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Showing results for "developing".

5141. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44159/psn-pdf
      July 08, 2016 - Vital Signs: Core Metrics for Health and Health Care Progress. July 8, 2016 Blumenthal D, Malphrus E, McGinnis JM, eds. Committee on Core Metrics for Better Health at Lower Cost, Institute of Medicine. Washington, DC: National Academies Press; 2015. ISBN: 9780309324939. https://psnet.ahrq.gov/issue/vital-signs-cor…

5142. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34647/psn-pdf
      June 25, 2014 - Complexity science: the challenge of complexity in health care. June 25, 2014 Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628. https://psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care This article explores the science of h…

5143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34708/psn-pdf
      February 18, 2011 - Understanding and responding to adverse events. February 18, 2011 Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051- 1056. doi:10.1056/nejmhpr020760. https://psnet.ahrq.gov/issue/understanding-and-responding-adverse-events In this article, Vincent describes the investiga…

5144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45918/psn-pdf
      May 24, 2017 - Applying human-centered design thinking to enhance safety in the OR. May 24, 2017 Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004. https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-…

5145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867450/psn-pdf
      January 08, 2025 - Advancing Health Care Safety for All. January 8, 2025 Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024. https://psnet.ahrq.gov/issue/advancing-health-care-safety-all As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services (C…

5146. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836781/psn-pdf
      March 23, 2022 - Diagnostic error in pediatrics: a narrative review. March 23, 2022 Marshall TL, Rinke ML, Olson APJ, et al. Diagnostic error in pediatrics: a narrative review. Pediatrics. 2022;149(Suppl 3):e2020045948D. doi:10.1542/peds.2020-045948d. https://psnet.ahrq.gov/issue/diagnostic-error-pediatrics-narrative-review Reduci…

5147. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45503/psn-pdf
      October 29, 2017 - All CLEAR? Preparing for IT downtime. October 29, 2017 Kashiwagi DT, Sexton MD, Graves ES, et al. All CLEAR? Preparing for IT Downtime. Am J Med Qual. 2017;32(5):547-551. doi:10.1177/1062860616667546. https://psnet.ahrq.gov/issue/all-clear-preparing-it-downtime Due to the increasing integration of health care proc…

5148. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842432/psn-pdf
      January 11, 2023 - Medication errors: the year in review: January through December 2021. January 11, 2023 Pharmacy Practice News Special Edition. December 13, 2022: 43-54. https://psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021 Medication errors continue to occur despite long-standing efforts to redu…

5149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73255/psn-pdf
      May 12, 2021 - Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care. May 12, 2021 National Academies of Sciences, Engineering, and Medicine 2021. Washington, DC: The National Academies Press. https://psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care Primary…

5150. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44281/psn-pdf
      July 22, 2015 - Surgeon Scorecard. July 22, 2015 Wei S; Allen M; Pierce O. https://psnet.ahrq.gov/issue/surgeon-scorecard Transparency has been advocated as a key element of safe, patient-centered care, but data on individual performance has not been made widely available. This database compiles the death and complication rates …

5151. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850358/psn-pdf
      June 14, 2023 - What Happened to Patient Safety. June 14, 2023 Sheridan S. Turn on the Lights. Institute for Healthcare Improvement.  May 2023 https://psnet.ahrq.gov/issue/what-happened-patient-safety Patient engagement is an important component in patient safety. This episode from the Turn on the Lights podcast (hosted by I…

5152. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42486/psn-pdf
      August 14, 2013 - An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office. August 14, 2013 Kalenderian E, Walji MF, Tavares A, et al. An adverse event trigger tool in dentistry: a new methodology for measuring harm in the dental office. J Am Dent Assoc. 2013;144(7):808-814. https://psne…

5153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60192/psn-pdf
      April 01, 2020 - Effective Reporting Could Improve Safe Use of Electronic Health Records. April 1, 2020 Philadelphia, PA: Pew Charitable Trusts; March 2020. https://psnet.ahrq.gov/issue/effective-reporting-could-improve-safe-use-electronic-health-records Electronic health records both enhance and challenge the safety of care proce…

5154. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38226/psn-pdf
      February 18, 2011 - Critical events in the lives of interns. February 18, 2011 Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. https://psnet.ahrq.gov/issue/critical-events-lives-interns Resident physicians remain at high risk for burno…

5155. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45929/psn-pdf
      August 23, 2017 - Managing diagnostic uncertainty in primary care: a systematic critical review. August 23, 2017 Alam R, Cheraghi-Sohi S, Panagioti M, et al. Managing diagnostic uncertainty in primary care: a systematic critical review. BMC Fam Pract. 2017;18(1):79. doi:10.1186/s12875-017-0650-0. https://psnet.ahrq.gov/issue/managi…

5156. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47504/psn-pdf
      December 21, 2018 - Health apps and health policy: what is needed? December 21, 2018 Bates DW, Landman A, Levine DM. Health Apps and Health Policy: What Is Needed? JAMA. 2018;320(19):1975-1976. doi:10.1001/jama.2018.14378. https://psnet.ahrq.gov/issue/health-apps-and-health-policy-what-needed Mobile health care applications are incre…

5157. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838909/psn-pdf
      October 26, 2022 - Designing safety interventions for specific contexts: results from a literature review. October 26, 2022 Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.2022.105906. https://psnet.ahrq.go…

5158. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865680/psn-pdf
      September 06, 2024 - Workforce and Patient Safety. September 6, 2024 Dorset, UK: Health Services Safety Investigations Body; 2024. https://psnet.ahrq.gov/issue/workforce-and-patient-safety The complex health care work environment creates conditions that detract from staff ability to provide safe care. This collection of reports to be …

5159. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50567/psn-pdf
      October 23, 2019 - Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. October 23, 2019 Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.1053/j.semperi.2019.08.004. https:…

5160. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44695/psn-pdf
      June 07, 2016 - Enhancing surgical safety using digital multimedia technology. June 7, 2016 Dixon JL, Mukhopadhyay D, Hunt J, et al. Enhancing surgical safety using digital multimedia technology. Am J Surg. 2016;211(6):1095-8. doi:10.1016/j.amjsurg.2015.08.023. https://psnet.ahrq.gov/issue/enhancing-surgical-safety-using-digital-…