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Showing results for "reducing".

7661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50825/psn-pdf
      January 22, 2020 - Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. January 22, 2020 Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019. https://psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following- childbirth Maternal care during a…

7662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50781/psn-pdf
      January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…

7663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846455/psn-pdf
      March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). March 22, 2023 PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed Approaching diagnosis as a team activity is seen as a key approach to di…

7664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46630/psn-pdf
      November 15, 2017 - Patient Safety in the Office-Based Practice Setting. November 15, 2017 Philadelphia, PA: American College of Physicians; 2017. https://psnet.ahrq.gov/issue/patient-safety-office-based-practice-setting Patient safety in the ambulatory setting is gaining traction as a focus for research, intervention, and policy. Th…

7665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843095/psn-pdf
      January 25, 2023 - Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients. January 25, 2023 Sentinel Event Alert. January 17, 2023:(66):1-5. https://psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity- pregnant-and Racial and ethnic in…

7666. 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…

7667. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35836/psn-pdf
      March 28, 2011 - Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. March 28, 2011 Donihi AC, DiNardo MM, Devita MA, et al. Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin. Qual Saf Health Care. 2006;15(2)…

7668. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45269/psn-pdf
      November 18, 2016 - Surgeons' disclosures of clinical adverse events. November 18, 2016 Elwy R, Itani KMF, Bokhour BG, et al. Surgeons' Disclosures of Clinical Adverse Events. JAMA Surg. 2016;151(11):1015-1021. doi:10.1001/jamasurg.2016.1787. https://psnet.ahrq.gov/issue/surgeons-disclosures-clinical-adverse-events Even though disclo…

7669. 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…

7670. 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…

7671. 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…

7672. 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…

7673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44617/psn-pdf
      January 22, 2016 - Pediatric prehospital medication dosing errors: a mixed- methods study. January 22, 2016 Hoyle JD, Sleight D, Henry R, et al. Pediatric prehospital medication dosing errors: a mixed-methods study. Prehosp Emerg Care. 2016;20(1):117-124. doi:10.3109/10903127.2015.1061625. https://psnet.ahrq.gov/issue/pediatric-preh…

7674. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50387/psn-pdf
      September 25, 2019 - Special Issue on Prescription Drug Misuse. September 25, 2019 Rickles NM, Fleming ML, Björnsdottir I, eds. Res Social Adm Pharm. 2019;15:907-1056. https://psnet.ahrq.gov/issue/special-issue-prescription-drug-misuse This special issue reviews research initiatives exploring persistent challenges associated with the …

7675. 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…

7676. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40992/psn-pdf
      December 15, 2011 - Should patients get direct access to their laboratory test results?: An answer with many questions. December 15, 2011 Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with many questions. JAMA. 2011;306(22):2502-2503. doi:10.1001/jama.2011.1797. https://psnet.ahrq…

7677. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43874/psn-pdf
      February 25, 2015 - An overview of the use and implementation of checklists in surgical specialities - a systematic review. February 25, 2015 Patel J, Ahmed K, Guru KA, et al. An overview of the use and implementation of checklists in surgical specialities - a systematic review. Int J Surg. 2014;12(12):1317-23. doi:10.1016/j.ijsu.2014…

7678. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44531/psn-pdf
      September 30, 2015 - Never Events for Hospital Care in Canada: Safer Care for Patients. September 30, 2015 Toronto, ON: Health Quality Ontario and the Canadian Patient Safety Institute; September 2015. ISBN: 9781460666180. https://psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients The never events list was dev…

7679. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838638/psn-pdf
      September 01, 2012 - Directed peer review in surgical pathology. September 1, 2012 Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology Diagnostic error in pathology can result in delaye…

7680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41976/psn-pdf
      March 11, 2013 - Moving beyond readmission penalties: creating an ideal process to improve transitional care. March 11, 2013 Burke RE, Kripalani S, Vasilevskis EE, et al. Moving beyond readmission penalties: creating an ideal process to improve transitional care. J Hosp Med. 2013;8(2):102-9. doi:10.1002/jhm.1990. https://psnet.ahr…