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Total Results: 1,278 records

Showing results for "aim".

341. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867596/psn-pdf
     January 22, 2025 - Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm, reduce bias, and improve safety culture. January 22, 2025 Musheno D, Harnish M, Roberts J, et al. Creation of root cause analysis and action (RCA2) standard work by a multidisciplinary team to prevent harm,…

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867226/psn-pdf
     December 04, 2024 - The nature of the response to airway management incident reports in high income countries: a scoping review. December 4, 2024 Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive Care. 2024;52(5):283-301. doi:…

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865483/psn-pdf
     April 03, 2024 - Risks in the analogue and digitally-supported medication process and potential solutions to increase patient safety in the hospital: a mixed methods study. April 3, 2024 Kopanz J, Lichtenegger K, Schwarz CM, et al. Risks in the analogue and digitally-supported medication process and potential solutions to increase…

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866407/psn-pdf
     July 31, 2024 - Effect of digital tools to promote hospital quality and safety on adverse events after discharge. July 31, 2024 Vasudevan A, Plombon S, Piniella N, et al. Effect of digital tools to promote hospital quality and safety on adverse events after discharge. J Am Med Inform Assoc. 2024;31(10):2304-2314. doi:10.1093/jami…

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867336/psn-pdf
     December 11, 2024 - Enhancing safe medication use in home care: insights from informal caregivers. December 11, 2024 Gil-Hernández E, Ballester P, Guilabert M, et al. Enhancing safe medication use in home care: insights from informal caregivers. Front Med (Lausanne). 2024;11:1494771. doi:10.3389/fmed.2024.1494771. https://psnet.ahrq.…

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40131/psn-pdf
     April 03, 2017 - Designing an abstraction instrument: lessons from efforts to validate the AHRQ Patient Safety Indicators. April 3, 2017 Utter GH, Borzecki A, Rosen AK, et al. Designing an abstraction instrument: lessons from efforts to validate the AHRQ patient safety indicators. Jt Comm J Qual Patient Saf. 2011;37(1):20-8. https…

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43657/psn-pdf
     November 26, 2014 - Strategies for Ensuring the Safe Use of Insulin Pens in the Hospital. November 26, 2014 American Society of Health-System Pharmacists https://psnet.ahrq.gov/issue/strategies-ensuring-safe-use-insulin-pens-hospital Insulin is classified as a high-alert medication due to the potential to cause serious patient harm w…

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43529/psn-pdf
     October 01, 2014 - National pediatric anesthesia safety quality improvement program in the United States. October 1, 2014 Kurth D, Tyler D, Heitmiller ES, et al. National pediatric anesthesia safety quality improvement program in the United States. Anesth Analg. 2014;119(1):112-21. doi:10.1213/ANE.0000000000000040. https://psnet.ahr…

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34805/psn-pdf
     November 07, 2017 - Medication errors in neonatal and paediatric intensive- care units. November 7, 2017 Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. https://psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units Th…

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41677/psn-pdf
     September 26, 2012 - Interventions to reduce medication errors in adult intensive care: a systematic review. September 26, 2012 Manias E, Williams A, Liew D. Interventions to reduce medication errors in adult intensive care: a systematic review. Br J Clin Pharmacol. 2012;74(3). doi:10.1111/j.1365-2125.2012.04220.x. https://psnet.ahrq.…

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42201/psn-pdf
     December 29, 2014 - A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. December 29, 2014 Pinto A, Vincent CA, Darzi A, et al. A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video. Int J Qual Hea…

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47518/psn-pdf
     January 23, 2019 - Evaluation of a measurement system to assess ICU team performance. January 23, 2019 Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. https://psnet.ahrq.gov/issue/evaluation-measurement-s…

353. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41112/psn-pdf
     February 01, 2012 - Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long- term care. February 1, 2012 MacLaurin A, McConnell H. Utilizing quality improvement methods to prevent falls and injury from falls: enhancing resident safety in long-term care. J Safety Res. 2011;42(6):…

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/861764/psn-pdf
     January 31, 2024 - Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. January 31, 2024 Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Jt Comm J Qual Patien…

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849610/psn-pdf
     May 31, 2023 - Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. May 31, 2023 Yanni E, Calaman S, Wiener E, et al. Implementation of ED I-PASS as a standardized handoff tool in the pediatric emergency department. J Healthc Qual. 2023;45(3):140-147. doi:10.1097/jhq.0000000000000374.…

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836915/psn-pdf
     April 13, 2022 - Workarounds in electronic health record systems and the revised Sociotechnical Electronic Health Record Workaround Analysis Framework: scoping review. April 13, 2022 Blijleven V, Hoxha F, Jaspers MWM. Workarounds in electronic health record systems and the revised sociotechnical Electronic Health Record workaround…

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/845630/psn-pdf
     March 08, 2023 - The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. March 8, 2023 Oksholm T, Gissum KR, Hunskår I, et al. The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospi…

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837031/psn-pdf
     May 04, 2022 - Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. May 4, 2022 Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need …

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73567/psn-pdf
     August 04, 2021 - Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systematic review and meta-analysis. August 4, 2021 Jaam M, Naseralallah LM, Hussain TA, et al. Pharmacist-led educational interventions provided to healthcare providers to reduce medication errors: a systemati…

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837304/psn-pdf
     June 01, 2022 - Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, and handoff outcomes. June 1, 2022 Lazzara EH, Simonson RJ, Gisick LM, et al. Does standardisation improve post-operative anaesthesia handoffs? Meta-analyses on provider, patient, organisational, a…