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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43561/psn-pdf
    September 24, 2014 - At surgery clinic, rush to save Joan Rivers's life. September 24, 2014 Hartocollis A, Goodman JD. New York Times. September 9, 2014. https://psnet.ahrq.gov/issue/surgery-clinic-rush-save-joan-riverss-life Office-based anesthesia is becoming more common despite concerns regarding its safety. This newspaper article …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46334/psn-pdf
    August 09, 2017 - Maternal deaths at MetroWest hospital prompt state probes. August 9, 2017 Kowalczyk L. Boston Globe. July 29, 2017. https://psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes Maternal death is a sentinel event. This news article reports on two incidents at one hospital that prompted inves…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37703/psn-pdf
    February 18, 2011 - Reducing diagnostic errors through effective communication: harnessing the power of information technology. February 18, 2011 Singh H, Naik AD, Rao R, et al. Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology. J Gen Intern Med. 2008;23(4). doi:10.1007/s11606-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853627/psn-pdf
    September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic Delays. September 20, 2023 Health Affairs Forefront; May-September 2023. https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays Diagnostic delays stem from both human and process failures. This series of articles examines how s…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44155/psn-pdf
    June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596. https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and s…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45811/psn-pdf
    May 08, 2017 - This webinar discussed voice-generated electronic records as a strategy to augment clinical documentation … and highlight natural language processing technologies as a component of this strategy.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44981/psn-pdf
    June 07, 2016 - simulation-based-training-missing-link-lastingly-improved-patient-safety-and- health Simulation has been increasingly accepted as a training strategy … systematic-review-simulation-multidisciplinary-team-training-operating-rooms https://psnet.ahrq.gov/issue/simulation-exercises-patient-safety-strategy-systematic-review

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45202/psn-pdf
    October 08, 2016 - This review highlights the need for improved data collection, evidence-based policy, and strategy implementation … towards-international-consensus-patient-harm-perspectives-pressure-injury-policy https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

  9. Assessing and monitoring override medications in automated dispensing devices. | PSNet

    psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
    May 06, 2009 - May 6, 2009 Designing a strategy to promote safe, innovative off-label use of medications … September 29, 2010 Developing a medication patient safety program — infrastructure and strategy … December 30, 2014 A randomized trial of a multifactorial strategy to prevent serious

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42918/psn-pdf
    February 05, 2014 - disclosure of medical errors has been described as both a great idea and an impractical risk management strategy … full-disclosure-and-apology-idea-whose-time-has-come https://psnet.ahrq.gov/issue/disclosure-medical-injury-patients-improbable-risk-management-strategy

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46575/psn-pdf
    December 13, 2017 - economic-evaluation-pharmacist-led-medication-reviews-residential-aged- care-facilities Pharmacist oversight of medication prescribing is an established safety strategy … inappropriate polypharmacy in aged care facilities and the cost- effectiveness of this risk management strategy

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45649/psn-pdf
    November 30, 2016 - Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy … Displaying radiation exposure and cost information at order entry for outpatient diagnostic imaging: a strategy

  13. Health IT Patient Safety Action and Surveillance Plan. | PSNet

    psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
    December 18, 2013 - May 13, 2015 Strategy on Reducing Regulatory and Administrative Burden Relating to the … February 20, 2019 FDASIA Health IT Report: Proposed Strategy and Recommendations for … July 5, 2016 View More Related Resources Strategy on Reducing Regulatory

  14. Team-training in healthcare: a narrative synthesis of the literature. | PSNet

    psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
    July 02, 2014 - Related Resources From the Same Author(s) Promoting a culture of safety as a patient safety strategy … July 2, 2014 Rapid response systems as a patient safety strategy: a systematic review … October 10, 2017 Towards high-reliability organising in healthcare: a strategy for building

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45244/psn-pdf
    August 01, 2016 - exploring how sleep deprivation affects clinician performance and the impact of work hour limits as a strategy … common-program-requirements-learning-and-working-environment-duty-hours https://psnet.ahrq.gov/issue/handoffs-era-duty-hours-reform-focused-review-and-strategy-address-changes-accreditation

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36814/psn-pdf
    March 28, 2011 - paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy … paediatric care: a systematic review of epidemiology and an evaluation of evidence supporting reduction strategy

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47582/psn-pdf
    December 12, 2018 - data from chart review and taking ulcer severity into account may yield a more meaningful measurement strategy … success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets https://psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

  18. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.323_slideshow.ppt
    May 01, 2014 - Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … Medication reconciliation during transitions of care as a patient safety strategy: a systematic review … for Medication Reconciliation (2) Whether medication reconciliation is a high-value patient safety strategy

  19. Therapies for Clinically Localized Prostate Cancer (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/prostate-cancer-therapies-update_clinician.pdf
    January 01, 2016 - Background A National Institutes of Health (NIH) panel that convened in 2011 recommended that AS—a strategy … .3 The NIH panel also used the term “watchful waiting” (WW) to describe a palliative observational strategy … that consists of intervening only when symptoms appear Active surveillance (AS): a strategy with curative … specifically targeted by placing seeded radioactive material in or near the tumor Cryotherapy: a strategy … vs. radiation therapy), use of androgen deprivation therapy (ADT) as a component of the treatment strategy

  20. Manifestations of high-reliability principles on hospital units with varying safety profiles: a qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/manifestations-high-reliability-principles-hospital-units-varying-safety-profiles-qualitative
    December 16, 2015 - October 10, 2017 Rapid response systems as a patient safety strategy: a systematic review … March 20, 2013 Promoting a culture of safety as a patient safety strategy: a systematic … November 2, 2016 Impact of a team and leaders-directed strategy to improve nurses' adherence
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