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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39776/psn-pdfJanuary 25, 2017 - First, protect the patient from harm: applying adult learning principles to patient safety. January 25, 2017 Duffy B. https://psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety This piece describes how education can reduce patient harm by promoting attitude and behavi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40298/psn-pdfMay 13, 2019 - Improving patient safety in radiation oncology. May 13, 2019 Hendee WR, Herman MG. Improving patient safety in radiation oncology. https://psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology This commentary discusses radiation safety issues and describes recommendations developed at a conference to re… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35161/psn-pdfMarch 13, 2016 - The forgotten tourniquet—an update. March 13, 2016 PA Patient Saf Advis. 2016;13(1):4. http://patientsafety.pa.gov/ADVISORIES/Pages/201603_32.aspx. https://psnet.ahrq.gov/issue/forgotten-tourniquet-update This advisory from the Pennsylvania Patient Safety Reporting System discusses 1079 reports of tourniquets bein… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41329/psn-pdfSeptember 24, 2016 - The science of interruption. September 24, 2016 Coiera E. The science of interruption. BMJ Qual Saf. 2012;21(5):357-60. doi:10.1136/bmjqs-2012-000783. https://psnet.ahrq.gov/issue/science-interruption This commentary discusses interruption research in health care, challenges to understanding its impact, and approa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37935/psn-pdfFebruary 17, 2011 - The (slowly) vanishing prescription pad. February 17, 2011 Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864. https://psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad This perspective discusses the proliferation of electronic vs. paper-based pres… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37009/psn-pdfMarch 18, 2010 - Doing the "right" things to correct wrong-site surgery. March 18, 2010 Patient Safety Advisory https://psnet.ahrq.gov/issue/doing-right-things-correct-wrong-site-surgery This article discusses reports of wrong-site surgery submitted to the PA-PSRS, compares them with results of other studies, and provides suggesti… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37904/psn-pdfJuly 09, 2008 - Evidence shows cost and patient safety benefits of emergency pharmacists. July 9, 2008 Clancy CM. https://psnet.ahrq.gov/issue/evidence-shows-cost-and-patient-safety-benefits-emergency-pharmacists This article discusses activities related to reducing adverse drug events in emergency departments (EDs) and highligh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36824/psn-pdfOctober 03, 2017 - Department of Defense (DoD) Patient Safety Program. October 3, 2017 US Department of Defense; DOD https://psnet.ahrq.gov/issue/department-defense-dod-patient-safety-program This Web site includes information on several initiatives within the US Military Health System to support its culture of safety and reduce med… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35137/psn-pdfMay 27, 2011 - Drug errors show need for tech aid. May 27, 2011 Landro L. https://psnet.ahrq.gov/issue/drug-errors-show-need-tech-aid The article discusses the importance of using computerized physician order entry systems that provide more sophisticated alerts, such as drug dosages and strategies for monitoring patients, to red… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35953/psn-pdfMay 24, 2006 - Too exhausted to act safely? May 24, 2006 Spath P. Hosp Peer Rev. 2006;31(4):56-59. https://psnet.ahrq.gov/issue/too-exhausted-act-safely The author discusses how to identify and evaluate worker fatigue. Part II of this article outlines specific techniques for reducing health care worker fatigue. https://psnet.ah… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40552/psn-pdfJune 22, 2011 - Don't come back, hospitals say. June 22, 2011 Landro L. https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say This newspaper article describes government-funded and hospital-based efforts to improve discharge and reduce preventable readmissions. https://psnet.ahrq.gov/issue/dont-come-back-hospitals-say https:… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36259/psn-pdfOctober 21, 2010 - How we cut drug errors. October 21, 2010 Nicol N, Huminski L. How we cut drug errors. At one hospital, IT and changed culture saves lives. Modern healthcare. 2006;36(34):38. https://psnet.ahrq.gov/issue/how-we-cut-drug-errors This article discusses technology-based tools and culture change strategies employed by o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40491/psn-pdfJune 08, 2011 - Medical error reduction: the effect of employee satisfaction with organizational support. June 8, 2011 Lee D; Lee SM; Schniederjans MJ. https://psnet.ahrq.gov/issue/medical-error-reduction-effect-employee-satisfaction-organizational-support This survey conducted at four South Korean hospitals found that employees'… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40616/psn-pdfJuly 13, 2011 - Clinical decision support and malpractice risk. July 13, 2011 Greenberg MD, Ridgely MS. Clinical Decision Support and Malpractice Risk. JAMA. 2011;306(1). doi:10.1001/jama.2011.929. https://psnet.ahrq.gov/issue/clinical-decision-support-and-malpractice-risk This commentary discusses liabilities associated with cli… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36423/psn-pdfDecember 22, 2010 - Care transitions: a threat and an opportunity for patient safety. December 22, 2010 Clancy CM. Care Transitions: A Threat and an Opportunity for Patient Safety. American Journal of Medical Quality. 2006;21(6). doi:10.1177/1062860606293537. https://psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patien… -
www.ahrq.gov/nursing-home/resources/cohorting-residents.htmlJuly 01, 2021 - Cohorting Residents to Prevent the Spread of COVID-19 Resource: Cohorting Residents to Prevent the Spread of COVID-19 (PDF, 121 KB) This document provides guidance on cohorting (separating residents with COVID-19 from other residents) to reduce the exposure of residents without COVID-19. Source:…
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www.ahrq.gov/teamstepps-program/resources/additional/labor.htmlJuly 01, 2023 - TeamSTEPPS Additional Video: Labor and Delivery: Successful Outcome Using TeamSTEPPS YouTube embedded video: https://www.youtube-nocookie.com/embed/4XEmZzvejz0 Labor and Delivery: Successful Outcome Using TeamSTEPPS (5:03) Effective communication can prepare health care team members to respond quickly t…
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psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulnessFebruary 01, 2014 - machines were introduced, both workers and owners thought it didn't fit into their workflow, and it reduced
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www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-children-adolescentsOctober 11, 2022 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Depression and Suicide Risk in Children and Adolescents: Screening October 11, 2022 Recommendations made by the USPSTF are independent of t…
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42620/psn-pdfApril 04, 2018 - Diagnostic Error in Medicine. April 4, 2018 Singh H, ed. BMJ Qual Saf. 2013;22(suppl 2):ii1-ii72. https://psnet.ahrq.gov/issue/diagnostic-error-medicine-0 Articles in this special issue cover efforts to reduce diagnostic errors, including patient engagement and cognitive debiasing. https://psnet.ahrq.gov/issue/di…
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