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psnet.ahrq.gov/node/41655/psn-pdf
February 01, 2015 - Do No Harm: Jess's Story.
February 1, 2015
Barnett T, Barnett P.
https://psnet.ahrq.gov/issue/project-jessica
This video chronicles how an undiagnosed heart condition led to a teenager's death and offers tips for
patients to prevent medical errors.
https://psnet.ahrq.gov/issue/project-jessica
https://psnet.ahrq.g…
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psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
October 10, 2017 - Outpatient parenteral antimicrobial therapy (OPAT) practices among adult infectious disease physicians
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psnet.ahrq.gov/perspective/risk-management-and-patient-safety
December 01, 2010 - dissemination of focused educational programs, case studies, simulation-based training programs, best practices … Communication practices on 4 Harvard surgical services. Ann Surg. 2009;250:861-865. … Expected communication practices for patients admitted to surgical services.
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psnet.ahrq.gov/perspective/conversation-withgeri-amori-phd
December 01, 2010 - dissemination of focused educational programs, case studies, simulation-based training programs, best practices … Communication practices on 4 Harvard surgical services. Ann Surg. 2009;250:861-865. … Expected communication practices for patients admitted to surgical services.
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psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
January 01, 2018 - Safe practices for copy and paste in the EHR. … Health IT Safe Practices. Toolkit for the Safe Use of Copy and Paste. … Internal medicine progress note writing attitudes and practices in an electronic health record.
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psnet.ahrq.gov/perspective/identifying-adverse-events-not-present-admission-can-we-do-it
October 01, 2008 - only evident across institutions on POA coding; there are substantial differences in diagnosis coding practices … proliferation of software to help "optimize" the coding of hospital discharges, coding and reporting practices … good scientific evidence can be prevented if hospitals reliably perform an evidence-based set of practices
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psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
August 01, 2012 - patients, many clinicians have worked to develop mechanisms to mitigate this risk. 38 , 42 Current best practices … Best practices to mitigate patient care transition risks are to minimize the number of provider transitions … Gastrostomy tubes: fundamentals, periprocedural considerations, and best practices.
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psnet.ahrq.gov/node/41735/psn-pdf
October 03, 2012 - Prescribing Themed Issue.
October 3, 2012
Waller DG. Br J Clin Pharmacol. 2012;74:559-729.
https://psnet.ahrq.gov/issue/prescribing-themed-issue
This special issue explores issues around prescribing and medication use in hospital-based care.
https://psnet.ahrq.gov/issue/prescribing-themed-issue
https://psnet…
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psnet.ahrq.gov/node/41443/psn-pdf
July 11, 2012 - Human factors, nursing and patient safety.
July 11, 2012
Nurs Stand. Apr-May 2012;26.
https://psnet.ahrq.gov/issue/human-factors-nursing-and-patient-safety
This series explores how nurses can use human factors to enhance safety in their daily practice.
https://psnet.ahrq.gov/issue/human-factors-nursing-and-patient…
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psnet.ahrq.gov/node/38632/psn-pdf
May 13, 2009 - How safe are patients in primary care?
May 13, 2009
Carlowe J. Nursing Times. April 28, 2009.
https://psnet.ahrq.gov/issue/how-safe-are-patients-primary-care
This article focuses on the National Health Service's interest in patient safety in general practice settings
and efforts to expand research in this area.
h…
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psnet.ahrq.gov/node/36822/psn-pdf
April 18, 2007 - Integrating patient safety into curriculum.
April 18, 2007
Rapala K, Novak JC. Patient Safety Quality in Healthcare. March/April 2007.
https://psnet.ahrq.gov/issue/integrating-patient-safety-curriculum
The authors describe the doctorate of nursing practice program at Purdue University, which focuses on
integrating…
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psnet.ahrq.gov/node/42478/psn-pdf
August 07, 2013 - A guide for HCAs on safe patient transfers.
August 7, 2013
Lees L.
https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers
This commentary offers practical advice for health care assistants to reduce risks during patient transfers.
https://psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers
https://psnet…
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psnet.ahrq.gov/web-mm/easily-forgotten-tube
June 01, 2016 - exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - decreasing the pressure
gradient that promotes air embolism formation.(5,8,9) The Table lists best practices
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psnet.ahrq.gov/perspective/lesson-vas-team-training-program
November 01, 2011 - Measuring team performance in simulation-based training: adopting best practices for healthcare.
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psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd
November 01, 2011 - Measuring team performance in simulation-based training: adopting best practices for healthcare.
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psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
February 01, 2012 - As a result, in the surgical field what you see is that virtually no one practices surgery at the end
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psnet.ahrq.gov/node/36397/psn-pdf
December 22, 2010 - The day Joy died.
December 22, 2010
Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3.
https://psnet.ahrq.gov/issue/day-joy-died
This author shares his experience as a young physician dealing with the aftermath of a medical error and
how the incident affected his practice, his personal relat…
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psnet.ahrq.gov/node/37088/psn-pdf
August 08, 2007 - The art of apology: when and how to seek forgiveness.
August 8, 2007
Roberts RG. Fam Pract Manag. 2007;14(7):44-49.
https://psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness
This article offers practical advice on how to determine when an error has occurred and discusses the
elements of an appropriate…
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psnet.ahrq.gov/node/37069/psn-pdf
December 20, 2007 - Standardising wristbands improves patient safety.
December 20, 2007
National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2.
https://psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety
This notice highlights the importance of standardizing wristband design and information to make…