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Showing results for "practical".

8181. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41755/psn-pdf
      October 10, 2012 - Utah Tenth Anniversary (2001–2011) Patient Safety Report: Identifying Opportunities for Improvement. October 10, 2012 Salt Lake City, UT: Utah Department of Health, HealthInsight, Utah Hospital Association; 2012. https://psnet.ahrq.gov/issue/utah-tenth-anniversary-2001-2011-patient-safety-report-identifying- oppor…

8182. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34884/psn-pdf
      August 03, 2009 - Communication failures: an insidious contributor to medical mishaps. August 3, 2009 Sutcliffe K, Lewton E, Rosenthal M. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194. https://psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps In or…

8183. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47435/psn-pdf
      November 07, 2018 - Cognitive bias in clinical medicine. November 7, 2018 O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225- 232. doi:10.4997/JRCPE.2018.306. https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine Cognitive biases can lead to unnecessary treatment and de…

8184. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47466/psn-pdf
      October 17, 2018 - ASHP guidelines on preventing medication errors in hospitals. October 17, 2018 Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Pharm. 2018;75(19):1493-1517. doi:10.2146/ajhp170811. https://psnet.ahrq.gov/issue/ashp-guidelines-preven…

8185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44576/psn-pdf
      January 23, 2018 - Healthcare Quality and Patient Safety Award. January 23, 2018 Iowa Healthcare Collaborative. https://psnet.ahrq.gov/issue/healthcare-quality-and-patient-safety-award This award seeks to recognize health care organizations and professionals that have exhibited leadership and innovation in improving patient safety i…

8186. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43833/psn-pdf
      February 04, 2015 - Sterile compounding: clinical, legal, and regulatory implications for patient safety. February 4, 2015 Qureshi N, Wesolowicz L, Stievater T, et al. Sterile compounding: clinical, legal, and regulatory implications for patient safety. J Manag Care Spec Pharm. 2014;20(12):1183-1191. https://psnet.ahrq.gov/issue/ster…

8187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849139/psn-pdf
      May 17, 2023 - How the opioid backlash went wrong. May 17, 2023 Freedman DH.  Newsweek Magazine. May 12, 2023. https://psnet.ahrq.gov/issue/how-opioid-backlash-went-wrong The unintended consequences of reductions in access to prescription opioids can result in poor addiction care and ineffective pain management. This articl…

8188. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46305/psn-pdf
      September 27, 2017 - Using simulation to improve systems. September 27, 2017 Kearney JA, Deutsch ES. Using Simulation to Improve Systems. Otolaryngol Clin North Am. 2017;50(5):1015-1028. doi:10.1016/j.otc.2017.05.011. https://psnet.ahrq.gov/issue/using-simulation-improve-systems-0 Simulations in health care can help uncover technical …

8189. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42028/psn-pdf
      February 18, 2014 - Warning! Severe burns and permanent scarring after glacial acetic acid (?99.5%) mistakenly applied topically. February 18, 2014 National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013. https://ps…

8190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45061/psn-pdf
      April 13, 2016 - 2015 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. April 13, 2016 Joint Commission. April 7, 2016. https://psnet.ahrq.gov/issue/2015-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced The Eisenberg Award honors individuals and organizations who have made vital accompl…

8191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41287/psn-pdf
      May 17, 2012 - Economic evaluation in patient safety: a literature review of methods. May 17, 2012 de Rezende BA, Or Z, Com-Ruelle L, et al. Economic evaluation in patient safety: a literature review of methods. BMJ Qual Saf. 2012;21(6):457-65. doi:10.1136/bmjqs-2011-000191. https://psnet.ahrq.gov/issue/economic-evaluation-patie…

8192. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44478/psn-pdf
      September 09, 2015 - Oral chemotherapy: not just an ordinary pill. September 9, 2015 ISMP Canada. SafeMedicineUse. August 19, 2015;6:1-2. https://psnet.ahrq.gov/issue/oral-chemotherapy-not-just-ordinary-pill Chemotherapy delivered by any method is a high-alert medication. This news article provides tips for both patients and practitio…

8193. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44363/psn-pdf
      May 05, 2018 - Selection of incorrect medication pump leads to chemotherapy overdose. May 5, 2018 ISMP Canada. August 26, 2015;15:1-4. https://psnet.ahrq.gov/issue/selection-incorrect-medication-pump-leads-chemotherapy-overdose Checklists are cognitive aids that help clinicians remember important steps to ensure safe practice. I…

8194. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48152/psn-pdf
      July 17, 2019 - Safety incident reports associated with blood transfusions. July 17, 2019 Vossoughi S, Perez G, Whitaker BI, et al. Safety incident reports associated with blood transfusions. Transfusion (Paris). 2019;59(9):2827-2832. doi:10.1111/trf.15429. https://psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-tra…

8195. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38451/psn-pdf
      March 23, 2011 - Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. March 23, 2011 Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health Care. 2009;18(1):37-41. doi:10.1136/qshc…

8196. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854249/psn-pdf
      January 01, 2014 - What is safety science? August 19, 2013 Aven T. What is safety science? Safety Sci. 2014;67:15-20. doi:10.1016/j.ssci.2013.07.026. https://psnet.ahrq.gov/issue/what-safety-science Safety is seen as the absence of accidents and safety science research can be used to improve many industries, including healthcare. Th…

8197. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35233/psn-pdf
      August 10, 2005 - The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. August 10, 2005 Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: …

8198. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40943/psn-pdf
      September 26, 2012 - Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. September 26, 2012 Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):855-62. https://psnet.ahrq.gov/is…

8199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45842/psn-pdf
      April 12, 2017 - Time-out and checklists: a survey of rural and urban operating room personnel. April 12, 2017 Lyons VE, Popejoy LL. Time-Out and Checklists: A Survey of Rural and Urban Operating Room Personnel. J Nurs Care Qual. 2017;32(1):E3-E10. https://psnet.ahrq.gov/issue/time-out-and-checklists-survey-rural-and-urban-operati…

8200. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40713/psn-pdf
      August 24, 2011 - Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists. August 24, 2011 Boockvar KS, Santos SL, Kushniruk AW, et al. Medication reconciliation: Barriers and facilitators from the perspectives of resident physicians and pharmacists. J Hosp Med. 2011;6(6). do…