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Showing results for "developing".

  1. In Conversation With… Robert M. Wachter, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
    August 01, 2015 - In Conversation With… Robert M. Wachter, MD August 1, 2015  Also Read an Essay Citation Text: In Conversation With… Robert M. Wachter, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 201…

  2. In Conversation With... Jack Westfall, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-jack-westfall-md-mph
    September 28, 2022 - But all the time, primary care is about developing a relationship with a patient, with a family, and … One of the projects that we did with AHRQ was developing and strengthening a patient safety laboratory … groups. 31 Identifying the areas in which primary care has the most impact—for example, access—and then developing

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41265/psn-pdf
    January 03, 2017 - Detecting unapproved abbreviations in the electronic medical record. January 3, 2017 Capraro A, Stack AM, Harper MB, et al. Detecting unapproved abbreviations in the electronic medical record. Jt Comm J Qual Patient Saf. 2012;38(4):178-183. doi:10.1016/s1553-7250(12)38023-9. https://psnet.ahrq.gov/issue/detecting-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35407/psn-pdf
    September 11, 2009 - Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. September 11, 2009 Bovbjerg RR, Tancredi LR. Liability reform should make patients safer: "avoidable classes of events" are a key improvement. J Law Med Ethics. 2005;33(3):478-500. https://psnet.ahrq.gov/issue/liabili…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45874/psn-pdf
    February 22, 2017 - Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. February 22, 2017 Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Evaluation, and Response to Medical…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38176/psn-pdf
    October 29, 2008 - Human error, not communication and systems, underlies surgical complications. October 29, 2008 Fabri PJ, Zayas-Castro JL. Human error, not communication and systems, underlies surgical complications. Surgery. 2008;144(4):557-63; discussion 563-5. doi:10.1016/j.surg.2008.06.011. https://psnet.ahrq.gov/issue/human-e…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37153/psn-pdf
    October 06, 2011 - The effect of a rapid response team on major clinical outcome measures in a community hospital. October 6, 2011 Dacey MJ, Mirza ER, Wilcox V, et al. The effect of a rapid response team on major clinical outcome measures in a community hospital. Crit Care Med. 2007;35(9):2076-82. https://psnet.ahrq.gov/issue/effect…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853429/psn-pdf
    September 13, 2023 - Multifaceted intervention to improve patient safety incident reporting in intensive care units. September 13, 2023 Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428. doi:10.1097/pts.0000000000001…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852751/psn-pdf
    August 23, 2023 - Automated search methods for identifying wrong patient order entry-a scoping review. August 23, 2023 Garrod M, Fox A, Rutter P. Automated search methods for identifying wrong patient order entry—a scoping review. JAMIA Open. 2023;6(3):ooad057. doi:10.1093/jamiaopen/ooad057. https://psnet.ahrq.gov/issue/automated-s…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61057/psn-pdf
    October 28, 2020 - Improving Diagnostic Quality and Safety/Reducing Diagnostic Error: Measurement Considerations. Final Report October 28, 2020 Washington DC; National Quality Forum: October 6, 2020. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safetyreducing-diagnostic-error- measurement-considerations With input…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34734/psn-pdf
    March 28, 2005 - The Definition of Quality and Approaches to Its Assessment. Vol 1. Explorations in Quality Assessment and Monitoring. March 28, 2005 Donahedian A. Ann Arbor, MI; Health Administration Press: 1980. ISBN: 9780914904489. https://psnet.ahrq.gov/issue/definition-quality-and-approaches-its-assessment-vol-1-explorations-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865586/psn-pdf
    April 17, 2024 - Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic health record-based models. April 17, 2024 Chen F, Wang L, Hong J, et al. Unmasking bias in artificial intelligence: a systematic review of bias detection and mitigation strategies in electronic…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867636/psn-pdf
    February 26, 2025 - Early experience of peer advocate program: using quality improvement to optimize behavioral and communication disconnect in the operating room. February 26, 2025 Eckhouse SR, Huston M, Smith ER, et al. Early experience of peer advocate program: using quality improvement to optimize behavioral and communication dis…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40394/psn-pdf
    January 01, 2019 - Partnership for Patients. October 6, 2016 Washington, DC: US Department of Health and Human Services. https://psnet.ahrq.gov/issue/partnership-patients Launched in 2011, the Partnership for Patients plans to invest approximately $1 billion total in an effort to decrease preventable harm in United States hospitals.…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47935/psn-pdf
    April 17, 2019 - Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. April 17, 2019 Johnston BE, Lou-Meda R, Mendez S, et al. Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship. BMJ Glob Health. 2019;4(1). doi:10.1136/bmjgh-201…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44850/psn-pdf
    September 06, 2016 - Impact of a drug shortage on medication errors and clinical outcomes in the pediatric intensive care unit. September 6, 2016 Hughes KM, Goswami ES, Morris JL. Impact of a Drug Shortage on Medication Errors and Clinical Outcomes in the Pediatric Intensive Care Unit. J Pediatr Pharmacol Ther. 2015;20(6):453-61. doi:…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836916/psn-pdf
    April 13, 2022 - Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. April 13, 2022 Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1):23-30. doi:10.1097/jhq.000000000…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50773/psn-pdf
    January 08, 2020 - Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. January 8, 2020 Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the Treatment of Deteriorating Surgic…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847532/psn-pdf
    April 12, 2023 - The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. April 12, 2023 Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. Am J Obstet Gynecol MFM. 2023…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36804/psn-pdf
    August 26, 2011 - Patterns of communication breakdowns resulting in injury to surgical patients. August 26, 2011 Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204(4):533-40. https://psnet.ahrq.gov/issue/patterns-communication-brea…
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