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Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017. | PSNet
Journal Article
Review
Published May 10, 2017
Centers for Disease Control and Prevention Guideline … for the Prevention of Surgical Site Infection, 2017. … This clinical guideline reviews the literature and gathers expert opinion to identify generalizable evidence-based … Journal Article
Review
Prevention and treatment of bile duct injuries during laparoscopic cholecystectomy … Journal Article
Review
Guideline for opioid therapy and chronic noncancer pain.
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Unverified patient-reported error: a false alarm can have real consequences. | PSNet
Newspaper/Magazine Article
Published December 3, 2014
Unverified patient-reported error: a false alarm … Approach to Improving Safety
Patient Complaints
Resource Type
Newspaper/Magazine Article
Setting of … More
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Reviewing an incident involving a patient who reported … Journal Article
Review
Oral chemotherapy: a home safety educational framework for healthcare providers … Journal Article
Review
Safety of care by caregivers of cancer patients.
Given BA.
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Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
health systems science framework is now being embraced by many medical schools, residency programs, and academic … Educating physicians prepared to improve care and safety is no accident: it requires a systematic approach … Medical education: part of the problem and part of the solution. … competencies for academic faculty. … Journal Article
Review
Comfort with uncertainty: reframing our conceptions of how clinicians navigate
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How Does Infection Prevention Fit Into a Safety Program? | PSNet
A substantial portion of the harm from errors occurred in the form of preventable health care–associated … The systematic collection of these data and provision of reports allows for local, state, and national … Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. … Scope of Work of Hospital Infection Prevention Programs. … workers
Vaccination (e.g., influenza, pertussis, varicella, hepatitis B)
Bloodborne pathogens
Product review
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How Does Infection Prevention Fit Into a Safety Program? | PSNet
A substantial portion of the harm from errors occurred in the form of preventable health care–associated … The systematic collection of these data and provision of reports allows for local, state, and national … Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. … Scope of Work of Hospital Infection Prevention Programs. … workers
Vaccination (e.g., influenza, pertussis, varicella, hepatitis B)
Bloodborne pathogens
Product review
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How Does Infection Prevention Fit Into a Safety Program? | PSNet
A substantial portion of the harm from errors occurred in the form of preventable health care–associated … The systematic collection of these data and provision of reports allows for local, state, and national … Washington, DC: Committee on Quality of Health Care in America, Institute of Medicine. … Scope of Work of Hospital Infection Prevention Programs. … workers
Vaccination (e.g., influenza, pertussis, varicella, hepatitis B)
Bloodborne pathogens
Product review
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ISMP National Vaccine Errors Reporting Program 2017 analysis—part 1 and part 2. | PSNet
Article
Clinical Area
Allergy & Immunology
Target Audience
Physicians
Error Types
Epidemiology of … More
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Mistakes in the use of vaccines can have both … The first article of this series reviews the results from an analysis of reports submitted to a national … Journal Article
Study
Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS … Newspaper/Magazine Article
First annual review of data submitted to the ISMP National Vaccine Errors
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5. Public Reporting as a Quality Improvement Strategy
(pdf file)
Literature), PAIS (Public Affairs Information
Services), The Cochrane Database of Systematic Reviews … o In 1988 Vladeck et al.87 reported the earliest results identified in this systematic
review. … In a systematic review of literature we are limited to what has been studied and
published. … The impact of measuring patient-reported outcomes in
clinical practice: a systematic review of the literature … of patient payment policies: a
critical review of the literature.
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VA Health Care: VA Uses Medical Injury Tort Claims Data to Assess Veterans’ Care, but Should Take Action to Ensure That These Data Are Complete. | PSNet
Malpractice Litigation
Audit and Feedback
Resource Type
Government Resource
Book/Report
Setting of … Facebook
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Print
This report reviews injury claim data to assess quality of … Summary
Related Resources
Book/Report
Health-Care-Associated Infections in Hospitals: An Overview of … Fillo KT; Nelson; Executive Office of Health and Human Services; Department of Public Health; Bureau … of Health Care Safety and Quality; Commonwealth of Massachusetts.
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ACR guidance document on MR safe practices: 2013. | PSNet
Journal of magnetic resonance imaging : JMRI . 2013; 37 :501-30 . … Journal of magnetic resonance imaging : JMRI. 2013;37(3):501-30. doi:10.1002/jmri.24011. … Journal Article
Study
Radiologist-initiated double reading of abdominal CT: retrospective analysis … of the clinical importance of changes to radiology reports. … American Society of Anesthesiologists; ASA; Committee on Equipment and Facilities.
