-
psnet.ahrq.gov/node/41661/psn-pdf
March 11, 2013 - 'Why is there another person's name on my infusion
bag?' Patient safety in chemotherapy care—a review of
the literature.
March 11, 2013
Kullberg A, Larsen J, Sharp L. 'Why is there another person's name on my infusion bag?' Patient safety in
chemotherapy care - a review of the literature. Eur J Oncol Nurs. 2013;17…
-
psnet.ahrq.gov/node/37771/psn-pdf
June 29, 2011 - Effect of crew resource management training in a
multidisciplinary obstetrical setting.
June 29, 2011
Haller G, Garnerin P, Morales M-A, et al. Effect of crew resource management training in a multidisciplinary
obstetrical setting. Int J Qual Health Care. 2008;20(4):254-63. doi:10.1093/intqhc/mzn018.
https://psnet…
-
psnet.ahrq.gov/node/46807/psn-pdf
July 02, 2019 - Communication failure: analysis of prescribers' use of an
internal free-text field on electronic prescriptions.
July 2, 2019
Ai A, Wong A, Amato MG, et al. Communication failure: analysis of prescribers’ use of an internal free-text
field on electronic prescriptions. J Am Med Inform Assoc. 2018;25(6):709-714. doi:1…
-
psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
January 01, 2016 - Measurement is essential for improving diagnosis and reducing diagnostic error: a report from the Institute
-
psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - the threat of litigation certainly has hindered some safety initiatives by limiting open dialogue and reducing
-
psnet.ahrq.gov/perspective/building-capacity-patient-safety
July 31, 2023 - Committee for Patient Safety (NSC), an interdisciplinary group focused on achieving safer care and reducing … encompasses a variety of approaches and strategies aimed at promoting safe healthcare practices and reducing
-
psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
July 31, 2023 - Committee for Patient Safety (NSC), an interdisciplinary group focused on achieving safer care and reducing … encompasses a variety of approaches and strategies aimed at promoting safe healthcare practices and reducing
-
psnet.ahrq.gov/web-mm/framework-assessing-reasoning-about-controversial-end-life-clinical-decisions
November 30, 2023 - Improving end of life care: an information systems approach to reducing medical errors. … March 13, 2024
The safe day call: reducing silos in health care through frontline risk
-
psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
April 01, 2009 - would have thought of the modern patient safety movement, with its reliance on a systems approach to reducing … Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86:9-19.
-
psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
January 01, 2024 - Antibiotics
33
Risk of Infection and Role of Antibiotics (1)
High risk wounds require attention to reducing … Reducing Risk in Emergency Department Wound Management.
-
psnet.ahrq.gov/node/33853/psn-pdf
March 01, 2018 - We hypothesize that this explains why we haven't
achieved the gains in reducing patient harm that the
-
psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - The National Academy of Science, Engineering, and Medicine made recommendations about reducing
diagnostic
-
psnet.ahrq.gov/web-mm/next-step-use-pre-operative-checklist-prevent-missteps
April 24, 2018 - Checklists have been repetitively demonstrated to be effective at reducing errors.
-
psnet.ahrq.gov/perspective/team-training-classroom-training-vs-high-fidelity-simulation
January 12, 2011 - types of units, practicing the pre-procedure processes in a simulated environment might be helpful in reducing
-
psnet.ahrq.gov/node/45329/psn-pdf
April 24, 2018 - State legal restrictions and prescription-opioid use
among disabled adults.
April 24, 2018
Meara E, Horwitz JR, Powell W, et al. State Legal Restrictions and Prescription-Opioid Use among
Disabled Adults. N Engl J Med. 2016;375(1):44-53. doi:10.1056/NEJMsa1514387.
https://psnet.ahrq.gov/issue/state-legal-restricti…
-
psnet.ahrq.gov/node/43617/psn-pdf
September 24, 2016 - Do telephone call interruptions have an impact on
radiology resident diagnostic accuracy?
September 24, 2016
Balint BJ, Steenburg SD, Lin H, et al. Do telephone call interruptions have an impact on radiology resident
diagnostic accuracy? Acad Radiol. 2014;21(12):1623-8. doi:10.1016/j.acra.2014.08.001.
https://psne…
-
psnet.ahrq.gov/node/37327/psn-pdf
March 03, 2011 - Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to
surgical patients.
March 3, 2011
Regenbogen SE, Greenberg CC, Studdert DM, et al. Patterns of technical error among surgical malpractice
claims: an analysis of strategies to prevent injury to surgical pati…
-
psnet.ahrq.gov/node/47716/psn-pdf
June 26, 2019 - Magnitude and modifiers of the weekend effect in hospital
admissions: a systematic review and meta-analysis.
June 26, 2019
Chen Y-F, Armoiry X, Higenbottam C, et al. Magnitude and modifiers of the weekend effect in hospital
admissions: a systematic review and meta-analysis. BMJ Open. 2019;9(6):e025764. doi:10.1136/…
-
psnet.ahrq.gov/node/44112/psn-pdf
November 03, 2015 - Unexpected death within 72 hours of emergency
department visit: were those deaths preventable?
November 3, 2015
Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit:
were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x.
https://psnet…
-
psnet.ahrq.gov/node/46599/psn-pdf
August 20, 2018 - Effect of standardized handoff curriculum on improved
clinician preparedness in the intensive care unit: a
stepped-wedge cluster randomized clinical trial.
August 20, 2018
Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician
Preparedness in the Intensive Care Un…