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Showing results for "reducing".

7261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36425/psn-pdf
      December 22, 2010 - Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. December 22, 2010 Wagar EA, Tamashiro L, Yasin B, et al. Patient safety in the clinical laboratory: a longitudinal analysis of specimen identification errors. Arch Pathol Lab Med. 2006;130(11):1662-1668. https://p…

7262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45026/psn-pdf
      April 19, 2016 - Managing the risks of concurrent surgeries. April 19, 2016 Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305. https://psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries Scheduling overlapping surgeries may improve operating room efficie…

7263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42358/psn-pdf
      June 12, 2013 - CDC Grand Rounds: preventing unsafe injection practices in the U.S. health-care system. June 12, 2013 Prevention C for DC and. CDC grand rounds: preventing unsafe injection practices in the U.S. health-care system. MMWR Morb Mortal Wkly Rep. 2013;62(21):423-5. https://psnet.ahrq.gov/issue/cdc-grand-rounds-preventi…

7264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43086/psn-pdf
      March 26, 2014 - International Comparisons: A Focus on Quality of Care. March 26, 2014 Ottawa, ON: Canadian Institute for Health Information; January 23, 2014. https://psnet.ahrq.gov/issue/international-comparisons-focus-quality-care This report compared the quality of care in Canada with 34 other countries to identify areas in whi…

7265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46408/psn-pdf
      November 29, 2017 - Eliminating vincristine administration events. November 29, 2017 Quick Safety. October 16, 2017;(37):1-3. https://psnet.ahrq.gov/issue/eliminating-vincristine-administration-events Vincristine administration errors can have serious consequences. This newsletter article outlines steps to reduce risks associated wit…

7266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47047/psn-pdf
      June 06, 2018 - MedStar Health Institute for Quality and Safety. June 6, 2018 MedStar Health. 10980 Grantchester Way, Columbia, MD 21044. https://psnet.ahrq.gov/issue/medstar-health-institute-quality-and-safety Health care has recognized the importance of designing systems solutions that reduce risks. Established within MedStar H…

7267. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47354/psn-pdf
      November 21, 2018 - Improving Diagnosis in Medicine Change Package. November 21, 2018 Chicago, IL: Health Research & Educational Trust; 2018. https://psnet.ahrq.gov/issue/improving-diagnosis-medicine-change-package Proactive identification of conditions that degrade the diagnostic process can drive improvement. This toolkit provides …

7268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47621/psn-pdf
      May 11, 2019 - 2018 update on pediatric medical overuse: a review. May 11, 2019 Coon ER, Quinonez RA, Morgan DJ, et al. 2018 Update on Pediatric Medical Overuse: A Review. JAMA Pediatr. 2019;173(4):379-384. doi:10.1001/jamapediatrics.2018.5550. https://psnet.ahrq.gov/issue/2018-update-pediatric-medical-overuse-review Overuse of …

7269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44880/psn-pdf
      September 06, 2016 - Drug shortages forcing hard decisions on rationing treatments. September 6, 2016 Fink S. New York Times. January 29, 2016. https://psnet.ahrq.gov/issue/drug-shortages-forcing-hard-decisions-rationing-treatments Drug shortages have become a routine challenge in medicine. Reporting on the impact of medication short…

7270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43411/psn-pdf
      October 01, 2014 - Analysis of medication errors in simulated pediatric resuscitation by residents. October 1, 2014 Porter E, Barcega B, Kim TY. Analysis of medication errors in simulated pediatric resuscitation by residents. West J Emerg Med. 2014;15(4):486-90. doi:10.5811/westjem.2014.2.17922. https://psnet.ahrq.gov/issue/analysis…

7271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36976/psn-pdf
      June 15, 2011 - Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. June 15, 2011 Evans S, Smith B, Esterman A, et al. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. Qual Saf Health Care. 2007;16(3):169-75. https://psnet.ahrq.gov/issue/evaluation…

7272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44678/psn-pdf
      July 05, 2017 - Patient Safety Risk Management Playbook. July 5, 2017 Chicago, IL: American Society for Healthcare Risk Management; 2015. https://psnet.ahrq.gov/issue/patient-safety-risk-management-playbook Proactive risk management is an important component to improving the safety of care. Exploring principles of high reliabilit…

7273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36387/psn-pdf
      July 14, 2010 - Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians. July 14, 2010 Leonhardt KK, Botticelli J. Effectiveness of a Community Collaborative for Eliminating the Use of High-risk Abbreviations Written by Physicians. J Patient Saf. 2008;2(3). doi:10.1097/0…

7274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43748/psn-pdf
      December 03, 2014 - New enteral connectors: raising awareness. December 3, 2014 Guenter P. New Enteral Connectors. Nutrition in Clinical Practice. 2014;29(5). doi:10.1177/0884533614543330. https://psnet.ahrq.gov/issue/new-enteral-connectors-raising-awareness Redesigning tubing connectors according to new ISO standards has the potenti…

7275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42160/psn-pdf
      April 03, 2013 - The perianesthesia nurse's role in the prevention of opioid-related sentinel events. April 3, 2013 Pasero C. The perianesthesia nurse's role in the prevention of opioid-related sentinel events. J Perianesth Nurs. 2013;28(1):31-7. doi:10.1016/j.jopan.2012.11.001. https://psnet.ahrq.gov/issue/perianesthesia-nurses-r…

7276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41334/psn-pdf
      April 25, 2012 - Understanding the role of non-technical skills in patient safety. April 25, 2012 White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8. https://psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety Examining a case study in which a patient die…

7277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43151/psn-pdf
      April 30, 2014 - Open for Better Care. April 30, 2014 Health Quality & Safety Commission New Zealand. https://psnet.ahrq.gov/issue/open-better-care This Web site hosts tools and resources associated with a national campaign to augment patient care. The initiative aims to build collaborative programs across New Zealand to reduce fa…

7278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837679/psn-pdf
      July 13, 2022 - Provider implicit bias: bringing awareness to clinical practice. July 13, 2022 Moss LD. Clinical Advisor. June 29, 2022. https://psnet.ahrq.gov/issue/provider-implicit-bias-bringing-awareness-clinical-practice Health disparities perpetuated by structural racism degrade patient safety. This article discusses the i…

7279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43941/psn-pdf
      February 25, 2015 - How to make surgery safer. February 25, 2015 https://psnet.ahrq.gov/issue/how-make-surgery-safer This newspaper article reports on various ways hospitals are working to make surgical care safer and reduce readmissions due to surgical complications, including checklists, teamwork training courses for surgeons, preo…

7280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45336/psn-pdf
      September 21, 2016 - Medical misdiagnoses put pressure on patients to stay engaged. September 21, 2016 Innes S. Arizona Daily Star. September 12, 2016. https://psnet.ahrq.gov/issue/medical-misdiagnoses-put-pressure-patients-stay-engaged Delayed diagnoses can have serious consequences. This news article reviews several examples of mis…