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Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. | PSNet
Article
Commentary
Published May 15, 2013
Interdisciplinary collaboration to maintain a culture of … The Journal of perinatal & neonatal nursing . 2013; 27 :113-23; quiz 124-5 . … Topics
Approach to Improving Safety
Continuing Education
Resource Type
Commentary
Setting of Care … Interdisciplinary collaboration to maintain a culture of safety in a labor and delivery setting. … The American journal of maternal child nursing . 2009; 34 :18-23 .
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Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet
Journal of Patient Safety . 2011; 7 . … Quality Improvement Strategies
Communication between Providers
Resource Type
Commentary
Setting of … Journal of Patient Safety. 2011;7(1). doi:10.1097/pts.0b013e31820c98a8. … Journal of the American Medical Informatics Association : JAMIA . 2013; 20 :766-77 . … Journal of hospital medicine . 2011; 6 :225-30 .
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Peer Review at AHRQ | Agency for Healthcare Research and Quality
Peer Review at AHRQ
Descriptions of the AHRQ Peer Review Standing Study Section rosters. … one chartered Health Services Research Initial Review Group (IRG) responsible for the peer review of … Attention Potential Reviewers: The Division of the Scientific Review (DSR) of AHRQ is seeking nominations … If you are interested in being considered, please contact the Director of Scientific Review, Dr. … care and innovation research; access to care; clinical outcomes and effectiveness research; systematic
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Unexplained Apnea Under Anesthesia | PSNet
anesthesiologists’ self-reported incidents found that of a total of 1089 incidents, 71 were related … All anesthesia and resuscitation medication carts should be standardized,( Figure 2 ) by applying a systematic … medications on the anesthesia cart; and always review the Six Right’s (patient, drug, dose, route, time … Review the doses of medication administered and check for syringe or ampoule swap of opiates, hypnotics … Kulli, MD
WebM&M Cases
Bleeding Risk
Mark A.
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Unexplained Apnea Under Anesthesia | PSNet
anesthesiologists’ self-reported incidents found that of a total of 1089 incidents, 71 were related … All anesthesia and resuscitation medication carts should be standardized,( Figure 2 ) by applying a systematic … Review the doses of medication administered and check for syringe or ampoule swap of opiates, hypnotics … View of Medication Cart Drawer
Related Resources
WebM&M Cases
Urine a Tough Position
Tejal K. … Gibbs, MD
WebM&M Cases
Making Do
Linda D.
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Unexplained Apnea Under Anesthesia | PSNet
anesthesiologists’ self-reported incidents found that of a total of 1089 incidents, 71 were related … All anesthesia and resuscitation medication carts should be standardized,( Figure 2 ) by applying a systematic … Review the doses of medication administered and check for syringe or ampoule swap of opiates, hypnotics … View of Medication Cart Drawer
Related Resources
WebM&M Cases
The Missing Suction Tip
Eric J. … Moore, MD
WebM&M Cases
Around the Block
Tracy Minichiello, MD
WebM&M Cases
Citrate Mix-Up
Robert
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CER 199 with Addendum: Treatments for Basal Cell and Squamous Cell Carcinoma of the Skin
(pdf file)
Literature flow diagram
SR = systematic review; SCC = squamous cell carcinoma; BCC = basal cell carcinoma … The objective of this systematic review is to comprehensively collect and
synthesize information on … A
systematic review of treatment modalities for
primary basal cell carcinomas. … Cutaneous
squamous cell carcinoma of the scalp in the
immunocompromised patient: review of 53 cases … Cost effectiveness of Mohs micrographic
surgery: review of the literature
J Drugs
Dermatol no primary
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Disposition of Comments Report for Technical Brief 15 Transition Care for Children With Special Health Needs
(pdf file)
This is not a comparative effectiveness
review or a systematic review. … This is not a comparative effectiveness
review or a systematic review. … This is not a comparative effectiveness
review or a systematic review. … The literature review might have been
enriched somewhat by touching the adult transitions of care literature … of clinical/academic setting); and c) the process used to select Key
Informants.
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Improving the quality of health care: who will lead? | PSNet
XML
EndNote 7 XML
Endnote tagged
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In this review … government, academic centers) as well as strategies for and examples of successful improvement efforts … Journal Article
Commentary
Transitions of Care Consensus Policy Statement American College of Physicians-Society … of General Internal Medicine-Society of Hospital Medicine-American Geriatrics Society-American College … of Emergency Physicians-Society of Academic Emergency Medicine.
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GMC National Training Survey 2014: Concerns About Patient Safety. | PSNet
More
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This report summarizes concerns reported in an … annual survey of junior doctors in the United Kingdom, reviews how these issues have been addressed, … and uses case studies to illustrate the role of reporting systems in tracking perceived patient safety … Journal Article
Review
The global burden of diagnostic errors in primary care.