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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42974/psn-pdfSeptember 07, 2016 - Chemotherapy drug shortages in pediatric oncology: a consensus statement. September 7, 2016 Decamp M, Joffe S, Fernandez C, et al. Chemotherapy drug shortages in pediatric oncology: a consensus statement. Pediatrics. 2014;133(3):e716-24. doi:10.1542/peds.2013-2946. https://psnet.ahrq.gov/issue/chemotherapy-drug-sh… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39254/psn-pdfJanuary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37938/psn-pdfJuly 23, 2008 - An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections. July 23, 2008 Backman C, Zoutman DE, Marck PB. An integrative review of the current evidence on the relationship between hand hygiene interventions and the in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/40558/psn-pdfMay 20, 2019 - Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care. May 20, 2019 Eunice Kennedy Shriver National Institute of Child Health and Human Development; NICHD; National Institutes of Health; NIH. https://psnet.ahrq.gov/issue/patient-safety-context-perinatal-neonatal-and-pediatric-care This dual-com… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46718/psn-pdfAugust 08, 2018 - Workplace Violence Prevention: Implementing Strategies for Safer Healthcare Organizations. August 8, 2018 Joint Commission. https://psnet.ahrq.gov/issue/workplace-violence-prevention-implementing-strategies-safer-healthcare- organizations Workplace violence in health care can affect the safety of both staff and p… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47533/psn-pdfJune 19, 2019 - Patient Safety: A Health Affairs Briefing. June 19, 2019 Project Hope. https://psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person a… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46469/psn-pdfOctober 25, 2017 - RxAwareness. October 25, 2017 Centers for Disease Control and Prevention; CDC. https://psnet.ahrq.gov/issue/rxawareness The opioid crisis is a persisting patient safety problem. One approach to prevent misuse of opioids is to raise awareness of the addictive nature of the medication. This national campaign enlists… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/851451/psn-pdfJuly 19, 2023 - Issues and complexities in safety culture assessment in healthcare. July 19, 2023 Ellis LA, Falkland E, Hibbert P, et al. Issues and complexities in safety culture assessment in healthcare. Front Public Health. 2023;11:1217542. doi:10.3389/fpubh.2023.1217542. https://psnet.ahrq.gov/issue/issues-and-complexities-sa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44939/psn-pdfMarch 09, 2016 - Listening for What Matters: Avoiding Contextual Errors in Health Care. March 9, 2016 Weiner SJ, Schwartz A. New York, NY: Oxford University Press; 2016. ISBN: 9780190228996. https://psnet.ahrq.gov/issue/listening-what-matters-avoiding-contextual-errors-health-care This book discusses how physicians can reduce cont… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/837798/psn-pdfAugust 10, 2022 - An evolution of reporting: identifying the missing link. August 10, 2022 Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics (Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761. https://psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/38503/psn-pdfJune 16, 2009 - Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention. June 16, 2009 Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and interventi… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44091/psn-pdfJanuary 04, 2019 - Isolation precautions for visitors. January 4, 2019 Munoz-Price LS, Banach DB, Bearman G, et al. Isolation Precautions for Visitors. Infect Control Hosp Epidemiol. 2015;36(7):747-758. doi:10.1017/ice.2015.67. https://psnet.ahrq.gov/issue/isolation-precautions-visitors This expert guidance provides recommendations … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44241/psn-pdfNovember 09, 2015 - The overlooked danger of delirium in hospitals. November 9, 2015 Boodman SG. The Atlantic. June 7, 2015. https://psnet.ahrq.gov/issue/overlooked-danger-delirium-hospitals Delirium is a common unintended consequence of hospitalization, most often following a surgical procedure. This magazine article discusses chara… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43415/psn-pdfSeptember 10, 2014 - Project BOOST implementation: lessons learned. September 10, 2014 Williams M, Li J, Hansen LO, et al. Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-65. doi:10.14423/SMJ.0000000000000140. https://psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned This qualitative study o… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43036/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35628/psn-pdfJune 23, 2010 - Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician. June 23, 2010 Abbott RL, Weber P, Kelley B. Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/839830/psn-pdfNovember 09, 2022 - Walgreens will stop judging its pharmacy staffers by how fast they work. November 9, 2022 Kaplan A. NBC News. October 27, 2022. https://psnet.ahrq.gov/issue/walgreens-will-stop-judging-its-pharmacy-staffers-how-fast-they-work Suboptimal working conditions are a known contributor to errors in retail pharmacie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43183/psn-pdfMay 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46477/psn-pdfJanuary 08, 2018 - The iatrogenic potential of the physician's words. January 8, 2018 Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216. https://psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words Inadequate information sharing between physicians and patien… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50577/psn-pdfOctober 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…
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