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Showing results for "achievable".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47458/psn-pdf
     January 01, 2019 - Systems science: a primer on high reliability. November 26, 2018 Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am. 2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001. https://psnet.ahrq.gov/issue/systems-science-primer-high-reliability High-reliability organizations have d…

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45196/psn-pdf
     June 01, 2016 - Transforming Health Care: A Compendium of Reports From the National Patient Safety Foundation's Lucian Leape Institute. June 1, 2016 Boston, MA: National Patient Safety Foundation; 2016. https://psnet.ahrq.gov/issue/transforming-health-care-compendium-reports-national-patient-safety- foundations-lucian-leape Sin…

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37422/psn-pdf
     March 23, 2011 - Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. March 23, 2011 Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Qual S…

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34586/psn-pdf
     July 21, 2009 - Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. July 21, 2009 Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qual Patient Saf. 2004;30(10):534-542. http…

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44871/psn-pdf
     April 22, 2016 - Making checklists work: South Carolina's statewide experiment. April 22, 2016 Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6. https://psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment Although checklist implementation as a safety strategy has achieved some success…

466. 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…

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46714/psn-pdf
     January 10, 2018 - A system-based approach to managing patient safety in ambulatory care (and beyond). January 10, 2018 Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017. https://psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond Systems-based improvements are ke…

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46681/psn-pdf
     April 16, 2018 - Trainee autonomy and patient safety. April 16, 2018 George BC, Dunnington GL, DaRosa DA. Trainee autonomy and patient safety. Ann Surg. 2018;267(5):820-822. doi:10.1097/SLA.0000000000002599. https://psnet.ahrq.gov/issue/trainee-autonomy-and-patient-safety Reduced resident work hours and insufficient senior surgeon…

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47135/psn-pdf
     July 25, 2018 - Structured patient handoff on an internal medicine ward: a cluster randomized control trial. July 25, 2018 Tam P, Nijjar AP, Fok M, et al. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018;13(4):e0195216. doi:10.1371/journal.pone.0195216. https://psnet.ahrq…

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43611/psn-pdf
     December 19, 2014 - The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. December 19, 2014 Mellin-Olsen J, Staender S. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. Curr Opin Anaesthesiol. 2014;27(6):630-634. doi:10.1097/ACO.0000000000000131. https…

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45923/psn-pdf
     April 19, 2017 - Huddles and debriefings: improving communication on labor and delivery. April 19, 2017 McQuaid-Hanson E, Pian-Smith MCM. Huddles and Debriefings: Improving Communication on Labor and Delivery. Anesthesiol Clin. 2017;35(1):59-67. doi:10.1016/j.anclin.2016.09.006. https://psnet.ahrq.gov/issue/huddles-and-debriefings…

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45364/psn-pdf
     September 04, 2016 - A piece of my mind. Changing the narrative. September 4, 2016 Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative Storytelling can share knowledge and build community among physicians. However, if clinicians communicat…

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45985/psn-pdf
     March 29, 2017 - Building a high-reliability organization: one system's patient safety journey. March 29, 2017 Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62. https://psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey High reliabil…

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35809/psn-pdf
     February 25, 2015 - Stories from the sharp end: case studies in safety improvement. February 25, 2015 McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200 https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement This study shares the efforts of six different health care organizations in implementing intervent…

475. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40872/psn-pdf
     January 23, 2012 - Hospital performance trends on national quality measures and the association with Joint Commission accreditation. January 23, 2012 Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accreditation. J Hosp Med. 2011;6(8). doi…

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42556/psn-pdf
     August 28, 2013 - Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative. August 28, 2013 Rockville, MD: Agency for Healthcare Research and Quality. May 2013. AHRQ Publication No 13-0042-EF. https://psnet.ahrq.gov/issue/findings-and-lessons-improving-quality-through-clinician-use-health-i…

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44784/psn-pdf
     May 03, 2017 - WISH Patient Safety Forum May 3, 2017 World Innovation Summit for Health 2015. Doha, Qatar: Qatar Foundation; February 2015. https://psnet.ahrq.gov/issue/wish-patient-safety-forum The 2015 conference focused on persisting barriers to patient safety worldwide and recommended strategies to achieve lasting improvemen…

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45070/psn-pdf
     October 03, 2017 - When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? October 3, 2017 National Health Policy Forum. Washington, DC: George Washington University. March 11, 2016. https://psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend This report provides the insight…

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46483/psn-pdf
     October 04, 2017 - Fall Prevention in Hospitals Training Program. October 4, 2017 Rockville, MD: Agency for Healthcare Research and Quality; 2017. https://psnet.ahrq.gov/issue/fall-prevention-hospitals-training-program Falls are a primary focus of quality and patient safety improvement efforts in hospitals. This training program pro…

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44380/psn-pdf
     October 26, 2018 - From Safety-I to Safety-II: A White Paper. October 26, 2018 Hollnagel E, Wears RL, Braithwaite J. Middelfart, Denmark: Resilient Health Care Net; 2015. https://psnet.ahrq.gov/issue/safety-i-safety-ii-white-paper To enhance patient safety, researchers must consider complexity in health care settings. This white pape…