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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42940/psn-pdf
    February 12, 2014 - Medical disrespect. February 12, 2014 Yurkiewicz I. Aeon Magazine. January 29, 2014. https://psnet.ahrq.gov/issue/medical-disrespect Disruptive behavior is a well-known and pervasive issue in health care. Describing disrespectful behaviors that clinicians face, such as sarcasm and intimidation, this magazine artic…
  2. www.ahrq.gov/teamstepps-program/resources/additional/check-back-team.html
    July 01, 2023 - Additional TeamSTEPPS Videos: Check-Back in Inpatient Surgical Teams   YouTube embedded video: https://www.youtube-nocookie.com/embed/ekX289e3-Uo TeamSTEPPS: Check-Back in Inpatient Surgical Teams (15 seconds) Checking to ensure medication instructions are described—and heard—correctly is an important saf…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41919/psn-pdf
    December 12, 2012 - The best medicine for fixing the modern hospital. December 12, 2012 https://psnet.ahrq.gov/issue/best-medicine-fixing-modern-hospital This news article highlights how hospital design can help reduce infection rates, shorten length of stay, and improve patient safety. https://psnet.ahrq.gov/issue/best-medicine-fixi…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38917/psn-pdf
    September 06, 2013 - Health Care–Associated Infections. September 6, 2013 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/health-care-associated-infections For health care providers and consumers, this Web site features information, tools, and resources on health care–associated infections (HAIs). AHRQ-funded …
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40481/psn-pdf
    June 20, 2011 - Medication errors—new approaches to prevention. June 20, 2011 Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. https://psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention This review discusses evidence-bas…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38971/psn-pdf
    June 10, 2018 - How has the current economy affected patient safety? June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2. https://psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety This piece describes how reduced resources could affect patient safety and quality work in hosp…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43088/psn-pdf
    February 25, 2019 - ImproveDX. February 25, 2019 Society to Improve Diagnosis in Medicine. https://psnet.ahrq.gov/issue/improvedx Diagnostic errors have been termed the next frontier in patient safety. To raise awareness of this issue, this occasional newsletter features articles for a multidisciplinary audience that discuss barriers…
  8. www.uspreventiveservicestaskforce.org/uspstf/recommendation/screening-depression-suicide-risk-children-adolescents
    October 11, 2022 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Depression and Suicide Risk in Children and Adolescents: Screening October 11, 2022 Recommendations made by the USPSTF are independent of t…
  9. effectivehealthcare.ahrq.gov/sites/default/files/related_files/case-management_executive.pdf
    January 01, 2013 - 1 Comparative Effectiveness Review Number 99 Outpatient Case Management for Adults With Medical Illness and Complex Care Needs Executive Summary Background Chronic diseases are the leading cause of illness, disability, and death in the United States.1 Providing medical care for chronic illness is often compl…
  10. digital.ahrq.gov/ahrq-funded-projects/virtual-patient-advocate-reduce-ambulatory-adverse-drug-events/publication
    January 01, 2023 - State Will Stop Paying For Some Hospital Re-Admissions Citation Bebinger M. State Will Stop Paying For Some Hospital Re-Admissions. Available at 90.9 WBUR. Feb 8, 2011. Accessed at http://www.wbur.org/2011/02/08/readmissions Link http://www.wbur.org/2011/02/08/readmissions Project Name…
  11. www.ahrq.gov/topics/provider-pharmacist.html
    Topic: Provider: Pharmacist List of AHRQ content related to pharmacists and other pharmacy providers. Advancing Pharmacy Health Literacy Practices Through Quality Improvement AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients …
  12. www.ahrq.gov/topics/clostridium-difficile-infections.html
    Topic: Clostridium difficile Infections AHRQ has research, tools, and resources for preventing or reducing Clostridium difficile , a healthcare-associated infection. Healthcare-associated infections are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time. …
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39544/psn-pdf
    May 19, 2010 - Preventing infections: how Portland hospitals compare. May 19, 2010 Rojas-Burke J. The Oregonian. May 8, 2010. https://psnet.ahrq.gov/issue/preventing-infections-how-portland-hospitals-compare This newspaper article describes how lessons from the Keystone ICU Project have reduced central line infections in Oregon …
  14. www.ahrq.gov/teamstepps-program/resources/additional/labor.html
    July 01, 2023 - TeamSTEPPS Additional Video: Labor and Delivery: Successful Outcome Using TeamSTEPPS   YouTube embedded video: https://www.youtube-nocookie.com/embed/4XEmZzvejz0 Labor and Delivery: Successful Outcome Using TeamSTEPPS (5:03) Effective communication can prepare health care team members to respond quickly t…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39776/psn-pdf
    January 25, 2017 - First, protect the patient from harm: applying adult learning principles to patient safety. January 25, 2017 Duffy B. https://psnet.ahrq.gov/issue/first-protect-patient-harm-applying-adult-learning-principles-patient-safety This piece describes how education can reduce patient harm by promoting attitude and behavi…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40298/psn-pdf
    May 13, 2019 - Improving patient safety in radiation oncology. May 13, 2019 Hendee WR, Herman MG. Improving patient safety in radiation oncology. https://psnet.ahrq.gov/issue/improving-patient-safety-radiation-oncology This commentary discusses radiation safety issues and describes recommendations developed at a conference to re…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35161/psn-pdf
    March 13, 2016 - The forgotten tourniquet—an update. March 13, 2016 PA Patient Saf Advis. 2016;13(1):4. http://patientsafety.pa.gov/ADVISORIES/Pages/201603_32.aspx. https://psnet.ahrq.gov/issue/forgotten-tourniquet-update This advisory from the Pennsylvania Patient Safety Reporting System discusses 1079 reports of tourniquets bein…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41329/psn-pdf
    September 24, 2016 - The science of interruption. September 24, 2016 Coiera E. The science of interruption. BMJ Qual Saf. 2012;21(5):357-60. doi:10.1136/bmjqs-2012-000783. https://psnet.ahrq.gov/issue/science-interruption This commentary discusses interruption research in health care, challenges to understanding its impact, and approa…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39871/psn-pdf
    September 22, 2010 - Kaiser Permanente's innovation on the front lines. September 22, 2010 McCreary L. Kaiser Permanente's innovation on the front lines. Harv Bus Rev. 2010;88(9):92, 94-7, 126. https://psnet.ahrq.gov/issue/kaiser-permanentes-innovation-front-lines This article describes how innovation has reduced medication errors and …
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37935/psn-pdf
    February 17, 2011 - The (slowly) vanishing prescription pad. February 17, 2011 Steinbrook R. The (slowly) vanishing prescription pad. N Engl J Med. 2008;359(2):115-7. doi:10.1056/NEJMp0802864. https://psnet.ahrq.gov/issue/slowly-vanishing-prescription-pad This perspective discusses the proliferation of electronic vs. paper-based pres…