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Total Results: 2,928 records

Showing results for "achievable".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47389/psn-pdf
     November 02, 2018 - What 'just culture' doesn't understand about just punishment. November 2, 2018 Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. https://psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment T…

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50644/psn-pdf
     November 06, 2019 - Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. November 6, 2019 US House of Representatives Committee on Veterans Affairs Subcommittee on Oversight and Investigations. 116th Cong, 1st Sess (2019). https://psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-syste…

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44014/psn-pdf
     March 20, 2019 - Patient Centered Medical Home Resource Center: Quality and Safety. March 20, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854996/psn-pdf
     April 09, 2003 - Safety paradoxes and safety culture. April 9, 2003 Reason J. Safety paradoxes and safety culture. Inj Control Safety Promot. 2003;7(1):3-14. doi:10.1076/1566-0974(200003)7:1;1-v;ft003. https://psnet.ahrq.gov/issue/safety-paradoxes-and-safety-culture Achieving a culture of safety is paramount in any high-risk indus…

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36340/psn-pdf
     January 10, 2017 - American Hospital Association-McKesson Quest for Quality Prize. January 10, 2017 Jt Comm J Qual Patient Saf. 2006;32(10):541-572. https://psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize These four articles highlight the achievements of the 2006 AHA McKesson Quest for Quality Prize w…

406. "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet
     psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
     January 22, 2016 - Study "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. Citation Text: Bergman AA, Flanagan ME, Ebright PR, et al. "Mr Smith's been our problem child today…": anticipatory management communication (…

407. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. | PSNet
     psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
     September 09, 2015 - Review A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Citation Text: Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…

408. Spreading a medication administration intervention organizationwide in six hospitals. | PSNet
     psnet.ahrq.gov/issue/spreading-medication-administration-intervention-organizationwide-six-hospitals
     January 03, 2017 - Study Spreading a medication administration intervention organizationwide in six hospitals. Citation Text: Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. Copy C…

409. Structuring patient and family involvement in medical error event disclosure and analysis. | PSNet
     psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis
     September 01, 2018 - Study Structuring patient and family involvement in medical error event disclosure and analysis. Citation Text: Etchegaray J, Ottosen M, Burress L, et al. Structuring patient and family involvement in medical error event disclosure and analysis. Health Aff (Millwood). 2014;33(1):46-52. d…

410. A decade of preventing harm. | PSNet
     psnet.ahrq.gov/issue/decade-preventing-harm
     July 10, 2008 - Commentary A decade of preventing harm. Citation Text: Woeltje KF, Olenski LK, Donatelli M, et al. A Decade of Preventing Harm. Jt Comm J Qual Patient Saf. 2019;45(7):480-486. doi:10.1016/j.jcjq.2019.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38908/psn-pdf
     January 03, 2017 - Rapid response systems in adult academic medical centers. January 3, 2017 Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437. https://psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers This survey ch…

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43295/psn-pdf
     June 27, 2018 - Sound the alarm. June 27, 2018 Addis LM, Cadet VN, Graham KC. Patient Saf Qual Healthc. May/June 2014. https://psnet.ahrq.gov/issue/sound-alarm Clinical alarms may contribute to errors due to alarm fatigue. This article describes four key elements to achieve lasting improvement of alarm safety across organizations…

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38539/psn-pdf
     January 02, 2017 - Rescue me: saving the vulnerable non-ICU patient population. January 2, 2017 Bader MK, Neal B, Johnson L, et al. Rescue me: saving the vulnerable non-ICU patient population. Jt Comm J Qual Patient Saf. 2009;35(4):199-205. https://psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population A nurse-…

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45064/psn-pdf
     April 20, 2016 - Making Care Safer. April 20, 2016 Agency for Healthcare Research and Quality. Priorities in Focus. March 2016. https://psnet.ahrq.gov/issue/making-care-safer The National Quality Strategy is part of AHRQ's ongoing efforts to enhance patient safety. This brief summarizes the results of the Partnership for Patients …

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36311/psn-pdf
     October 04, 2006 - Eighth Annual National Patient Safety Foundation Congress: Conference Proceedings. October 4, 2006 Stepnick L, Edgman-Levitan S, Kaplan GS et al. J Patient Saf. 2006;2(2):58-69. https://psnet.ahrq.gov/issue/eighth-annual-national-patient-safety-foundation-congress-conference- proceedings The authors summarize the…

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43145/psn-pdf
     June 15, 2014 - The 2013 John M. Eisenberg Patient Safety and Quality Awards. June 15, 2014 Jt Comm J Qual Patient Saf. 2014;40(5):195-218. https://psnet.ahrq.gov/issue/2013-john-m-eisenberg-patient-safety-and-quality-awards Articles in this special issue highlight the achievements of the 2013 John M. Eisenberg Patient Safety and…

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34617/psn-pdf
     March 07, 2005 - World Alliance for Patient Safety: forward programme. March 7, 2005 Geneva, Switzerland: World Health Organization; 2004. https://psnet.ahrq.gov/issue/world-alliance-patient-safety-forward-programme This report outlines the six goals set by the new world alliance to achieve what no single country could accomplish …

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36065/psn-pdf
     May 27, 2011 - Passing the "Yo' Mama" test. May 27, 2011 Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. https://psnet.ahrq.gov/issue/passing-yo-mama-test This article discusses how a…

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41476/psn-pdf
     June 20, 2012 - Interdisciplinary team training: five lessons learned. June 20, 2012 Contratti F, Ng G, Deeb J. Interdisciplinary team training: five lessons learned. Am J Nurs. 2012;112(6):47- 52. doi:10.1097/01.NAJ.0000415127.84605.1f. https://psnet.ahrq.gov/issue/interdisciplinary-team-training-five-lessons-learned This commen…

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73148/psn-pdf
     April 14, 2021 - 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. April 14, 2021 Jurecko L. Consult QD. March 16, 2021. https://psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers- and-engage Leadership a…