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psnet.ahrq.gov/issue/program-prevent-catheter-associated-urinary-tract-infection-acute-care
December 21, 2017 - Study
Classic
A program to prevent catheter-associated urinary tract infection in acute care.
Citation Text:
Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care. New Engl J Med. 2016;374(22):2111-211…
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psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
January 11, 2023 - Study
Classic
A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.
Citation Text:
Avery A, Rodgers S, Cantrill JA, et al. A pharmacist-led info…
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psnet.ahrq.gov/issue/effect-hospital-multifaceted-clinical-pharmacist-intervention-risk-readmission-randomized
September 13, 2023 - Study
Classic
Effect of an in-hospital multifaceted clinical pharmacist intervention on the risk of readmission: a randomized clinical trial.
Citation Text:
Ravn-Nielsen LV, Duckert M-L, Lund ML, et al. Effect of an In-Hospital Multifaceted Clinical Pharmacist I…
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psnet.ahrq.gov/node/45856/psn-pdf
April 12, 2018 - NAM Action Collaborative on Clinician Well-Being and
Resilience.
April 12, 2018
Washington, DC: National Academy of Medicine.
https://psnet.ahrq.gov/issue/nam-action-collaborative-clinician-well-being-and-resilience
Clinician burnout can affect the ability of individuals to act safely. This website highlights the …
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psnet.ahrq.gov/node/47999/psn-pdf
May 15, 2019 - Pregnancy-related deaths: saving women’s lives before,
during and after delivery.
May 15, 2019
CDC Vital Signs. May 7, 2019.
https://psnet.ahrq.gov/issue/pregnancy-related-deaths-saving-womens-lives-during-and-after-delivery
Maternal morbidity and mortality is a worldwide patient safety problem. This analysis desc…
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psnet.ahrq.gov/node/836870/psn-pdf
April 26, 2022 - A Conversation Among Stakeholders on Medical
Malpractice.
April 6, 2022
Collaborative for Accountability and Improvement. April 26, 2022.
https://psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
Communication and resolution programs (CRP) can improve response to patients and families a…
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psnet.ahrq.gov/node/47364/psn-pdf
October 31, 2018 - AI can't replace doctors. But it can make them better.
October 31, 2018
Parikh R. MIT Technol Rev. October 23, 2018.
https://psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better
Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making
in health ca…
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psnet.ahrq.gov/node/60356/psn-pdf
May 20, 2020 - How the pandemic is reshaping hospital architecture and
design.
May 20, 2020
Booker C. PBSNewshour Weekend. May 10, 2020.
https://psnet.ahrq.gov/issue/how-pandemic-reshaping-hospital-architecture-and-design
Built environment characteristics can contribute to the spread of infection. This news segment discusses
de…
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psnet.ahrq.gov/node/867773/psn-pdf
February 01, 2024 - Central Line Insertion Care Team Checklist.
February 1, 2024
Agency for Healthcare Research and Quality. Central Line Insertion Care Team Checklist.
https://psnet.ahrq.gov/issue/central-line-insertion-care-team-checklist
Checklists are helpful in reducing omissions in standardized processes designed to support safe…
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psnet.ahrq.gov/node/37416/psn-pdf
March 28, 2012 - The story behind the story: physician skepticism about
relying on clinical information technologies to reduce
medical errors.
March 28, 2012
McAlearney AS, Chisolm DJ, Schweikhart S, et al. The story behind the story: physician skepticism about
relying on clinical information technologies to reduce medical errors.…
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psnet.ahrq.gov/node/44040/psn-pdf
August 02, 2015 - Why physicians err in diagnosis.
August 2, 2015
Why physicians err in diagnosis. JAMA. 2015;313(12):1273. doi:10.1001/jama.2014.11660.
https://psnet.ahrq.gov/issue/why-physicians-err-diagnosis
This previously published commentary provides a historical glimpse into diagnostic error and physician
cognition. The piec…
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psnet.ahrq.gov/node/838258/psn-pdf
October 05, 2022 - Solutions from Professional Regulation and Beyond.
October 5, 2022
Safer Care for All. London, England: Professional Standards Authority for Health and Social Care;
2022.
https://psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
Dedicated leadership is an important component to examine and ad…
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psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
January 01, 2023 - excitability, and thereby mimicking the neurodepressant effect of alcohol. 12,13
• This mechanism reduces
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psnet.ahrq.gov/node/836781/psn-pdf
March 23, 2022 - Diagnostic error in pediatrics: a narrative review.
March 23, 2022
Marshall TL, Rinke ML, Olson APJ, et al. Diagnostic error in pediatrics: a narrative review. Pediatrics.
2022;149(Suppl 3):e2020045948D. doi:10.1542/peds.2020-045948d.
https://psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review
Reduci…
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psnet.ahrq.gov/node/44053/psn-pdf
November 16, 2015 - ANA CAUTI Prevention Tool.
November 16, 2015
Silver Spring, MD: American Nurses Association; 2015.
https://psnet.ahrq.gov/issue/ana-cauti-prevention-tool
Nurses play an important role in reducing catheter–associated urinary tract infections (CAUTIs). This
toolkit, developed as a Partnership for Patients strategy, …
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psnet.ahrq.gov/node/836968/psn-pdf
April 20, 2022 - Diagnostic time-outs to improve diagnosis.
April 20, 2022
Yale S, Cohen S, Bordini BJ. Diagnostic time-outs to improve diagnosis. Crit Care Clin. 2022;38(2):185-
194. doi:10.1016/j.ccc.2021.11.008.
https://psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis
A broad differential diagnosis can limit missed d…
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psnet.ahrq.gov/node/854390/psn-pdf
October 11, 2023 - How the physician's financial wellness could impact
patient safety.
October 11, 2023
Richards JL, Brook K. How the physician’s financial wellness could impact patient safety. Postgrad Med J.
2024;100(1182):276-278. doi:10.1093/postmj/qgad076.
https://psnet.ahrq.gov/issue/how-physicians-financial-wellness-could-imp…
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psnet.ahrq.gov/node/34129/psn-pdf
January 16, 2019 - WHO Patient Safety.
January 16, 2019
World Health Organization.
https://psnet.ahrq.gov/issue/who-patient-safety
Reducing accidents and the risk of error requires a significant and sustained response at national and
global levels. With this in mind, the World Health Organization and its partners launched the World …
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psnet.ahrq.gov/node/44442/psn-pdf
August 26, 2015 - How your hospital can make you sick.
August 26, 2015
Consumer Reports. July 29, 2015.
https://psnet.ahrq.gov/issue/how-your-hospital-can-make-you-sick
This news article reports on health care–associated infections, particularly Clostridium difficile and
methicillin-resistant Staphylococcus aureus, discusses ways h…
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psnet.ahrq.gov/node/72822/psn-pdf
March 10, 2021 - Extended work shifts and neurobehavioral performance in
resident-physicians.
March 10, 2021
Rahman SA, Sullivan JP, Barger LK, et al. Extended Work Shifts and Neurobehavioral Performance in
Resident-Physicians. Pediatrics. 2021;147(3):e2020009936. doi:10.1542/peds.2020-009936.
https://psnet.ahrq.gov/issue/extended…