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Showing results for "standards".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60554/psn-pdf
    June 03, 2020 - Artificial intelligence in health care: accountability and safety. June 3, 2020 Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.237487. https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-ac…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44263/psn-pdf
    November 06, 2015 - Delivering the right diet to the right patient every time. November 6, 2015 Wallace SC. PA-PSRS Patient Saf Advis. 2015;12:62-70. https://psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time This article analyzed data on dietary errors submitted to a state reporting program and found that more than …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37662/psn-pdf
    July 08, 2008 - Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. July 8, 2008 Burmester MK, Dionne R, Thiagarajan RR, et al. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. Intensive Care Med. 2008;34(6):1083-90. doi:10.1007/s00134…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43552/psn-pdf
    December 16, 2014 - Robotic-assisted surgery: focus on training and credentialing. December 16, 2014 Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101. https://psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing Research has documented a substantial learning curve for surgeons as they develop sk…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72601/psn-pdf
    January 01, 2021 - Increasing physician reporting of diagnostic learning opportunities. December 23, 2020 Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. https://psnet.ahrq.gov/issue/increasing-physician-reporting…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43270/psn-pdf
    June 18, 2014 - Group urges going metric to head off dosing mistakes. June 18, 2014 Budnitz DS, Lovegrove MC, Rose KO. Adherence to Label and Device Recommendations for Over-the- Counter Pediatric Liquid Medications. PEDIATRICS. 2014;133(2). doi:10.1542/peds.2013-2362. https://psnet.ahrq.gov/issue/group-urges-going-metric-head-dos…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39572/psn-pdf
    January 03, 2017 - The tangible handoff: a team approach for advancing structured communication in labor and delivery. January 3, 2017 Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient Saf. 2010;36(6):282-287, 241. https:…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38694/psn-pdf
    June 10, 2009 - Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. June 10, 2009 Bolenz C, Gierth M, Grobholz R, et al. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. BJU Int. 2009;103(9):1184-9. doi:10.1111/j.1464-410X.2008.08243.x. …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47712/psn-pdf
    February 20, 2019 - A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. February 20, 2019 O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3. https://psnet.ahrq.gov/issue/cognitive-forcing…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36490/psn-pdf
    January 07, 2011 - A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients. January 7, 2011 Watkinson PJ, Barber VS, Price JD, et al. A randomised controlled trial of the effect of continuous electronic physiological monitoring…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37118/psn-pdf
    October 04, 2011 - Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices for critically ill patients. October 4, 2011 Ilan R, Fowler RA, Geerts R, et al. Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices fo…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42782/psn-pdf
    January 19, 2014 - Developing a medical emergency team running sheet to improve clinical handoff and documentation. January 19, 2014 Mardegan K, Heland M, Whitelock T, et al. Developing a medical emergency team running sheet to improve clinical handoff and documentation. Jt Comm J Qual Patient Saf. 2013;39(12):570-575. https://psnet…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46636/psn-pdf
    January 24, 2018 - Drug shortages continue to compromise patient care. January 24, 2018 ISMP Medication Safety Alert! Acute Care Edition. January 11, 2018;23:1-4. https://psnet.ahrq.gov/issue/drug-shortages-continue-compromise-patient-care Drug shortages are known to disrupt the safety of care. This newsletter article reports the res…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44298/psn-pdf
    July 08, 2015 - Preparing challenging medications for barcode scanning. July 8, 2015 Waxlax TJ. Preparing challenging medications for barcode scanning. Am J Health Syst Pharm. 2015;72(13):1089-90. doi:10.2146/ajhp140454. https://psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning Barcode scanning can reduce me…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43316/psn-pdf
    July 02, 2014 - Optimizing transitions of care to reduce rehospitalizations. July 2, 2014 Li J, Young R, Williams M. Optimizing transitions of care to reduce rehospitalizations. Cleve Clin J Med. 2014;81(5):312-20. doi:10.3949/ccjm.81a.13106. https://psnet.ahrq.gov/issue/optimizing-transitions-care-reduce-rehospitalizations Care…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35061/psn-pdf
    March 03, 2011 - Resident work hour limits and patient safety. March 3, 2011 Poulose BK, Ray WA, Arbogast PG, et al. Resident work hour limits and patient safety. Ann Surg. 2005;241(6):847-56; discussion 856-60. https://psnet.ahrq.gov/issue/resident-work-hour-limits-and-patient-safety Resident work hour limitations have been enfor…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41493/psn-pdf
    July 11, 2012 - Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study. July 11, 2012 Greaves F, Pape UJ, King D, et al. Associations between Internet-based patient ratings and conventional surveys of patient experience in the English NHS: an o…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41172/psn-pdf
    February 29, 2012 - Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. February 29, 2012 Petrovic MA, Aboumatar HJ, Baumgartner WA, et al. Pilot implementation of a perioperative protocol to guide operating room-to-intensive care unit patient handoffs. J Cardiothorac Vasc …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40428/psn-pdf
    May 04, 2011 - Does user-centred design affect the efficiency, usability and safety of CPOE order sets? May 4, 2011 Chan J, Shojania KG, Easty AC, et al. Does user-centred design affect the efficiency, usability and safety of CPOE order sets? J Am Med Inform Assoc. 2011;18(3):276-81. doi:10.1136/amiajnl-2010-000026. https://psne…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46974/psn-pdf
    April 04, 2018 - From guideline to order set to patient harm. April 4, 2018 Shah SD, Cifu AS. From Guideline to Order Set to Patient Harm. JAMA. 2018;319(12):1207-1208. doi:10.1001/jama.2018.1666. https://psnet.ahrq.gov/issue/guideline-order-set-patient-harm This editorial discusses how adverse events can occur if standardized ord…
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