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7181. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73520/psn-pdf
      July 21, 2021 - Geriatric medication reconciliation in the home setting. July 21, 2021 Taylor K. American Nurse J. 2021;16(7):14-17. https://psnet.ahrq.gov/issue/geriatric-medication-reconciliation-home-setting Medication reconciliation reduces the potential for problems in complicated medication regimens. This article share…

7182. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73173/psn-pdf
      April 21, 2021 - Racism and Health. April 21, 2021 Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/racism-and-health Ethnic and social inequities have a substantial impact on the safety and effectiveness of health care. This US Centers for Disease Control and Prevention (CDC) initiative provides access to …

7183. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37413/psn-pdf
      November 14, 2011 - Patient Safety Tools: Improving Safety at the Point of Care. November 14, 2011 https://psnet.ahrq.gov/issue/patient-safety-tools-improving-safety-point-care-0 Produced in conjunction with its Partnerships in Implementing Patient Safety (PIPS) grant program, AHRQ has released 17 freely available toolkits to help ho…

7184. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45226/psn-pdf
      January 04, 2017 - AHRQ Research Summit on Improving Diagnosis in Health Care. January 4, 2017 Rockville, MD; Agency for Healthcare Research and Quality: September 28, 2016. https://psnet.ahrq.gov/issue/ahrq-research-summit-improving-diagnosis-health-care Research is increasingly focusing on diagnostic errors and strategies to reduc…

7185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50667/psn-pdf
      November 13, 2019 - Proactive prevention of maternal death from maternal hemorrhage. November 13, 2019 Quick Safety. October 29, 2019;(51):1-3. https://psnet.ahrq.gov/issue/proactive-prevention-maternal-death-maternal-hemorrhage The reduction of postpartum hemorrhage and the overall improvement of maternal safety is a patient safety …

7186. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42975/psn-pdf
      February 26, 2014 - State-Wide Initiative to Standardize the Compounding of Oral Liquids in Pediatrics. February 26, 2014 Michigan Pharmacists Association; MPA. https://psnet.ahrq.gov/issue/state-wide-initiative-standardize-compounding-oral-liquids-pediatrics Children are often prescribed oral liquid medications due to difficulty swa…

7187. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43216/psn-pdf
      June 25, 2014 - Banning the handshake from the health care setting. June 25, 2014 Sklansky M, Nadkarni N, Ramirez-Avila L. Banning the handshake from the health care setting. JAMA. 2014;311(24):2477-8. https://psnet.ahrq.gov/issue/banning-handshake-health-care-setting Hand hygiene is an important practice that prevents transmissi…

7188. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39585/psn-pdf
      June 09, 2010 - Bar code technology and medication administration error. June 9, 2010 Young J, Slebodnik M, Sands L. Bar Code Technology and Medication Administration Error. J Patient Saf. 2010;6(2):115-120. doi:10.1097/pts.0b013e3181de35f7. https://psnet.ahrq.gov/issue/bar-code-technology-and-medication-administration-error This…

7189. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45291/psn-pdf
      November 30, 2016 - Just Bag It. November 30, 2016 National Comprehensive Cancer Network. https://psnet.ahrq.gov/issue/just-bag-it Vincristine is a chemotherapy agent that can have serious consequences if administered incorrectly. Drawing from guidelines and expert opinion regarding vincristine administration, this campaign advocates…

7190. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43233/psn-pdf
      June 17, 2014 - Quality and safety education for nurses: a nursing leadership skills exercise. June 17, 2014 Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. https://psnet.ahrq.gov/issue/quality-and-safety-education-nurse…

7191. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74766/psn-pdf
      June 24, 2024 - Patient handoffs. June 24, 2024 Arora V, Farnan J. UpToDate. June 24, 2024. https://psnet.ahrq.gov/issue/patient-handoffs-0 The change of an inpatient’s location or handoffs between teams can fragment care due to communication, information, and knowledge gaps. This review examines in-patient transition safety issu…

7192. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44226/psn-pdf
      November 03, 2015 - The Patient Survival Handbook. November 3, 2015 Powell SM, Stone RD. Peachtree City, GA: Synensis; 2015. https://psnet.ahrq.gov/issue/patient-survival-handbook Engaging patients in their care is increasingly advocated as a way to improve safety. This book recommends actions for patients and families to reduce risk…

7193. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41506/psn-pdf
      October 12, 2012 - Preventable errors in organ transplantation: an emerging patient safety issue? October 12, 2012 Ison MG, Holl JL, Ladner D. Preventable errors in organ transplantation: an emerging patient safety issue? Am J Transplant. 2012;12(9):2307-12. doi:10.1111/j.1600-6143.2012.04139.x. https://psnet.ahrq.gov/issue/preventa…

7194. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44613/psn-pdf
      October 28, 2015 - Getting rid of "never events" in hospitals. October 28, 2015 Morgenthaler T; Harper CM. https://psnet.ahrq.gov/issue/getting-rid-never-events-hospitals Never events are devastating and preventable, and health care organizations are under increasing pressure to eliminate them. This commentary discusses how the Mayo…

7195. Opioid Overdose as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/opioid-overdose-patient-safety-problem
      May 01, 2017 - prescriptions ( 10 ), as unused medicines are often given, sold, or taken by friends or family members.( 11 ) Reducing … However, there is no inherent conflict between reducing prescription opioid use and improving quality … in particular we have seen doctors in some instances abandoning patients and in others just rapidly reducing

7196. In Conversation With… David Juurlink, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-david-juurlink-md-phd
      May 22, 2017 - in particular we have seen doctors in some instances abandoning patients and in others just rapidly reducing … prescriptions ( 10 ), as unused medicines are often given, sold, or taken by friends or family members.( 11 ) Reducing … However, there is no inherent conflict between reducing prescription opioid use and improving quality

7197. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
      psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
      March 01, 2017 - climate perceptions between attending physicians, nurse practitioners, and residents; to advocate for reducing … Reducing hospital errors: interventions that build safety culture. … October 31, 2014 Reducing hospital errors: interventions that build safety culture.

7198. Computerized Provider Order Entry and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
      January 01, 2014 - Annual Perspective Computerized Provider Order Entry and Patient Safety Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015  View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…

7199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49839/psn-pdf
      August 01, 2018 - Mixup Beyond the Medication Label August 1, 2018 Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/mixup-beyond-medication-label The Case An 80-year-old man was admitted to a hospital for recurrent hypoglycemia. He had been seen at another hospi…

7200. Approach to Improving Patient Safety: Communication | PSNet
      psnet.ahrq.gov/perspective/approach-improving-patient-safety-communication
      August 31, 2020 - Reducing the complexity of discharge information takes into greater consideration the limited health