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Showing results for "reduced".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39299/psn-pdf
    September 27, 2016 - Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgical performance. September 27, 2016 Parker SEH, Laviana AA, Wadhera RK, et al. Development and evaluation of an observational tool for assessing surgical flow disruptions and their impact on surgica…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34788/psn-pdf
    March 28, 2005 - Cost of medication-related problems at a university hospital. March 28, 2005 Schneider PJ; Gift MG; Lee YP; Rothermich EA; Sill BE https://psnet.ahrq.gov/issue/cost-medication-related-problems-university-hospital This study used retrospective chart review to determine estimated costs of defined medication-related …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35193/psn-pdf
    July 10, 2008 - Diagnostic error in internal medicine. July 10, 2008 Graber ML, Franklin N, Gordon R. Diagnostic error in internal medicine. Arch Intern Med. 2005;165(13):1493-1499. https://psnet.ahrq.gov/issue/diagnostic-error-internal-medicine This study identified 100 cases of diagnostic error in internal medicine and conducte…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41514/psn-pdf
    July 02, 2014 - Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. July 2, 2014 Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257d57d. https://psnet.ahrq.gov/issue/pers…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44269/psn-pdf
    July 01, 2015 - Accidental overdoses involving fluorouracil infusions. July 1, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5. https://psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions Describing three accidental overdoses of the antineoplastic drug fluorouracil which involved …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48166/psn-pdf
    August 28, 2019 - Doctors can change opioid prescribing habits, but progress comes in small doses. August 28, 2019 Appleby J; Lucas E. https://psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses Efforts to reduce misuse of prescription opioids must draw from public health and behavioral stra…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43948/psn-pdf
    May 20, 2015 - Human factors engineering: its place and potential in OR safety. May 20, 2015 Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. https://psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety Human fa…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44241/psn-pdf
    November 09, 2015 - The overlooked danger of delirium in hospitals. November 9, 2015 Boodman SG. The Atlantic. June 7, 2015. https://psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals Delirium is a common unintended consequence of hospitalization, most often following a surgical procedure. This magazine article discusses chara…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73378/psn-pdf
    June 09, 2021 - Making Healthcare Safe: The Story of the Patient Safety Movement. June 9, 2021 Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252. https://psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement The publication of “Error in Medicine” by Dr. Lucian Leape marked a pivotal step …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838027/psn-pdf
    September 07, 2022 - Advancing Anticoagulation Stewardship: A Playbook. September 7, 2022 Washington DC; National Quality Forum and Anticoagulation Forum; 2022. https://psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook Warfarin and other anticoagulants are high-alert medications that, if errors occur in their use, can…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865881/psn-pdf
    May 15, 2024 - Stranded in the ER, seniors await hospital care and suffer avoidable harm. May 15, 2024 Graham J. KFF Health News. May 6, 2024. https://psnet.ahrq.gov/issue/stranded-er-seniors-await-hospital-care-and-suffer-avoidable-harm The boarding of patients that present with emergent needs reduces safety and access to care …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60663/psn-pdf
    January 01, 2021 - Apology laws and malpractice liability: what have we learned? July 8, 2020 Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-l…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73502/psn-pdf
    July 14, 2021 - Toolkit to Improve Antibiotic Use in Long-Term Care. July 14, 2021 Rockville, MD: Agency for Healthcare Research and Quality; June 2021. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care The use of antibiotics should be monitored to reduce the potential for infection in care facilities. Thi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46052/psn-pdf
    December 19, 2017 - Correlates of the third victim phenomenon. December 19, 2017 Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920. doi:10.1007/s11126-017-9511-1. https://psnet.ahrq.gov/issue/correlates-third-victim-phenomenon A sentinel event affects patients, their families, clinicians involved, an…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866638/psn-pdf
    September 04, 2024 - The problem with 'never events'. September 4, 2024 Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. https://psnet.ahrq.gov/issue/problem-never-events Never events are serious, but preventable, adverse events that result in serious pati…

  16. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? | PSNet

    psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
    April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Citation Text: Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

  17. Artificial Intelligence and Patient Safety: Promise and Challenges | PSNet

    psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
    March 27, 2024 - into health information technology (IT) systems offers the promise that some of the challenges can be reduced … the early detection of lung cancer in X-ray and CT scan images, where an AI algorithm significantly reduced

  18. In Conversation with...Patrick Tighe about Artificial Intelligence | PSNet

    psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
    March 27, 2024 - into health information technology (IT) systems offers the promise that some of the challenges can be reduced … the early detection of lung cancer in X-ray and CT scan images, where an AI algorithm significantly reduced

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867450/psn-pdf
    January 08, 2025 - Advancing Health Care Safety for All. January 8, 2025 Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024. https://psnet.ahrq.gov/issue/advancing-health-care-safety-all As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services (C…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847057/psn-pdf
    April 05, 2023 - Implement strategies to prevent persistent medication errors and hazards. April 5, 2023 ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards Medication mistakes are recognized contributors to p…
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