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Showing results for "reduces".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50568/psn-pdf
    October 23, 2019 - Automation of the I-PASS tool to improve transitions of care. October 23, 2019 Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174. https://psnet.ahrq.gov/issue/automation-i-pass-tool-improve-trans…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47311/psn-pdf
    October 10, 2018 - Cognitive error in an academic emergency department. October 10, 2018 Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. https://psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department In 2015, the Nation…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845351/psn-pdf
    March 01, 2023 - Access to Clinical Information at the Bedside. March 1, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; February 2023. https://psnet.ahrq.gov/issue/access-clinical-information-bedside Patient misidentification in emergent situations can reduce the appropriateness of care delivery and safety. This rep…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60187/psn-pdf
    April 01, 2020 - What are we doing when we double check? April 1, 2020 Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf. 2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680. https://psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check Double checking is one strategy for detecting …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46659/psn-pdf
    December 06, 2017 - Focus On: Health Care Policy and Quality. December 6, 2017 AJR Am J Roentgenol. 2017;209(5):965-1008;w333-w334. https://psnet.ahrq.gov/issue/focus-health-care-policy-and-quality Radiologists play a critical role in safe diagnostic imaging and communication of test results. Articles in this special issue explore cl…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38644/psn-pdf
    May 20, 2009 - A quality initiative to decrease pathology specimen- labeling errors using radiofrequency identification in a high-volume endoscopy center. May 20, 2009 Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume en…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46677/psn-pdf
    June 25, 2018 - Diagnostic errors in paediatric cardiac intensive care. June 25, 2018 Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906. https://psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care R…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60376/psn-pdf
    July 30, 2020 - COVID-19: Team and Human Factors to Improve Safety July 30, 2020 Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety Background The rapid transmission of COVID-19 has resulted in an international pandem…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33743/psn-pdf
    December 01, 2012 - Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit December 1, 2012 Vasilevskis EE, Ely WE, Dittus RS. Quality and Safety Challenges in Critical Care: Preventing and Treating Delirium in the Intensive Care Unit. PSNet [internet]. 2012. https://psnet.ahrq.gov…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73953/psn-pdf
    October 27, 2021 - Deprescribing as a Patient Safety Strategy October 27, 2021 Takhar S, Nelson N. Deprescribing as a Patient Safety Strategy. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy Background Polypharmacy is defined as the act of taking five or more medications on a regular basis…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47332/psn-pdf
    November 02, 2018 - Interventions for postsurgical opioid prescribing: a systematic review. November 2, 2018 Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. https://psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38659/psn-pdf
    May 27, 2009 - The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by bar code-specified work process standardization. May 27, 2009 Zarbo RJ, Tuthill M, D'Angelo R, et al. The Henry Ford Production System: reduction of surgical pathology in-process misidentification defects by b…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48055/psn-pdf
    June 26, 2019 - Prevention of opioid overdose. June 26, 2019 Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose.  N Engl J Med. 2019;380(23):2246-2255. doi:10.1056/NEJMra1807054. https://psnet.ahrq.gov/issue/prevention-opioid-overdose Reducing patient harm associated with the use of opioids to manage pain is a patient s…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47708/psn-pdf
    February 13, 2019 - The role of purple pens in learning to prescribe. February 13, 2019 Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe Interventions utilizing color as visual c…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836835/psn-pdf
    March 30, 2022 - Bias in mental health diagnosis gets in the way of treatment. March 30, 2022 Garb HN. Psyche. March 22, 2022. https://psnet.ahrq.gov/issue/bias-mental-health-diagnosis-gets-way-treatment A wide array of biases can affect clinical judgement and contribute to diagnostic error. This article discusses the impact of i…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60535/psn-pdf
    May 27, 2020 - Dramatic drop in cancer diagnoses amid COVID pandemic is cause for concern, doctors say. May 27, 2020 Abdelmalek M, Bruggeman L. ABC News. May 14, 2020. https://psnet.ahrq.gov/issue/dramatic-drop-cancer-diagnoses-amid-covid-pandemic-cause-concern- doctors-say The COVID-19 pandemic has reduced patient use of prima…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74846/psn-pdf
    February 16, 2022 - Weight-based Medication Errors in Children. February 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/weight-based-medication-errors-children Weight-calculation errors can result in pediatric patient harm as they affect medication prescribing, dispensing…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865933/psn-pdf
    May 22, 2024 - Utilizing pharmacogenomic testing can improve medication safety and prevent harm. May 22, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4. https://psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and- prevent-harm Pharmacogenomics (PGx) refers to the impact of gen…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44896/psn-pdf
    March 23, 2016 - Computer-assisted diagnostic checklist in clinical neurology. March 23, 2016 Finelli PF, McCabe AL. Computer-assisted Diagnostic Checklist in Clinical Neurology. Neurologist. 2016;21(2):23-7. doi:10.1097/NRL.0000000000000071. https://psnet.ahrq.gov/issue/computer-assisted-diagnostic-checklist-clinical-neurology C…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43743/psn-pdf
    December 03, 2014 - Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. December 3, 2014 Wu AW, Kavanagh KT, Pronovost P, et al. Conflict of interest, Dr Charles Denham and the Journal of Patient Safety. J Patient Saf. 2014;10(4):181-5. doi:10.1097/PTS.0000000000000144. https://psnet.ahrq.gov/issue/conflict-int…
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