-
psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength
March 26, 2015 - procedural safeguards, human checks and safety processes can fail.( 10 ) Avoiding Medication Errors Reducing
-
psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - older persons in their own pharmaceutical care has the potential to be
particularly beneficial in reducing
-
psnet.ahrq.gov/node/49778/psn-pdf
December 01, 2016 - Impact of a computerized clinical decision support system
on reducing inappropriate antimicrobial use
-
psnet.ahrq.gov/node/49481/psn-pdf
May 01, 2005 - Reducing Errors and Adverse Outcomes Associated with Discharges AMA
How can health care professionals
-
psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - Managing Ascites: Hazards of Fluid Removal
Citation Text:
Moore K. Managing Ascites: Hazards of Fluid Removal. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 …
-
psnet.ahrq.gov/training-catalog/improving-care-transitions-older-adults
Improving Care Transitions of Older Adults
Save
Save to your library
Print
Share
Facebook
Twitter
Linkedin
Copy URL
Organization:
Organization
RCTCLEARN.NET
Event Description: This program focu…
-
psnet.ahrq.gov/node/867648/psn-pdf
January 01, 2023 - Opioid Taskforce Playbook.
January 1, 2023
College of Healthcare Information Management Executives; 2023. Opioid Taskforce Playbook.
https://psnet.ahrq.gov/issue/opioid-taskforce-playbook
Hospitals play an important role in identifying and preventing the misuse and abuse of prescription opioids.
This Opioid Playbo…
-
psnet.ahrq.gov/node/41523/psn-pdf
July 18, 2012 - Long-term reduction in adverse drug events: an evidence-
based improvement model.
July 18, 2012
Gazarian M, Graudins LV. Long-term reduction in adverse drug events: an evidence-based improvement
model. Pediatrics. 2012;129(5):e1334-42. doi:10.1542/peds.2011-1902.
https://psnet.ahrq.gov/issue/long-term-reduction-ad…
-
psnet.ahrq.gov/node/43238/psn-pdf
June 04, 2014 - Administering just the diluent or one of two vaccine
components leaves patients unprotected.
June 4, 2014
ISMP Medication Safety Alert! Acute care edition. May 22, 2014;19:1-2.
https://psnet.ahrq.gov/issue/administering-just-diluent-or-one-two-vaccine-components-leaves-patients-
unprotected
Errors occur frequentl…
-
psnet.ahrq.gov/node/35348/psn-pdf
October 26, 2007 - Medical Error.
October 26, 2007
National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National
Patient Safety Agency; 2005.
https://psnet.ahrq.gov/issue/medical-error
This two-part report focuses on the experience of committing a medical error, along with strategies to
red…
-
psnet.ahrq.gov/node/35654/psn-pdf
June 14, 2011 - Medical error and human factors engineering: where are
we now?
June 14, 2011
Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we
now? Am J Med Qual. 2006;21(1):57-67.
https://psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
The autho…
-
psnet.ahrq.gov/node/60193/psn-pdf
July 01, 2022 - Improving Diagnosis and Treatment of Maternal Sepsis.
April 1, 2020
Stanford, CA; California Maternal Quality Care Collaborative: July 1, 2022.
https://psnet.ahrq.gov/issue/improving-diagnosis-and-treatment-maternal-sepsis
This toolkit focuses on identification of, and rapid response to, sepsis in obstetric p…
-
psnet.ahrq.gov/node/73453/psn-pdf
June 30, 2021 - Algorithmic Bias Playbook.
June 30, 2021
Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June
2021.
https://psnet.ahrq.gov/issue/algorithmic-bias-playbook
Biased algorithms are receiving increasing attention as artificial intelligence (AI) becomes more present…
-
psnet.ahrq.gov/node/853629/psn-pdf
September 20, 2023 - Global Knowledge Sharing Platform for Patient Safety.
September 20, 2023
World Health Organization.
https://psnet.ahrq.gov/issue/global-knowledge-sharing-platform-patient-safety
The sharing of best practices is a key component of enabling successful strategy implementation in support
of patient safety plans and go…
-
psnet.ahrq.gov/node/40502/psn-pdf
January 01, 2020 - New 2012 National Patient Safety Goal - catheter-
associated urinary tract infection (CAUTI).
June 1, 2011
Joint Commission.
https://psnet.ahrq.gov/issue/new-2012-national-patient-safety-goal-catheter-associated-urinary-tract-
infection-cauti
This announcement reveals the new National Patient Safety Goal for 2012…
-
psnet.ahrq.gov/node/45544/psn-pdf
December 19, 2016 - Prescribing errors that cause harm.
December 19, 2016
Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91.
https://psnet.ahrq.gov/issue/prescribing-errors-cause-harm
Prescribing errors can have harmful results. Analyzing prescribing error reports submitted over a 12- year
period, t…
-
psnet.ahrq.gov/node/42228/psn-pdf
October 08, 2013 - Cognitive diagnostic error in internal medicine.
October 8, 2013
Van den Berge K, Mamede S. Cognitive diagnostic error in internal medicine. Eur J Intern Med.
2013;24(6):525-9. doi:10.1016/j.ejim.2013.03.006.
https://psnet.ahrq.gov/issue/cognitive-diagnostic-error-internal-medicine
This review discusses how confir…
-
psnet.ahrq.gov/node/45311/psn-pdf
May 20, 2019 - The Joint Commission Big Book of Checklists. 2nd
Edition.
May 20, 2019
Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598.
https://psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition
Checklists are a widely accepted strategy to improve communication and standardize processes to su…
-
psnet.ahrq.gov/node/39807/psn-pdf
December 29, 2014 - Perspectives in quality: designing the WHO Surgical
Safety Checklist.
December 29, 2014
Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety
Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039.
https://psnet.ahrq.gov/issue/perspectives-qual…
-
psnet.ahrq.gov/node/60948/psn-pdf
September 23, 2020 - Without an 'ounce of empathy': their stories show the
dangers of being Black and pregnant.
September 23, 2020
Ramaswamy SV. Rockland/Westchester Journal News. September 9, 2020.
https://psnet.ahrq.gov/issue/without-ounce-empathy-their-stories-show-dangers-being-black-and-pregnant
Implicit and explicit biases …