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Showing results for "reduced".

6261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46593/psn-pdf
      November 08, 2017 - Unreadable barcodes and multiple barcodes on packages can lead to errors. November 8, 2017 ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3. https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors Barcodes can both enhance and degrade the medication …

6262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38213/psn-pdf
      November 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…

6263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43183/psn-pdf
      May 14, 2014 - Physician: 'I almost killed a patient' because of an advance directive. May 14, 2014 Betbeze P. HealthLeaders Media. May 2, 2014. https://psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive Reporting on how misinterpretation of advance directives and living wills can detract from patie…

6264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43036/psn-pdf
      March 27, 2014 - Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. March 27, 2014 Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. https://psnet.ahrq.gov/issue/redesigning-hospital-alarms…

6265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60569/psn-pdf
      June 10, 2020 - Workplace team resilience: a systematic review and conceptual development. June 10, 2020 Hartwig A, Clarke S, Johnson S, et al. Workplace team resilience: s systematic review and conceptual development. Org Psychol Rev. 2020;10(3-4):169-200. doi:10.1177/2041386620919476. https://psnet.ahrq.gov/issue/workplace-team…

6266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40043/psn-pdf
      March 03, 2011 - Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. March 3, 2011 McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469. doi:10.1136/bmj.c5469. https://psne…

6267. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50577/psn-pdf
      October 23, 2019 - Medicare's Oversight of Ambulatory Surgery Centers Report. October 23, 2019 Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400. https://psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report Ambulatory surgery centers (ASC) play an increasing role in com…

6268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38705/psn-pdf
      June 17, 2009 - Ambulance stretcher adverse events. June 17, 2009 Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562. https://psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events This study analyzed more than 670 reported adverse events …

6269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46800/psn-pdf
      May 16, 2018 - Ireland investigates cervical cancer screening scandal. May 16, 2018 O'Loughlin E. New York Times. April 30, 2018. https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misr…

6270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43912/psn-pdf
      February 25, 2015 - Patient Safety in Dialysis Access. February 25, 2015 Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051. https://psnet.ahrq.gov/issue/patient-safety-dialysis-access Patients with chronic kidney failure are at high risk for adverse events from treatment errors. This publication raises awa…

6271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44673/psn-pdf
      April 15, 2016 - The safety of emergency medicine. April 15, 2016 Ramlakhan S, Qayyum H, Burke D, et al. The safety of emergency medicine. Emerg Med J. 2016;33(4):293-9. doi:10.1136/emermed-2014-204564. https://psnet.ahrq.gov/issue/safety-emergency-medicine Emergency medicine is considered a high-risk environment, but little resea…

6272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60024/psn-pdf
      March 11, 2020 - Artificial intelligence and surgical decision-making. March 11, 2020 Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg. 2019;155(2):148-158. doi:10.1001/jamasurg.2019.4917. https://psnet.ahrq.gov/issue/artificial-intelligence-and-surgical-decision-making Arti…

6273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44091/psn-pdf
      January 04, 2019 - Isolation precautions for visitors. January 4, 2019 Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67. https://psnet.ahrq.gov/issue/isolation-precautions-visitors This expert guidance provides recommendations …

6274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837074/psn-pdf
      May 11, 2022 - The Color of Care. May 11, 2022 Chicago, IL: Harpo Productions, Smithsonian Channel: May 2022. https://psnet.ahrq.gov/issue/color-care The COVID-19 pandemic revealed the impact of racial disparities and inequities on patient safety for patients of color. This film shares stories of families whose care was unsafe. …

6275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73669/psn-pdf
      September 01, 2021 - Infection Prevention Compendium For Long-Term Care Facilities. September 1, 2021 Center for Healthy Aging--New York Academy of Medicine, Yale School of Nursing. https://psnet.ahrq.gov/issue/infection-prevention-compendium-long-term-care-facilities Healthcare-associated infections (HAIs) challenge safety in long-te…

6276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47533/psn-pdf
      June 19, 2019 - Patient Safety: A Health Affairs Briefing. June 19, 2019 Project Hope. https://psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person a…

6277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43100/psn-pdf
      April 02, 2014 - Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. April 2, 2014 Kahn KL, Battles JB, eds. Med Care. 2014;52:i-ii,s1-s100.  https://psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections This special issue explores a national initiativ…

6278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37938/psn-pdf
      July 23, 2008 - An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections. July 23, 2008 Backman C, Zoutman DE, Marck PB. An integrative review of the current evidence on the relationship between hand hygiene interventions and the in…

6279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867645/psn-pdf
      July 01, 2022 - A call to action for anticoagulation stewardship. July 1, 2022 Burnett AE, Barnes GD. A call to action for anticoagulation stewardship. Res Pract Thromb Haemost. 2022;6(5):e12757. doi:10.1002/rth2.12757. https://psnet.ahrq.gov/issue/call-action-anticoagulation-stewardship Anticoagulants are high-risk medications d…

6280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46718/psn-pdf
      August 08, 2018 - Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations. August 8, 2018 Joint Commission. https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare- organizations Workplace violence in health care can affect the safety of both staff and p…