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Showing results for "communicate".

9101. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42931/psn-pdf
      April 20, 2014 - Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. April 20, 2014 Shieh L, Chi J, Kulik C, et al. Assigning a team-based pager for on-call physicians reduces paging errors in a large academic hospital. Jt Comm J Qual Patient Saf. 2014;40(2):77-82. https://psnet.…

9102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41459/psn-pdf
      August 02, 2012 - The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. August 2, 2012 Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes…

9103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39840/psn-pdf
      September 15, 2010 - Wrong-site craniotomy: analysis of 35 cases and systems for prevention. September 15, 2010 Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. https://psnet.ahrq.gov/issue/wrong-site-craniotomy-…

9104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838030/psn-pdf
      September 07, 2022 - Rethinking use of air-safety principles to reduce fatal hospital errors. September 7, 2022 Rethinking use of air-safety principles to reduce fatal hospital errors. doi:10.1377/forefront.20220824.965364. https://psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors The safety of co…

9105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50561/psn-pdf
      October 16, 2019 - Patient Safety Organizations: Hospital Participation, Value, and Challenges. October 16, 2019 US Department of Health and Human Services; Office of the Inspector General, September 2019. OIG Report No. OEI-01-17-00420.  https://psnet.ahrq.gov/issue/patient-safety-organizations-hospital-participation-value-and…

9106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837626/psn-pdf
      July 06, 2022 - Frailty, gaps in care coordination, and preventable adverse events. July 6, 2022 Akinyelure OP, Colvin CL, Sterling MR, et al. Frailty, gaps in care coordination, and preventable adverse events. BMC Geriatr. 2022;22(1):476. doi:10.1186/s12877-022-03164-7. https://psnet.ahrq.gov/issue/frailty-gaps-care-coordination…

9107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47060/psn-pdf
      April 25, 2018 - Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. April 25, 2018 Mimmo L, Harrison R, Hinchcliff R. Patient safety vulnerabilities for children with intellectual disability in hospital: a systematic review and narrative synthesis. BMJ…

9108. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46699/psn-pdf
      March 20, 2018 - Disclosure of harmful medical error to patients: a review with recommendations for pathologists. March 20, 2018 Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181. https://psnet…

9109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46716/psn-pdf
      January 10, 2018 - Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. January 10, 2018 Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2017. AHRQ Publication No. 1800051EF. https://psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-tran…

9110. Learn From Defects - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/defects.html
      May 01, 2017 - Learn From Defects - Implementation Guide Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety. Who should use this tool? Senior leaders, facility team leads, …

9111. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859347/psn-pdf
      December 20, 2023 - Making surgery as safe as it should be: a qualitative study. December 20, 2023 Robinson DJ, Beaumont G. Making surgery as safe as it should be: a qualitative study. Am J Med Qual. 2023;38(5):238-244. doi:10.1097/jmq.0000000000000139. https://psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study …

9112. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46973/psn-pdf
      June 25, 2018 - Balancing innovation and safety when integrating digital tools into health care. June 25, 2018 Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. https://psnet.ahrq.gov/issue/balancing-inno…

9113. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837140/psn-pdf
      May 18, 2022 - Nursing surveillance: a concept analysis May 18, 2022 Halverson CC, Scott Tilley D. Nursing surveillance: a concept analysis. Nurs Forum. 2022;57(3):454-460. doi:10.1111/nuf.12702. https://psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis Nursing surveillance is an intervention for maintaining patient saf…

9114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50925/psn-pdf
      February 19, 2020 - Report of the Independent Inquiry into the Issues Raised by Paterson. February 19, 2020 James G. House Commons Report 31. Department of Health and Social Care. London, England: Crown Copyright; 2020. ISBN 9781528617284. https://psnet.ahrq.gov/issue/report-independent-inquiry-issues-raised-paterson Shari…

9115. Exhibit 6.15. Major Factors that Inhibited Lean Success | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-15.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.15. Major Factors that Inhibited Lean Success Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Cas…

9116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867049/psn-pdf
      October 30, 2024 - National Review of Maternity Services in England 2022 to 2024. October 30, 2024 National Review Of Maternity Services In England 2022 To 2024. Newcastle Upon Tyne, UK: Care Quality Commission; September 2024. https://psnet.ahrq.gov/issue/national-review-maternity-services-england-2022-2024 Maternal safety is a gl…

9117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44736/psn-pdf
      December 16, 2015 - Harms from discharge to primary care: mixed methods analysis of incident reports. December 16, 2015 Williams H, Edwards A, Hibbert P, et al. Harms from discharge to primary care: mixed methods analysis of incident reports. Br J Gen Pract. 2015;65(641):e829-e837. doi:10.3399/bjgp15X687877. https://psnet.ahrq.gov/is…

9118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43776/psn-pdf
      March 17, 2015 - Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. March 17, 2015 Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1):11-6. doi:10.1053/j.jvca.2014.05…

9119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850929/psn-pdf
      June 21, 2023 - Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. June 21, 2023 Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2):e002237. doi:10.1136/bmjoq-2022- 0…

9120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47810/psn-pdf
      March 13, 2019 - Debriefing in the OR: a quality improvement project. March 13, 2019 Finch EP, Langston M, Erickson D, et al. Debriefing in the OR: A Quality Improvement Project. AORN J. 2019;109(3):336-344. doi:10.1002/aorn.12616. https://psnet.ahrq.gov/issue/debriefing-or-quality-improvement-project Debriefing has emerged as a s…