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Showing results for "reduces".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42902/psn-pdf
    January 29, 2014 - Improving Patient Safety Through Teamwork and Team Training. January 29, 2014 Salas E, Frush K, eds. Oxford, UK: Oxford University Press; 2013. ISBN: 9780195399097. https://psnet.ahrq.gov/issue/improving-patient-safety-through-teamwork-and-team-training Health care has been recently been directed toward focusing o…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39254/psn-pdf
    January 27, 2010 - Practical challenges of introducing WHO surgical checklist: UK pilot experience. January 27, 2010 Vats A, Vincent CA, Nagpal K, et al. Practical challenges of introducing WHO surgical checklist: UK pilot experience. BMJ. 2010;340(jan13 2). doi:10.1136/bmj.b5433. https://psnet.ahrq.gov/issue/practical-challenges-in…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47696/psn-pdf
    February 22, 2019 - Operating room fires. February 22, 2019 Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. https://psnet.ahrq.gov/issue/operating-room-fires Surgical fires, though uncommon, can result in serious harm. This review highlights three co…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46875/psn-pdf
    March 07, 2018 - Improving medication-related clinical decision support. March 7, 2018 Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. https://psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-suppo…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34048/psn-pdf
    May 27, 2011 - Computerized physician order entry: helpful or harmful? May 27, 2011 Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3. https://psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful The authors critically review the published …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841490/psn-pdf
    December 14, 2022 - Prevent administration of ear drops into the eyes. December 14, 2022 ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3. https://psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes Look-alike medications are vulnerable to wrong route and other use errors. This article examines the…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44296/psn-pdf
    April 08, 2018 - Checklists to prevent diagnostic errors: a pilot randomized controlled trial. April 8, 2018 Ely JW, Graber MA. Checklists to prevent diagnostic errors: a pilot randomized controlled trial. Diagnosis (Berl). 2015;2(3):163-169. doi:10.1515/dx-2015-0008. https://psnet.ahrq.gov/issue/checklists-prevent-diagnostic-erro…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46593/psn-pdf
    November 08, 2017 - Unreadable barcodes and multiple barcodes on packages can lead to errors. November 8, 2017 ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3. https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors Barcodes can both enhance and degrade the medication …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38213/psn-pdf
    November 12, 2008 - AHRQ announces interest in research on diagnostic errors in ambulatory care settings. November 12, 2008 Rockville, MD: Agency for Healthcare Research and Quality. Special Emphasis Notice. October 25, 2007. Publication No. NOT-HS-08-002. https://psnet.ahrq.gov/issue/ahrq-announces-interest-research-diagnostic-error…

  10. Hunter College | Digital Healthcare Research

    digital.ahrq.gov/organization/hunter-college
    January 01, 2023 - Hunter College IMProving Outcomes Related to Patients Through Advanced Nursing Technology (IMPORTANT) Description This study assessed an advanced technology-based intervention’s impact on nurse surveillance, improving bedside shift reporting and hourly rounding completion rate…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43183/psn-pdf
    May 14, 2014 - Physician: 'I almost killed a patient' because of an advance directive. May 14, 2014 Betbeze P. HealthLeaders Media. May 2, 2014. https://psnet.ahrq.gov/issue/physician-i-almost-killed-patient-because-advance-directive Reporting on how misinterpretation of advance directives and living wills can detract from patie…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43036/psn-pdf
    March 27, 2014 - Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. March 27, 2014 Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. https://psnet.ahrq.gov/issue/redesigning-hospital-alarms…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60569/psn-pdf
    June 10, 2020 - Workplace team resilience: a systematic review and conceptual development. June 10, 2020 Hartwig A, Clarke S, Johnson S, et al. Workplace team resilience: s systematic review and conceptual development. Org Psychol Rev. 2020;10(3-4):169-200. doi:10.1177/2041386620919476. https://psnet.ahrq.gov/issue/workplace-team…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40043/psn-pdf
    March 03, 2011 - Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. March 3, 2011 McCulloch P, Kreckler S, New S, et al. Effect of a "Lean" intervention to improve safety processes and outcomes on a surgical emergency unit. BMJ. 2010;341:c5469. doi:10.1136/bmj.c5469. https://psne…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50577/psn-pdf
    October 23, 2019 - Medicare's Oversight of Ambulatory Surgery Centers Report. October 23, 2019 Washington, DC: Office of the Inspector General; September 2019. Report No. OEI-01-15-00400. https://psnet.ahrq.gov/issue/medicares-oversight-ambulatory-surgery-centers-report Ambulatory surgery centers (ASC) play an increasing role in com…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38705/psn-pdf
    June 17, 2009 - Ambulance stretcher adverse events. June 17, 2009 Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562. https://psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events This study analyzed more than 670 reported adverse events …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46800/psn-pdf
    May 16, 2018 - Ireland investigates cervical cancer screening scandal. May 16, 2018 O'Loughlin E. New York Times. April 30, 2018. https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misr…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43912/psn-pdf
    February 25, 2015 - Patient Safety in Dialysis Access. February 25, 2015 Widmer MK, Malik J, eds. Contrib Nephrol. 2015;184:1-270. ISBN: 9783318027051. https://psnet.ahrq.gov/issue/patient-safety-dialysis-access Patients with chronic kidney failure are at high risk for adverse events from treatment errors. This publication raises awa…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44673/psn-pdf
    April 15, 2016 - The safety of emergency medicine. April 15, 2016 Ramlakhan S, Qayyum H, Burke D, et al. The safety of emergency medicine. Emerg Med J. 2016;33(4):293-9. doi:10.1136/emermed-2014-204564. https://psnet.ahrq.gov/issue/safety-emergency-medicine Emergency medicine is considered a high-risk environment, but little resea…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60024/psn-pdf
    March 11, 2020 - Artificial intelligence and surgical decision-making. March 11, 2020 Loftus TJ, Tighe PJ, Filiberto AC, et al. Artificial intelligence and surgical decision-making. JAMA Surg. 2019;155(2):148-158. doi:10.1001/jamasurg.2019.4917. https://psnet.ahrq.gov/issue/artificial-intelligence-and-surgical-decision-making Arti…
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