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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…
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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 …
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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 …
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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…
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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…
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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/…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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…