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psnet.ahrq.gov/node/44091/psn-pdf
January 04, 2019 - Isolation precautions for visitors.
January 4, 2019
Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp
Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67.
https://psnet.ahrq.gov/issue/isolation-precautions-visitors
This expert guidance provides recommendations …
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psnet.ahrq.gov/node/840164/psn-pdf
November 16, 2022 - Medical error and vulnerable communities.
November 16, 2022
Jean-Pierre P. Boston U Law Rev. 2022; 102(1):327-392.
https://psnet.ahrq.gov/issue/medical-error-and-vulnerable-communities
Bias and discrimination are receiving overdue attention as primary barriers to patient safety. This article
discusses medical erro…
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psnet.ahrq.gov/node/837858/psn-pdf
August 17, 2022 - Tackling implicit bias in health care.
August 17, 2022
Sabin JA. Tackling implicit bias in health care. N Engl J Med. 2022;387(2):105-107.
doi:10.1056/nejmp2201180.
https://psnet.ahrq.gov/issue/tackling-implicit-bias-health-care
Implicit bias in clinicians can result in diagnostic errors and poor patient outcomes.…
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psnet.ahrq.gov/node/47390/psn-pdf
September 19, 2018 - Antimicrobial Stewardship.
September 19, 2018
Cunha CB, ed. Med Clin North Am. 2018;102(5):797-976.
https://psnet.ahrq.gov/issue/antimicrobial-stewardship
Antimicrobial stewardship programs are a key strategy to reduce overprescribing of antibiotics in hospitals.
This special issue explores approaches to engage a …
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psnet.ahrq.gov/node/73926/psn-pdf
October 06, 2021 - Good for You, Good for Us, Good for Everybody.
October 6, 2021
Ridge K. London, England: Crown Copyright; 2021. September 22, 2021.
https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody
Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has
long reduced medi…
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psnet.ahrq.gov/node/47696/psn-pdf
February 22, 2019 - Operating room fires.
February 22, 2019
Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501.
doi:10.1097/ALN.0000000000002598.
https://psnet.ahrq.gov/issue/operating-room-fires
Surgical fires, though uncommon, can result in serious harm. This review highlights three co…
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psnet.ahrq.gov/node/38541/psn-pdf
May 21, 2009 - The relationship between inpatient cardiac surgery
mortality and nurse numbers and educational level:
analysis of administrative data.
May 21, 2009
Van den Heede K, Lesaffre E, Diya L, et al. The relationship between inpatient cardiac surgery mortality
and nurse numbers and educational level: analysis of administr…
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psnet.ahrq.gov/node/50577/psn-pdf
October 23, 2019 - Medicare's Oversight of Ambulatory Surgery Centers
Report.
October 23, 2019
Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400.
https://psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report
Ambulatory surgery centers (ASC) play an increasing role in com…
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psnet.ahrq.gov/node/42974/psn-pdf
September 07, 2016 - Chemotherapy drug shortages in pediatric oncology: a
consensus statement.
September 7, 2016
Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus
statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.2013-2946.
https://psnet.ahrq.gov/issue/chemotherapy-drug-sh…
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psnet.ahrq.gov/node/34048/psn-pdf
May 27, 2011 - Computerized physician order entry: helpful or harmful?
May 27, 2011
Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc.
2004;11(2):100-3.
https://psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
The authors critically review the published …
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psnet.ahrq.gov/node/40043/psn-pdf
March 03, 2011 - Effect of a "Lean" intervention to improve safety
processes and outcomes on a surgical emergency unit.
March 3, 2011
McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and
outcomes on a surgical emergency unit. BMJ. 2010;341:c5469. doi:10.1136/bmj.c5469.
https://psne…
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psnet.ahrq.gov/node/841490/psn-pdf
December 14, 2022 - Prevent administration of ear drops into the eyes.
December 14, 2022
ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3.
https://psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes
Look-alike medications are vulnerable to wrong route and other use errors. This article examines the…
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psnet.ahrq.gov/node/45747/psn-pdf
December 21, 2016 - Implementing No Interruption Zones in the perioperative
environment.
December 21, 2016
Wright I. Implementing No Interruption Zones in the Perioperative Environment. AORN J. 2016;104(6):536-
540. doi:10.1016/j.aorn.2016.09.018.
https://psnet.ahrq.gov/issue/implementing-no-interruption-zones-perioperative-environme…
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psnet.ahrq.gov/node/72688/psn-pdf
October 06, 2022 - Request for proposals for clinical quality measures to
improve diagnosis.
October 6, 2022
Palo Alto CA; Gordon and Betty Moore Foundation: February 22, 2022.
https://psnet.ahrq.gov/issue/request-proposals-clinical-quality-measures-improve-diagnosis
A lack of consensus on measures for the effectiveness and ac…
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psnet.ahrq.gov/node/44241/psn-pdf
November 09, 2015 - The overlooked danger of delirium in hospitals.
November 9, 2015
Boodman SG. The Atlantic. June 7, 2015.
https://psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals
Delirium is a common unintended consequence of hospitalization, most often following a surgical
procedure. This magazine article discusses chara…
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psnet.ahrq.gov/node/60663/psn-pdf
January 01, 2021 - Apology laws and malpractice liability: what have we
learned?
July 8, 2020
Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual
Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955.
https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-l…
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psnet.ahrq.gov/node/866638/psn-pdf
September 04, 2024 - The problem with 'never events'.
September 4, 2024
Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616.
doi:10.1136/bmjqs-2023-016981.
https://psnet.ahrq.gov/issue/problem-never-events
Never events are serious, but preventable, adverse events that result in serious pati…
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psnet.ahrq.gov/node/73502/psn-pdf
July 14, 2021 - Toolkit to Improve Antibiotic Use in Long-Term Care.
July 14, 2021
Rockville, MD: Agency for Healthcare Research and Quality; June 2021.
https://psnet.ahrq.gov/issue/toolkit-improve-antibiotic-use-long-term-care
The use of antibiotics should be monitored to reduce the potential for infection in care facilities. Thi…
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psnet.ahrq.gov/node/46052/psn-pdf
December 19, 2017 - Correlates of the third victim phenomenon.
December 19, 2017
Russ MJ. Correlates of the Third Victim Phenomenon. Psychiatr Q. 2017;88(4):917-920.
doi:10.1007/s11126-017-9511-1.
https://psnet.ahrq.gov/issue/correlates-third-victim-phenomenon
A sentinel event affects patients, their families, clinicians involved, an…
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psnet.ahrq.gov/node/43948/psn-pdf
May 20, 2015 - Human factors engineering: its place and potential in OR
safety.
May 20, 2015
Criscitelli T. Human factors engineering: its place and potential in OR safety. AORN J. 2015;101(5):571-3.
doi:10.1016/j.aorn.2015.02.013.
https://psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
Human fa…