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Showing results for "practical".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48065/psn-pdf
    June 15, 2019 - Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. June 15, 2019 Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaesthesia. 2019;74(7):904-914. doi:10.1111/anae.14662. https://psnet.ahrq.gov/iss…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60225/psn-pdf
    April 15, 2020 - Beyond 'find and fix': improving quality and safety through resilient healthcare systems. April 15, 2020 Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10.1093/intqhc/mzaa007. https://psn…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43311/psn-pdf
    July 02, 2014 - Some IV medications are diluted unnecessarily in patient care areas, creating undue risk. July 2, 2014 ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5. https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating- undue-risk This newsletter article …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851056/psn-pdf
    June 28, 2023 - Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. June 28, 2023 Chang C, Varghese N, Machiorlatti M. Introducing second-year medical students to diagnostic reasoning concepts and skills via a virtual curriculum. Diagnosis (Berl). 2023;10(2):105-109. doi:1…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40693/psn-pdf
    January 08, 2016 - A framework for engaging physicians in quality and safety. January 8, 2016 Taitz JM, Lee TH, Sequist TD. A framework for engaging physicians in quality and safety. BMJ Qual Saf. 2012;21(9):722-728. doi:10.1136/bmjqs-2011-000167. https://psnet.ahrq.gov/issue/framework-engaging-physicians-quality-and-safety Promoti…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41042/psn-pdf
    September 29, 2017 - Research in Ambulatory Patient Safety 2000-2010: A 10- Year Review. September 29, 2017 Lorincz CY, Drazen E, Sokol PE, et al. Chicago, IL: American Medical Association; 2011. https://psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review Although traditionally the majority of patient safe…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43867/psn-pdf
    March 11, 2015 - Applying fault tree analysis to the prevention of wrong- site surgery. March 11, 2015 Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. https://psnet.ahrq.gov/issue/applying-fault-tree-analy…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46840/psn-pdf
    June 20, 2018 - Interventions to improve employee health and well-being within health care organizations: a systematic review. June 20, 2018 Williams SP, Malik HT, Nicolay CR, et al. Interventions to improve employee health and well-being within health care organizations: A systematic review. J Healthc Risk Manag. 2018;37(4):25-51…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74748/psn-pdf
    February 09, 2022 - The abrupt expansion of ambulatory telemedicine: implications for patient safety. February 9, 2022 Khoong EC, Sharma AE, Gupta K, et al. The abrupt expansion of ambulatory telemedicine: implications for patient safety. J Gen Intern Med. 2022;37(5):1270-1274. doi:10.1007/s11606-021-07329-9. https://psnet.ahrq.gov/i…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39195/psn-pdf
    January 28, 2010 - Lack of patient knowledge regarding hospital medications. January 28, 2010 Lack of patient knowledge regarding hospital medications. https://psnet.ahrq.gov/issue/lack-patient-knowledge-regarding-hospital-medications The Joint Commission requires that hospitals encourage patients' involvement in their own safety as…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60730/psn-pdf
    January 01, 2021 - A machine learning approach to reclassifying miscellaneous patient safety event reports. July 29, 2020 Fong A, Behzad S, Pruitt Z, et al. A machine learning approach to reclassifying miscellaneous patient safety event reports. J Patient Saf. 2021;17(8):e829-e833. doi:10.1097/pts.0000000000000731. https://psnet.ahr…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50895/psn-pdf
    February 12, 2020 - Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intravenous infusion safety in English hospitals. February 12, 2020 Vos J, Franklin BD, Chumbley G, et al. Nurses as a source of system-level resilience: Secondary analysis of qualitative data from a study of intr…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866862/psn-pdf
    October 02, 2024 - A mixed methods study exploring patient safety culture at 4 VHA Hospitals. October 2, 2024 Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.008. https://psnet.ahrq.gov/issue…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43909/psn-pdf
    March 11, 2015 - Summary and frequency of barriers to adoption of CPOE in the US. March 11, 2015 Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. https://psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us Although compu…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836711/psn-pdf
    March 09, 2022 - Ambulatory virtual care during a pandemic: patient safety considerations. March 9, 2022 Mullur J, Chen Y-C, Wickner PG, et al. Ambulatory virtual care during a pandemic: patient safety considerations. J Patient Saf. 2022;18(2):e431-e438. doi:10.1097/pts.0000000000000832. https://psnet.ahrq.gov/issue/ambulatory-vir…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72504/psn-pdf
    November 25, 2020 - Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results. November 25, 2020 McMullen KM, Smith BA, Rebmann T. Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results. Am J Infect Control. 2020;48(11):1409-1411…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44470/psn-pdf
    October 13, 2015 - Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. October 13, 2015 Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856637/psn-pdf
    November 29, 2023 - Deficiencies in Quality Management Processes and Delays in the Communication of Test Results and Follow- Up Care at the Phoenix VA Health Care System in Arizona. November 29, 2023 Washington DC; VA Office of the Inspector General; October 31, 2023; Report no. 22-03599-07. https://psnet.ahrq.gov/issue/deficiencies-…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43812/psn-pdf
    January 14, 2015 - Healthcare Inspection: Evaluation of the Veterans Health Administration's National Consult Delay Review and Associated Fact Sheet. January 14, 2015 Daigh JD Jr. Washington, DC: VA Office of the Inspector General; December 15, 2014. Report No. 14- 04705-62. https://psnet.ahrq.gov/issue/healthcare-inspection-evalua…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46099/psn-pdf
    May 31, 2017 - A quality improvement approach to standardization and sustainability of the hand-off process. May 31, 2017 Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u222156.w8291. https:…
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