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Showing results for "addresses".

121. The limits of knowledge management for UK public services modernization: the case of patient safety and service quality. | PSNet
     psnet.ahrq.gov/issue/limits-knowledge-management-uk-public-services-modernization-case-patient-safety-and-service
     January 29, 2014 - implementation of the United Kingdom's error reporting system, the National Reporting and Learning System , and addresses

122. The Future of Emergency Care in the United States Health System. | PSNet
     psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
     June 16, 2012 - Each report respectively addresses and creates a vision for the future of hospital-based emergency care … Congress to support a 5-year demonstration project to develop best practices at the state level that can address

123. Low literacy impairs comprehension of prescription drug warning labels. | PSNet
     psnet.ahrq.gov/issue/low-literacy-impairs-comprehension-prescription-drug-warning-labels
     January 21, 2009 - This study addresses the relationship between low health literacy and comprehension of common prescription … Patients at an urban primary care clinic underwent structured interviews to address their understanding

124. Adverse Events in Hospitals: Overview of Key Issues. | PSNet
     psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues
     January 14, 2009 - This report addresses that mandate by providing a descriptive analysis of the key issues to understanding

125. Assessing patients 2019 experiences with medical injury reconciliation processes: item generation for a novel survey questionnaire. | PSNet
     psnet.ahrq.gov/issue/assessing-patients-2019-experiences-medical-injury-reconciliation-processes-item-generation
     June 16, 2021 - The final 40-item survey addresses patient and/or family perceptions of communications with healthcare

126. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. | PSNet
     psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
     March 09, 2022 - This study addresses the benefits of a low-risk intervention to reduce postoperative surgical site infections

127. A proactive risk avoidance system using failure mode and effects analysis for "same-name" physician orders. | PSNet
     psnet.ahrq.gov/issue/proactive-risk-avoidance-system-using-failure-mode-and-effects-analysis-same-name-physician
     February 23, 2022 - Although sound-alike medications are a well-recognized source of errors, this study addresses a little-studied

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50768/psn-pdf
     December 27, 2019 - Could you please describe some of the projects you are currently involved in at AHRQ that help to address … CB: The TeamSTEPPS module does not address cultural considerations. … The RED Toolkit, based on a modified discharge process tested in a randomized control trial, addresses … It specifically addresses some aspects of cultural and linguistic competence. … It also explicitly addresses health literacy; there is specific language throughout the Standards about

129. A systematic review of failures in handoff communication during intrahospital transfers. | PSNet
     psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers
     November 03, 2015 - While an extensive body of literature addresses handoff problems at shift changes, this systematic review

130. Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. | PSNet
     psnet.ahrq.gov/issue/integrating-teamwork-clinician-occupational-well-being-and-patient-safety-development
     February 14, 2017 - The authors propose a framework that addresses current limitations and suggest that further research

131. Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. | PSNet
     psnet.ahrq.gov/issue/development-and-validation-surgical-patient-safety-system-surpass-checklist
     March 23, 2011 - This study describes a comprehensive and multidisciplinary surgical safety checklist that addresses the

132. Reporting of perioperative adverse events by pediatric anesthesiologists at a tertiary children's hospital: targeted interventions to increase the rate of reporting. | PSNet
     psnet.ahrq.gov/issue/reporting-perioperative-adverse-events-pediatric-anesthesiologists-tertiary-childrens
     April 24, 2018 - The study team concluded that mandated reporting addresses underuse of incident reporting systems.

133. Implementing patient safety interventions in your hospital: what to try and what to avoid. | PSNet
     psnet.ahrq.gov/issue/implementing-patient-safety-interventions-your-hospital-what-try-and-what-avoid
     June 03, 2010 - A previous AHRQ WebM&M perspective addresses how to interpret the patient safety literature.

134. Demonstrating high reliability on accountability measures at The Johns Hopkins Hospital. | PSNet
     psnet.ahrq.gov/issue/demonstrating-high-reliability-accountability-measures-johns-hopkins-hospital
     January 27, 2016 - To realize this goal, the group developed a conceptual model that addresses the challenges accompanying

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867652/psn-pdf
     February 26, 2025 - are an important part of any organization’s commitment to patient safety because they identify and address … This redesigned RCA methodology aimed to address the most persistent ineffectual issues with traditional … This flexibility also allows for innovation from organizations that want to expand their scope to address … Another health system addresses emotional harms alongside physical ones,6 and another integrates an … The introduction of RCA2 addresses https://psnet.ahrq.gov/perspective/rethinking-root-cause-analysis

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840255/psn-pdf
     November 16, 2022 - (including people) can go right or wrong, HFE uses human-centered design processes and methods to address … This type of solution inherently addresses core design problems rather than relying on humans to adapt … the constant elements of the patient journey, SEIPS 2.0 emphasizes patient engagement and SEPIS 3.0 addresses … Systems engineering focuses on the development and oversight of a system to address a need. … deprescribing of an existing prescription.12 Other PSLLs have used HFE to analyze failure to rescue and address

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49448/psn-pdf
     June 01, 2004 - Endorsed by 47 professional societies, including the American College of Surgeons, this document directly addresses … be retained, but logistical details should be modified at each institution to create a system that addresses

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33697/psn-pdf
     June 01, 2010 - thinking, memory, and decision making.8 Lack of sleep is associated with increased medical error.9,10 To address … There are several potential solutions to address environmental system issues. … Conclusions ED safety requires a multi-faceted approach that addresses provider knowledge, experience … poorly designed measures, as described by Wachter and colleagues.20 Only an integrated approach that addresses

139. Listen to the Family | PSNet
     psnet.ahrq.gov/web-mm/listen-family
     April 15, 2015 - Endorsed by 47 professional societies, including the American College of Surgeons, this document directly addresses … be retained, but logistical details should be modified at each institution to create a system that addresses

140. The Cleveland Clinic Pairs Advanced Practice Registered Nurses and Paramedics To Provide Home Visits to Recently Discharged Patients at Highest Risk for Hospital Readmission | PSNet
     psnet.ahrq.gov/innovation/cleveland-clinic-pairs-advanced-practice-registered-nurses-and-paramedics-provide-home
     October 30, 2024 - Training for referring providers and the care coordination team that addresses strategies for working … Training for referring providers and the care coordination team that addresses strategies for working … Patient Safety Innovations A Virtual Hospitalist Program to Address