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Showing results for "standards".

  1. psnet.ahrq.gov/issue/impact-drug-shortage-medication-errors-and-clinical-outcomes-pediatric-intensive-care-unit
    November 16, 2022 - Study Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. Citation Text: Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol…
  2. psnet.ahrq.gov/issue/prevalence-and-characteristics-diagnostic-error-pediatric-critical-care-multicenter-study
    December 11, 2024 - Study Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Citation Text: Cifra CL, Custer JW, Smith CM, et al. Prevalence and characteristics of diagnostic error in pediatric critical care: a multicenter study. Crit Care Med. 2023;51(11):14…
  3. psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
    June 22, 2022 - Review Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. Citation Text: Lo L, Rotteau L, Shojania KG. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A sys…
  4. psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
    June 26, 2019 - Study Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. Citation Text: Wetzel EA, Lang TR, Pendergrass TL, et al. Identification of Latent Safety Threats Using High-Fidelity Simulation-Based Training with Mult…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33959/psn-pdf
    January 17, 2012 - Healthcare Failure Mode and Effect Analysis. January 17, 2012 National Center for Patient Safety. https://psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis These materials provide an introduction to the purpose of healthcare failure mode and effect analysis (HFMEA), the steps of the HFMEA process, a…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37069/psn-pdf
    December 20, 2007 - Standardising wristbands improves patient safety. December 20, 2007 National Patient Safety Agency. Safer Practice Notice. July 2007;(24):1-2. https://psnet.ahrq.gov/issue/standardising-wristbands-improves-patient-safety This notice highlights the importance of standardizing wristband design and information to make…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41980/psn-pdf
    January 16, 2013 - Handoff Communication Tools. January 16, 2013 Landrigan CP, Lyons A, Gannon P, et al. FIRST Do No Harm. December 2012;1-8. https://psnet.ahrq.gov/issue/handoff-communication-tools This newsletter issue highlights initiatives and tools developed to improve handoff communication in Massachusetts. https://psnet.ahrq…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36228/psn-pdf
    July 31, 2012 - How hospital design saves lives. July 31, 2012 Blum A. Bloomberg. August 14, 2006. https://psnet.ahrq.gov/issue/how-hospital-design-saves-lives This article discusses how hospital design, including standardized operating rooms, better ventilation systems, and green design can improve patient safety and decrea…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49650/psn-pdf
    March 01, 2012 - Turn the Other Cheek March 1, 2012 Starling J. Turn the Other Cheek. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/turn-other-cheek The Case A 56-year-old man underwent two skin biopsies to evaluate clinically concerning lesions. The first biopsy was diagnostic for squamous cell carcinoma (SCC) and docume…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/612828/psn-pdf
    February 23, 2022 - Delayed Diagnosis of Kidney Transplant Complications February 23, 2022 Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications Objectives Recognition, early evaluation, and management of kidney …
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49626/psn-pdf
    May 01, 2011 - Outbreak May 1, 2011 Rothman R, Stapleton S. Outbreak. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/outbreak The Case A 36-year-old healthy man developed an acute febrile illness associated with a vesicular rash. He presented to an urgent care clinic where he was diagnosed with varicella infection ("chic…
  12. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.236_slideshow.ppt
    March 01, 2011 - Spotlight Case July 2008 Spotlight Case March 2011 Volume Too Low: In and Out Pediatric Patient Safety * * Source and Credits This presentation is based on the March 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Marlene Miller, MD, MSc…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850362/psn-pdf
    June 14, 2023 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital June 14, 2023 Agrawal G, Nguyen DM. Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/home-medications-contribute-unique-opp…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33779/psn-pdf
    March 01, 2015 - Handoffs and Transitions January 22, 2014 Sehgal NL. Handoffs and Transitions. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/handoffs-and-transitions Annual Perspective 2014 Despite recent efforts to promote clinical integration, the United States health care system remains highly fragmented. From it…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40626/psn-pdf
    July 02, 2014 - Time to sign off on signout. July 2, 2014 Stein DM, Stetson PD. Commentary: time to sign off on signout. Acad Med. 2011;86(7):804-6. doi:10.1097/ACM.0b013e31821d8409. https://psnet.ahrq.gov/issue/time-sign-signout This commentary suggests standardized sign-outs can improve communication and handoffs. https://psne…
  16. psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
    January 31, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk Citation Text: Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quali…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867359/psn-pdf
    December 18, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk December 18, 2024 Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/importance-following-saf…
  18. psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
    October 31, 2023 - SPOTLIGHT CASE Robotic Surgery: Risks vs. Rewards Citation Text: Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Googl…
  19. psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
    February 06, 2019 - So many ways to be wrong: completeness and accuracy in a prospective study of OR-to-ICU handoff standardization … 2013 The Accreditation Council for Graduate Medical Education resident duty hour new standards
  20. psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
    September 24, 2017 - May 19, 2021 Standardization of pediatric noncardiac operating room to intensive care … to enhance compliance of pro re nata medication orders with Joint Commission medication management standards

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