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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848816/psn-pdf
    May 10, 2023 - Racial bias in cesarean decision-making. May 10, 2023 Edwards SE, Class QA, Ford CE, et al. Racial bias in cesarean decision-making. Am J Obstet Gynecol MFM. 2023;5(5):100927. doi:10.1016/j.ajogmf.2023.100927. https://psnet.ahrq.gov/issue/racial-bias-cesarean-decision-making Racial bias negatively impacts maternal…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73395/psn-pdf
    June 16, 2021 - Effect of burnout among physicians on observed adverse patient outcomes: a literature review. June 16, 2021 Mangory KY, Ali LY, Rø KI, et al. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. BMC Health Serv Res. 2021;21(1):369. doi:10.1186/s12913-021-06371-x. https://ps…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47604/psn-pdf
    December 21, 2018 - Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. December 21, 2018 Nickel WK, Weinberger SE, Guze PA, et al. Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper. Ann Intern Med. 2018;169(11):796-799. doi:10.7…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45729/psn-pdf
    September 20, 2017 - Maximize benefits of IV workflow management systems by addressing workarounds and errors. September 20, 2017 ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4. https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors Workflow process…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47651/psn-pdf
    December 12, 2018 - Are national efforts to reduce drug name confusion paying off? December 12, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6. https://psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying Look-alike and sound-alike medications present a recurring threat to patie…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45283/psn-pdf
    June 29, 2016 - Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. June 29, 2016 Graber ML, Bailey R, Johnston D. RTI International; Washington, DC: US Department of Health and Human Services, Office of the National Coordinator for Health Information Technology; 2016. https://psn…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838310/psn-pdf
    October 12, 2022 - Intravenous smart pumps at the point of care: a descriptive, observational study. October 12, 2022 Giuliano KK, Blake JWC, Bittner NP, et al. Intravenous smart pumps at the point of care: a descriptive, observational study. J Patient Saf. 2022;18(6):553-558. doi:10.1097/pts.0000000000001057. https://psnet.ahrq.gov…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45130/psn-pdf
    July 18, 2018 - Surgical fires: decreasing incidence relies on continued prevention efforts. July 18, 2018 Bruley ME, Arnold TV, Finley E, Deutsch ES, Treadwell JR. PA-PSRS Pa Patient Saf Advis. June 2018;15. https://psnet.ahrq.gov/issue/surgical-fires-decreasing-incidence-relies-continued-prevention-efforts Although surgical fir…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837514/psn-pdf
    June 22, 2022 - Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022 Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(5):553-569…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44020/psn-pdf
    March 25, 2015 - Wrong-site orthopedic operations on the extremities: the Pennsylvania experience. March 25, 2015 Clarke JR. PA-PSRS Patient Saf Advis. 2015;12:19-27. https://psnet.ahrq.gov/issue/wrong-site-orthopedic-operations-extremities-pennsylvania-experience Wrong-site surgeries are considered never events by the National Qu…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865722/psn-pdf
    May 01, 2024 - Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. May 1, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(8):1-4. https://psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside- intravenous-iv-pole A multitude of latent…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853237/psn-pdf
    September 06, 2023 - Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. September 6, 2023 Grubenhoff JA, Bakel LA, Dominguez F, et al. Clinical pathway adherence and missed diagnostic opportunities among children with musculoskeletal infections. Jt Comm J Qual Patient Saf. 2…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837846/psn-pdf
    August 17, 2022 - Quality measures for patients at risk of adverse outcomes in the Veterans Health Administration: expert panel recommendations. August 17, 2022 Chang ET, Newberry S, Rubenstein LV, et al. Quality Measures for Patients at Risk of Adverse Outcomes in the Veterans Health Administration. JAMA Network Open. 2022;5(8):e2…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42942/psn-pdf
    February 22, 2024 - Targeted Medication Safety Best Practices for Hospitals. February 22, 2024 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2024. https://psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals This updated report outlines 22 consensus-based best practices to ensure safe medication ad…

  15. What are "patient safety activities"? | PSO

    pso.ahrq.gov/faq/what-are-patient-safety-activities
    SHARE: What are "patient safety activities"? There are eight patient safety activities that are carried out by, or on behalf of a PSO, or a healthcare provider: Efforts to improve patient safety and the quality of healthcare delivery The collection and ana…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40365/psn-pdf
    February 12, 2014 - Strategies for learning from failure. February 12, 2014 Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. https://psnet.ahrq.gov/issue/strategies-learning-failure Failures are inevitable in any industry, especially in one as complex as health care. The ability to learn from fai…

  17. Evaluating Primary Care Behavioral Counseling Interventions: An Evidence-based Approach (pdf file)

    www.uspreventiveservicestaskforce.org/uspstf/sites/default/files/inline-files/behavintr.pdf
    January 01, 2010 - These advances will facilitate subsequent recommendation development for behavioral counseling topics

  18. Disposition of Comments for CER 165 Fecal Incontinence (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/fecal-incontinence_disposition-comments.pdf
    March 21, 2016 - Sacral Nerve Stimulation received a 1B, or a Strong Recommendation, Moderate-quality evidence. … Neuromodulation (SNS) be considered in patients with FI who do not respond to conservative therapy (Strong Recommendation

  19. Statistical Brief #105: Diabetes Management: Tests and Treatments among the 18 and Older U.S. Civilian Noninstitutionalized Population in 2003 (pdf file)

    meps.ahrq.gov/data_files/publications/st105/stat105.pdf
    December 01, 2005 - Statistical Brief #105: Diabetes Management: Tests and Treatments among the 18 and Older U.S. Civilian Noninstitutionalized Population in 2003 Medical Expenditure Panel Survey Agen Res 5 December 2005 In 20 U.S. alize (14.2 repo Men com of di perc resp The diag thos (16.6 time…

  20. Patient Safety in Medical, Nursing, and Other Clinical Education | PSNet

    psnet.ahrq.gov/perspective/patient-safety-medical-nursing-and-other-clinical-education
    January 31, 2020 - Annual Perspective Patient Safety in Medical, Nursing, and Other Clinical Education March 16, 2020  View more articles from the same authors. Citation Text: Howley LD, Hall KK, Fitall E. Patient Safety in Medical, Nursing, and Other Clinical Education . PSNe…
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