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Showing results for "reduced".

5481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40298/psn-pdf
      May 13, 2019 - Improving patient safety in radiation oncology. May 13, 2019 Hendee WR, Herman MG. Improving patient safety in radiation oncology. https://psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology This commentary discusses radiation safety issues and describes recommendations developed at a conference to re…

5482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35161/psn-pdf
      March 13, 2016 - The forgotten tourniquet—an update. March 13, 2016 PA Patient Saf Advis. 2016;13(1):4. http://patientsafety.pa.gov/ADVISORIES/Pages/201603_32.aspx. https://psnet.ahrq.gov/issue/forgotten-tourniquet-update This advisory from the Pennsylvania Patient Safety Reporting System discusses 1079 reports of tourniquets bein…

5483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41329/psn-pdf
      September 24, 2016 - The science of interruption. September 24, 2016 Coiera E. The science of interruption. BMJ Qual Saf. 2012;21(5):357-60. doi:10.1136/bmjqs-2012-000783. https://psnet.ahrq.gov/issue/science-interruption This commentary discusses interruption research in health care, challenges to understanding its impact, and approa…

5484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37935/psn-pdf
      February 17, 2011 - The (slowly) vanishing prescription pad. February 17, 2011 Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864. https://psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad This perspective discusses the proliferation of electronic vs. paper-based pres…

5485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37009/psn-pdf
      March 18, 2010 - Doing the "right" things to correct wrong-site surgery. March 18, 2010 Patient Safety Advisory https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results of other studies, and provides suggesti…

5486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37904/psn-pdf
      July 09, 2008 - Evidence shows cost and patient safety benefits of emergency pharmacists. July 9, 2008 Clancy CM. https://psnet.ahrq.gov/issue/evidence-shows-cost-and-patient-safety-benefits-emergency-pharmacists This article discusses activities related to reducing adverse drug events in emergency departments (EDs) and highligh…

5487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36824/psn-pdf
      October 03, 2017 - Department of Defense (DoD) Patient Safety Program. October 3, 2017 US Department of Defense; DOD https://psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program This Web site includes information on several initiatives within the US Military Health System to support its culture of safety and reduce med…

5488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35137/psn-pdf
      May 27, 2011 - Drug errors show need for tech aid. May 27, 2011 Landro L. https://psnet.ahrq.gov/issue/drug-errors-show-need-tech-aid The article discusses the importance of using computerized physician order entry systems that provide more sophisticated alerts, such as drug dosages and strategies for monitoring patients, to red…

5489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35953/psn-pdf
      May 24, 2006 - Too exhausted to act safely? May 24, 2006 Spath P. Hosp Peer Rev. 2006;31(4):56-59. https://psnet.ahrq.gov/issue/too-exhausted-act-safely The author discusses how to identify and evaluate worker fatigue. Part II of this article outlines specific techniques for reducing health care worker fatigue. https://psnet.ah…

5490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40552/psn-pdf
      June 22, 2011 - Don't come back, hospitals say. June 22, 2011 Landro L. https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say This newspaper article describes government-funded and hospital-based efforts to improve discharge and reduce preventable readmissions. https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say https:…

5491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36259/psn-pdf
      October 21, 2010 - How we cut drug errors. October 21, 2010 Nicol N, Huminski L. How we cut drug errors. At one hospital, IT and changed culture saves lives. Modern healthcare. 2006;36(34):38. https://psnet.ahrq.gov/issue/how-we-cut-drug-errors This article discusses technology-based tools and culture change strategies employed by o…

5492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40491/psn-pdf
      June 08, 2011 - Medical error reduction: the effect of employee satisfaction with organizational support. June 8, 2011 Lee D; Lee SM; Schniederjans MJ. https://psnet.ahrq.gov/issue/medical-error-reduction-effect-employee-satisfaction-organizational-support This survey conducted at four South Korean hospitals found that employees'…

5493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40616/psn-pdf
      July 13, 2011 - Clinical decision support and malpractice risk. July 13, 2011 Greenberg MD, Ridgely MS. Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1). doi:10.1001/jama.2011.929. https://psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk This commentary discusses liabilities associated with cli…

5494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36423/psn-pdf
      December 22, 2010 - Care transitions: a threat and an opportunity for patient safety. December 22, 2010 Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical Quality. 2006;21(6). doi:10.1177/1062860606293537. https://psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patien…

5495. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
      psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
      February 01, 2014 - machines were introduced, both workers and owners thought it didn't fit into their workflow, and it reduced

5496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42620/psn-pdf
      April 04, 2018 - Diagnostic Error in Medicine. April 4, 2018 Singh H, ed. BMJ Qual Saf. 2013;22(suppl 2):ii1-ii72. https://psnet.ahrq.gov/issue/diagnostic-error-medicine-0 Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement and cognitive debiasing. https://psnet.ahrq.gov/issue/di…

5497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38535/psn-pdf
      April 01, 2009 - Preventing catheter-related bloodstream infections: thinking outside the checklist. April 1, 2009 Perencevich EN; Pittet D. https://psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist Checklists for specific interventions have proved successful at markedly reducing ca…

5498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41734/psn-pdf
      October 03, 2012 - Prescribing errors in hospital practice. October 3, 2012 Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x. https://psnet.ahrq.gov/issue/prescribing-errors-hospital-practice Highlighting inconsistencies in defining and measuring prescrib…

5499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39410/psn-pdf
      March 31, 2010 - Doctors fear work caps for residents may be bad medicine. March 31, 2010 Shapira I. https://psnet.ahrq.gov/issue/doctors-fear-work-caps-residents-may-be-bad-medicine This news piece examines the work week of resident physicians and discusses how further limiting trainees' work hours might reduce their experientia…

5500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42726/psn-pdf
      November 13, 2013 - Mistakes even good doctors make. November 13, 2013 Consumer Reports on Health. November 2013;25:6-7.  https://psnet.ahrq.gov/issue/mistakes-even-good-doctors-make This article reveals commonly misdiagnosed conditions, why diagnostic errors occur, and tips for patients to reduce risks. https://psnet.ahrq.gov/…