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Showing results for "assessing".

  1. Bad stars or guiding lights? Learning from disasters to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety
    June 08, 2011 - Commentary Bad stars or guiding lights? Learning from disasters to improve patient safety. Citation Text: Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008…

  2. Missing clinical information during primary care visits. | PSNet

    psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits
    March 28, 2011 - Study Missing clinical information during primary care visits. Citation Text: Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  3. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2022-user-database-report
    June 01, 2022 - Book/Report Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Citation Text: Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare R…

  4. A pause in pediatrics: implementation of a pediatric diagnostic time-out. | PSNet

    psnet.ahrq.gov/issue/pause-pediatrics-implementation-pediatric-diagnostic-time-out
    April 20, 2022 - Study A pause in pediatrics: implementation of a pediatric diagnostic time-out. Citation Text: Yale SC, Cohen SS, Kliegman RM, et al. A pause in pediatrics: implementation of a pediatric diagnostic time-out. Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010. Copy Citation …

  5. Wrong site surgery near misses and actual occurrences. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
    November 30, 2012 - Study Wrong site surgery near misses and actual occurrences. Citation Text: Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J. 2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010. Copy Citation Format: DOI Google Scholar …

  6. Improving diagnosis: adding context to cognition. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
    July 12, 2023 - Commentary Improving diagnosis: adding context to cognition. Citation Text: Linzer M, Sullivan EE, Olson APJ, et al. Improving diagnosis: adding context to cognition. Diagnosis (Berl). 2023;10(1):4-8. doi:10.1515/dx-2022-0058. Copy Citation Format: DOI Google Scholar BibTeX…

  7. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet

    psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
    October 05, 2022 - Study From blaming to learning: re-framing organisational learning from adverse incidents. Citation Text: Gray D, Williams S. From blaming to learning: re‐framing organisational learning from adverse incidents. Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295. Copy Citatio…

  8. Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. | PSNet

    psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality-improvement-survey
    October 04, 2006 - Study Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Citation Text: Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. Vaughn T, Koepke M, Kroch E, et al. J Patient Saf…

  9. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. | PSNet

    psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
    July 29, 2020 - Commentary Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Citation Text: Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…

  10. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. | PSNet

    psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
    August 17, 2005 - Study Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Citation Text: Freestone L, Bolsin S, Colson M, et al. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. Int J Qual Health Care. 2006;18(6):452-7. Copy Citation For…

  11. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet

    psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
    May 30, 2012 - Multi-use Website Classic Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission. Copy Citation …

  12. Case study: identifying potential problems at the human/technical interface in complex clinical systems. | PSNet

    psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems
    July 22, 2009 - Commentary Case study: identifying potential problems at the human/technical interface in complex clinical systems. Citation Text: Caudill-Slosberg M, Weeks WB. Case study: identifying potential problems at the human/technical interface in complex clinical systems. Am J Med Qual. 2005;…

  13. Building cultures of high reliability: lessons from the high reliability organization paradigm. | PSNet

    psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
    September 05, 2018 - Review Building cultures of high reliability: lessons from the high reliability organization paradigm. Citation Text: Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm. Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2…

  14. Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. | PSNet

    psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
    November 15, 2016 - Book/Report Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Citation Text: Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation …

  15. Obstetric practice guidelines: labor's love lost? | PSNet

    psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
    April 30, 2014 - Commentary Obstetric practice guidelines: labor's love lost? Citation Text: Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. Copy Citation Format: DOI Google Schola…

  16. Ethical duty of health care systems to address interfacility medical error discovery. | PSNet

    psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
    September 11, 2019 - Commentary Ethical duty of health care systems to address interfacility medical error discovery. Citation Text: Antunez AG, Shuman AG, Jagsi R, et al. Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. J Am Coll Surg. 2018;227(5):543-547. doi:10.1016/j.…

  17. American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. | PSNet

    psnet.ahrq.gov/issue/american-geriatrics-society-2023-updated-ags-beers-criteria-potentially-inappropriate
    June 12, 2019 - Organizational Policy/Guidelines American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adults. Citation Text: American Geriatrics Society 2023 updated AGS Beers Criteria for Potentially Inappropriate Medication Use in Older Adul…

  18. Understanding liability risk from using health care artificial intelligence tools. | PSNet

    psnet.ahrq.gov/issue/understanding-liability-risk-using-health-care-artificial-intelligence-tools
    April 03, 2024 - Commentary Understanding liability risk from using health care artificial intelligence tools. Citation Text: Mello MM, Guha N. Understanding liability risk from using health care artificial intelligence tools. N Engl J Med. 2024;390(3):271-278. doi:10.1056/nejmhle2308901. Copy Citation…

  19. Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet

    psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
    February 08, 2023 - Study Restorative just culture: an exploration of the enabling conditions for successful implementation. Citation Text: Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;…

  20. Intravenous infusion safety technology: return on investment. | PSNet

    psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-investment
    October 29, 2017 - Study Intravenous infusion safety technology: return on investment. Citation Text: Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment. Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680. Copy Citation Format: DOI Google Scho…
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