-
psnet.ahrq.gov/node/46715/psn-pdf
May 02, 2018 - Filling the gap: simulation-based crisis resource
management training for emergency medicine residents.
May 2, 2018
Parsons JR, Crichlow A, Ponnuru S, et al. Filling the gap: simulation-based crisis resource management
training for emergency medicine residents. West J Emerg Med. 2018;19(1):205-210.
doi:10.5811/wes…
-
psnet.ahrq.gov/node/862615/psn-pdf
August 12, 2019 - Information and power: women of color's experiences
interacting with health care providers in pregnancy and
birth.
August 12, 2019
Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences
interacting with health care providers in pregnancy and birth. Soc Sci Med. 2019;238:1124…
-
psnet.ahrq.gov/node/72851/psn-pdf
March 17, 2021 - Effect of a multifaceted clinical pharmacist intervention
on medication safety after hospitalization in persons
prescribed high-risk medications: a randomized clinical
trial.
March 17, 2021
Gurwitz JH, Kapoor A, Garber L, et al. Effect of a multifaceted clinical pharmacist intervention on
medication safety after …
-
psnet.ahrq.gov/node/45105/psn-pdf
May 11, 2016 - Medicines management, medication errors and adverse
medication events in older people referred to a
community nursing service: a retrospective observational
study.
May 11, 2016
Elliott RA, Lee CY, Beanland C, et al. Medicines Management, Medication Errors and Adverse Medication
Events in Older People Referred to …
-
psnet.ahrq.gov/node/854829/psn-pdf
January 01, 2024 - Flow of information contributing to medication incidents
in home care- an analysis considering incident reporters'
perspectives.
October 25, 2023
Vellonen M, Härkänen M, Välimäki T. Flow of information contributing to medication incidents in home
care— an analysis considering incident reporters' perspectives. J Cl…
-
psnet.ahrq.gov/node/38309/psn-pdf
December 23, 2016 - Safely implementing health information and converging
technologies.
December 23, 2016
Safely implementing health information and converging technologies. Sentinel event alert. 2008;(42):1-4.
https://psnet.ahrq.gov/issue/safely-implementing-health-information-and-converging-technologies
As health information techno…
-
psnet.ahrq.gov/node/72542/psn-pdf
December 09, 2020 - Factors influencing family member perspectives on safety
in the intensive care unit: a systematic review.
December 9, 2020
Coombs MA, Statton S, Endacott CV, et al. Factors influencing family member perspectives on safety in
the intensive care unit: a systematic review. Int J Qual Health Care. 2020;32(9):625-638.
…
-
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…
-
psnet.ahrq.gov/node/867344/psn-pdf
December 11, 2024 - Exploring the relationship between hospital patient safety
culture and performance on measures of hospital-
acquired conditions.
December 11, 2024
Noghrehchi P, Hefner JL, Stegall H, et al. Exploring the relationship between hospital patient safety culture
and performance on measures of hospital-acquired condition…
-
psnet.ahrq.gov/node/50655/psn-pdf
January 01, 2020 - Reflections on implementing a hospital-wide provider-
based electronic inpatient mortality review system:
lessons learnt.
November 13, 2019
Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic
inpatient mortality review system: lessons learnt. BMJ Qual Saf. 2020;…
-
psnet.ahrq.gov/node/836822/psn-pdf
March 30, 2022 - Leveraging a safety event management system to
improve organizational learning and safety culture.
March 30, 2022
Dawson R, Saulnier T, Campbell A, et al. Leveraging a safety event management system to improve
organizational learning and safety culture. Hosp Pediatr. 2022;12(4):407-417. doi:10.1542/hpeds.2021-
006…
-
psnet.ahrq.gov/node/74183/psn-pdf
December 15, 2021 - Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation.
December 15, 2021
Cooper A, Carson-Stevens A, Edwards M, et al. Identifying safe care processes when GPs work in or
alongside emergency departments: a realist evaluation. Br J Gen Pract. 2021;71(713):e931-e940…
-
psnet.ahrq.gov/node/853619/psn-pdf
September 20, 2023 - Defining speaking up in the healthcare system: a
systematic review.
September 20, 2023
Kane J, Munn L, Kane SF, et al. Defining speaking up in the healthcare system: a systematic review. J Gen
Intern Med. 2023;38(15):3406-3413. doi:10.1007/s11606-023-08322-0.
https://psnet.ahrq.gov/issue/defining-speaking-healthca…
-
psnet.ahrq.gov/node/41591/psn-pdf
November 26, 2014 - "Did I do as best as the system would let me?" Healthcare
professional views on hospital to home care transitions.
November 26, 2014
Davis MM, Devoe M, Kansagara D, et al. "Did I do as best as the system would let me?" Healthcare
professional views on hospital to home care transitions. J Gen Intern Med. 2012;27(12)…
-
psnet.ahrq.gov/node/853068/psn-pdf
August 30, 2023 - Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish
nationwide cohort study.
August 30, 2023
Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially
inappropriate medication, and mortality: a Danish nationwide cohort study…
-
psnet.ahrq.gov/node/44216/psn-pdf
April 25, 2016 - Improving medication safety during hospital-based
transitions of care.
April 25, 2016
Sponsler KC, Neal EB, Kripalani S. Improving medication safety during hospital-based transitions of care.
Cleve Clin J Med. 2015;82(6):351-360. doi:10.3949/ccjm.82a.14025.
https://psnet.ahrq.gov/issue/improving-medication-safety-…
-
psnet.ahrq.gov/node/37454/psn-pdf
January 09, 2008 - Quantifying nursing workflow in medication
administration.
January 9, 2008
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J
Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
https://psnet.ahrq.gov/issue/quantifying-nursing-workflow-medicatio…
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-14.html
November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies
Exhibit 2.14. Major Factors that Facilitated Lean Success at Central
Previous Page Next Page
Table of Contents
Improving Care Delivery Through Lean: Implementation Case Studies
Introduction to the Case Studies
Case 1. Lakeview Hea…
-
psnet.ahrq.gov/node/852285/psn-pdf
August 09, 2023 - Risk Evaluation and Mitigation Strategy (REMS) Programs
and Medication Safety: Parts I and II.
August 9, 2023
ISMP Medication Safety Alert! Acute care edition. July 13, 2023;(4):1-3;July 27, 2023;(5):1-5.
https://psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-
part…
-
psnet.ahrq.gov/node/73587/psn-pdf
August 11, 2021 - Effects of a brief team training program on surgical
teams' nontechnical skills: an interrupted time-series
study.
August 11, 2021
Gillespie BM, Harbeck EL, Kang E, et al. Effects of a brief team training program on surgical teams'
nontechnical skills: an interrupted time-series study. J Patient Saf. 2021;17(5):e4…