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Users also searched for: quality improvement

  1. Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. | PSNet

    psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory
    March 04, 2015 - Review Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. Citation Text: Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situat…

  2. To expand the evidence base about harms from tests and treatments. | PSNet

    psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments
    May 19, 2021 - Commentary To expand the evidence base about harms from tests and treatments. Citation Text: Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. Copy Citat…

  3. CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. | PSNet

    psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
    October 18, 2017 - Book/Report CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Citation Text: CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER Operative an…

  4. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. | PSNet

    psnet.ahrq.gov/issue/evolving-curriculum-quality-improvement-and-patient-safety-undergraduate-and-graduate-medical
    October 05, 2022 - Review The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Citation Text: Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …

  5. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. | PSNet

    psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events-hospitalized-patients-across-two-time-periods
    December 14, 2011 - Study Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Citation Text: Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Am J Med. 2023;136(9):927-936. do…

  6. Beyond 'find and fix': improving quality and safety through resilient healthcare systems. | PSNet

    psnet.ahrq.gov/issue/beyond-find-and-fix-improving-quality-and-safety-through-resilient-healthcare-systems
    August 04, 2021 - Study Beyond 'find and fix': improving quality and safety through resilient healthcare systems. Citation Text: Anderson JE, Ross AJ, Back J, et al. Beyond ‘find and fix’: improving quality and safety through resilient healthcare systems. Int J Qual Health Care. 2020;32(3):204-211. doi:10…

  7. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. | PSNet

    psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
    September 18, 2019 - Study Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. Citation Text: Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…

  8. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. | PSNet

    psnet.ahrq.gov/issue/burden-healthcare-utilization-cost-and-mortality-associated-select-surgical-site-infections
    October 09, 2024 - Study The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Citation Text: Shambhu S, Gordon AS, Liu Y, et al. The burden of healthcare utilization, cost, and mortality associated with select surgical site infections. Jt Comm J Qual Pa…

  9. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. | PSNet

    psnet.ahrq.gov/issue/health-care-risk-managers-consensus-management-inappropriate-behaviors-among-hospital-staff
    June 16, 2021 - Study Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. Citation Text: Zadeh SE, Haussmann R, Barton CD. Health care risk managers' consensus on the management of inappropriate behaviors among hospital staff. J Healthc Risk Manag. 201…

  10. Errare humanum est: frequency of laterality errors in radiology reports. | PSNet

    psnet.ahrq.gov/issue/errare-humanum-est-frequency-laterality-errors-radiology-reports
    September 13, 2023 - Study Errare humanum est: frequency of laterality errors in radiology reports. Citation Text: Sangwaiya MJ, Saini S, Blake MA, et al. Errare humanum est: frequency of laterality errors in radiology reports. AJR Am J Roentgenol. 2009;192(5):W239-44. doi:10.2214/AJR.08.1778. Copy Citatio…

  11. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet

    psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
    September 25, 2019 - Study A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Citation Text: Sullivan JL, Shin MH, Ranusch A, et al. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. Jt Comm J Qual Patient Saf. 2024;50(11):791-800. doi:10.1016/j.jcjq.2024.07.0…

  12. A comprehensive departmental care review model: requirements, structure, and flow. | PSNet

    psnet.ahrq.gov/issue/comprehensive-departmental-care-review-model-requirements-structure-and-flow
    July 06, 2022 - Commentary A comprehensive departmental care review model: requirements, structure, and flow. Citation Text: Nestler DM, Laack TA, Scanlan-Hanson L, et al. A comprehensive departmental care review model: requirements, structure, and flow. Jt Comm J Qual Patient Saf. 2021;47(8):503-509. d…

  13. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. | PSNet

    psnet.ahrq.gov/issue/world-health-organization-world-federation-societies-anaesthesiologists-who-wfsa
    November 16, 2015 - Commentary World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. Citation Text: Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologis…

  14. Incomplete EHR adoption: late uptake of patient safety and cost control functions. | PSNet

    psnet.ahrq.gov/issue/incomplete-ehr-adoption-late-uptake-patient-safety-and-cost-control-functions
    July 25, 2011 - Commentary Incomplete EHR adoption: late uptake of patient safety and cost control functions. Citation Text: Menachemi N, Ford E, Beitsch LM, et al. Incomplete EHR adoption: late uptake of patient safety and cost control functions. Am J Med Qual. 2007;22(5):319-26. Copy Citation …

  15. Fall prevention with the Smart Socks System reduces hospital fall rates. | PSNet

    psnet.ahrq.gov/issue/fall-prevention-smart-socks-system-reduces-hospital-fall-rates
    September 09, 2020 - Study Fall prevention with the Smart Socks System reduces hospital fall rates. Citation Text: Moore T, Kline D, Palettas M, et al. Fall prevention with the Smart Socks System reduces hospital fall rates. J Nurs Care Qual. 2023;38(1):55-60. doi:10.1097/ncq.0000000000000653. Copy Citatio…

  16. Meaningful use's benefits and burdens for US family physicians. | PSNet

    psnet.ahrq.gov/issue/meaningful-uses-benefits-and-burdens-us-family-physicians
    November 30, 2011 - Study Meaningful use's benefits and burdens for US family physicians. Citation Text: Holman T, Waldren SE, Beasley JW, et al. Meaningful use's benefits and burdens for US family physicians. J Am Med Inform Assoc. 2018;25(6):694-701. doi:10.1093/jamia/ocx158. Copy Citation Format: …

  17. Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. | PSNet

    psnet.ahrq.gov/issue/physician-transition-care-benefits-i-pass-and-electronic-handoff-system-community-pediatric
    November 02, 2022 - Study Physician transition of care: benefits of I-PASS and an electronic handoff system in a community pediatric residency program. Citation Text: Walia J, Qayumi Z, Khawar N, et al. Physician Transition of Care: Benefits of I-PASS and an Electronic Handoff System in a Community Pediatri…

  18. Personal formularies of primary care physicians across 4 health care systems. | PSNet

    psnet.ahrq.gov/issue/personal-formularies-primary-care-physicians-across-4-health-care-systems
    July 10, 2019 - Study Personal formularies of primary care physicians across 4 health care systems. Citation Text: Galanter W, Eguale T, Gellad WF, et al. Personal formularies of primary care physicians across 4 health care systems. JAMA Netw Open. 2021;4(7):e2117038. doi:10.1001/jamanetworkopen.2021.17…

  19. Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? | PSNet

    psnet.ahrq.gov/issue/identifying-barriers-and-opportunities-telehealth-implementation-amidst-covid-19-pandemic
    July 07, 2021 - Commentary Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? Citation Text: Zhang T, Mosier J, Subbian V. Identifying barriers to and opportunities for te…

  20. Health care provider factors associated with patient-reported adverse events and harm. | PSNet

    psnet.ahrq.gov/issue/health-care-provider-factors-associated-patient-reported-adverse-events-and-harm
    June 19, 2019 - Study Health care provider factors associated with patient-reported adverse events and harm. Citation Text: Giardina TD, Royse KE, Khanna A, et al. Health care provider factors associated with patient-reported adverse events and harm. Jt Comm J Qual Patient Saf. 2020;46(5):282-290. doi:…
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