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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44231/psn-pdfJanuary 22, 2016 - Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. January 22, 2016 Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-9. doi:10.1097/NCQ.0000000000000131.… -
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/74843/psn-pdfFebruary 16, 2022 - Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. February 16, 2022 Liu Y, Becker A, Mattke S. Association of adverse events in opioid addiction treatment with quality measure for continuity of pharmacotherapy. J Healthc Qual. 2022;44(3):e38-e43. d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47294/psn-pdfNovember 19, 2018 - 2017 John M. Eisenberg Patient Safety and Quality Awards. November 19, 2018 Jt Comm J Qual Patient Saf. 2018;44(7):373-400. https://psnet.ahrq.gov/issue/2017-john-m-eisenberg-patient-safety-and-quality-awards The Eisenberg Award honors individuals and organizations who have made unique and sustained contributions… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837504/psn-pdfJune 22, 2022 - Business Intelligence dashboards for patient safety and quality: a narrative literature review. June 22, 2022 Davy A, Borycki EM. Business Intelligence dashboards for patient safety and quality: a narrative literature review. Stud Health Technol Inform. 2022;290:438-441. doi:10.3233/shti220113. https://psnet.ahrq.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43932/psn-pdfMarch 04, 2015 - Safety considerations to mitigate the risks of misconnections with small-bore connectors intended for enteral applications. March 4, 2015 Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; February 11, 2015. https://psnet.ahrq.gov/issue/safety-considerations-mitigate-risks… -
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/44059/psn-pdfApril 22, 2015 - ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. April 22, 2015 Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72(8):e6-e35. doi:10.2146/sp150001. https://psnet.ahrq.gov/iss… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43535/psn-pdfSeptember 24, 2014 - The friends and family test: a qualitative study of concerns that influence the willingness of English National Health Service staff to recommend their organisation. September 24, 2014 Dixon-Woods M, Minion JT, McKee L, et al. The friends and family test: a qualitative study of concerns that influence the willing… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47033/psn-pdfJune 06, 2018 - Post-hospital medication discrepancies at home: risk factor for 90-day return to emergency department. June 6, 2018 Costa LL, Byon HD. Post-Hospital Medication Discrepancies at Home: Risk Factor for 90-Day Return to Emergency Department. J Nurs Care Qual. 2018;33(2):180-186. doi:10.1097/NCQ.0000000000000278. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44722/psn-pdfMarch 15, 2016 - Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. March 15, 2016 Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Int J Qual Health C… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47753/psn-pdfApril 24, 2019 - Teams of psychologists helping teams: the evolution of the science of team training. April 24, 2019 Bisbey TM, Reyes DL, Traylor AM, et al. Teams of psychologists helping teams: The evolution of the science of team training. Am Psychol. 2019;74(3):278-289. doi:10.1037/amp0000419. https://psnet.ahrq.gov/issue/teams… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60664/psn-pdfJuly 08, 2020 - Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers. July 8, 2020 Jarrett T, Cochran J, Baus A. Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867085/psn-pdfNovember 06, 2024 - The medication kit conundrum: considerations to enhance safety and efficiency. November 6, 2024 Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233. https://psnet.ahrq.gov/issue/medi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47290/psn-pdfDecember 12, 2018 - Burnout in mental health professionals: a systematic review and meta-analysis of prevalence and determinants. December 12, 2018 O'Connor K, Neff DM, Pitman S. Burnout in mental health professionals: a systematic review and meta- analysis of prevalence and determinants. Eur Psychiatry. 2018;53:74-99. doi:10.1016/j.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/73995/psn-pdfOctober 20, 2021 - Potential for medication overdose with ENFit low dose tip syringe: FDA Safety Communication. October 20, 2021 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 12, 2021. https://psnet.ahrq.gov/issue/potential-medication-overdose-enfit-low-dose-tip-syringe-fda-safety- communication … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34780/psn-pdfMarch 28, 2005 - Disseminating innovations in health care. March 28, 2005 Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. https://psnet.ahrq.gov/issue/disseminating-innovations-health-care This commentary and review discusses the ability to adopt growing numbers of … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47064/psn-pdfAugust 22, 2018 - Lax oversight leaves surgery center regulators and patients in the dark. August 22, 2018 Jewett C, Alesia M. Kaiser Health News. August 9, 2018. https://psnet.ahrq.gov/issue/lax-oversight-leaves-surgery-center-regulators-and-patients-dark High-profile failures during office-based procedures have raised awareness o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45854/psn-pdfJuly 12, 2017 - The second victim phenomenon after a clinical error: the design and evaluation of a website to reduce caregivers' emotional responses after a clinical error. July 12, 2017 Mira JJ, Carrillo I, Guilabert M, et al. The Second Victim Phenomenon After a Clinical Error: The Design and Evaluation of a Website to Reduce … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43797/psn-pdfJanuary 07, 2015 - Building a community engagement approach for patient safety improvement. January 7, 2015 Gooden R, Syed SB, Rutter P, et al. Building a community engagement approach for patient safety improvement. Community Dev J. 2013;49(4). doi:10.1093/cdj/bst044. https://psnet.ahrq.gov/issue/building-community-engagement-appro…
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