.ahrq.gov/issue/implementing-root-cause-analy…

3078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36701/psn-pdf
      January 18, 2011 - Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. January 18, 2011 Scheirton LS, Mu K, Lohman H, et al. Error and patient safety: ethical analysis of cases in occupational and physical therapy practice. Med Health Care Philos. 2007;10(3):301-11. https://psnet.ahrq.g…

3079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37774/psn-pdf
      June 11, 2008 - Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. June 11, 2008 Hayes BD, Klein-Schwartz W, Doyon S. Frequency of medication errors with intravenous acetylcysteine for acetaminophen overdose. Ann Pharmacother. 2008;42(6):766-70. doi:10.1345/aph.1K685. https://psnet.ahrq.gov…

3080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37607/psn-pdf
      May 02, 2018 - USA Today news series: clarifying the issues and embracing community pharmacy safety. May 2, 2018 ISMP Medication Safety Alert! Acute care edition. February 28, 2008. https://psnet.ahrq.gov/issue/usa-today-news-series-clarifying-issues-and-embracing-community-pharmacy- safety This article contextualizes a recent …