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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38535/psn-pdf
    April 01, 2009 - Preventing catheter-related bloodstream infections: thinking outside the checklist. April 1, 2009 Perencevich EN; Pittet D. https://psnet.ahrq.gov/issue/preventing-catheter-related-bloodstream-infections-thinking-outside-checklist Checklists for specific interventions have proved successful at markedly reducing ca…
  2. digital.ahrq.gov/location/usa-mi-marquette
    January 01, 2023 - USA, MI, Marquette Critical Access Hospital Partnership Health Information Technology Implementation Description Established a Web-based electronic medical record system for 10 small rural hospitals to connect them to the area's regional medical center. The project's ultimate …
  3. digital.ahrq.gov/ahrq-funded-projects/using-evidence-based-nursing-practices-and-electronic-health-record-decision-4
    January 01, 2023 - Staff nurse training presentation for the deployment of the CP-CDS tool Citation Staff nurse training presentation for the deployment of the CP-CDS tool PDF action-cp-cds-training.pdf Project Name Using Evidence-Based Nursing Practices and Electronic Health Record Decision …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41734/psn-pdf
    October 03, 2012 - Prescribing errors in hospital practice. October 3, 2012 Tully MP. Prescribing errors in hospital practice. Br J Clin Pharmacol. 2012;74(4):668-75. doi:10.1111/j.1365-2125.2012.04313.x. https://psnet.ahrq.gov/issue/prescribing-errors-hospital-practice Highlighting inconsistencies in defining and measuring prescrib…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39410/psn-pdf
    March 31, 2010 - Doctors fear work caps for residents may be bad medicine. March 31, 2010 Shapira I. https://psnet.ahrq.gov/issue/doctors-fear-work-caps-residents-may-be-bad-medicine This news piece examines the work week of resident physicians and discusses how further limiting trainees' work hours might reduce their experientia…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42726/psn-pdf
    November 13, 2013 - Mistakes even good doctors make. November 13, 2013 Consumer Reports on Health. November 2013;25:6-7.  https://psnet.ahrq.gov/issue/mistakes-even-good-doctors-make This article reveals commonly misdiagnosed conditions, why diagnostic errors occur, and tips for patients to reduce risks. https://psnet.ahrq.gov/…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38315/psn-pdf
    October 24, 2018 - Defusing Disruptive Behavior. A Workbook for Health Care Leaders. October 24, 2018 Oakbrook, IL: Joint Commission Resources; 2007. ISBN: 9781599400846. https://psnet.ahrq.gov/issue/defusing-disruptive-behavior-workbook-health-care-leaders This workbook includes background on disruptive behaviors and provides tools…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41492/psn-pdf
    June 27, 2018 - Alarm fatigue hazards: the sirens are calling. June 27, 2018 Welch J. https://psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling This article reports on alarm fatigue in clinical care, including the risks associated with it, and describes tactics to help reduce nuisance alarms. https://psnet.ahrq.gov/i…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35824/psn-pdf
    July 24, 2008 - New standards for hospitals call for patients to get private rooms. July 24, 2008 Landro L. https://psnet.ahrq.gov/issue/new-standards-hospitals-call-patients-get-private-rooms This article reports on design guidelines that will require newly constructed hospitals to have only private rooms. Single-patient rooms …
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41783/psn-pdf
    October 24, 2012 - How-to Guide: Prevent Obstetrical Adverse Events. October 24, 2012 Cambridge, MA: Institute for Healthcare Improvement; 2012. https://psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events This guide highlights strategies to enhance the use of care bundles to prevent errors in obstetric care. https://ps…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38153/psn-pdf
    October 15, 2008 - Geisinger Health System's plan to fix America's health care. October 15, 2008 Carbonara P. Fast Company. October 2008. https://psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care This magazine article describes how one health system is using an evidence-based, pay-for-performance program t…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36115/psn-pdf
    September 28, 2010 - Safe prescribing: an educational intervention for medical students. September 28, 2010 Garbutt J, DeFer TM, Highstein G, et al. Safe prescribing: an educational intervention for medical students. Teach Learn Med. 2006;18(3):244-50. https://psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-stud…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39661/psn-pdf
    November 02, 2010 - The value of 'gentle reminder' on safe medical behaviour. November 2, 2010 Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763. https://psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour Pee…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41681/psn-pdf
    January 01, 2013 - Patient safety in plastic surgery. September 12, 2012 Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e. doi:10.1097/prs.0b013e31825dc349. https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery This commentary outlines tactics to prevent complications in pla…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37449/psn-pdf
    January 09, 2008 - Safety First: One Year On. January 9, 2008 London, England: National Patient Safety Agency; 2008. https://psnet.ahrq.gov/issue/safety-first-one-year This report shares the results of the British National Patient Safety Agency effort to reduce medical error and found that safety wasn’t always given the priority nec…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41362/psn-pdf
    June 15, 2012 - Non-Luer connectors: are we nearly there yet? June 15, 2012 Cook TM. Non-Luer connectors: are we nearly there yet? Anaesthesia. 2012;67(7):784-792. doi:10.1111/j.1365-2044.2012.07154.x. https://psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet This commentary reviews progress in reducing wrong-route…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37764/psn-pdf
    January 21, 2011 - Overconfidence as a cause of diagnostic error in medicine. January 21, 2011 Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5 Suppl):S2-S23. doi:10.1016/j.amjmed.2008.01.001. https://psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine This compre…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36741/psn-pdf
    August 15, 2007 - Prescription for Improving Patient Safety: Addressing Medication Errors. August 15, 2007 The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.   https://psnet.ahrq.gov/issue/prescription-improving-patient-safety-addressing-medication-errors This report shares findings from an exper…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38462/psn-pdf
    June 24, 2010 - Care transitions and home health care. June 24, 2010 Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii. doi:10.1016/j.cger.2008.11.005. https://psnet.ahrq.gov/issue/care-transitions-and-home-health-care This article reviews the literature on transitions of care, discusses …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36156/psn-pdf
    September 29, 2010 - Addressing medication errors - the role of undergraduate nurse education. September 29, 2010 Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24. https://psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-educatio…