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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43361/psn-pdfJuly 16, 2014 - An Avoidable Death of a Three-year-old Child from Sepsis. July 16, 2014 London, UK: Parliamentary and Health Service Ombudsman; June 2014. https://psnet.ahrq.gov/issue/avoidable-death-three-year-old-child-sepsis This investigation outlines how inadequate care contributed to the death of a child who developed sepsi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45592/psn-pdfOctober 27, 2016 - Preventing Patient Falls: A Systematic Approach From the Joint Commission Center for Transforming Healthcare Project. October 27, 2016 Chicago, IL: Health Research & Educational Trust; October 2016. https://psnet.ahrq.gov/issue/preventing-patient-falls-systematic-approach-joint-commission-center- transforming-hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/855100/psn-pdfNovember 08, 2023 - Prescription for disaster: America's broken pharmacy system in revolt over burnout and errors. November 8, 2023 Le Coz E. USA Today. October 26, 2023. https://psnet.ahrq.gov/issue/prescription-disaster-americas-broken-pharmacy-system-revolt-over-burnout- and-errors Chain pharmacies provide prescriptions in an env… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39504/psn-pdfMay 05, 2010 - Patient whiteboards as a communication tool in the hospital setting: A survey of practices and recommendations. May 5, 2010 Sehgal NL, Green A, Vidyarthi A, et al. Patient whiteboards as a communication tool in the hospital setting: a survey of practices and recommendations. J Hosp Med. 2010;5(4):234-9. doi:10.100… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48149/psn-pdfJuly 31, 2019 - Zero Harm: How to Achieve Patient and Workforce Safety in Healthcare. July 31, 2019 Clapper C, Merlino J, Stockmeier C, eds. New York, NY: McGraw-Hill Education; 2019. ISBN: 9781260440928. https://psnet.ahrq.gov/issue/zero-harm-how-achieve-patient-and-workforce-safety-healthcare Achieving zero preventable harms h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60007/psn-pdfMarch 04, 2020 - ISMP Guidelines for Optimizing Safe Implementation and Use of Smart Infusion Pumps. March 4, 2020 Horsham, PA: Institute for Safe Medication Practices; 2020. https://psnet.ahrq.gov/issue/ismp-guidelines-optimizing-safe-implementation-and-use-smart-infusion- pumps Smart pumps are widely available as a medicat… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43024/psn-pdfMarch 05, 2014 - Speaking up for patient safety by hospital-based health care professionals: a literature review. March 5, 2014 Okuyama A, Wagner C, Bijnen B. Speaking up for patient safety by hospital-based health care professionals: a literature review. BMC Health Serv Res. 2014;14:61. doi:10.1186/1472-6963-14-61. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47956/psn-pdfJune 26, 2019 - Family involvement in managing medications of older patients across transitions of care: a systematic review. June 26, 2019 Manias E, Bucknall T, Hughes C, et al. Family involvement in managing medications of older patients across transitions of care: a systematic review. BMC Geriatr. 2019;19(1):95. doi:10.1186/s12… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43058/psn-pdfMarch 26, 2014 - A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. March 26, 2014 O'Heron CT, Jarman BT. A strategic approach to quality improvement and patient safety education and resident integration in a general surgery residency. J Surg Educ. 2014… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72606/psn-pdfDecember 23, 2020 - Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. December 23, 2020 Rockville, MD: US Department of Health and Human Services, Food and Drug Administration, Center for Drug Evaluation and Research; December 2020. https://psnet.ahrq.gov/issue/best-practices-d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/845070/psn-pdfFebruary 22, 2023 - Registered nurses' efforts to ensure safety for home- dwelling older patients. February 22, 2023 Lindberg C, Fock J, Nilsen P, et al. Registered nurses' efforts to ensure safety for home?dwelling older patients. Scand J Caring Sci. 2022. doi:10.1111/scs.13142. https://psnet.ahrq.gov/issue/registered-nurses-efforts… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45001/psn-pdfJune 01, 2016 - Relationship between job burnout, psychosocial factors and health care–associated infections in critical care units. June 1, 2016 Galletta M, Portoghese I, D'Aloja E, et al. Relationship between job burnout, psychosocial factors and health care-associated infections in critical care units. Intensive Crit Care Nurs… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46324/psn-pdfAugust 09, 2017 - IHI Framework for Improving Joy in Work. August 9, 2017 Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854254/psn-pdfOctober 04, 2023 - Implementing patient safety and quality improvement in dermatology. October 4, 2023 Marsch A, Khodosh R, Porter M, et al. J Am Acad Dermatol. 2023;89(4):641-54; 57-67. https://psnet.ahrq.gov/issue/implementing-patient-safety-and-quality-improvement-dermatology Patient safety in dermatology has received increasing … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60915/psn-pdfSeptember 16, 2020 - Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. September 16, 2020 Bloomfield HE, Greer N, Linsky AM, et al. Deprescribing for community-dwelling older adults: a systematic review and meta-analysis. J Gen Intern Med. 2020;35(11):3323-3332. doi:10.1007/s11606-020-06089-2. h… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/48022/psn-pdfMay 29, 2019 - Inappropriate opioid prescription after surgery. May 29, 2019 Neuman MD, Bateman BT, Wunsch H. Inappropriate opioid prescription after surgery. Lancet. 2019;393(10180):1547-1557. doi:10.1016/S0140-6736(19)30428-3. https://psnet.ahrq.gov/issue/inappropriate-opioid-prescription-after-surgery The overprescribing of o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39309/psn-pdfDecember 09, 2014 - Patient Safety in Emergency Medicine. December 9, 2014 Croskerry P, Cosby KS, Schenkel SM, Wears RL, eds. Philadelphia, PA: Lippincott Williams & Wilkins; 2009. ISBN: 9780781777278. https://psnet.ahrq.gov/issue/patient-safety-emergency-medicine The pace, diversity, and scope of an emergency department (ED) cre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43873/psn-pdfFebruary 04, 2015 - AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit. February 4, 2015 Rockville, MD: Agency for Healthcare Research and Quality; January 2015. https://psnet.ahrq.gov/issue/ahrq-safety-program-end-stage-renal-disease-facilities-toolkit Health care–associated infections are a known contributor to adve… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41678/psn-pdfJune 03, 2013 - Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). June 3, 2013 Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44052/psn-pdfJuly 16, 2015 - Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. July 16, 2015 Sittig DF, Murphy DR, Smith MW, et al. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. J Am Med Inform Assoc. 2015;22(4):900-4. doi:10.1093/jamia/…
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