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Showing results for "technologies".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44999/psn-pdf
    August 03, 2017 - An analysis of electronic health record–related patient safety incidents. August 3, 2017 Palojoki S, Mäkelä M, Lehtonen L, et al. An analysis of electronic health record-related patient safety incidents. Health Informatics J. 2017;23(2):134-145. doi:10.1177/1460458216631072. https://psnet.ahrq.gov/issue/analysis-e…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35132/psn-pdf
    June 22, 2009 - 2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: Improving patient care and medication safety. June 22, 2009 2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: improving patient care and medication safety. https://psnet.ahrq.gov/issue/2004-ashp-lea…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45391/psn-pdf
    August 10, 2016 - Where are my instruments? Hazards in delivery of surgical instruments. August 10, 2016 Guédon ACP, Wauben LSGL, van der Eijk AC, et al. Where are my instruments? Hazards in delivery of surgical instruments. Surg Endosc. 2016;30(7):2728-35. doi:10.1007/s00464-015-4537-7. https://psnet.ahrq.gov/issue/where-are-my-in…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43033/psn-pdf
    March 12, 2014 - Current challenges and future perspectives for patient safety in surgery. March 12, 2014 Stahel PF, Mauffrey C, Butler N. Current challenges and future perspectives for patient safety in surgery. Patient Saf Surg. 2014;8(1):9. doi:10.1186/1754-9493-8-9. https://psnet.ahrq.gov/issue/current-challenges-and-future-pe…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855104/psn-pdf
    November 08, 2023 - Healthcare wants to fly as high as the aviation industry. Can it? November 8, 2023 Twenter P. Becker's Clinical Leadership. October 30, 2023. https://psnet.ahrq.gov/issue/healthcare-wants-fly-high-aviation-industry-can-it Health care has long held commercial aviation as a beacon to guide patient safety improv…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42346/psn-pdf
    June 10, 2018 - Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 30, 2013;18:1-3. https://psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential- prevent-harm Describi…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39110/psn-pdf
    June 10, 2018 - Order scanning systems may pull multiple pages through the scanner at the same time, leading to drug omissions. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 5, 2009;14:1-3. https://psnet.ahrq.gov/issue/order-scanning-systems-may-pull-multiple-pages-through-scanner-same-time- leading-dru…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50875/psn-pdf
    February 05, 2020 - Implementing Closing the Loop. Safe Practices for Diagnostic Results February 5, 2020 Partnership for HIT Patient Safety. Plymouth Meeting, PA: ECRI Institute; 2020. https://psnet.ahrq.gov/issue/implementing-closing-loop-safe-practices-diagnostic-results Health information technology (HIT) can improve record keepi…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36132/psn-pdf
    May 27, 2011 - Motion study in surgery. May 27, 2011 Gilbreth FB. Can J Med Surg. 1916:22-31. https://psnet.ahrq.gov/issue/motion-study-surgery This study was one of the first "time-motion" studies of physicians, and pioneered the application of human factors engineering and industrial principles to medical practice. The authors…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39897/psn-pdf
    September 26, 2016 - Nurse interruptions pre- and post-implementation of a point-of-care medication administration system. September 26, 2016 Stamp KD, Willis DG. Nurse interruptions pre- and postimplementation of a point-of-care medication administration system. J Nurs Care Qual. 2010;25(3):231-239. doi:10.1097/NCQ.0b013e3181d4a13f. …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73255/psn-pdf
    May 12, 2021 - Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. May 12, 2021 National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Academies Press. https://psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care Primary…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47739/psn-pdf
    February 20, 2019 - Artificial intelligence, bias and clinical safety. February 20, 2019 Challen R, Denny J, Pitt M, et al. Artificial intelligence, bias and clinical safety. BMJ Qual Saf. 2019;28(3):231-237. doi:10.1136/bmjqs-2018-008370. https://psnet.ahrq.gov/issue/artificial-intelligence-bias-and-clinical-safety Artificial intell…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34585/psn-pdf
    March 07, 2005 - John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. March 7, 2005 Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Interview by Steven Berman. Jt Comm J Qual Improv. 2002;28(12):651-659, 633. h…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43661/psn-pdf
    November 05, 2014 - The human factor. November 5, 2014 Langewiesche W. https://psnet.ahrq.gov/issue/human-factor This magazine article provides a breakdown of the failures that contributed to an airplane crash, including how increasing automation in piloting airplanes can diminish human performance, the reluctance to speak up due to…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42633/psn-pdf
    October 02, 2013 - Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. October 2, 2013 Roper RA, Anderson KM, Marsh CA, Flemming AC. Rockville, MD: Agency for Healthcare Research and Quality; September 2013. AHRQ Publication No. 13-0059-EF.  https://psnet.ahrq.gov/issue/health-it-enabled-quali…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50625/psn-pdf
    November 06, 2019 - Pediatric medication safety considerations for pharmacists in an adult hospital setting. November 6, 2019 Kennedy AR, Massey LR. Pediatric medication safety considerations for pharmacists in an adult hospital setting. Am J Health Syst Pharm. 2019;76(19):1481-1491. doi:10.1093/ajhp/zxz168. https://psnet.ahrq.gov/is…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837339/psn-pdf
    June 08, 2022 - Mindful workarounds in bar code medication administration. June 8, 2022 Lichtner V, Dowding D. Mindful workarounds in bar code medication administration. Stud Health Technol Inform. 2022;294:740-744. doi:10.3233/shti220575. https://psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration Barcod…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45586/psn-pdf
    November 02, 2016 - Antimicrobial stewardship and patient safety. November 2, 2016 Zukowski CM. Antimicrobial Stewardship and Patient Safety. AORN J. 2016;104(4):354-356. doi:10.1016/j.aorn.2016.08.002. https://psnet.ahrq.gov/issue/antimicrobial-stewardship-and-patient-safety Antimicrobial stewardship has been highlighted as a strate…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42221/psn-pdf
    April 24, 2013 - Systems approach and systems engineering applied to health care: improving patient safety and health care delivery. April 24, 2013 Ravitz AD, Sapirstein A, Pham JC, et al. Johns Hopkins APL Tech Dig. 2013;31:354-365. https://psnet.ahrq.gov/issue/systems-approach-and-systems-engineering-applied-health-care-improvin…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47120/psn-pdf
    July 18, 2018 - Complicated: medical missteps are not inevitable. July 18, 2018 Yurkiewicz IR. Complicated: Medical Missteps Are Not Inevitable. Health Aff (Millwood). 2018;37(7):1178- 1181. doi:10.1377/hlthaff.2017.1550. https://psnet.ahrq.gov/issue/complicated-medical-missteps-are-not-inevitable This commentary provides a clini…
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