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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44561/psn-pdfOctober 30, 2023 - AHRQ Impact Case Studies: Patient Safety. October 30, 2023 Agency for Healthcare Research and Quality. 2019-2023. https://psnet.ahrq.gov/issue/ahrq-impact-case-studies-patient-safety AHRQ supports the development and testing of various resources for health care organizations to implement as safety improvement stra… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44343/psn-pdfJuly 22, 2015 - Speaking up to reduce noise in the OR. July 22, 2015 Ford DA. Speaking Up to Reduce Noise in the OR. AORN J. 2015;102(1):85-9. doi:10.1016/j.aorn.2015.04.019. https://psnet.ahrq.gov/issue/speaking-reduce-noise-or Noise in health care settings can hinder communication and contribute to distractions. This commentary… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45998/psn-pdfApril 19, 2017 - Learning and mindfulness: improving perioperative patient safety. April 19, 2017 Graling PR, Sanchez JA. Learning and mindfulness: improving perioperative patient safety. AORN J. 2017;105(3):317-321. doi:10.1016/j.aorn.2017.01.006. https://psnet.ahrq.gov/issue/learning-and-mindfulness-improving-perioperative-patie… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43741/psn-pdfDecember 03, 2014 - Overdiagnosis: how our compulsion for diagnosis may be harming children. December 3, 2014 Coon ER, Quinonez RA, Moyer VA, et al. Overdiagnosis: how our compulsion for diagnosis may be harming children. Pediatrics. 2014;134(5):1013-23. doi:10.1542/peds.2014-1778. https://psnet.ahrq.gov/issue/overdiagnosis-how-our-c… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45757/psn-pdfDecember 14, 2016 - Five simple steps to avoid becoming a medical mystery. December 14, 2016 Boodman SG. Washington Post. December 4, 2016. https://psnet.ahrq.gov/issue/five-simple-steps-avoid-becoming-medical-mystery Delays in diagnosis can both diminish the patient–physician relationship and result in harm. This newspaper article d… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37555/psn-pdfFebruary 14, 2018 - ACOG Committee Opinion #730: fatigue and patient safety. February 14, 2018 ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131(2):e78- e81. https://psnet.ahrq.gov/issue/acog-committee-opinion-730-fatigue-and-patient-safety This commentary discusses how sleep deprivation affects… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37457/psn-pdfFebruary 15, 2011 - Benefits of direct observation in medication administration to detect errors. February 15, 2011 Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3. https://psnet.ahrq.gov/issue/be… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47435/psn-pdfNovember 07, 2018 - Cognitive bias in clinical medicine. November 7, 2018 O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225- 232. doi:10.4997/JRCPE.2018.306. https://psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine Cognitive biases can lead to unnecessary treatment and de… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44206/psn-pdfDecember 16, 2015 - Your new medical team: algorithms and physicians. December 16, 2015 Frakt A. New York Times. December 7, 2015. https://psnet.ahrq.gov/issue/your-new-medical-team-algorithms-and-physicians Humans are vulnerable to distraction, fatigue, and memory lapses, which can hinder their ability to process information. This n… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/854263/psn-pdfNovember 03, 2023 - Diagnostic Safety and Quality Webinar Series: Overview and Implications for Hospitals. November 3, 2023 Washington DC: The Leapfrog Group; 2023. https://psnet.ahrq.gov/issue/diagnostic-safety-and-quality-webinar-series-overview-and-implications- hospitals Diagnostic errors in hospitals are the focus on continued … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/861776/psn-pdfJanuary 31, 2024 - The Sunday story: when hospitals don't say sorry. January 31, 2024 Rascoe A, Gorenstein D. National Public Radio. January 21, 2024. https://psnet.ahrq.gov/issue/sunday-story-when-hospitals-dont-say-sorry Openness about making mistakes is a challenge in health care due to fear of litigation and career damage. This … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/50457/psn-pdfOctober 09, 2019 - Combined SNA and LDA methods to understand adverse medical events October 9, 2019 Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47817/psn-pdfFebruary 27, 2019 - FactFinders. February 27, 2019 SIS Patient Safety Committee. Spine Intervention Society. https://psnet.ahrq.gov/issue/factfinders This resource provides newsletters that target concerns associated with spinal pain interventions and offers safety strategies. The collection focuses on three primary areas: procedural… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/41287/psn-pdfMay 17, 2012 - Economic evaluation in patient safety: a literature review of methods. May 17, 2012 de Rezende BA, Or Z, Com-Ruelle L, et al. Economic evaluation in patient safety: a literature review of methods. BMJ Qual Saf. 2012;21(6):457-65. doi:10.1136/bmjqs-2011-000191. https://psnet.ahrq.gov/issue/economic-evaluation-patie… -
psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literatureJuly 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
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psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-planDecember 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
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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45244/psn-pdfAugust 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 -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47582/psn-pdfDecember 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 -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36814/psn-pdfMarch 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 -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45277/psn-pdfJuly 01, 2017 - really-possible Crew resource management (CRM), a type of team training, is a prime example of an aviation strategy … They propose more widespread implementation of CRM as a strategy to enhance safety culture.
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