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Showing results for "reduced".

6501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854252/psn-pdf
      October 04, 2023 - Standardization and visualization of the surgical time-out. October 4, 2023 Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-…

6502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46322/psn-pdf
      August 02, 2017 - Sophisticated digital aids could help determine what ails you. August 2, 2017 Maron DF. Scientific American. July 21, 2017. https://psnet.ahrq.gov/issue/sophisticated-digital-aids-could-help-determine-what-ails-you Clinical decision support systems are a key strategy to improve diagnostic accuracy. This magazine a…

6503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34870/psn-pdf
      April 18, 2016 - Unintended medication discrepancies at the time of hospital admission. April 18, 2016 Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…

6504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44838/psn-pdf
      February 10, 2016 - ADVERSE drug events: incidence and risk reduction across the care continuum. February 10, 2016 Wanderer JP, Rathmell JP. ADVERSE Drug Events: Incidence & risk reduction across the care continuum. Anesthesiology. 2016;124(1):A23. doi:10.1097/01.anes.0000473722.20007.03. https://psnet.ahrq.gov/issue/adverse-drug-eve…

6505. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45986/psn-pdf
      March 29, 2017 - Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001. https://psnet.ahrq.gov/i…

6506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841492/psn-pdf
      December 14, 2022 - Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. December 14, 2022 Washington DC; Office of Senator Mark Warner: November 25, 2022. https://psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector There is lack of consensus concerning the need for increased syst…

6507. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837605/psn-pdf
      June 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased …

6508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44048/psn-pdf
      November 20, 2015 - Clinical handover of the critically ill postoperative patient: an integrative review. November 20, 2015 Gardiner TM, Marshall AP, Gillespie BM. Clinical handover of the critically ill postoperative patient: an integrative review. Aust Crit Care. 2015;28(4):226-34. doi:10.1016/j.aucc.2015.02.001. https://psnet.ahrq…

6509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45792/psn-pdf
      December 20, 2017 - Reevaluation of diagnosis in adults with physician- diagnosed asthma. December 20, 2017 Aaron SD, Vandemheen KL, FitzGerald M, et al. Reevaluation of Diagnosis in Adults With Physician- Diagnosed Asthma. JAMA. 2017;317(3):269-279. doi:10.1001/jama.2016.19627. https://psnet.ahrq.gov/issue/reevaluation-diagnosis-adu…

6510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40219/psn-pdf
      December 29, 2014 - Cardiac surgery errors: results from the UK National Reporting and Learning System. December 29, 2014 Martinez EA, Shore AD, Colantuoni E, et al. Cardiac surgery errors: results from the UK National Reporting and Learning System. Int J Qual Health Care. 2011;23(2):151-8. doi:10.1093/intqhc/mzq084. https://psnet.ah…

6511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73249/psn-pdf
      May 12, 2021 - I-PASS handover system: a decade of evidence demands action. May 12, 2021 Shahian DM. I-PASS handover system: a decade of evidence demands action. BMJ Qual Saf. 2021;30(10):769-774. doi:10.1136/bmjqs-2021-013314. https://psnet.ahrq.gov/issue/i-pass-handover-system-decade-evidence-demands-action The I-PASS structu…

6512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46253/psn-pdf
      August 28, 2017 - Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. August 28, 2017 Morgan DJ, Malani P, Diekema DJ. Diagnostic Stewardship-Leveraging the Laboratory to Improve Antimicrobial Use. JAMA. 2017;318(7):607-608. doi:10.1001/jama.2017.8531. https://psnet.ahrq.gov/issue/diagnostic-stewardship-l…

6513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43786/psn-pdf
      December 17, 2014 - Aviation tools to improve patient safety. December 17, 2014 Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10. doi:10.1016/j.jopan.2014.09.004. https://psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety The aviation industry offers insights and tools applicable to error…

6514. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47028/psn-pdf
      May 02, 2018 - Medication errors 2018: the year in review. May 2, 2018 Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018. https://psnet.ahrq.gov/issue/medication-errors-2018-year-review Despite considerable effort, medication errors continue to occur and result in patient harm. Summari…

6515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60263/psn-pdf
      April 22, 2020 - Rationing protective gear means checking on coronavirus patients less often. This can be deadly. April 22, 2020 Kaplan J, Presser L, Miller M. ProPublica. April 10, 2020. https://psnet.ahrq.gov/issue/rationing-protective-gear-means-checking-coronavirus-patients-less-often-can- be-deadly Increased complexity and p…

6516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37262/psn-pdf
      December 19, 2011 - Academic detailing to improve laboratory testing among outpatient medication users. December 19, 2011 Lafata JE, Gunter MJ, Hsu J, et al. Academic detailing to improve laboratory testing among outpatient medication users. Med Care. 2007;45(10):966-72. https://psnet.ahrq.gov/issue/academic-detailing-improve-laborat…

6517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34721/psn-pdf
      November 19, 2015 - Preventing medical injury. November 19, 2015 Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. https://psnet.ahrq.gov/issue/preventing-medical-injury Reviewing cases of medical error in the Harvard Medical Practice Study…

6518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42643/psn-pdf
      October 09, 2013 - FDA requiring color changes to Duragesic (fentanyl) pain patches to aid safety?emphasizing that accidental exposure to used patches can cause death. October 9, 2013 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 23, 2013. https://psnet.ahrq.gov/issue/fda-requiring-color-change…

6519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34697/psn-pdf
      December 08, 2010 - Sentinel events. In memory of Ben—a case study. December 8, 2010 Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. https://psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study Written from the perspective of a risk manager, the author tells the story of a medication a…

6520. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73691/psn-pdf
      September 08, 2021 - Pump up the volume: tips for increasing error reporting and decreasing patient harm. September 8, 2021 ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5.  https://psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm Error reporting is an essen…