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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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…
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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 …
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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…
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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…
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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…
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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…
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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…
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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
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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
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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,…
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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…