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Showing results for "reduced".

  1. Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/one-pen-one-patient-achievable-hospital-quality-improvement-project-reduce-risks-inadvertent
    April 10, 2024 - Study Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center. Citation Text: Ho S, Stamm R, Hibbs M, et al. Is One-Pen, One-Patient Achievable in the Hospital? A Quality Impr…

  2. Applying human factors engineering to address the telemetry alarm problem in a large medical center. | PSNet

    psnet.ahrq.gov/issue/applying-human-factors-engineering-address-telemetry-alarm-problem-large-medical-center
    February 10, 2021 - Study Applying human factors engineering to address the telemetry alarm problem in a large medical center. Citation Text: Patterson ES, Rayo MF, Edworthy JR, et al. Applying human factors engineering to address the telemetry alarm problem in a large medical center. Hum Factors. 2022;64(1…

  3. Randomized controlled evaluation of an insulin pen storage policy. | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-evaluation-insulin-pen-storage-policy
    January 23, 2017 - Study Randomized controlled evaluation of an insulin pen storage policy. Citation Text: Gibbs HG, McLernon T, Call R, et al. Randomized controlled evaluation of an insulin pen storage policy. Am J Health Syst Pharm. 2017;74(24):2054-2059. doi:10.2146/ajhp160348. Copy Citation Forma…

  4. Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-nature-medication-administration-errors-health-care-settings-systematic-review
    April 01, 2015 - Review Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence. Citation Text: Keers RN, Williams SD, Cooke J, et al. Prevalence and nature of medication administration errors in health care settings: a sys…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38886/psn-pdf
    August 26, 2009 - Medication overdoses leading to emergency department visits among children. August 26, 2009 Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. https://psnet.ahrq.gov/issue/medication…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72567/psn-pdf
    December 16, 2020 - Transforming the medication regimen review process using telemedicine to prevent adverse events. December 16, 2020 Kane?Gill SL, Wong A, Culley CM, et al. Transforming the medication regimen review process using telemedicine to prevent adverse events. J Am Geriatr Soc. 2020;69(2):530-538. doi:10.1111/jgs.16946. ht…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43140/psn-pdf
    October 31, 2014 - The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult populations. October 31, 2014 Singh H, Meyer AND, Thomas EJ. The frequency of diagnostic errors in outpatient care: estimations from three large observational studies involving US adult popu…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40982/psn-pdf
    March 23, 2012 - Emergency hospitalizations for adverse drug events in older Americans. March 23, 2012 Budnitz DS, Lovegrove MC, Shehab N, et al. Emergency hospitalizations for adverse drug events in older Americans. New Engl J Med. 2011;365(21):2002-2012. doi:10.1056/NEJMsa1103053. https://psnet.ahrq.gov/issue/emergency-hospitali…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46531/psn-pdf
    January 24, 2019 - Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. January 24, 2019 Olson A, Graber ML, Singh H. Tracking Progress in Improving Diagnosis: A Framework for Defining Undesirable Diagnostic Events. J Gen Intern Med. 2018;33(7):1187-1191. doi:10.1007/s11606-018-4304-2. ht…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865708/psn-pdf
    May 01, 2024 - Missed nursing care in surgical care- a hazard to patient safety: a quantitative study within the inCHARGE programme. May 1, 2024 Edfeldt K, Nyholm L, Jangland E, et al. Missed nursing care in surgical care– a hazard to patient safety: a quantitative study within the inCHARGE programme. BMC Nurs. 2024;23(1):233. d…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72709/psn-pdf
    February 03, 2021 - COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. February 3, 2021 Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian observational cohort study. Int J…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44812/psn-pdf
    February 15, 2017 - Combining systems and teamwork approaches to enhance the effectiveness of safety improvement interventions in surgery: the Safer Delivery of Surgical Services (S3) program. February 15, 2017 McCulloch P, Morgan L, New S, et al. Combining Systems and Teamwork Approaches to Enhance the Effectiveness of Safety Impro…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45839/psn-pdf
    February 07, 2018 - Mortality trends after a voluntary checklist-based surgical safety collaborative. February 7, 2018 Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-929. doi:10.1097/SLA.0000000000002249. https://psnet.ahrq.gov/issu…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48085/psn-pdf
    June 19, 2019 - A decade of preventing harm. June 19, 2019 Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. https://psnet.ahrq.gov/issue/decade-preventing-harm Preventable patient safety problems continue to challenge health ca…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36530/psn-pdf
    January 07, 2011 - Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. January 7, 2011 Barger LK, Ayas N, Cade BE, et al. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. PLoS Med. 2006;3(12):e487. https://psnet.ahrq.gov/issue/impact-extended-…

  17. Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/research/pcph-stakeholder-report.pdf
    September 01, 2022 - Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Person-Centered Preventive Healthcare: Gathering Stakeholder Input on Evidence and Implementation Clinical preventive services (CPS), such as vaccinations and cancer screenings, can help individuals live longer, heal…

  18. Combining Quality Measures Into Composites | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/translate/organize/composites.html
    November 01, 2018 - Combining Quality Measures Into Composites Composite scores represent small sets of data points that are highly related to one another, both conceptually and statistically. Combining and presenting these items as a single score reduces the potential for information overload. Learn more about Combining Measures…

  19. Appendix D. Poster on Indications for Urinary Catheters | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/impl-guide/implementation-guide-appendix-d.html
    October 01, 2015 - Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementation Guide Appendix D. Poster on Indications for Urinary Catheters Previous Page Next Page Table of Contents Toolkit for Reducing Catheter-Associated Urinary Tract Infections in Hospital Units: Implementat…

  20. Leveraging Digital Health Technologies to Address the Needs of Underserved Populations | Digital Healthcare Research

    digital.ahrq.gov/national-webinars/leveraging-digital-health-technologies-address-needs-underserved
    February 28, 2023 - Leveraging Digital Health Technologies to Address the Needs of Underserved Populations Event Date: February 28, 2023 | 2:30pm – 4:00pm ET Event Materials: Presentation Slides ( PDF , 7.25 MB). Q&As ( PDF , 192 KB). Your browser does not support inline frames. Pleas…
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