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Showing results for "reduces".

2241. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43089/psn-pdf
      April 02, 2014 - Save a brain, make a checklist. April 2, 2014 Hamblin J. The Atlantic. March 17, 2014. https://psnet.ahrq.gov/issue/save-brain-make-checklist Reporting on the use of checklists, this magazine article describes studies that identified benefits, such as reduced complication rates, along with research that questioned…

2242. Amphotericin Toxicity | PSNet
      psnet.ahrq.gov/web-mm/amphotericin-toxicity
      April 01, 2014 - Amphotericin Toxicity Citation Text: Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

2243. Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis | PSNet
      psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
      February 26, 2025 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 31, 2023 Innovation Contact …

2244. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60165/psn-pdf
      March 25, 2020 - The threat within: mitigating the risk of medical error. March 25, 2020 Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3. https://psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error Despite efforts to protect p…

2245. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45165/psn-pdf
      July 19, 2016 - Standardize 4 Safety. July 19, 2016 American Society of Health-System Pharmacists. https://psnet.ahrq.gov/issue/standardize-4-safety Standardization has been highlighted as a way to improve safety in surgery, care transitions, and medication administration. This initiative seeks to develop consensus guidelines and…

2246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49531/psn-pdf
      March 01, 2007 - Failure to Report March 1, 2007 Spath P. Failure to Report. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/failure-report Case Objectives List common causes of medical errors. Appreciate the magnitude of underreporting of adverse events. List the common barriers to reporting adverse events and near misses…

2247. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/866984
      January 01, 2020 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Interdisciplinary teamwork Curated Library Foundations Medical teamwork and the evolution of safety science: a critical review. Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27. In this narrative review, the authors contr…

2248. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
      August 29, 2021 - Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia Citation Text: Nguyen DD, Harper TA, Cello R. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, U…

2249. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865455/psn-pdf
      March 27, 2024 - Communication During Transitions of Care March 27, 2024 Gurses AP, Sousane Z, Mossburg S. Communication During Transitions of Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/communication-during-transitions-care Introduction Inaccurate or untimely communication and ineffective teamwork in healthca…

2250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49636/psn-pdf
      October 01, 2011 - Mobility Lost in the ICU October 1, 2011 Smith J. Mobility Lost in the ICU. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/mobility-lost-icu Case Objectives Describe the role of the physical therapist in the hospital and ICU. Compare the risks from immobility with the benefits gained from a program of ther…

2251. Failure to Report | PSNet
      psnet.ahrq.gov/web-mm/failure-report
      July 01, 2008 - SPOTLIGHT CASE Failure to Report Citation Text: Spath P. Failure to Report. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

2252. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet
      psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
      July 23, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 29, 2024 View more articles from the same authors. Inno…

2253. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74707/psn-pdf
      January 26, 2022 - Pharmacy Education and Practice. January 26, 2022 Cohen M, Degnan D, McDonnell P, eds. Patient Saf. 2022;4(s1):1-45 https://psnet.ahrq.gov/issue/pharmacy-education-and-practice Pharmacists play a unique role in patient safety that educational methods are shifting to address. This special issue covers several topic…

2254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44337/psn-pdf
      July 22, 2015 - Patient Safety Supplement. July 22, 2015 Middleton J, ed. Nursing Times and Health Service Journal. July 2015:s1-s20. https://psnet.ahrq.gov/issue/patient-safety-supplement Drawing from presentations at an annual conference in the United Kingdom, articles in this supplement discuss barcode technologies, the Sign u…

2255. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45241/psn-pdf
      October 31, 2023 - Hospital Harm Project. October 31, 2023 Canadian Institute for Health Information, Health Excellence Canada. https://psnet.ahrq.gov/issue/hospital-harm-project Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative developed a measure to track unintended harm in acute c…

2256. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38149/psn-pdf
      October 15, 2008 - Health-Care-Associated Infections in Hospitals: An Overview of State Reporting Programs and Individual Hospital Initiatives to Reduce Certain Infections. October 15, 2008 Washington, DC: United States Government Accountability Office; September 2008. Publication GAO-08- 808. https://psnet.ahrq.gov/issue/health-ca…

2257. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49768/psn-pdf
      September 01, 2016 - A Pill Organizing Plight September 1, 2016 McGalliard B, Shane R, Rosen S. A Pill Organizing Plight. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/pill-organizing-plight Case Objectives Identify patients at high risk for adverse drug events. List drugs that are considered inappropriate in older patients. …

2258. Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-01/spotlight_overdose_of_gabapentin_and_oxycodone_in_a_patient_with_end-stage_renal_disease.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_Gabapentin Overdose_12.21.2022 FINAL.pptx Spotlight Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts  Source and Credits • This presentation is based on the January 2023 AHRQ WebM&M Spotl…

2259. Total Parenteral Nutrition, Multifarious Errors | PSNet
      psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
      January 23, 2017 - Standardized ordering and administration of total parenteral nutrition reduces errors in children's hospital

2260. A Room Without Orders | PSNet
      psnet.ahrq.gov/web-mm/room-without-orders
      September 01, 2011 - care including medication administration.( 12 ) Medication reconciliation at the time of admission reduces