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Showing results for "practical".

8281. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50600/psn-pdf
      October 30, 2019 - HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. October 30, 2019 HHS Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics. Washington DC: US Department of Health and Human Services. October 2019. …

8282. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43996/psn-pdf
      November 10, 2018 - When doing wrong feels so right: normalization of deviance. November 10, 2018 Price MR, Williams TC. When Doing Wrong Feels So Right: Normalization of Deviance. J Patient Saf. 2018;14(1):1-2. doi:10.1097/PTS.0000000000000157. https://psnet.ahrq.gov/issue/when-doing-wrong-feels-so-right-normalization-deviance This…

8283. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38371/psn-pdf
      January 28, 2009 - Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. January 28, 2009 Rebasa P, Mora L, Luna A, et al. Continuous monitoring of adverse events: influence on the quality of care and the incidence of errors in general surgery. World J Surg. 2009;33…

8284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46636/psn-pdf
      January 24, 2018 - Drug shortages continue to compromise patient care. January 24, 2018 ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. https://psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care Drug shortages are known to disrupt the safety of care. This newsletter article reports the res…

8285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46746/psn-pdf
      March 07, 2018 - Safety with nebulized medications requires an interdisciplinary team approach. March 7, 2018 ISMP Medication Safety Alert! Acute care edition. February 22, 2018;23(4):1-5. https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach Myriad system and clinician failures can con…

8286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842777/psn-pdf
      January 18, 2023 - Patient safety performance: reversing recent declines through shared profession-wide system-level solutions. January 18, 2023 doi:full/10.1056/CAT.22.0318. https://psnet.ahrq.gov/issue/patient-safety-performance-reversing-recent-declines-through-shared- profession-wide-system The COVID-19 pandemic revealed fractu…

8287. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40206/psn-pdf
      June 15, 2011 - Frequency of pediatric medication administration errors and contributing factors. June 15, 2011 Ozkan S, Kocaman G, Ozturk C, et al. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual. 2011;26(2):136-43. doi:10.1097/NCQ.0b013e3182031006. https://psnet.ahrq.gov/issue/…

8288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44298/psn-pdf
      July 08, 2015 - Preparing challenging medications for barcode scanning. July 8, 2015 Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. https://psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning Barcode scanning can reduce me…

8289. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73359/psn-pdf
      June 02, 2020 - Patient Safety Movement Foundation. June 2, 2020 15642 Sand Canyon Ave. #51268, Irvine, CA 92619. 877-236-0279, info@psmf.org. https://psnet.ahrq.gov/issue/patient-safety-movement-foundation This organization shares best practices to align and optimize efforts toward eliminating patient harm by the …

8290. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60951/psn-pdf
      September 23, 2020 - A Guide to Patient Safety Improvement: Integrating Knowledge Translation & Quality Improvement Approaches. September 23, 2020 Edmonton, Alberta; Canadian Patient Safety Institute: 2020. ISBN: 9781926541846. https://psnet.ahrq.gov/issue/guide-patient-safety-improvement-integrating-knowledge-translation-quality- im…

8291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47734/psn-pdf
      March 13, 2019 - Medicare trims payments to 800 hospitals, citing patient safety incidents. March 13, 2019 Rau J. Kaiser Health News. March 1, 2019. https://psnet.ahrq.gov/issue/medicare-trims-payments-800-hospitals-citing-patient-safety-incidents Financial incentives may encourage adoption of practice improvements that enhance sa…

8292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34805/psn-pdf
      November 07, 2017 - Medication errors in neonatal and paediatric intensive- care units. November 7, 2017 Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units Th…

8293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46059/psn-pdf
      July 11, 2017 - Pathologists' perspectives on disclosing harmful pathology error. July 11, 2017 Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. https://psnet.ahrq.gov/issue/pathologists-perspectives…

8294. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41565/psn-pdf
      December 21, 2014 - Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. December 21, 2014 Sanfey H, DaRosa DA, Hickson GB, et al. Pursuing professional accountability: an evidence-based approach to addressing residents with behavioral problems. Arch Surg. 2012;147(7):642-…

8295. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38551/psn-pdf
      April 15, 2009 - Harm caused by adverse events in primary care: a clinical observational study. April 15, 2009 Wetzels R, Wolters R, van Weel C, et al. Harm caused by adverse events in primary care: a clinical observational study. J Eval Clin Pract. 2009;15(2):323-7. doi:10.1111/j.1365-2753.2008.01005.x. https://psnet.ahrq.gov/iss…

8296. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35339/psn-pdf
      April 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…

8297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43700/psn-pdf
      November 19, 2014 - Appropriate use of medical interpreters. November 19, 2014 Juckett G, Unger K. Appropriate use of medical interpreters. Am Fam Physician. 2014;90(7):476-80. https://psnet.ahrq.gov/issue/appropriate-use-medical-interpreters Language barriers between patients and providers can contribute to misunderstandings and lead…

8298. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849130/psn-pdf
      May 17, 2023 - Comparing perspectives on organisational silence: an analysis of the Gosport inquiry. May 17, 2023 Powell M. J Health Org Manag. 2023;37(1):67-83. https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry Individual, team, and organizational willingness to identify and add…

8299. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72581/psn-pdf
      December 16, 2020 - Dispensing Errors. December 16, 2020 Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944). November 10, December 1, 2020. https://psnet.ahrq.gov/issue/dispensing-errors Dispensing mistakes are a common contributor to preventable adverse events in community pharmacies. Par…

8300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40287/psn-pdf
      March 16, 2011 - The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. March 16, 2011 Darker IT, Gerret D, Filik R, et al. The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. Ergonomics. 2011;54(1):21-33. doi:10.1080/…