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Showing results for "reduced".

6121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33952/psn-pdf
      July 16, 2009 - Bar code label requirement for human drug products and biological products. July 16, 2009 Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171. https://psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products The US Food and Drug Administration (FDA) require…

6122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42197/psn-pdf
      September 24, 2016 - Interruptions during nurses' work: a state-of-the-science review. September 24, 2016 Hopkinson SG, Jennings BM. Interruptions during nurses' work: A state-of-the-science review. Res Nurs Health. 2013;36(1):38-53. doi:10.1002/nur.21515. https://psnet.ahrq.gov/issue/interruptions-during-nurses-work-state-science-rev…

6123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37595/psn-pdf
      March 05, 2008 - An evaluation of medication errors—the pediatric surgical service experience. March 5, 2008 Engum SA, Breckler FD. An evaluation of medication errors-the pediatric surgical service experience. J Pediatr Surg. 2008;43(2):348-52. doi:10.1016/j.jpedsurg.2007.10.042. https://psnet.ahrq.gov/issue/evaluation-medication-…

6124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867699/psn-pdf
      June 01, 2023 - Toolkit for Improving Surgical Care and Recovery. June 1, 2023 Agency for Healthcare Research and Quality. Toolkit for Improving Surgical Care and Recovery. June 2023. https://psnet.ahrq.gov/issue/toolkit-improving-surgical-care-and-recovery Improving patient experience fosters better communication, trust, and col…

6125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45336/psn-pdf
      September 21, 2016 - Medical misdiagnoses put pressure on patients to stay engaged. September 21, 2016 Innes S. Arizona Daily Star. September 12, 2016. https://psnet.ahrq.gov/issue/medical-misdiagnoses-put-pressure-patients-stay-engaged Delayed diagnoses can have serious consequences. This news article reviews several examples of mis…

6126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36976/psn-pdf
      June 15, 2011 - Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. June 15, 2011 Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. https://psnet.ahrq.gov/issue/evaluation…

6127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40765/psn-pdf
      September 14, 2011 - Medication errors reported in a pediatric intensive care unit for oncologic patients. September 14, 2011 Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b013e3182064a6a. https://psnet.ah…

6128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60042/psn-pdf
      March 11, 2020 - At Walgreens, complaints of medication errors go missing. March 11, 2020 Gabler E. New York Times. February 23, 2020. https://psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing Response to reported safety concerns is a primary indicator of an organizational commitment to reducing and lear…

6129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837679/psn-pdf
      July 13, 2022 - Provider implicit bias: bringing awareness to clinical practice. July 13, 2022 Moss LD. Clinical Advisor. June 29, 2022. https://psnet.ahrq.gov/issue/provider-implicit-bias-bringing-awareness-clinical-practice Health disparities perpetuated by structural racism degrade patient safety. This article discusses the i…

6130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41334/psn-pdf
      April 25, 2012 - Understanding the role of non-technical skills in patient safety. April 25, 2012 White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8. https://psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety Examining a case study in which a patient die…

6131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43941/psn-pdf
      February 25, 2015 - How to make surgery safer. February 25, 2015 https://psnet.ahrq.gov/issue/how-make-surgery-safer This newspaper article reports on various ways hospitals are working to make surgical care safer and reduce readmissions due to surgical complications, including checklists, teamwork training courses for surgeons, preo…

6132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36387/psn-pdf
      July 14, 2010 - Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. July 14, 2010 Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J Patient Saf. 2008;2(3). doi:10.1097/0…

6133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43748/psn-pdf
      December 03, 2014 - New enteral connectors: raising awareness. December 3, 2014 Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5). doi:10.1177/0884533614543330. https://psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness Redesigning tubing connectors according to new ISO standards has the potenti…

6134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45990/psn-pdf
      August 24, 2022 - Medication Safety Certificate Program. August 24, 2022 American Society of Health-System Pharmacists, Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/medication-safety-certificate-program Leadership commitment to reduce medication errors can help address this safety problem. This certificate …

6135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46596/psn-pdf
      November 01, 2017 - Infection prevention and control in pediatric ambulatory settings. November 1, 2017 Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140(5):e20172857. https://psnet.ahrq.gov/issue/infection-prevention-and-control-pediatric-ambulatory-settings Patient safety in the ambulatory environme…

6136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47354/psn-pdf
      November 21, 2018 - Improving Diagnosis in Medicine Change Package. November 21, 2018 Chicago, IL: Health Research & Educational Trust; 2018. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package Proactive identification of conditions that degrade the diagnostic process can drive improvement. This toolkit provides …

6137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42160/psn-pdf
      April 03, 2013 - The perianesthesia nurse's role in the prevention of opioid-related sentinel events. April 3, 2013 Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…

6138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45462/psn-pdf
      August 31, 2016 - Learning From Mistakes. August 31, 2016 London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764. https://psnet.ahrq.gov/issue/learning-mistakes The National Health Service (NHS) has a history of sharing analyses of problems in its system. Summarizing an NHS investigation into the…

6139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41623/psn-pdf
      April 05, 2013 - Preventing patient harms through systems of care. April 5, 2013 Pronovost P, Bo-Linn GW. Preventing patient harms through systems of care. JAMA. 2012;308(8):769-70. doi:10.1001/jama.2012.9537. https://psnet.ahrq.gov/issue/preventing-patient-harms-through-systems-care Recent initiatives, such as the Partnership for…

6140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45237/psn-pdf
      June 15, 2016 - Medication reconciliation in oncological patients: a randomized clinical trial. June 15, 2016 Vega TG-C, Sierra-Sánchez JF, Martínez-Bautista MJ, et al. Medication Reconciliation in Oncological Patients: A Randomized Clinical Trial. J Manag Care Spec Pharm. 2016;22(6):734-40. doi:10.18553/jmcp.2016.15248. https:/…