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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34009/psn-pdf
    November 12, 2014 - Consumer Safe Medicine. November 12, 2014 Plymouth Meeting, PA; Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismps-safe-medicine ISMP's electronic consumer medication safety newsletter is published six times a year and its content aims to engage patients and families in reducing medication…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38368/psn-pdf
    July 30, 2015 - Childrens' Hospitals' Solutions for Patient Safety. July 30, 2015 https://psnet.ahrq.gov/issue/childrens-hospitals-solutions-patient-safety This Web site provides resources related to a collaborative effort involving more than 80 hospitals with a goal of reducing health care–associated conditions, readmissions, and…
  3. www.ahrq.gov/hai/quality/tools/cauti-ltc/how-to-use-bundles.html
    March 01, 2017 - How To Use Educational Bundles Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities The educational bundles are a curriculum that long-term care facility educators can use to educate. Each slide set includes facilitator notes and should take approximately 15 minutes to deliver. The training vid…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39801/psn-pdf
    December 21, 2014 - Gossypiboma: tales of lost sponges and lessons learned. December 21, 2014 McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned This study describes successful efforts to reduce retained surgical spo…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39962/psn-pdf
    September 24, 2016 - Interruptions and medication errors: part I. September 24, 2016 Flanders S, Clark AP. Interruptions and medication errors: part I. Clin Nurse Spec. 2010;24(6):281-5. doi:10.1097/NUR.0b013e3181faf78b. https://psnet.ahrq.gov/issue/interruptions-and-medication-errors-part-i This commentary discusses preventable medic…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39081/psn-pdf
    September 27, 2016 - Medication room madness: calming the chaos. September 27, 2016 Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual. 2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d. https://psnet.ahrq.gov/issue/medication-room-madness-calming-chaos Through space and process desi…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38370/psn-pdf
    August 22, 2009 - Monitoring for medication errors in outpatient settings. August 22, 2009 Balkrishnan R, Foss CE, Pawaskar M, et al. Monitoring for medication errors in outpatient settings. J Dermatolog Treat. 2009;20(4):229-32. doi:10.1080/09546630802607487. https://psnet.ahrq.gov/issue/monitoring-medication-errors-outpatient-sett…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40761/psn-pdf
    September 12, 2016 - Failure to rescue in neonatal care. September 12, 2016 Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03. https://psnet.ahrq.gov/issue/failure-rescue-neonatal-care This commentary suggests numerous strategies to redu…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39652/psn-pdf
    June 30, 2010 - Aftercare tips for patients checking out of the hospital. June 30, 2010 Alderman L. New York Times. June 18, 2010;B6. https://psnet.ahrq.gov/issue/aftercare-tips-patients-checking-out-hospital This news piece highlights efforts to improve discharge planning, enhance the safety of care transitions, and reduce readm…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38919/psn-pdf
    January 28, 2011 - Setting priorities for patient safety: ethics, accountability, and public engagement. January 28, 2011 Pronovost P, Faden RR. Setting priorities for patient safety: ethics, accountability, and public engagement. JAMA. 2009;302(8):890-1. doi:10.1001/jama.2009.1177. https://psnet.ahrq.gov/issue/setting-priorities-pa…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35353/psn-pdf
    July 16, 2009 - Best-practice protocols: preventing adverse drug events. July 16, 2009 Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30. https://psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events This article reports on one hospital's use of failure modes and …
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41091/psn-pdf
    October 01, 2021 - ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. October 1, 2021 Horsham, PA: Institute for Safe Medication Practices; 2021. https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare This fact sheet provides a list of high-alert medications commonly used in…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35246/psn-pdf
    July 11, 2007 - Treatment errors in healthcare: a safety climate approach. July 11, 2007 Naveh E, Katz-Navon T, Stern Z. Treatment errors in healthcare: a safety climate approach. . Manage Sci. 2005;51(6):948-960. doi:10.1287/mnsc.1050.0372. https://psnet.ahrq.gov/issue/treatment-errors-healthcare-safety-climate-approach The auth…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34001/psn-pdf
    April 16, 2018 - Patient Safety Authority. April 16, 2018 Commonwealth of Pennsylvania https://psnet.ahrq.gov/issue/patient-safety-authority The Patient Safety Authority is an independent state agency charged with taking steps to reduce and eliminate medical errors by identifying problems and recommending solutions. The site inclu…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40533/psn-pdf
    June 15, 2011 - The contribution of labelling to safe medication administration in anaesthetic practice. June 15, 2011 Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-159. doi:10.1016/j.bpa.2011.02.009. https…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34135/psn-pdf
    February 28, 2024 - Hand Hygiene in Healthcare Settings. February 28, 2024 Centers for Disease Control and Prevention https://psnet.ahrq.gov/issue/hand-hygiene-healthcare-settings The hand hygiene guidelines represent part of a U.S. Centers for Disease Control and Prevention (CDC) strategy to promote patient safety by reducing infect…
  17. www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
    January 01, 2024 - questioning behaviors in staff, physicians, and patients may lead to a wider culture of safety that reduces
  18. www.uspreventiveservicestaskforce.org/uspstf/document/final-evidence-summary/skin-cancer-screening-2001
    April 01, 2001 - studies have been done that demonstrate that routine screening for melanoma by primary care providers reduces
  19. effectivehealthcare.ahrq.gov/sites/default/files/crosscutting_hi_impact.pdf
    January 01, 2012 - AHRQ Healthcare Horizon Scanning System – Potential High Impact Interventions Report Crosscutting Interventions and Programs Potential High Impact Interventions Report Prepared for: Agency for Healthcare Research and Quality U.S. Department of Health and Human Services 540 Gaither Road Rockville,…
  20. effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-careassociated-infections_disposition-comments.pdf
    November 30, 2012 - Disposition of Comments Report for Prevention of Healthcare-Associated Infections Source: http://effectivehealthcare.ahrq.gov/search-for-guides-reviews-and- reports/?pageaction=displayproduct&productID=1334 Published Online: November 30, 2012 Comparative Effectiveness Research Review Disposition of Comments…