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Showing results for "achievable".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46043/psn-pdf
     April 05, 2017 - High-reliability and the I-PASS communication tool. April 5, 2017 Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. https://psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool High reliability has y…

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43879/psn-pdf
     February 04, 2015 - Complaints and Raising Concerns. February 4, 2015 Fourth Report of Session 2014–15. House of Commons Health Committee. London, England: The Stationery Office; January 13, 2015. Publication HC 350. https://psnet.ahrq.gov/issue/complaints-and-raising-concerns Complaints are a proactive way to monitor and address rec…

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45890/psn-pdf
     February 15, 2017 - A Framework for Safe, Reliable, and Effective Care. February 15, 2017 Frankel A, Haraden C, Federico F, Lenoci-Edwards J. Cambridge, MA: Institute for Healthcare Improvement and Safe & Reliable Healthcare; 2017. https://psnet.ahrq.gov/issue/framework-safe-reliable-and-effective-care A systems approach to safety ca…

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39599/psn-pdf
     December 27, 2014 - The role of housestaff in implementing medication reconciliation on admission at an academic medical center. December 27, 2014 Evans AS, Lazar EJ, Tiase VL, et al. The role of housestaff in implementing medication reconciliation on admission at an academic medical center. Am J Med Qual. 2011;26(1):39-42. doi:10.1…

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46367/psn-pdf
     August 30, 2017 - Why are so many women being misdiagnosed? August 30, 2017 Mickle K. Glamour. August 11, 2017. https://psnet.ahrq.gov/issue/why-are-so-many-women-being-misdiagnosed Implicit bias and differences in communication style can affect patient care. This magazine article reports on factors that contribute to misdiagnosis …

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43778/psn-pdf
     April 22, 2015 - Meet the cancer patient in room 52: his name is Joseph, but call him Joe. April 22, 2015 Sun LH. https://psnet.ahrq.gov/issue/meet-cancer-patient-room-52-his-name-joseph-call-him-joe This newspaper article reports on a pilot program which involved redesigning intensive care unit processes to enhance staff knowled…

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44998/psn-pdf
     April 20, 2016 - High reliability: excellent care every time. April 20, 2016 Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. https://psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time Achieving high reliability has attracted attention as a goal in health care. This article provides an…

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44718/psn-pdf
     November 25, 2015 - Beyond the Quick Fix: Strategies for Improving Patient Safety. November 25, 2015 Baker GR. Toronto, ON: Institute of Health Policy, Management and Evaluation, University of Toronto; 2015. https://psnet.ahrq.gov/issue/beyond-quick-fix-strategies-improving-patient-safety The 2004 Canadian Adverse Events Study helpe…

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43373/psn-pdf
     July 23, 2014 - From harm to hope and purposeful action: what could we do after Francis? July 23, 2014 Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581. https://psnet.ahrq.gov/issue/harm-hope-and-purpo…

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45038/psn-pdf
     February 18, 2017 - Re-examining high reliability: actively organising for safety. February 18, 2017 Sutcliffe K, Paine LA, Pronovost P. Re-examining high reliability: actively organising for safety. BMJ Qual Saf. 2017;26(3):248-251. doi:10.1136/bmjqs-2015-004698. https://psnet.ahrq.gov/issue/re-examining-high-reliability-actively-or…

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33958/psn-pdf
     December 18, 2008 - A review of the literature examining linkages between organizational factors, medical errors, and patient safety. December 18, 2008 Hoff T, Jameson L, Hannan E, et al. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. Med Care Res Rev. 2004;61(1):3-37.…

472. 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…

473. 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…

474. 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…

475. 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…

476. 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…

477. 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…

478. 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…

479. 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…

480. 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…