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Showing results for "practical".

8401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72535/psn-pdf
      December 02, 2020 - Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. December 2, 2020 ISMP Medication Safety Alert! Acute care edition. November 19, 2020;25(23):1-6. https://psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns Safety professionals enco…

8402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72733/psn-pdf
      February 10, 2021 - Start the year off right by preventing these top 10 medication errors and hazards from 2020. February 10, 2021 ISMP Medication Safety Alert! Acute care edition. January 27, 2021;26(2). https://psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020 Medication safety is chal…

8403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72533/psn-pdf
      January 01, 2021 - Strategies to reduce errors associated with 2-component vaccines. December 2, 2020 Samad F, Burton SJ, Kwan D, et al. Strategies to reduce errors associated with 2-component vaccines. Pharmaceut Med. 2021;35(1):1-9. doi:10.1007/s40290-020-00362-9. https://psnet.ahrq.gov/issue/strategies-reduce-errors-associated-2-…

8404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866356/psn-pdf
      July 24, 2024 - To forgive, divine. July 24, 2024 Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006. https://psnet.ahrq.gov/issue/forgive-divine Resident physicians are vulnerable to psychological harm when they have made a mistake. This commentary shares one resident’s experiences with error.…

8405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45642/psn-pdf
      November 09, 2016 - Rethinking medical ward quality. November 9, 2016 Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417. https://psnet.ahrq.gov/issue/rethinking-medical-ward-quality Patient safety research and commentary often focus on specialized care processes rathe…

8406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34570/psn-pdf
      March 07, 2005 - Measuring the Success of the Regional Medication Safety Program for Hospitals. March 7, 2005 Pelczarski K, Fricker M, Morris J. Philadelphia, PA: Health Care Improvement Foundation; 2005. https://psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals The Regional Medication Safety Prog…

8407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46736/psn-pdf
      December 17, 2018 - Back to basics: the Universal Protocol. December 17, 2018 Spruce L. Back to Basics: The Universal Protocol: 1.4 www.aornjournal.org/content/cme. AORN J. 2018;107(1):116-125. doi:10.1002/aorn.12002. https://psnet.ahrq.gov/issue/back-basics-universal-protocol Wrong-site, wrong-procedure, and wrong-patient errors are…

8408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47997/psn-pdf
      May 08, 2019 - Blind spots in the science of safety. May 8, 2019 Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979. doi:10.1016/S0140-6736(19)30441-6. https://psnet.ahrq.gov/issue/blind-spots-science-safety Safety sciences offer methods to enhance processes and develop organizational cul…

8409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46614/psn-pdf
      November 29, 2017 - Interventions to improve hand hygiene compliance in the ICU: a systematic review. November 29, 2017 Lydon S, Power M, McSharry J, et al. Interventions to Improve Hand Hygiene Compliance in the ICU. Crit Care Med. 2017;45(11). doi:10.1097/ccm.0000000000002691. https://psnet.ahrq.gov/issue/interventions-improve-hand…

8410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47288/psn-pdf
      December 21, 2018 - Reframing and addressing horizontal violence as a workplace quality improvement concern. December 21, 2018 Taylor RA, Taylor SS. Reframing and addressing horizontal violence as a workplace quality improvement concern. Nurs Forum. 2018;53(4):459-465. doi:10.1111/nuf.12273. https://psnet.ahrq.gov/issue/reframing-and…

8411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43737/psn-pdf
      January 07, 2015 - How do community pharmacies recover from e- prescription errors? January 7, 2015 Odukoya OK, Stone JA, Chui MA. How do community pharmacies recover from e-prescription errors? Res Social Adm Pharm. 2014;10(6):837-852. doi:10.1016/j.sapharm.2013.11.009. https://psnet.ahrq.gov/issue/how-do-community-pharmacies-recov…

8412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37529/psn-pdf
      February 13, 2008 - Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. February 13, 2008 Jani Y, Ghaleb M, Marks SD, et al. Electronic prescribing reduced prescribing errors in a pediatric renal outpatient clinic. J Pediatr. 2008;152(2):214-8. doi:10.1016/j.jpeds.2007.09.046. https://psnet.ahrq.…

8413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46831/psn-pdf
      April 18, 2018 - Guideline Summary: Medication Safety. April 18, 2018 Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. https://psnet.ahrq.gov/issue/guideline-summary-medication-safety Perioperative medication errors can result in patient harm as well as emotional distress among clinical te…

8414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44806/psn-pdf
      February 03, 2016 - Are Workarounds Ethical? Managing Moral Problems in Health Care Systems. February 3, 2016 Berlinger N. New York, NY: Oxford University Press; 2016. ISBN: 9780190269296. https://psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems Workarounds indicate process weaknesses that can …

8415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860397/psn-pdf
      January 10, 2024 - MRI safety: prepare for new guidance. January 10, 2024 Gilk T. Appl Radiol. 2023;52(6):24-26. https://psnet.ahrq.gov/issue/mri-safety-prepare-new-guidance Magnetic resonance imaging (MRI) services carry with them unique safety considerations in both hospital and ambulatory scanning environments. This article …

8416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38307/psn-pdf
      January 07, 2009 - Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 months of patient safety incident reports. January 7, 2009 Healey F, Scobie S, Oliver D, et al. Falls in English and Welsh hospitals: a national observational study based on retrospective analysis of 12 month…

8417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60217/psn-pdf
      January 01, 2012 - MBRRACE-UK: Mothers and Babies: Reducing Risk through Audits and Confidential Enquiries across the UK. January 1, 2012 Oxford, UK: The National Perinatal Epidemiology Unit, University of Oxford. https://psnet.ahrq.gov/issue/mbrrace-uk-mothers-and-babies-reducing-risk-through-audits-and-confidential- enquiries-acro…

8418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34721/psn-pdf
      November 19, 2015 - Preventing medical injury. November 19, 2015 Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. https://psnet.ahrq.gov/issue/preventing-medical-injury Reviewing cases of medical error in the Harvard Medical Practice Study…

8419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47310/psn-pdf
      September 19, 2018 - Use of simulation to test systems and prepare staff for a new hospital transition. September 19, 2018 Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.0000000000000184. https://psnet.ahrq.gov/…

8420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44848/psn-pdf
      April 22, 2016 - Ambulatory medication reconciliation: using a collaborative approach to process improvement at an academic medical center. April 22, 2016 Keogh C, Kachalia A, Fiumara K, et al. Ambulatory Medication Reconciliation: Using a Collaborative Approach to Process Improvement at an Academic Medical Center. Jt Comm J Qual …