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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41514/psn-pdf
    July 02, 2014 - Perspective: beyond counting hours: the importance of supervision, professionalism, transitions of care, and workload in residency training. July 2, 2014 Schumacher D, Slovin SR, Riebschleger MP, et al. Perspective. Academic Medicine. 2012;87(7). doi:10.1097/acm.0b013e318257d57d. https://psnet.ahrq.gov/issue/pers…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44269/psn-pdf
    July 01, 2015 - Accidental overdoses involving fluorouracil infusions. July 1, 2015 ISMP Medication Safety Alert! Acute Care Edition. June 18, 2015;20:1:5. https://psnet.ahrq.gov/issue/accidental-overdoses-involving-fluorouracil-infusions Describing three accidental overdoses of the antineoplastic drug fluorouracil which involved …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48166/psn-pdf
    August 28, 2019 - Doctors can change opioid prescribing habits, but progress comes in small doses. August 28, 2019 Appleby J; Lucas E. https://psnet.ahrq.gov/issue/doctors-can-change-opioid-prescribing-habits-progress-comes-small-doses Efforts to reduce misuse of prescription opioids must draw from public health and behavioral stra…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43948/psn-pdf
    May 20, 2015 - Human factors engineering: its place and potential in OR safety. May 20, 2015 Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3. doi:10.1016/j.aorn.2015.02.013. https://psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety Human fa…

  5. Module 7—Hand Hygiene—Nursing Home Infection Preventionist Training Course | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/module-7-hand-hygiene.html
    April 01, 2022 - Module 7—Hand Hygiene—Nursing Home Infection Preventionist Training Course Resource: Module 7—Hand Hygiene—Nursing Home Infection Preventionist Training Course This module describes how hand hygiene prevents the spread of pathogens, including those that are resistant to antibiotics, and reduces the risk of i…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44241/psn-pdf
    November 09, 2015 - The overlooked danger of delirium in hospitals. November 9, 2015 Boodman SG. The Atlantic. June 7, 2015. https://psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals Delirium is a common unintended consequence of hospitalization, most often following a surgical procedure. This magazine article discusses chara…

  7. Exhibit 4.14. UTI Team Problem Statement | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-14.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 4.14. UTI Team Problem Statement Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. Central Ho…

  8. Hunter College | Digital Healthcare Research

    digital.ahrq.gov/organization/hunter-college
    January 01, 2023 - Hunter College IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) Description This study assessed an advanced technology-based intervention’s impact on nurse surveillance, improving bedside shift reporting and hourly rounding completion rate…

  9. Patients & Consumers | Agency for Healthcare Research and Quality

    www.ahrq.gov/patients-consumers/index.html
    August 01, 2018 - Patients & Consumers AHRQ offers the latest evidence-based information for improving your health Diagnosis & Treatment Information for Patients and Consumers about getting diagnosed, having surgery, taking medications and having treatments, and using hospitals and clinics Diagnosis Surgery …

  10. Introduction – Toolkit Overview, Decision Making, and Recommended Prelaunch Activities | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/abate/introduction.html
    May 01, 2022 - Introduction – Toolkit Overview, Decision Making, and Recommended Prelaunch Activities This document describes how the Toolkit for Decolonization of non-ICU Patients With Devices was developed. It is presented below in full and in individual sections for your convenience. Full Document: Introduction – Too…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73378/psn-pdf
    June 09, 2021 - Making Healthcare Safe: The Story of the Patient Safety Movement. June 9, 2021 Leape LL. Cham, Switzerland: Springer Nature; 2021. ISBN: 9783030711252. https://psnet.ahrq.gov/issue/making-healthcare-safe-story-patient-safety-movement The publication of “Error in Medicine” by Dr. Lucian Leape marked a pivotal step …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838027/psn-pdf
    September 07, 2022 - Advancing Anticoagulation Stewardship: A Playbook. September 7, 2022 Washington DC; National Quality Forum and Anticoagulation Forum; 2022. https://psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook Warfarin and other anticoagulants are high-alert medications that, if errors occur in their use, can…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865881/psn-pdf
    May 15, 2024 - Stranded in the ER, seniors await hospital care and suffer avoidable harm. May 15, 2024 Graham J. KFF Health News. May 6, 2024. https://psnet.ahrq.gov/issue/stranded-er-seniors-await-hospital-care-and-suffer-avoidable-harm The boarding of patients that present with emergent needs reduces safety and access to care …

  14. 65. For the Patient Willing To Quit (Continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide65.html
    October 01, 2014 - 65. For the Patient Willing To Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. Strategy A4. Assist —Aid the patient in quitting (provide counseling and medication) (Continued) Recommend the use of approved medication, except where contra…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60663/psn-pdf
    January 01, 2021 - Apology laws and malpractice liability: what have we learned? July 8, 2020 Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-l…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73502/psn-pdf
    July 14, 2021 - Toolkit to Improve Antibiotic Use in Long-Term Care. July 14, 2021 Rockville, MD: Agency for Healthcare Research and Quality; June 2021. https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care The use of antibiotics should be monitored to reduce the potential for infection in care facilities. Thi…

  17. Nursing Home Infection Preventionist Training Course—Overview | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/resources/infection-preventionist-course.html
    May 01, 2022 - Nursing Home Infection Preventionist Training Course—Overview Resource: Nursing Home Infection Preventionist Training Course—Overview ​​This course provides infection prevention and control training for individuals responsible for infection prevention and control programs in nursing homes so they can effecti…

  18. Videos Show How To Explore AHRQ Data Tools | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/data-tools.html
    September 01, 2024 - Videos Show How To Explore AHRQ Data Tools New videos from AHRQ provide guidance on the use of AHRQ Data Tools , an interactive resource that allows researchers, policymakers and others to explore data on topics ranging from health insurance coverage to hospital use to disparities in care. An introductory vid…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46052/psn-pdf
    December 19, 2017 - Correlates of the third victim phenomenon. December 19, 2017 Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920. doi:10.1007/s11126-017-9511-1. https://psnet.ahrq.gov/issue/correlates-third-victim-phenomenon A sentinel event affects patients, their families, clinicians involved, an…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866638/psn-pdf
    September 04, 2024 - The problem with 'never events'. September 4, 2024 Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. https://psnet.ahrq.gov/issue/problem-never-events Never events are serious, but preventable, adverse events that result in serious pati…
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