Results

Total Results: 6,845 records

Showing results for "standards".

3381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837774/psn-pdf
      August 03, 2022 - Preventing retained surgical items. August 3, 2022 Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575. doi:10.1002/aorn.13697. https://psnet.ahrq.gov/issue/preventing-retained-surgical-items Unintentionally retained foreign objects can be exacerbated by fatigue, distractions, and c…

3382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48136/psn-pdf
      August 07, 2019 - Safe Practices for Drug Allergies—Using CDS and Health IT. August 7, 2019 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2019. https://psnet.ahrq.gov/issue/safe-practices-drug-allergies-using-cds-and-health-it Inconsistent checking for and consideration of drug allergy alerts can d…

3383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44100/psn-pdf
      June 10, 2015 - Residency training in handoffs: a survey of program directors in psychiatry. June 10, 2015 Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y. https://psnet.ahrq.gov/issue/residency-trainin…

3384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42481/psn-pdf
      August 14, 2013 - Drug administration errors in hospital inpatients: a systematic review. August 14, 2013 Berdot S, Gillaizeau F, Caruba T, et al. Drug administration errors in hospital inpatients: a systematic review. PLoS One. 2013;8(6):e68856. doi:10.1371/journal.pone.0068856. https://psnet.ahrq.gov/issue/drug-administration-err…

3385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43477/psn-pdf
      May 19, 2015 - Adverse events in healthcare: learning from mistakes. May 19, 2015 Rafter N, Hickey A, Condell S, et al. Adverse events in healthcare: learning from mistakes. QJM. 2015;108(4):273-7. doi:10.1093/qjmed/hcu145. https://psnet.ahrq.gov/issue/adverse-events-healthcare-learning-mistakes This review discusses chart revie…

3386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/856641/psn-pdf
      January 01, 2009 - WebAIRS Anesthesia Incident Reporting System. January 1, 2009 Australian and New Zealand Tripartite Anaesthetic Data Committee. https://psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system Reporting errors in anesthesiology practice can motivate and inform safety improvement work. This website serves …

3387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38592/psn-pdf
      April 29, 2009 - The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. April 29, 2009 Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual Saf Health Care. 2009;18(2):137-40. …

3388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43020/psn-pdf
      May 29, 2014 - Handoff practices in undergraduate medical education. May 29, 2014 Liston BW, Tartaglia KM, Evans D, et al. Handoff practices in undergraduate medical education. J Gen Intern Med. 2014;29(5):765-9. doi:10.1007/s11606-014-2806-0. https://psnet.ahrq.gov/issue/handoff-practices-undergraduate-medical-education This su…

3389. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38630/psn-pdf
      May 13, 2009 - Seasoned surgeons assessed in a laparoscopic surgical crisis. May 13, 2009 Powers K, Rehrig ST, Schwaitzberg SD, et al. Seasoned surgeons assessed in a laparoscopic surgical crisis. J Gastrointest Surg. 2009;13(5):994-1003. doi:10.1007/s11605-009-0802-1. https://psnet.ahrq.gov/issue/seasoned-surgeons-assessed-lapa…

3390. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35393/psn-pdf
      April 06, 2011 - Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? April 6, 2011 Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):358-63. https://psnet.ahrq.gov/issue/…

3391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41588/psn-pdf
      August 15, 2012 - Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. August 15, 2012 Howie WO, Dutton RP. Implementation of an evidence-based extubation checklist to reduce extubation failure in patients with trauma: a pilot study. AANA J. 2012;80(3):179-184…

3392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/862621/psn-pdf
      February 14, 2024 - Toward the eradication of medical diagnostic errors. February 14, 2024 Topol EJ. Toward the eradication of medical diagnostic errors. Science. 2024;383(6681):eadn9602. doi:10.1126/science.adn9602. https://psnet.ahrq.gov/issue/toward-eradication-medical-diagnostic-errors Artificial intelligence (AI) is being touted…

3393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43489/psn-pdf
      September 03, 2014 - Did hospital engagement networks actually improve care? September 3, 2014 Pronovost P, Jha AK. Did hospital engagement networks actually improve care? N Engl J Med. 2014;371(8):691-693. doi:10.1056/NEJMp1405800. https://psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care In this commentary,…

3394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37624/psn-pdf
      September 27, 2017 - Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. September 27, 2017 Mann K, Rothschild JM, Keohane C, et al. Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. World J…

3395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43525/psn-pdf
      July 16, 2015 - Clinical handovers between prehospital and hospital staff: literature review. July 16, 2015 Wood K, Crouch R, Rowland E, et al. Clinical handovers between prehospital and hospital staff: literature review. Emerg Med J. 2015;32(7):577-581. doi:10.1136/emermed-2013-203165. https://psnet.ahrq.gov/issue/clinical-hando…

3396. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43391/psn-pdf
      July 30, 2014 - Special Issue on Patient Safety. July 30, 2014 West J Nurs Res. 2014;36(7):851-946. https://psnet.ahrq.gov/issue/special-issue-patient-safety-0 Articles in this special issue discuss errors of omission in nursing, the importance of situational awareness during medication administration, how complexity of health ca…

3397. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44566/psn-pdf
      October 14, 2015 - FDA Advise-ERR: avoid using the error-prone abbreviation, TPA. October 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. September 24, 2015;20:1,4-5. https://psnet.ahrq.gov/issue/fda-advise-err-avoid-using-error-prone-abbreviation-tpa Describing incidents involving abbreviation confusion for ACTIVASE (alt…

3398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867773/psn-pdf
      February 01, 2024 - Central Line Insertion Care Team Checklist. February 1, 2024 Agency for Healthcare Research and Quality. Central Line Insertion Care Team Checklist. https://psnet.ahrq.gov/issue/central-line-insertion-care-team-checklist Checklists are helpful in reducing omissions in standardized processes designed to support safe…

3399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866638/psn-pdf
      September 04, 2024 - The problem with 'never events'. September 4, 2024 Zaslow J, Fortier J, Garber G. The problem with ‘never events’. BMJ Qual Saf. 2024;33(9):613-616. doi:10.1136/bmjqs-2023-016981. https://psnet.ahrq.gov/issue/problem-never-events Never events are serious, but preventable, adverse events that result in serious pati…

3400. May I Have Another?—Medication Error | PSNet
      psnet.ahrq.gov/web-mm/may-i-have-another-medication-error
      March 01, 2009 - A health system directive should be to impart and enforce new standards for patient-centered labeling