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9261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34135/psn-pdf
      February 28, 2024 - Hand Hygiene in Healthcare Settings. February 28, 2024 Centers for Disease Control and Prevention https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings The hand hygiene guidelines represent part of a U.S. Centers for Disease Control and Prevention (CDC) strategy to promote patient safety by reducing infect…

9262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43268/psn-pdf
      June 11, 2014 - Medication Safety Program. June 11, 2014 Atlanta, GA: Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/medication-safety-program This Web site provides information for providers and patients to reduce risks related to adverse drug events, including links to fact sheets, research, and govern…

9263. University of California, San Diego | Digital Healthcare Research
      digital.ahrq.gov/organization/university-california-san-diego
      January 01, 2023 - University of California, San Diego Web-Based Intervention for Alcohol Use in Women of Childbearing Potential - 2010 Principal Investigator Delrahim-Howlett, Katia Project Name Web-Based Intervention for Alcohol Use in Women of Childbearing Potential …

9264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50605/psn-pdf
      October 30, 2019 - Report focuses on risk to patients from ED errors. October 30, 2019 Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019. https://psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors The pace of emergency care delivery can reduce reliability. This news story discusses an analysis of medical liability claims…

9265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34009/psn-pdf
      November 12, 2014 - Consumer Safe Medicine. November 12, 2014 Plymouth Meeting, PA; Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismps-safe-medicine ISMP's electronic consumer medication safety newsletter is published six times a year and its content aims to engage patients and families in reducing medication…

9266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38368/psn-pdf
      July 30, 2015 - Childrens' Hospitals' Solutions for Patient Safety. July 30, 2015 https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety This Web site provides resources related to a collaborative effort involving more than 80 hospitals with a goal of reducing health care–associated conditions, readmissions, and…

9267. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39801/psn-pdf
      December 21, 2014 - Gossypiboma: tales of lost sponges and lessons learned. December 21, 2014 McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned This study describes successful efforts to reduce retained surgical spo…

9268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39962/psn-pdf
      September 24, 2016 - Interruptions and medication errors: part I. September 24, 2016 Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b. https://psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i This commentary discusses preventable medic…

9269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40761/psn-pdf
      September 12, 2016 - Failure to rescue in neonatal care. September 12, 2016 Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03. https://psnet.ahrq.gov/issue/failure-rescue-neonatal-care This commentary suggests numerous strategies to redu…

9270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39652/psn-pdf
      June 30, 2010 - Aftercare tips for patients checking out of the hospital. June 30, 2010 Alderman L. New York Times. June 18, 2010;B6. https://psnet.ahrq.gov/issue/aftercare-tips-patients-checking-out-hospital This news piece highlights efforts to improve discharge planning, enhance the safety of care transitions, and reduce readm…

9271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38919/psn-pdf
      January 28, 2011 - Setting priorities for patient safety: ethics, accountability, and public engagement. January 28, 2011 Pronovost P, Faden RR. Setting priorities for patient safety: ethics, accountability, and public engagement. JAMA. 2009;302(8):890-1. doi:10.1001/jama.2009.1177. https://psnet.ahrq.gov/issue/setting-priorities-pa…

9272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35353/psn-pdf
      July 16, 2009 - Best-practice protocols: preventing adverse drug events. July 16, 2009 Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30. https://psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events This article reports on one hospital's use of failure modes and …

9273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41091/psn-pdf
      October 01, 2021 - ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. October 1, 2021 Horsham, PA: Institute for Safe Medication Practices; 2021. https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare This fact sheet provides a list of high-alert medications commonly used in…

9274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35246/psn-pdf
      July 11, 2007 - Treatment errors in healthcare: a safety climate approach. July 11, 2007 Naveh E, Katz-Navon T, Stern Z. Treatment errors in healthcare: a safety climate approach. . Manage Sci. 2005;51(6):948-960. doi:10.1287/mnsc.1050.0372. https://psnet.ahrq.gov/issue/treatment-errors-healthcare-safety-climate-approach The auth…

9275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34001/psn-pdf
      April 16, 2018 - Patient Safety Authority. April 16, 2018 Commonwealth of Pennsylvania https://psnet.ahrq.gov/issue/patient-safety-authority The Patient Safety Authority is an independent state agency charged with taking steps to reduce and eliminate medical errors by identifying problems and recommending solutions. The site inclu…

9276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40533/psn-pdf
      June 15, 2011 - The contribution of labelling to safe medication administration in anaesthetic practice. June 15, 2011 Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-159. doi:10.1016/j.bpa.2011.02.009. https…

9277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38370/psn-pdf
      August 22, 2009 - Monitoring for medication errors in outpatient settings. August 22, 2009 Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487. https://psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-sett…

9278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38957/psn-pdf
      January 16, 2013 - Diagnostic Error in Medicine. January 16, 2013 Berner ES, Graber ML, eds. Adv Health Sci Educ Theory Pract. 2009;14(suppl 1):1-112. https://psnet.ahrq.gov/issue/diagnostic-error-medicine This supplement consists of 12 articles drawn from a 2008 conference on diagnostic error, covering topics such as medical proble…

9279. APIC HAI Cost Calculator | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/clabsi-cauti-icu/implement/apic-cost-calculator.html
      April 01, 2022 - APIC HAI Cost Calculator The Association for Professionals in Infection Control and Epidemiology (APIC) healthcare-associated infections (HAIs) Calculator Tools help define the costs associated with HAI, knowing that this can be a complex process with many points to consider. The APIC HAI Calculator Tools were …

9280. How To Use Educational Bundles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/how-to-use-bundles.html
      March 01, 2017 - How To Use Educational Bundles Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities The educational bundles are a curriculum that long-term care facility educators can use to educate. Each slide set includes facilitator notes and should take approximately 15 minutes to deliver. The training vid…