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Showing results for "reducing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36529/psn-pdf
    August 09, 2011 - 5 Million Lives Campaign. August 9, 2011 Institute for Healthcare Improvement; IHI https://psnet.ahrq.gov/issue/5-million-lives-campaign The Institute for Healthcare Improvement's 100,000 Lives Campaign successfully engaged more than 3,000 US hospitals in a coordinated effort to reduce preventable inpatient deaths…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840167/psn-pdf
    November 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022 Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022.  ISBN: 9781528636759. https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43692/psn-pdf
    April 22, 2015 - Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. April 22, 2015 Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):341-5. doi:10.1093/ejcts/ezu380. h…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843521/psn-pdf
    February 01, 2023 - How providers can optimize effective and safe scribe use: a qualitative study. February 1, 2023 Corby S, Ash JS, Florig ST, et al. How providers can optimize effective and safe scribe use: a qualitative study. J Gen Intern Med. 2023;38(9):2052-2058. doi:10.1007/s11606-022-07942-2. https://psnet.ahrq.gov/issue/how-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43616/psn-pdf
    October 29, 2014 - Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. October 29, 2014 Battles JB, Cleeman JI, Kahn KL, Weinberg DA, eds. Infect Control Hosp Epidemiol. 2014;35(suppl 3):S1- S141. https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lesson…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47503/psn-pdf
    October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46100/psn-pdf
    July 11, 2017 - The tension between promoting mobility and preventing falls in the hospital. July 11, 2017 Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. https://psnet.ahrq.gov/issue/tension-be…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72750/psn-pdf
    February 17, 2021 - Implementing patient and family involvement interventions for promoting patient safety: a systematic review and meta-analysis. February 17, 2021 Giap T-T-T, Park M. Implementing patient and family involvement interventions for promoting patient safety. J Patient Saf. 2021;17(2):131-140. doi:10.1097/pts.00000000000…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73253/psn-pdf
    May 12, 2021 - Any new process poses a risk for errors: learning from 4 months of Coronavirus disease 2019 (COVID-19) vaccinations. May 12, 2021 ISMP Medication Safety Alert! Acute Care Edition. April 22, 2021.26(8):1-5. https://psnet.ahrq.gov/issue/any-new-process-poses-risk-errors-learning-4-months-coronavirus-disease- 2019-c…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44172/psn-pdf
    September 28, 2016 - Preventing high-alert medication errors in hospital patients. September 28, 2016 Anderson P, Townsend T. Am Nurse Today. May 2015;10:18-23. https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients High-alert medications have the potential to cause serious patient harm. This article fo…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837206/psn-pdf
    May 25, 2022 - Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. May 25, 2022 Paterson EP, Manning KB, Schmidt MD, et al. Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department. J Emerg Nurs. 2022;48(3):319-327. doi:10.1016/j.jen.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851067/psn-pdf
    June 28, 2023 - Assessing medication safety in settings not designated solely for pediatric patients. June 28, 2023 ISMP Medication Safety Alert! Acute care edition. June 15, 2023;28(12);1-5. https://psnet.ahrq.gov/issue/assessing-medication-safety-settings-not-designated-solely-pediatric-patients Pediatric patients are at increa…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841155/psn-pdf
    February 02, 2020 - Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. February 2, 2020 Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43606/psn-pdf
    October 15, 2014 - Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. October 15, 2014 Franklin GM, Neurology AA of. Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology. Neurology. 2014;83(14):1277-84. doi:10.1212/WNL.0000000000000839. https://psnet.ahrq.g…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860733/psn-pdf
    January 17, 2024 - Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. January 17, 2024 McGrory K, Bedi N. ProPublica, January 6, 2024. https://psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy Stories of mental health system failure provid…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50904/psn-pdf
    February 19, 2020 - The harms of promoting 'Zero Harm'. February 19, 2020 Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019- 009703. https://psnet.ahrq.gov/issue/harms-promoting-zero-harm Achieving “zero harm” has been advocated as a patient safety goal. This editorial proposes that t…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43843/psn-pdf
    February 11, 2015 - Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. February 11, 2015 Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med Inform. 2014;83(12). doi:10.101…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38839/psn-pdf
    August 05, 2009 - Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit.   August 5, 2009 Flood KL, Carroll MB, Le C, et al. Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45331/psn-pdf
    August 03, 2016 - Health information technologies: from hazardous to the dark side. August 3, 2016 Saunders C, Rutkowski AF, Pluyter J, et al. Health information technologies: From hazardous to the dark side. J Assoc Inf Sci Technol. 2016;67(7). doi:10.1002/asi.23671. https://psnet.ahrq.gov/issue/health-information-technologies-haz…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44317/psn-pdf
    August 19, 2015 - Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. August 19, 2015 Medwid K, Smith SW, Gang M. Use of in-situ simulation to investigate latent safety threats prior to opening a new emergency department. Safety Sci. 2015;77:19-24. doi:10.1016/j.ssci.2015.03.01…
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