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Showing results for "reduces".

5341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41598/psn-pdf
      August 15, 2012 - Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifestyle for physicians? August 15, 2012 Olson R, Garite TJ, Fishman A, et al. Obstetrician/gynecologist hospitalists: can we improve safety and outcomes for patients and hospitals and improve lifesty…

5342. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44939/psn-pdf
      March 09, 2016 - Listening for What Matters: Avoiding Contextual Errors in Health Care. March 9, 2016 Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996. https://psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care This book discusses how physicians can reduce cont…

5343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39552/psn-pdf
      May 26, 2010 - Expanding what we know about off-peak mortality in hospitals. May 26, 2010 Hamilton P, Mathur S, Gemeinhardt G, et al. Expanding what we know about off-peak mortality in hospitals. J Nurs Adm. 2010;40(3):124-8. doi:10.1097/NNA.0b013e3181d0426e. https://psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortali…

5344. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43912/psn-pdf
      February 25, 2015 - Patient Safety in Dialysis Access. February 25, 2015 Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051. https://psnet.ahrq.gov/issue/patient-safety-dialysis-access Patients with chronic kidney failure are at high risk for adverse events from treatment errors. This publication raises awa…

5345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837002/psn-pdf
      April 27, 2022 - Burnout in Nursing: Causes, Management, and Future Directions. April 27, 2022 Zangaro GA, Dulko D, Sullivan D, eds. Nurs Clin North Am. 2022;57(1):1-170.  https://psnet.ahrq.gov/issue/burnout-nursing-causes-management-and-future-directions Clinician burnout is a pervasive problem and can threaten patient safe…

5346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46875/psn-pdf
      March 07, 2018 - Improving medication-related clinical decision support. March 7, 2018 Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. https://psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-suppo…

5347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45777/psn-pdf
      January 11, 2017 - Disclosure of adverse events in pediatrics. January 11, 2017 McDonnell WM; Altman RL; Bondi SA et al for the Committee on Medical Liability and Risk Management; Council on Quality Improvement and Patient Safety. Pediatrics. 2016;138(6);e20163215. https://psnet.ahrq.gov/issue/disclosure-adverse-events-pediatrics Op…

5348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47533/psn-pdf
      June 19, 2019 - Patient Safety: A Health Affairs Briefing. June 19, 2019 Project Hope. https://psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person a…

5349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46800/psn-pdf
      May 16, 2018 - Ireland investigates cervical cancer screening scandal. May 16, 2018 O'Loughlin E. New York Times. April 30, 2018. https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misr…

5350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864386/psn-pdf
      March 13, 2024 - Time for prefilled syringes - everywhere. March 13, 2024 Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181. https://psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere Simplifying complex processes is a strategy to engineer safety into heal…

5351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46477/psn-pdf
      January 08, 2018 - The iatrogenic potential of the physician's words. January 8, 2018 Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216. https://psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words Inadequate information sharing between physicians and patien…

5352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38503/psn-pdf
      June 16, 2009 - Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention. June 16, 2009 Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and interventi…

5353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40160/psn-pdf
      January 19, 2011 - Morphine sulfate oral solution 100 mg per 5 mL (20 mg/mL): medication use error—reports of accidental overdose. January 19, 2011 MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 10, 2011. https://psnet.ahrq.gov/issue/morphine-sulfate-oral-solution-100-mg-5-ml-20-mgml-medication-us…

5354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38686/psn-pdf
      May 07, 2018 - Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3. https://psnet.ahrq.gov/issue/survey-lasa-drug-name-pairs-who-knows-whats-your-list-and-best-ways- prevent-mix-ups This article shar…

5355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50457/psn-pdf
      October 09, 2019 - Combined SNA and LDA methods to understand adverse medical events October 9, 2019 Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa…

5356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/764408/psn-pdf
      March 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …

5357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43183/psn-pdf
      May 14, 2014 - Physician: 'I almost killed a patient' because of an advance directive. May 14, 2014 Betbeze P. HealthLeaders Media. May 2, 2014. https://psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive Reporting on how misinterpretation of advance directives and living wills can detract from patie…

5358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41410/psn-pdf
      May 23, 2012 - The World Health Organization '5 moments of hand hygiene': the scientific foundation. May 23, 2012 Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0301-620X.94B4.27772. https://psnet.ahrq.go…

5359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44296/psn-pdf
      April 08, 2018 - Checklists to prevent diagnostic errors: a pilot randomized controlled trial. April 8, 2018 Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis (Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008. https://psnet.ahrq.gov/issue/checklists-prevent-diagnostic-erro…

5360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44143/psn-pdf
      April 15, 2016 - "First, know thyself": cognition and error in medicine. April 15, 2016 Elia F, Aprà F, Verhovez A, et al. "First, know thyself": cognition and error in medicine. Acta Diabetol. 2016;53(2):169-175. doi:10.1007/s00592-015-0762-8. https://psnet.ahrq.gov/issue/first-know-thyself-cognition-and-error-medicine Cognition …