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Showing results for "reducing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851660/psn-pdf
    July 26, 2023 - From aviation to pediatric surgery. July 26, 2023 Arredondo Montero J, Bardají Pascual C. From aviation to pediatric surgery. Clin Pediatr (Phila). 2024;63(4):557-559. doi:10.1177/00099228231176631. https://psnet.ahrq.gov/issue/aviation-pediatric-surgery Human factors strategies are increasingly applied in health …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46334/psn-pdf
    August 09, 2017 - Maternal deaths at MetroWest hospital prompt state probes. August 9, 2017 Kowalczyk L. Boston Globe. July 29, 2017. https://psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes Maternal death is a sentinel event. This news article reports on two incidents at one hospital that prompted inves…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40865/psn-pdf
    September 12, 2016 - A review of current and emerging approaches to address failure-to-rescue. September 12, 2016 Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to- rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. https://psnet.ahrq.gov/issue/review-current-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50878/psn-pdf
    February 05, 2020 - The role of racism as a core patient safety issue. February 5, 2020 Feeley D, Torres T. The role of racism as a core patient safety issue. Healthcare Executive. 2020;35(1):58- 61. https://psnet.ahrq.gov/issue/role-racism-core-patient-safety-issue A variety of biases can reduce the effectiveness and safety of care.…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39576/psn-pdf
    September 25, 2010 - Taking Care of Myself: A Guide for When I Leave the Hospital. September 25, 2010 Rockville, MD: Agency for Healthcare Research and Quality; April 2010. AHRQ Publication No. 10-0059. https://psnet.ahrq.gov/issue/taking-care-myself-guide-when-i-leave-hospital This guide provides patients with information they need t…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45990/psn-pdf
    August 24, 2022 - Medication Safety Certificate Program. August 24, 2022 American Society of Health-System Pharmacists, Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/medication-safety-certificate-program Leadership commitment to reduce medication errors can help address this safety problem. This certificate …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44875/psn-pdf
    March 02, 2016 - "Teach-back" from a patient's perspective. March 2, 2016 Miller S, Lattanzio M, Cohen S. "Teach-back" from a patient's perspective. Nursing (Brux). 2016;46(2):63-4. doi:10.1097/01.NURSE.0000476249.18503.f5. https://psnet.ahrq.gov/issue/teach-back-patients-perspective The teach-back method, having patients repeat i…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38453/psn-pdf
    January 02, 2017 - A multidisciplinary team approach to retained foreign objects. January 2, 2017 Cima RR, Kollengode A, Storsveen AS, et al. A multidisciplinary team approach to retained foreign objects. Jt Comm J Qual Saf. 2009;35(3):123-132. https://psnet.ahrq.gov/issue/multidisciplinary-team-approach-retained-foreign-objects Th…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60264/psn-pdf
    January 14, 2021 - COVID-19 Content. ISMP Medication Safety Alert! January 14, 2021 March 2020--January 2021. https://psnet.ahrq.gov/issue/special-editions-covid-19-ismp-medication-safety-alert Medication safety is improved through the sharing of frontline improvement experiences and concerns. These articles share recommendations to…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60262/psn-pdf
    April 22, 2020 - COVID-19 exposes potential gaps in PPE training, effectiveness. April 22, 2020 Ault A. Medscape Medical News. April 6, 2020. https://psnet.ahrq.gov/issue/covid-19-exposes-potential-gaps-ppe-training-effectiveness Training is essential to ensure the safe use of equipment. This article discusses how the incorrect us…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40868/psn-pdf
    October 19, 2011 - Simulation to enhance patient safety: why aren't we there yet? October 19, 2011 Aggarwal R, Darzi A. Simulation to enhance patient safety: why aren't we there yet? Chest. 2011;140(4):854-858. doi:10.1378/chest.11-0728. https://psnet.ahrq.gov/issue/simulation-enhance-patient-safety-why-arent-we-there-yet Discussin…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41053/psn-pdf
    December 30, 2014 - Time to accelerate integration of human factors and ergonomics in patient safety. December 30, 2014 Gurses AP, Ozok A, Pronovost P. Time to accelerate integration of human factors and ergonomics in patient safety. BMJ Qual Saf. 2012;21(4):347-51. doi:10.1136/bmjqs-2011-000421. https://psnet.ahrq.gov/issue/time-acc…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846165/psn-pdf
    March 15, 2023 - Do no unconscious harm. March 15, 2023 Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698. https://psnet.ahrq.gov/issue/do-no-unconscious-harm Implicit biases can degrade decision making as they impact heuristics, test result interpretation, and patient/physician commun…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45338/psn-pdf
    July 20, 2016 - Understanding models of error and how they apply in clinical practice. July 20, 2016 Garfield S, Franklin BD. Pharm J. June 14, 2016. https://psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice Human error and fallibility are a part of health care delivery that can be exacerbated b…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46607/psn-pdf
    November 08, 2017 - Stem the Tide: Addressing the Opioid Epidemic. November 8, 2017 Chicago, IL: American Hospital Association; 2017. https://psnet.ahrq.gov/issue/stem-tide-addressing-opioid-epidemic The opioid epidemic is a challenge to patient safety and public health. This report reviews tools to help health care systems target ei…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74259/psn-pdf
    January 19, 2022 - Diagnostic reasoning in cardiovascular medicine. January 19, 2022 Brush JE, Sherbino J, Norman GR. Diagnostic reasoning in cardiovascular medicine. BMJ. 2022;376:e064389. doi:10.1136/bmj-2021-064389. https://psnet.ahrq.gov/issue/diagnostic-reasoning-cardiovascular-medicine Misdiagnosis of heart failure can lead to…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38292/psn-pdf
    May 21, 2009 - The effect on medication errors of pharmacists charting medication in an emergency department. May 21, 2009 Vasileff HM, Whitten LE, Pink JA, et al. The effect on medication errors of pharmacists charting medication in an emergency department. Pharm World Sci. 2009;31(3):373-9. doi:10.1007/s11096-008-9271-y. https…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45926/psn-pdf
    May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers. May 17, 2017 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841789/psn-pdf
    July 01, 2022 - The REPAIR Project. July 1, 2022 University of California San Francisco, San Francisco, CA. https://psnet.ahrq.gov/issue/repair-project Systemic racism reduces the effectiveness and safety of the care people of color receive. The REPAIR ( REParations and Anti-Institutional Racism) Project is examining the impact o…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33952/psn-pdf
    July 16, 2009 - Bar code label requirement for human drug products and biological products. July 16, 2009 Food and Drug Administration. Fed Register. February 26, 2004;69 9119-9171. https://psnet.ahrq.gov/issue/bar-code-label-requirement-human-drug-products-and-biological-products The US Food and Drug Administration (FDA) require…
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