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psnet.ahrq.gov/node/41492/psn-pdf
June 27, 2018 - Alarm fatigue hazards: the sirens are calling.
June 27, 2018
Welch J.
https://psnet.ahrq.gov/issue/alarm-fatigue-hazards-sirens-are-calling
This article reports on alarm fatigue in clinical care, including the risks associated with it, and describes
tactics to help reduce nuisance alarms.
https://psnet.ahrq.gov/i…
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psnet.ahrq.gov/node/35824/psn-pdf
July 24, 2008 - New standards for hospitals call for patients to get private
rooms.
July 24, 2008
Landro L.
https://psnet.ahrq.gov/issue/new-standards-hospitals-call-patients-get-private-rooms
This article reports on design guidelines that will require newly constructed hospitals to have only private
rooms. Single-patient rooms …
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psnet.ahrq.gov/node/41783/psn-pdf
October 24, 2012 - How-to Guide: Prevent Obstetrical Adverse Events.
October 24, 2012
Cambridge, MA: Institute for Healthcare Improvement; 2012.
https://psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events
This guide highlights strategies to enhance the use of care bundles to prevent errors in obstetric care.
https://ps…
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psnet.ahrq.gov/node/38153/psn-pdf
October 15, 2008 - Geisinger Health System's plan to fix America's health
care.
October 15, 2008
Carbonara P. Fast Company. October 2008.
https://psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
This magazine article describes how one health system is using an evidence-based, pay-for-performance
program t…
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psnet.ahrq.gov/node/36115/psn-pdf
September 28, 2010 - Safe prescribing: an educational intervention for medical
students.
September 28, 2010
Garbutt J, DeFer TM, Highstein G, et al. Safe prescribing: an educational intervention for medical students.
Teach Learn Med. 2006;18(3):244-50.
https://psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-stud…
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psnet.ahrq.gov/node/39661/psn-pdf
November 02, 2010 - The value of 'gentle reminder' on safe medical behaviour.
November 2, 2010
Erev I, Rodensky D, Levi M-A, et al. The value of 'gentle reminder' on safe medical behaviour. Qual Saf
Health Care. 2010;19(5):e49. doi:10.1136/qshc.2009.032763.
https://psnet.ahrq.gov/issue/value-gentle-reminder-safe-medical-behaviour
Pee…
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psnet.ahrq.gov/node/41681/psn-pdf
January 01, 2013 - Patient safety in plastic surgery.
September 12, 2012
Trussler AP, Tabbal GN. Patient safety in plastic surgery. Plast Reconstr Surg. 2013;130(3):470e-478e.
doi:10.1097/prs.0b013e31825dc349.
https://psnet.ahrq.gov/issue/patient-safety-plastic-surgery
This commentary outlines tactics to prevent complications in pla…
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psnet.ahrq.gov/node/37449/psn-pdf
January 09, 2008 - Safety First: One Year On.
January 9, 2008
London, England: National Patient Safety Agency; 2008.
https://psnet.ahrq.gov/issue/safety-first-one-year
This report shares the results of the British National Patient Safety Agency effort to reduce medical error
and found that safety wasn’t always given the priority nec…
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psnet.ahrq.gov/node/41362/psn-pdf
June 15, 2012 - Non-Luer connectors: are we nearly there yet?
June 15, 2012
Cook TM. Non-Luer connectors: are we nearly there yet? Anaesthesia. 2012;67(7):784-792.
doi:10.1111/j.1365-2044.2012.07154.x.
https://psnet.ahrq.gov/issue/non-luer-connectors-are-we-nearly-there-yet
This commentary reviews progress in reducing wrong-route…
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psnet.ahrq.gov/node/37764/psn-pdf
January 21, 2011 - Overconfidence as a cause of diagnostic error in
medicine.
January 21, 2011
Berner ES, Graber ML. Overconfidence as a cause of diagnostic error in medicine. Am J Med. 2008;121(5
Suppl):S2-S23. doi:10.1016/j.amjmed.2008.01.001.
https://psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
This compre…
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psnet.ahrq.gov/node/36741/psn-pdf
August 15, 2007 - Prescription for Improving Patient Safety: Addressing
Medication Errors.
August 15, 2007
The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.
https://psnet.ahrq.gov/issue/prescription-improving-patient-safety-addressing-medication-errors
This report shares findings from an exper…
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psnet.ahrq.gov/node/38462/psn-pdf
June 24, 2010 - Care transitions and home health care.
June 24, 2010
Boling PA. Care transitions and home health care. Clin Geriatr Med. 2009;25(1):135-48, viii.
doi:10.1016/j.cger.2008.11.005.
https://psnet.ahrq.gov/issue/care-transitions-and-home-health-care
This article reviews the literature on transitions of care, discusses …
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psnet.ahrq.gov/node/36156/psn-pdf
September 29, 2010 - Addressing medication errors - the role of undergraduate
nurse education.
September 29, 2010
Page K, McKinney AA. Addressing medication errors--The role of undergraduate nurse education. Nurse
Educ Today. 2007;27(3):219-24.
https://psnet.ahrq.gov/issue/addressing-medication-errors-role-undergraduate-nurse-educatio…
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digital.ahrq.gov/principal-investigator/marks-lawrence-b
January 01, 2023 - Marks, Lawrence B
Development and Assessment of Artificial Intelligence (AI)-Enhanced Pretreatment Peer-review Process to Improve Patient Safety in Radiation Oncology
Description
This research develops and evaluates an artificial intelligence-enhanced pretreatment peer-review …
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digital.ahrq.gov/principal-investigator/rotenstein-lisa
January 01, 2023 - Rotenstein, Lisa
Assessing the Effects of EHR Optimization Interventions in Primary Care
Description
This research evaluates the adoption and impact of three electronic health record-optimization interventions—scribes, advanced team-based inbox management, and artificial intel…
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www.ahrq.gov/topics/methicillin-resistant-staphylococcus-aureus-mrsa.html
Topic: Methicillin-Resistant Staphylococcus aureus (MRSA)
Methicillin resistant Staphylococcus aureus (MRSA), is a healthcare-associated infection (HAI). HAIs are among the leading threats to patient safety, affecting one out of every 31 hospital patients at any one time. AHRQ has research, tools, programs and reso…
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www.ahrq.gov/topics/hospital-discharge.html
Topic: Hospital Discharge
AHRQ has research, tools and resources for clinicians to improve the hospital discharge process, including the Re-Engineered Discharge Toolkit.
Improving Hospital Discharge Through Medication Reconciliation and Education
Improving the Emerg…
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary2/healthy-diet-and-physical-activity-counseling-adults-with-high-risk-of-cvd-august-2014
August 26, 2014 - Share to Facebook
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Evidence Summary
Healthful Diet and Physical Activity for Cardiovascular Disease Prevention in Adults With Cardiovascular Risk Factors: Behavioral Counseling
August …
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www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-screening-for-familial-hypercholesterolemia/lipid-disorders-in-children-screening-july-2016
August 09, 2016 - Share to Facebook
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Evidence Summary: Screening for Familial Hypercholesterolemia
Lipid Disorders in Children and Adolescents: Screening
August 09, 2016
Recommendations made by the U…
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/delirium-1.pdf
March 01, 2020 - A preoperative, nurse-led intervention program reduces acute postoperative
delirium.