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Showing results for "managing".

  1. Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. | PSNet

    psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they-do-and-how-fix-it
    November 20, 2019 - Newspaper/Magazine Article Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Citation Text: Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. Park A. Time Magazine. January 24, 2019. Copy Citation…

  2. Condition concern: an innovative response system for enhancing hospitalized patient care and safety. | PSNet

    psnet.ahrq.gov/issue/condition-concern-innovative-response-system-enhancing-hospitalized-patient-care-and-safety
    April 24, 2018 - Commentary Condition concern: an innovative response system for enhancing hospitalized patient care and safety. Citation Text: Baird SK, Turbin LB. Condition concern: an innovative response system for enhancing hospitalized patient care and safety. J Nurs Care Qual. 2011;26(3):199-207. d…

  3. Patient safety beyond the hospital. | PSNet

    psnet.ahrq.gov/issue/patient-safety-beyond-hospital
    August 24, 2011 - Commentary Patient safety beyond the hospital. Citation Text: Gandhi TK, Lee TH. Patient safety beyond the hospital. N Engl J Med. 2010;363(11):1001-3. doi:10.1056/NEJMp1003294. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  4. No excuses: the reality that demands action. | PSNet

    psnet.ahrq.gov/issue/no-excuses-reality-demands-action
    July 20, 2022 - Meeting/Conference Proceedings No excuses: the reality that demands action. Citation Text: Denham CR, Bagian JP, Daley J, et al. No Excuses: The Reality That Demands Action. doi:10.1097/01.jps.0000183854.29928.4d. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  5. Dangerous wrong-route errors with tranexamic acid. | PSNet

    psnet.ahrq.gov/issue/dangerous-wrong-route-errors-tranexamic-acid
    February 18, 2014 - Press Release/Announcement Dangerous wrong-route errors with tranexamic acid. Citation Text: Dangerous wrong-route errors with tranexamic acid. National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medicat…

  6. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. | PSNet

    psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
    January 05, 2017 - Study Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Citation Text: Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26. Copy Citation …

  7. Medication prescribing errors involving the route of administration. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
    January 12, 2011 - Study Medication prescribing errors involving the route of administration. Citation Text: Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. Copy Citation Format: DOI Google Scholar Bib…

  8. Why patient safety is such a tough nut to crack. | PSNet

    psnet.ahrq.gov/issue/why-patient-safety-such-tough-nut-crack
    May 03, 2023 - Commentary Why patient safety is such a tough nut to crack. Citation Text: Leistikow IP, Kalkman CJ, de Bruijn H. Why patient safety is such a tough nut to crack. BMJ. 2011;342:d3447. doi:10.1136/bmj.d3447. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  9. National Center for Patient Safety Falls Toolkit 2004. | PSNet

    psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
    May 24, 2017 - Toolkit National Center for Patient Safety Falls Toolkit 2004. Citation Text: National Center for Patient Safety Falls Toolkit 2004. Department of Veterans Affairs (VA) National Center for Patient Safety Copy Citation Save Save to your library Print Down…

  10. Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. | PSNet

    psnet.ahrq.gov/issue/hardwiring-safety-computer-system-one-hospitals-actions-provide-technology-support-u-500
    February 24, 2016 - Newspaper/Magazine Article Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. Citation Text: Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin. ISMP Medicatio…

  11. Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. | PSNet

    psnet.ahrq.gov/issue/mix-ups-between-epidural-analgesia-and-iv-antibiotics-labor-and-delivery-units-continue-cause
    January 24, 2018 - Newspaper/Magazine Article Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. Citation Text: Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm. ISMP Medication Safety Alert! Acut…

  12. Improving care transitions: optimizing medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/improving-care-transitions-optimizing-medication-reconciliation
    June 17, 2014 - Commentary Improving care transitions: optimizing medication reconciliation. Citation Text: Association AP, Pharmacists AS of H-S, Steeb D, et al. Improving care transitions: optimizing medication reconciliation. J Am Pharm Assoc (2003). 2012;52(4):e43-e52. doi:10.1331/JAPhA.2012.12527…

  13. Guide to Patient and Family Engagement: Environmental Scan Report. | PSNet

    psnet.ahrq.gov/issue/guide-patient-and-family-engagement-environmental-scan-report
    August 01, 2012 - Book/Report Guide to Patient and Family Engagement: Environmental Scan Report. Citation Text: Guide to Patient and Family Engagement: Environmental Scan Report. Maurer M, Dardess P, Carman KL, Frazier K, Smeeding L. Rockville, MD: Agency for Healthcare Research and Quality; May 2012. AHR…

  14. The emotional fallout from the culture of blame and shame. | PSNet

    psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame
    October 28, 2020 - Commentary The emotional fallout from the culture of blame and shame. Citation Text: Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691. Copy Citation Format: DOI Google Scholar PubMe…

  15. Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. | PSNet

    psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
    March 11, 2017 - Toolkit Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Citation Text: Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…

  16. AHRQ announces interest in research on health IT safety. | PSNet

    psnet.ahrq.gov/issue/ahrq-announces-interest-research-health-it-safety
    August 15, 2018 - Press Release/Announcement AHRQ announces interest in research on health IT safety. Citation Text: AHRQ announces interest in research on health IT safety. Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. March 9, 2016. Publication No. NOT-HS-16-009. …

  17. Advancing the research agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error-reduction
    May 25, 2022 - Review Advancing the research agenda for diagnostic error reduction. Citation Text: Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. Copy Citation Format: DOI G…

  18. Interruptions in healthcare: theoretical views. | PSNet

    psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views
    September 24, 2016 - Review Interruptions in healthcare: theoretical views. Citation Text: Grundgeiger T, Sanderson P. Interruptions in healthcare: theoretical views. Int J Med Inform. 2009;78(5):293-307. doi:10.1016/j.ijmedinf.2008.10.001. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  19. ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. | PSNet

    psnet.ahrq.gov/issue/ismp-list-high-alert-medications-long-term-care-ltc-settings
    December 15, 2021 - Fact Sheet/FAQs ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. Citation Text: ISMP List of High-Alert Medications in Long-Term Care (LTC) Settings. Horsham, PA: Institute of Safe Medication Practices; 2021 Copy Citation Save Save to your lib…

  20. Origins of and solutions for neonatal medication-dispensing errors. | PSNet

    psnet.ahrq.gov/issue/origins-and-solutions-neonatal-medication-dispensing-errors
    July 21, 2009 - Study Origins of and solutions for neonatal medication-dispensing errors. Citation Text: Sauberan JB, Dean LM, Fiedelak J, et al. Origins of and solutions for neonatal medication-dispensing errors. Am J Health Syst Pharm. 2010;67(1):49-57. doi:10.2146/ajhp090122. Copy Citation Fo…
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