-
psnet.ahrq.gov/node/42332/psn-pdf
June 12, 2013 - quality-improvement-through-implementation-discharge-order-reconciliation
This commentary describes how one hospital developed
-
psnet.ahrq.gov/node/38898/psn-pdf
August 26, 2009 - emergency-response-outpatient-oncology-care-improving-patient-safety
This commentary shares how one ambulatory cancer center developed
-
psnet.ahrq.gov/node/42429/psn-pdf
July 17, 2013 - concern of retained surgical items, including clinical consequences, legal
ramifications, and guidelines developed
-
psnet.ahrq.gov/node/867441/psn-pdf
January 08, 2025 - This review summarizes studies on interventions developed and designed with
consumers to improve medication
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psnet.ahrq.gov/sites/default/files/2020-08/too_many_cooks_spotlight_pdf.pdf
January 01, 2020 - Case Details
• On Day 13, while being assisted to standing, the patient’s
leg buckled and he developed … to other physiologic stessors,
including recovery from trauma
10
Background (1)
• The patient developed … on that shared decision-making
14
Approach to Improving Safety (1)
• The multidisciplinary team developed … • Once the plan is developed for such a patient, it is important
to follow it as prescribed.
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psnet.ahrq.gov/node/36778/psn-pdf
August 26, 2011 - discusses the importance of medication reconciliation in the ambulatory environment and
describes a tool developed
-
psnet.ahrq.gov/node/38658/psn-pdf
September 27, 2017 - development-and-psychometric-testing-tool-measure-missed-nursing-care
A nursing survey, The Missed Nursing Care Survey [MISSCARE Survey], was developed
-
psnet.ahrq.gov/node/35688/psn-pdf
June 28, 2010 - The
tool was developed at Johns Hopkins and funded by the Agency for Healthcare Research and Quality
-
psnet.ahrq.gov/node/36938/psn-pdf
June 30, 2011 - This study analyzed hospitalization costs for stroke patients and found that, for those who
developed
-
psnet.ahrq.gov/node/41631/psn-pdf
September 24, 2016 - interruption-handling-strategies-during-paediatric-medication-administration
Through semi-structured interviews, this study identified strategies that pediatric nurses have developed
-
psnet.ahrq.gov/node/39141/psn-pdf
June 27, 2011 - psnet.ahrq.gov/issue/determination-health-care-teamwork-training-competencies-delphi-study
An expert panel developed
-
psnet.ahrq.gov/node/35576/psn-pdf
December 23, 2012 - ://psnet.ahrq.gov/issue/anatomy-patient-safety-event-pediatric-patient-safety-taxonomy
The authors developed
-
psnet.ahrq.gov/node/39969/psn-pdf
October 27, 2010 - preventable-harm-index-effective-motivator-facilitate-drive-zero
This commentary describes how a tool developed
-
psnet.ahrq.gov/node/38676/psn-pdf
January 03, 2017 - psnet.ahrq.gov/issue/developing-and-evaluating-trigger-response-system
This article discusses how one hospital developed
-
psnet.ahrq.gov/node/35951/psn-pdf
June 14, 2011 - They identified failure modes and developed an improvement initiative to enhance the accuracy of the
-
psnet.ahrq.gov/node/39929/psn-pdf
July 31, 2012 - gift-failure-new-approaches-analyzing-and-learning-events-and-near-misses
This special issue discusses how concepts by event analysis pioneer Bernhard Wilpert can be developed
-
psnet.ahrq.gov/node/47053/psn-pdf
May 23, 2018 - https://psnet.ahrq.gov/issue/teamstepps-canada
The TeamSTEPPS program was developed to support effective
-
psnet.ahrq.gov/node/34958/psn-pdf
June 14, 2011 - patient-safety-interprofessional-learning-environment
The authors discuss a patient safety–focused, shared learning program developed
-
psnet.ahrq.gov/node/41198/psn-pdf
March 07, 2012 - importance of handoff communication in ensuring safe transfers and
recommends that mental models be developed
-
psnet.ahrq.gov/node/38188/psn-pdf
November 05, 2008 - personal experiences and a review of current literature, surgical interns at The Johns
Hopkins Hospital developed