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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41492/psn-pdfJune 27, 2018 - Alarm fatigue hazards: the sirens are calling. June 27, 2018 Welch J. https://psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling This article reports on alarm fatigue in clinical care, including the risks associated with it, and describes tactics to help reduce nuisance alarms. https://psnet.ahrq.gov/i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38153/psn-pdfOctober 15, 2008 - Geisinger Health System's plan to fix America's health care. October 15, 2008 Carbonara P. Fast Company. October 2008. https://psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care This magazine article describes how one health system is using an evidence-based, pay-for-performance program t… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36156/psn-pdfSeptember 29, 2010 - Addressing medication errors - the role of undergraduate nurse education. September 29, 2010 Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse Educ Today. 2007;27(3):219-24. https://psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-educatio… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39661/psn-pdfNovember 02, 2010 - The value of 'gentle reminder' on safe medical behaviour. November 2, 2010 Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763. https://psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour Pee… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36115/psn-pdfSeptember 28, 2010 - Safe prescribing: an educational intervention for medical students. September 28, 2010 Garbutt J, DeFer TM, Highstein G, et al. Safe prescribing: an educational intervention for medical students. Teach Learn Med. 2006;18(3):244-50. https://psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-stud… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41362/psn-pdfJune 15, 2012 - Non-Luer connectors: are we nearly there yet? June 15, 2012 Cook TM. Non-Luer connectors: are we nearly there yet? Anaesthesia. 2012;67(7):784-792. doi:10.1111/j.1365-2044.2012.07154.x. https://psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet This commentary reviews progress in reducing wrong-route… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43268/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38957/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34001/psn-pdfApril 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40761/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41091/psn-pdfOctober 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36674/psn-pdfJanuary 18, 2011 - An intervention to enhance nursing staff teamwork and engagement. January 18, 2011 Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84. https://psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement The authors d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34135/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34009/psn-pdfNovember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38368/psn-pdfJuly 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40533/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39801/psn-pdfDecember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39081/psn-pdfSeptember 27, 2016 - Medication room madness: calming the chaos. September 27, 2016 Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual. 2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d. https://psnet.ahrq.gov/issue/medication-room-madness-calming-chaos Through space and process desi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50605/psn-pdfOctober 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38370/psn-pdfAugust 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…
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