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Showing results for "reduces".

4861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46607/psn-pdf
      November 08, 2017 - Stem the Tide: Addressing the Opioid Epidemic. November 8, 2017 Chicago, IL: American Hospital Association; 2017. https://psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic The opioid epidemic is a challenge to patient safety and public health. This report reviews tools to help health care systems target ei…

4862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74259/psn-pdf
      January 19, 2022 - Diagnostic reasoning in cardiovascular medicine. January 19, 2022 Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389. https://psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine Misdiagnosis of heart failure can lead to…

4863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38292/psn-pdf
      May 21, 2009 - The effect on medication errors of pharmacists charting medication in an emergency department. May 21, 2009 Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9. doi:10.1007/s11096-008-9271-y. https…

4864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41321/psn-pdf
      April 25, 2012 - Cognitive balanced model: a conceptual scheme of diagnostic decision making. April 25, 2012 Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x. https://psnet.ahrq.gov/issue/cognitive-balanc…

4865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40765/psn-pdf
      September 14, 2011 - Medication errors reported in a pediatric intensive care unit for oncologic patients. September 14, 2011 Belela ASC, Peterlini MAS, Pedreira MLG. Medication errors reported in a pediatric intensive care unit for oncologic patients. Cancer Nurs. 2011;34(5):393-400. doi:10.1097/NCC.0b013e3182064a6a. https://psnet.ah…

4866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45926/psn-pdf
      May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers. May 17, 2017 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…

4867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46218/psn-pdf
      October 29, 2017 - Nurses' knowledge and teaching of possible postpartum complications. October 29, 2017 Suplee PD, Bingham D, Kleppel L. Nurses' Knowledge and Teaching of Possible Postpartum Complications. MCN Am J Matern Child Nurs. 2017;42(6):338-344. doi:10.1097/NMC.0000000000000371. https://psnet.ahrq.gov/issue/nurses-knowledge…

4868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33952/psn-pdf
      July 16, 2009 - Bar code label requirement for human drug products and biological products. July 16, 2009 Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171. https://psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products The US Food and Drug Administration (FDA) require…

4869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846765/psn-pdf
      March 29, 2023 - Addressing Medical Gaslighting to Improve Maternal Health—Together. March 29, 2023 Oregon Patient Safety Commission: 2023. https://psnet.ahrq.gov/issue/addressing-medical-gaslighting-improve-maternal-health-together Gaslighting has been identified as a contributor to maternal mortality and morbidity. This toolkit …

4870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61052/psn-pdf
      April 01, 2019 - Inadvertent Administration of an Oral Liquid Medicine into a Vein. April 1, 2019 Farnborough, UK; Healthcare Safety Investigation Branch: April 2019. https://psnet.ahrq.gov/issue/inadvertent-administration-oral-liquid-medicine-vein Wrong route medication administration is a never event. This report examined the co…

4871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41931/psn-pdf
      December 19, 2012 - Preventing wrong-site surgery in Minnesota: a 5-year journey. December 19, 2012 Rydrych D, Apold J, Harder K. Patient Saf Qual Healthc. November/December 2012;9:24-27,30-32,34. https://psnet.ahrq.gov/issue/preventing-wrong-site-surgery-minnesota-5-year-journey Discussing a 5-year effort to report, analyze, and red…

4872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45462/psn-pdf
      August 31, 2016 - Learning From Mistakes. August 31, 2016 London, UK: Parliamentary and Health Service Ombudsman; July 18, 2016. ISBN: 9781474135764. https://psnet.ahrq.gov/issue/learning-mistakes The National Health Service (NHS) has a history of sharing analyses of problems in its system. Summarizing an NHS investigation into the…

4873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45638/psn-pdf
      January 01, 2019 - Measures to improve diagnostic safety in clinical practice. November 2, 2016 Singh H, Graber ML, Hofer TP. Measures to Improve Diagnostic Safety in Clinical Practice. J Patient Saf. 2019;15(4):311-316. doi:10.1097/PTS.0000000000000338. https://psnet.ahrq.gov/issue/measures-improve-diagnostic-safety-clinical-practic…

4874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39257/psn-pdf
      January 27, 2010 - Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. January 27, 2010 Buxbaum J. Portland, ME: National Academy for State Health Policy; January 2010. https://psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordinati…

4875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50805/psn-pdf
      January 15, 2020 - Advancing safety with closed-loop communication of test results. January 15, 2020 Quick Safety. December 17, 2019;(52):1-3. https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…

4876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42370/psn-pdf
      June 19, 2013 - Resident Projects for Improvement. June 19, 2013 Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition This publication outlines quality and safety improvement proj…

4877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47475/psn-pdf
      January 23, 2019 - Patient Safety and Quality Improvement. January 23, 2019 Shah RK, ed. Otolaryngol Clin North Am. 2019;52:1-194. https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-0 Articles in this special issue apply safety concepts to reducing preventable patient harm in otolaryngology. The reviews highlight sy…

4878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45237/psn-pdf
      June 15, 2016 - Medication reconciliation in oncological patients: a randomized clinical trial. June 15, 2016 Vega TG-C, Sierra-Sánchez JF, Martínez-Bautista MJ, et al. Medication Reconciliation in Oncological Patients: A Randomized Clinical Trial. J Manag Care Spec Pharm. 2016;22(6):734-40. doi:10.18553/jmcp.2016.15248. https:/…

4879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40204/psn-pdf
      April 14, 2011 - Residents' intentions and actions after patient safety education. April 14, 2011 Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. https://psnet.ahrq.gov/issue/residents-intentions-and-actions-after-pati…

4880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45646/psn-pdf
      November 23, 2016 - Patient safety in the emergency department. November 23, 2016 Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. https://psnet.ahrq.gov/issue/patient-safety-emergency-department Emergency departments are high-risk environments due to the urgency of care …