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Showing results for "reduces".

9101. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45549/psn-pdf
      October 12, 2016 - Preventing diagnostic errors in primary care. October 12, 2016 Ely JW, Graber ML. Preventing Diagnostic Errors in Primary Care. Am Fam Physician. 2016;94(6):426-32. https://psnet.ahrq.gov/issue/preventing-diagnostic-errors-primary-care The Improving Diagnosis in Health Care report advocated for enhancing patient en…

9102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34585/psn-pdf
      March 07, 2005 - John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. March 7, 2005 Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Interview by Steven Berman. Jt Comm J Qual Improv. 2002;28(12):651-659, 633. h…

9103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43120/psn-pdf
      September 27, 2016 - How studying human factors improves patient safety. September 27, 2016 Eggertson L. How studying human factors improves patient safety. The Canadian nurse. 2014;110(2):25-9. https://psnet.ahrq.gov/issue/how-studying-human-factors-improves-patient-safety Human factors engineering is being increasingly promoted as an…

9104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48145/psn-pdf
      July 17, 2019 - Mental mayhem: the peril of multitasking in medicine. July 17, 2019 Joseph R; Harry E. https://psnet.ahrq.gov/issue/mental-mayhem-peril-multitasking-medicine Multitasking can negatively affect cognitive load and diminish safety. This magazine article reports on how multitasking can contribute to surgeon fatigue, b…

9105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45572/psn-pdf
      March 22, 2017 - Ordering interruptions in a tertiary care center: a prospective observational study. March 22, 2017 Dadlez NM, Azzarone G, Sinnett MJ, et al. Ordering Interruptions in a Tertiary Care Center: A Prospective Observational Study. Hosp Pediatr. 2017;7(3):134-139. doi:10.1542/hpeds.2016-0127. https://psnet.ahrq.gov/iss…

9106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39185/psn-pdf
      January 06, 2010 - Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. January 6, 2010 Porat N, Bitan Y, Shefi D, et al. Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. Qual Saf Health Care. 2009;18(6):505-9. doi:10.1136/qshc.2007.…

9107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47904/psn-pdf
      April 24, 2019 - Air pressure: human factors are the key to a safer flight environment. April 24, 2019 Erich J. EMS World. April 2019;48:26-31. https://psnet.ahrq.gov/issue/air-pressure-human-factors-are-key-safer-flight-environment Air transport service combines risks associated with both aviation and prehospital trauma care. Thi…

9108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36576/psn-pdf
      January 14, 2011 - Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. January 14, 2011 Sinha M, Shriki J, Salness R, et al. Need for standardized sign-out in the emergency department: a survey of emergency medicine resid…

9109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43778/psn-pdf
      April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph, but call him Joe. April 22, 2015 Sun LH. https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe This newspaper article reports on a pilot program which involved redesigning intensive care unit processes to enhance staff knowled…

9110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848825/psn-pdf
      May 10, 2023 - Laura Levis' death outside ER has changed hospital signage, lighting in Mass. May 10, 2023 Mullins L, Menard F. WBUR. April 27, 2023. https://psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass Incomplete information and building design problems can reduce access to care an…

9111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40287/psn-pdf
      March 16, 2011 - The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. March 16, 2011 Darker IT, Gerret D, Filik R, et al. The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names. Ergonomics. 2011;54(1):21-33. doi:10.1080/…

9112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60288/psn-pdf
      April 29, 2020 - Do some surgical implants do more harm than good? April 29, 2020 Groopman J. New Yorker Online. April 13, 2020.  https://psnet.ahrq.gov/issue/do-some-surgical-implants-do-more-harm-good Medical devices support quality of life but must be designed appropriately and managed carefully to ensure safety over time.…

9113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45048/psn-pdf
      April 13, 2016 - Do not let "Depo-" medications be a depot for mistakes. April 13, 2016 ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4. https://psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes Confusion due to look-alike and sound-alike medications are known to contribute to medication err…

9114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38226/psn-pdf
      February 18, 2011 - Critical events in the lives of interns. February 18, 2011 Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. https://psnet.ahrq.gov/issue/critical-events-lives-interns Resident physicians remain at high risk for burno…

9115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837861/psn-pdf
      August 17, 2022 - Skin cancer is a risk no matter the skin tone. But it may be overlooked in people with dark skin. August 17, 2022 West S. Kaiser Health News. August 5, 2022. https://psnet.ahrq.gov/issue/skin-cancer-risk-no-matter-skin-tone-it-may-be-overlooked-people-dark-skin The article highlights skin cancer identification pro…

9116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865493/psn-pdf
      April 03, 2024 - Implement strategies to prevent persistent medication errors and hazards: 2024. April 3, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(6):1-4. https://psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards-2024 Systemic failures can perpetuate unsafe care if a lack of p…

9117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48111/psn-pdf
      July 10, 2019 - Medication Safety in Key Action Areas. July 10, 2019 Geneva, Switzerland: World Health Organization; 2019. https://psnet.ahrq.gov/issue/medication-safety-key-action-areas Reducing adverse medication events is a worldwide challenge. This collection of technical reports explores key areas of concern that require act…

9118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73477/psn-pdf
      July 07, 2021 - Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. July 7, 2021 Saks M, Landsman S. New York, NY: Oxford University Press; 2021.  ISBN: 9780190667986. https://psnet.ahrq.gov/issue/closing-deaths-door-legal-innovations-end-epidemic-healthcare-harm A weave of systemic factors c…

9119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863223/psn-pdf
      February 28, 2024 - Prioritizing Patient Safety Through Quality Measurement. February 28, 2024 Centers for Medicare & Medicaid Services, March 6 and 21, 2024.  https://psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement Quality measurement intersects with patient safety and care improvement efforts to…

9120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44152/psn-pdf
      November 06, 2015 - Infection Prevention. November 6, 2015 Allen G, ed. AORN J. 2015;101:505-596. https://psnet.ahrq.gov/issue/infection-prevention A primary concern in the perioperative setting is the prevention of health care–associated infections, particularly surgical site infections. Articles in this special issue explore strate…