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Showing results for "providing".

7721. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39663/psn-pdf
      June 09, 2011 - Value of human factors to medication and patient safety in the intensive care unit. June 9, 2011 Scanlon M, Karsh B-T. Value of human factors to medication and patient safety in the intensive care unit. Crit Care Med. 2010;38. doi:10.1097/ccm.0b013e3181dd8de2. https://psnet.ahrq.gov/issue/value-human-factors-medic…

7722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73960/psn-pdf
      October 13, 2021 - Therapeutic duplication on the general surgical wards. October 13, 2021 Huynh I, Rajendran T. Therapeutic duplication on the general surgical wards. BMJ Open Qual. 2021;10(3):e001363. doi:10.1136/bmjoq-2021-001363. https://psnet.ahrq.gov/issue/therapeutic-duplication-general-surgical-wards Unintentional therapeuti…

7723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45926/psn-pdf
      May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers. May 17, 2017 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…

7724. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37752/psn-pdf
      May 07, 2019 - Guidance for the Safe Use of Automated Dispensing Cabinets. May 7, 2019 Horsham, PA: Institute for Safe Medication Practices; 2019. https://psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets Drug dispensing systems have been adopted in hospitals to prevent medication errors, but accidents associ…

7725. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36545/psn-pdf
      January 10, 2011 - Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. January 10, 2011 Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists. J Hosp Med. 2006;1(6). doi:10.1002/…

7726. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45054/psn-pdf
      May 18, 2016 - Double checking: a second look. May 18, 2016 Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468. https://psnet.ahrq.gov/issue/double-checking-second-look Manual double checking of high-risk medication administration is a standard safety pract…

7727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46495/psn-pdf
      December 13, 2017 - Wrong-site surgery. December 13, 2017 Engelhardt KE, Barnard C, Bilimoria KY. Wrong-Site Surgery. JAMA. 2017;318(20):2033-2034. doi:10.1001/jama.2017.17177. https://psnet.ahrq.gov/issue/wrong-site-surgery-1 This commentary describes a case of wrong-site surgery, an erroneous breast biopsy, and the resulting discl…

7728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866528/psn-pdf
      August 14, 2024 - First with Kids: Medication Errors. August 14, 2024 First L. NBC5. First with Kids: Medication Errors. August 1, 2024. https://psnet.ahrq.gov/issue/first-kids-medication-errors Medication mistakes involving children are common. This news segment provides suggestions for parents to help improve the safety of medica…

7729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40868/psn-pdf
      October 19, 2011 - Simulation to enhance patient safety: why aren't we there yet? October 19, 2011 Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest. 2011;140(4):854-858. doi:10.1378/chest.11-0728. https://psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet Discussin…

7730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39814/psn-pdf
      January 28, 2015 - Patient safety for global health - developing safe, effective and accessible technologies. January 28, 2015 Qual Saf Health Care. 2010;19(suppl 2):i1-i47. https://psnet.ahrq.gov/issue/patient-safety-global-health-developing-safe-effective-and-accessible- technologies This supplement provides the conclusions of wo…

7731. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45008/psn-pdf
      June 28, 2018 - Opioid Overdose. June 28, 2018 Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/opioid-overdose Concerns about patient harm from prescription opioid misuse are increasing in the United States. This website provides guidelines for use of opioid medications and information to raise awareness …

7732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74249/psn-pdf
      January 12, 2022 - Medication safety issues with newly authorized PAXLOVID. January 12, 2022 Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. https://psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid Emerging care practices can produce unsafe situations due to the newness…

7733. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43577/psn-pdf
      October 01, 2014 - The State of VA Health Care. October 1, 2014 Hearing Before the Committee on Veterans' Affairs United States Senate. 113th Cong (September 9, 2014). https://psnet.ahrq.gov/issue/state-va-health-care In this hearing Veterans Affairs leadership provide an update on the current investigation into data and scheduling…

7734. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50876/psn-pdf
      April 22, 2021 - Veterans Accountability Improvement Act. April 22, 2021 SB 1307, 117th Congress: 2021. https://psnet.ahrq.gov/issue/veterans-accountability-improvement-act Reporting clinicians who exhibit practice behaviors that are detrimental to safety is challenged by system and cultural norms. This legislation aims to strengt…

7735. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43322/psn-pdf
      January 28, 2015 - Patient Safety Initiative: Hospital Executive and Physician Leadership Strategies. January 28, 2015 Oakbrook, IL: Joint Commission Resources; January 2014. https://psnet.ahrq.gov/issue/patient-safety-initiative-hospital-executive-and-physician-leadership-strategies This toolkit draws from experiences of the Joint …

7736. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41253/psn-pdf
      April 04, 2012 - Impact of resident workload and handoff training on patient outcomes. April 4, 2012 Mueller SK, Call S, McDonald FS, et al. Impact of resident workload and handoff training on patient outcomes. Am J Med. 2012;125(1):104-10. doi:10.1016/j.amjmed.2011.09.005. https://psnet.ahrq.gov/issue/impact-resident-workload-and…

7737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37456/psn-pdf
      January 01, 2012 - The impact of health system membership on patient safety initiatives. May 26, 2011 Ford EW, Short JC. The impact of health system membership on patient safety initiatives. Health Care Manage Rev. 2012;33(1):13-20. doi:10.1097/01.hmr.0000304496.89684.7f. https://psnet.ahrq.gov/issue/impact-health-system-membership-…

7738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43864/psn-pdf
      January 28, 2015 - Starter Kit for Alarm Fatigue. January 28, 2015 National Association of Clinical Nurse Specialists; NACNS. https://psnet.ahrq.gov/issue/starter-kit-alarm-fatigue Alarm fatigue has been identified as a serious problem that affects the safety of nursing care. This toolkit provides checklists, resources, and implemen…

7739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865882/psn-pdf
      May 15, 2024 - Kentucky first state to decriminalize medical errors. May 15, 2024 Robertson R. MedPage Today. April 30, 2024. https://psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors Criminalization of medical error can have a chilling effect on the transparency needed to inform improvement. This news artic…

7740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38586/psn-pdf
      April 30, 2014 - Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. April 30, 2014 Balch CM, Freischlag JA, Shanafelt TD. Stress and burnout among surgeons: understanding and managing the syndrome and avoiding the adverse consequences. Arch Surg. 2009;144(4):371-6. do…