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Showing results for "practical".

9321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61121/psn-pdf
      November 11, 2020 - Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. November 11, 2020 Vaisman A, Bannerman G, Matelski J, et al. Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hy…

9322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867752/psn-pdf
      March 12, 2025 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. March 12, 2025 Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…

9323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36889/psn-pdf
      May 28, 2024 - Surveys on Patient Safety Culture. May 28, 2024 Rockville MD: Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/surveys-patient-safety-culture Safety culture has been described as a key to establishing high reliability organizations. The National Quality Forum's Safe Practices for Healthcare …

9324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40839/psn-pdf
      December 30, 2014 - How event reporting by US hospitals has changed from 2005 to 2009. December 30, 2014 Farley DO, Haviland AM, Haas A, et al. How event reporting by US hospitals has changed from 2005 to 2009. BMJ Qual Saf. 2011;21(1). doi:10.1136/bmjqs-2011-000114. https://psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-c…

9325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853959/psn-pdf
      September 27, 2023 - Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. September 27, 2023 Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitator…

9326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44746/psn-pdf
      January 20, 2016 - Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework. January 20, 2016 Kelly K, Harrington L, Matos P, et al. Creating a Culture of Safety Around Bar-Code Medication Administration: An Evidence-Based Evaluation Framework. J Nurs Adm. 2016;46(1):30-7. doi:10…

9327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47127/psn-pdf
      June 05, 2018 - Incorporating medication indications into the prescribing process. June 5, 2018 Kron K, Myers S, Volk LA, et al. Incorporating medication indications into the prescribing process. Am J Health-syst Pharm. 2018;75(11):774-783. doi:10.2146/ajhp170346. https://psnet.ahrq.gov/issue/incorporating-medication-indications-…

9328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866078/psn-pdf
      June 05, 2024 - Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. June 5, 2024 Huang L, Riggan KA, Torbenson VE, et al. Second victim experiences of health care learners and the influence of the training environment on postevent adaptation. Mayo Clin Proc Inno…

9329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72671/psn-pdf
      January 27, 2021 - Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. January 27, 2021 Toccafondi G, Di Marzo F, Sartelli M, et al. Int J Qual Health Care. 2021;33(Supp 1):51-55.    https://psnet.ahrq.gov/issue/will-covid-19-pandemic-…

9330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39533/psn-pdf
      May 25, 2015 - The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency departments. May 25, 2015 van Noord I, de Bruijne M, Twisk JWR. The relationship between patient safety culture and the implementation of organizational patient safety defences at emergency…

9331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73917/psn-pdf
      October 06, 2021 - Reporting of health information technology system- related patient safety incidents: the effects of organizational justice. October 6, 2021 Gluschkoff K, Kaihlanen A, Palojoki S, et al. Reporting of health information technology system-related patient safety incidents: the effects of organizational justice. Safety…

9332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853968/psn-pdf
      January 01, 2024 - When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthcare quality. September 27, 2023 Jones A, Neal A, Bailey S, et al. When work harms: how better understanding of avoidable employee harm can improve employee safety, patient safety and healthca…

9333. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42519/psn-pdf
      December 06, 2013 - Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial. December 6, 2013 Rock C, Harris AD, Reich NG, et al. Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time?--…

9334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35032/psn-pdf
      February 03, 2011 - Five years after 'To Err is Human': what have we learned? February 3, 2011 Leape L, Berwick DM. Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned Two of the leaders in the patient safety movement, Lucian …

9335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866517/psn-pdf
      August 14, 2024 - Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. August 14, 2024 Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1177/0272989x241248612. https://p…

9336. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50573/psn-pdf
      October 23, 2019 - Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. October 23, 2019 Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. J …

9337. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73292/psn-pdf
      May 19, 2021 - Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies. May 19, 2021 Panda N, Sinyard RD, Henrich N, et al. Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies. J Patient Saf. 2021;17(…

9338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41951/psn-pdf
      September 07, 2016 - The impact of drug shortages on children with cancer—the example of mechlorethamine. September 7, 2016 Metzger ML, Billett A, Link MP. The impact of drug shortages on children with cancer--the example of mechlorethamine. N Engl J Med. 2012;367(26):2461-2463. doi:10.1056/NEJMp1212468. https://psnet.ahrq.gov/issue/i…

9339. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61004/psn-pdf
      October 07, 2020 - National Nursing Home COVID Action Network. October 7, 2020 Rockville, MD: Agency for Healthcare Research and Quality; September 2020. https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living condition…

9340. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44321/psn-pdf
      July 08, 2015 - Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. July 8, 2015 National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. June 30, 2015. https://psnet.ahrq.gov/…