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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46681/psn-pdfApril 16, 2018 - Trainee autonomy and patient safety. April 16, 2018 George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety Reduced resident work hours and insufficient senior surgeon… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72761/psn-pdfFebruary 17, 2021 - Using ventilator splitters during the COVID-19 pandemic-- letter to health care providers. February 17, 2021 Silver Spring, MD: Division of Industry and Consumer Education, US Food and Drug Administration; February 9. 2021. https://psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-hea… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47028/psn-pdfMay 02, 2018 - Medication errors 2018: the year in review. May 2, 2018 Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018. https://psnet.ahrq.gov/issue/medication-errors-2018-year-review Despite considerable effort, medication errors continue to occur and result in patient harm. Summari… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/764411/psn-pdfMarch 02, 2022 - Nowhere is safe: record number of patients contracted Covid in the hospital in January. March 2, 2022 Levy R, Vestal AJ. Politico. February 19, 2022. https://psnet.ahrq.gov/issue/nowhere-safe-record-number-patients-contracted-covid-hospital-january Transmission of COVID-19 in the health care setting continues to b… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50425/psn-pdfSeptember 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45658/psn-pdfNovember 09, 2016 - Hospitals installed more sinks to stop infections. The sinks can make the problem worse. November 9, 2016 Branswell H. STAT. October 25, 2016. https://psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse Hospitals have sought to improve hand hygiene with interventions su… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60750/psn-pdfAugust 06, 2020 - Missed breast cancer: effects of subconscious bias and lesion characteristics. August 6, 2020 Lamb LR, Mohallem Fonseca M, Verma R, et al. Missed breast cancer: effects of subconscious bias and lesion characteristics. RadioGraphics. 2020;40(4):941-960. doi:10.1148/rg.2020190090. https://psnet.ahrq.gov/issue/missed… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854252/psn-pdfOctober 04, 2023 - Standardization and visualization of the surgical time-out. October 4, 2023 Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46336/psn-pdfAugust 23, 2017 - Improving the Working Environment for Safe Surgical Care. August 23, 2017 Short-Life Working Group on Hospital Reports. Edinburgh, Scotland: Royal College of Surgeons of Edinburgh; July 31, 2017. https://psnet.ahrq.gov/issue/improving-working-environment-safe-surgical-care Surgical training is demanding and can r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44333/psn-pdfJuly 15, 2015 - One hospital's initiatives to encourage safe opioid use. July 15, 2015 Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. https://psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use This commentar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37671/psn-pdfJuly 25, 2008 - Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. July 25, 2008 Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for de… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45387/psn-pdfAugust 15, 2016 - Preventing medication errors. August 15, 2016 Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. https://psnet.ahrq.gov/issue/preventing-medication-errors Nursing home patients are particularly vulnerable to medication errors. This commentar… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37469/psn-pdfJanuary 16, 2008 - Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. January 16, 2008 Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. Spine (Phila Pa 1976).… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41721/psn-pdfOctober 03, 2012 - Rural inpatient telepharmacy consultation demonstration for after-hours medication review. October 3, 2012 Cole SL, Grubbs JH, Din C, et al. Rural inpatient telepharmacy consultation demonstration for after-hours medication review. Telemed J E Health. 2012;18(7):530-7. doi:10.1089/tmj.2011.0222. https://psnet.ahrq… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41577/psn-pdfSeptember 27, 2016 - Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. September 27, 2016 Rochais E, Atkinson S, Bussières J-F. Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center. J Pharm Pract. 201… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60800/psn-pdfJanuary 01, 2021 - Changing hospital organisational culture for improved patient outcomes: developing and implementing the Leadership Saves Lives intervention. August 12, 2020 Linnander EL, McNatt Z, Boehmer K, et al. Changing hospital organisational culture for improved patient outcomes: developing and implementing the leadership s… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46384/psn-pdfNovember 14, 2018 - Peggy Lillis Foundation. November 14, 2018 266 12th Street #6, Brooklyn, NY 11215. https://psnet.ahrq.gov/issue/peggy-lillis-foundation Clostridium difficile infections are considered a serious hospital-acquired infection. This grassroots foundation employs educational, policy, and advocacy strategies aimed at red… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837605/psn-pdfJune 29, 2022 - Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. June 29, 2022 Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887. https://psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation Health inequities are receiving increased … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/74064/psn-pdfMay 27, 2021 - Achieving zero inequity: lessons learned from patient safety. May 27, 2021 Gandhi TK. NEJM Catalyst. May 27, 2021. https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety The COVID-19 pandemic has shown a spotlight on bias, disparities, and inequity in the healthcare system. The author… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46253/psn-pdfAugust 28, 2017 - Diagnostic stewardship—leveraging the laboratory to improve antimicrobial use. August 28, 2017 Morgan DJ, Malani P, Diekema DJ. Diagnostic Stewardship-Leveraging the Laboratory to Improve Antimicrobial Use. JAMA. 2017;318(7):607-608. doi:10.1001/jama.2017.8531. https://psnet.ahrq.gov/issue/diagnostic-stewardship-l…
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