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Showing results for "reduces".

7061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60580/psn-pdf
      January 01, 2022 - Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement project on hospital-wide adverse event outcomes and patient safety culture. June 10, 2020 Sim MA, Ti LK, Mujumdar S, et al. Sustaining the gains: a 7-year follow-through of a hospital-wide patient safety improvement projec…

7062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46024/psn-pdf
      June 15, 2017 - Introductions during time-outs: do surgical team members know one another's names? June 15, 2017 Birnbach DJ, Rosen LF, Fitzpatrick M, et al. Introductions during time-outs: do surgical team members know one another's names? Jt Comm J Qual Patient Saf. 2017;43(6):284-288. doi:10.1016/j.jcjq.2017.03.001. https://p…

7063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47454/psn-pdf
      May 29, 2019 - Development and implementation of a subcutaneous insulin pen label bar code scanning protocol to prevent wrong-patient insulin pen errors. May 29, 2019 MacMaster HW, Gonzalez S, Maruoka A, et al. Development and Implementation of a Subcutaneous Insulin Pen Label Bar Code Scanning Protocol to Prevent Wrong-Patient …

7064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844769/psn-pdf
      January 01, 2020 - Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? September 18, 2019 Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 2020;29(2):103-112. doi:10.1136/…

7065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60838/psn-pdf
      January 01, 2021 - Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. August 26, 2020 Noursi S, Saluja B, Richey L. Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States. J Rac…

7066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47291/psn-pdf
      October 31, 2018 - Incidence and method of suicide in hospitals in the United States. October 31, 2018 Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002. https://psnet.ahrq.gov/issue/incidence-…

7067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38731/psn-pdf
      April 30, 2014 - Preventable morbidity at a mature trauma center. April 30, 2014 Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541. https://psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center Patient safety in trauma poses unique challenges given the acuity of the patients and the need for rapid ass…

7068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865585/psn-pdf
      April 17, 2024 - Estimating the impact on patient safety of enabling the digital transfer of patients' prescription information in the English NHS. April 17, 2024 Camacho EM, Gavan S, Keers RN, et al. Estimating the impact on patient safety of enabling the digital transfer of patients’ prescription information in the English NHS. …

7069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867226/psn-pdf
      December 04, 2024 - The nature of the response to airway management incident reports in high income countries: a scoping review. December 4, 2024 Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive Care. 2024;52(5):283-301. doi:…

7070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42796/psn-pdf
      December 13, 2013 - Telemedicine consultations and medication errors in rural emergency departments. December 13, 2013 Dharmar M, Kuppermann N, Romano PS, et al. Telemedicine consultations and medication errors in rural emergency departments. Pediatrics. 2013;132(6):1090-7. doi:10.1542/peds.2013-1374. https://psnet.ahrq.gov/issue/tel…

7071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72792/psn-pdf
      March 03, 2021 - Avoiding a Med-Wreck: a structured medication reconciliation framework and standardized auditing tool utilized to optimize patient safety and reallocate hospital resources. March 3, 2021 Elbeddini A, Almasalkhi S, Prabaharan T, et al. Avoiding a Med-Wreck: a structured medication reconciliation framework and stan…

7072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61021/psn-pdf
      October 14, 2020 - Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. October 14, 2020 Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video inter…

7073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45700/psn-pdf
      September 01, 2018 - Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. September 1, 2018 Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self- Insured Texas Public Academic Health System. Health Serv Res. 2016;51 Suppl 3:2615…

7074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47445/psn-pdf
      October 24, 2018 - Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. October 24, 2018 Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…

7075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36345/psn-pdf
      November 15, 2011 - Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. November 15, 2011 Leonard MS, Cimino M, Shaha S, et al. Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital. P…

7076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36997/psn-pdf
      June 29, 2011 - Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. June 29, 2011 Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9. https://psnet.ahrq.gov/issue/dispen…

7077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853616/psn-pdf
      September 20, 2023 - Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. September 20, 2023 Imes CC, Tucker SJ, Trinkoff AM, et al. Wake-up call: night shifts adversely affect nurse health and retention, patient and public safety, and costs. Nurs Adm Q. 2023;47(4):E38-E53. doi:…

7078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47069/psn-pdf
      June 18, 2021 - Physical and verbal violence against health care workers. June 18, 2021 Physical and verbal violence against health care workers. Sentinel Event Alert. 2018;59:1-9 (revised June 18, 2021). https://psnet.ahrq.gov/issue/physical-and-verbal-violence-against-health-care-workers The Joint Commission issues sentinel eve…

7079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44556/psn-pdf
      December 23, 2016 - Preventing falls and fall-related injuries in health care facilities. December 23, 2016 Sentinel Event Alert. September 28, 2015;(55):1-5. https://psnet.ahrq.gov/issue/preventing-falls-and-fall-related-injuries-health-care-facilities Falls in the hospital are common, particularly among elderly patients, and falls …

7080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848359/psn-pdf
      May 03, 2023 - Medical line entanglement: the unspoken patient safety hazard of medical devices. May 3, 2023 Larimer C, Sumner V, Wander D. Medical line entanglement: the unspoken patient safety hazard of medical devices. Nutr Clin Pract. 2023;38(6):1296-1308. doi:10.1002/ncp.11000. https://psnet.ahrq.gov/issue/medical-line-enta…