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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39474/psn-pdfJune 27, 2011 - A model for medication safety event detection. June 27, 2011 Snyder RA, Fields W. A model for medication safety event detection. Int J Qual Health Care. 2010;22(3):179-86. doi:10.1093/intqhc/mzq014. https://psnet.ahrq.gov/issue/model-medication-safety-event-detection This AHRQ-funded work describes a model to iden… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40826/psn-pdfOctober 05, 2011 - Patient Safety: A Human Factors Approach. October 5, 2011 Dekker S. Boca Raton: CRC Press/Taylor & Francis Group; 2011. ISBN: 9781439852255. https://psnet.ahrq.gov/issue/patient-safety-human-factors-approach This book explores the complexity of patient safety improvement through the lens of human factors engineeri… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40514/psn-pdfJune 08, 2011 - 'Spread' remains challenge in patient safety improvement. June 8, 2011 'Spread' remains challenge in patient safety improvement. Healthcare benchmarks and quality improvement. 2011;18(5):49-52. https://psnet.ahrq.gov/issue/spread-remains-challenge-patient-safety-improvement Discussing challenges to expanding the u… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40178/psn-pdfJune 10, 2018 - Guidelines for timely medication administration: response to the CMS "30-minute rule." June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4. https://psnet.ahrq.gov/issue/guidelines-timely-medication-administration-response-cms-30-minute-rule This article reports results from a su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35539/psn-pdfMarch 29, 2010 - Differentiating close calls from errors: a multidisciplinary perspective. March 29, 2010 Etchegaray JM; Thomas EJ; Geraci JM; Simmons D; Martin SK. https://psnet.ahrq.gov/issue/differentiating-close-calls-errors-multidisciplinary-perspective In this AHRQ-funded study, the investigators determined that health care … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34956/psn-pdfFebruary 28, 2011 - Processes for effective communication in primary care. February 28, 2011 Weiner SJ, Barnet B, Cheng TL, et al. Processes for effective communication in primary care. Ann Intern Med. 2005;142(8):709-714. https://psnet.ahrq.gov/issue/processes-effective-communication-primary-care The authors address obstacles to eff… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38811/psn-pdfJuly 22, 2009 - Council recommendation on patient safety, including the prevention and control of healthcare associated infections. July 22, 2009 Council of the European Union (2009). https://psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control- healthcare-associated This document provides… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35074/psn-pdfMarch 07, 2016 - Library-hospital pairing empowers patients, improves safety. March 7, 2016 https://psnet.ahrq.gov/issue/library-hospital-pairing-empowers-patients-improves-safety This article describes the Partnering for Patient Empowerment Through Community Awareness program, a model for utilizing libraries to educate consumers … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42756/psn-pdfNovember 20, 2013 - Removing the "me" from "MD." November 20, 2013 Parikh RB. Removing the “Me” From “MD”. JAMA. 2013;310(18). doi:10.1001/jama.2013.280722. https://psnet.ahrq.gov/issue/removing-me-md Recounting what one medical student learned by shadowing a nurse, this commentary emphasizes the importance of interprofessional commu… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36541/psn-pdfJanuary 25, 2010 - Patient Safety in Pediatric Emergency Medicine. January 25, 2010 Frush KS, Hohenhaus SM eds. Clin Pediatr Emerg Med. 2006;7(4):213-283. https://psnet.ahrq.gov/issue/patient-safety-pediatric-emergency-medicine This special issue provides 11 articles on various aspects of ensuring safety in pediatric emergency care, … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35425/psn-pdfJune 17, 2014 - Have you M.E.T. the future of better patient safety? June 17, 2014 Larson L. Have you M.E.T. the future of better patient safety? Trustee : the journal for hospital governing boards. 2005;58(8):6-10, 1. https://psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety This article recaps the origins of the me… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40143/psn-pdfMay 21, 2019 - Overview of progress on patient safety. May 21, 2019 Pronovost P, Holzmueller CG, Ennen CS, et al. Overview of progress in patient safety. Am J Obstet Gynecol. 2011;204(1):5-10. doi:10.1016/j.ajog.2010.11.001. https://psnet.ahrq.gov/issue/overview-progress-patient-safety The first in a new patient safety series, t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36152/psn-pdfAugust 09, 2006 - Improving patient safety with team coordination: challenges and strategies of implementation. August 9, 2006 Harris KT; Treanor CM; Salisbury ML. https://psnet.ahrq.gov/issue/improving-patient-safety-team-coordination-challenges-and-strategies- implementation The authors discuss the implementation of a teamwork t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35123/psn-pdfJuly 03, 2015 - Patient Safety Tools: Improving Safety at the Point of Care. July 3, 2015 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care The Agency for Healthcare Research and Quality (AHRQ) awarded more than $8 million to 15 Partnerships in Implementing … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36493/psn-pdfJanuary 01, 2010 - Hospital-acquired Infections in Pennsylvania. December 6, 2006 Harrisburg PA: Pennsylvania Health Care Cost Containment Council -- 2005-2010. https://psnet.ahrq.gov/issue/hospital-acquired-infections-pennsylvania-1 This collection of reports provides annual findings on the number and rate of health care- acquired … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37573/psn-pdfDecember 23, 2016 - Preventing accidents and injuries in the MRI suite. December 23, 2016 Preventing accidents and injuries in the MRI suite. Sentinel Event Alert. 2008;38(38):1-3. https://psnet.ahrq.gov/issue/preventing-accidents-and-injuries-mri-suite This alert provides risk reduction strategies and recommendations to minimize oppo… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38360/psn-pdfMarch 18, 2010 - Medication errors occurring with the use of bar-code administration technology. March 18, 2010 PA-PSRS Patient Saf Advis. December 2008;5:122-126. https://psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology This article describes errors associated with bar coded medication admin… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35799/psn-pdfMarch 29, 2006 - The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion paper. March 29, 2006 Johnstone MJ; Kanitsaki O. https://psnet.ahrq.gov/issue/ethics-and-practical-importance-defining-distinguishing-and-disclosing-nursing- errors The authors provide a definition of "nur… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35465/psn-pdfJanuary 05, 2017 - Medication errors related to product names. January 5, 2017 Santell JP, Cousins DD. Medication errors related to product names. Jt Comm J Qual Patient Saf. 2005;31(11):649-54. https://psnet.ahrq.gov/issue/medication-errors-related-product-names The authors use data from United States Pharmacopeia Medication Errors… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38303/psn-pdfDecember 17, 2008 - Errors and analysis of errors. December 17, 2008 Mulligan MA, Nechodom P. Errors and analysis of errors. Clin Obstet Gynecol. 2008;51(4):656-65. doi:10.1097/GRF.0b013e3181899a5a. https://psnet.ahrq.gov/issue/errors-and-analysis-errors This article suggests elements of an effective error reduction program and provi…
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