Results

Total Results: 5,582 records

Showing results for "effort".

181. Why hospitals still make serious medical errors—and how they are trying to reduce them. | PSNet
     psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying-reduce-them
     October 04, 2023 - Patient harm from health care is persistent despite decades of effort to address problems that degrade

182. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41380/psn-pdf
     June 20, 2012 - novel-tool-organisational-learning-and-its-impact-safety-culture-hospital- dispensary This study reports on an effort

183. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44357/psn-pdf
     October 06, 2016 - making-transition-nursing-bedside-shift-reports https://psnet.ahrq.gov/primer/checklists https://psnet.ahrq.gov/issue/results-effort-integrate-quality-and-safety-medical-and-nursing-school-curricula-and-foster

184. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40527/psn-pdf
     June 15, 2011 - This study reports on a pilot effort to feed back data on error rates to individual nursing homes.

185. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36711/psn-pdf
     July 25, 2011 - designing-decision-support-insulin-ordering-computerized-provider-order-entry- system The authors describe one hospital's effort

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35980/psn-pdf
     January 01, 2019 - development-national-reporting-and-learning-system-england-and-wales-2001- 2005 The authors describe lessons learned from a 4-year effort

187. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44277/psn-pdf
     July 01, 2015 - concerns about the aging population of surgeons in the United States and an American Medical Association effort

188. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42442/psn-pdf
     July 24, 2013 - an initiative that used the Plan-Do-Study-Act model to shift the emphasis of a simulation training effort

189. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39943/psn-pdf
     October 27, 2010 - commentary describes how a Veterans Affairs Medical Center implemented a multidisciplinary training effort

190. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37286/psn-pdf
     December 23, 2011 - different-roles-same-goal-risk-and-quality-management-partnering-patient- safety-ashrm This monograph describes how a coordinated effort

191. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73287/psn-pdf
     May 19, 2021 - issue/influence-opioid-prescription-policy-overdoses-and-related-adverse-effects- primary-care In an effort

192. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842416/psn-pdf
     January 11, 2023 - This commentary describes one health system’s effort to identify and improve the system factors (systems

193. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48173/psn-pdf
     August 28, 2019 - learning from error, including using positive cases (e.g., near misses or difficult cases in which extra effort

194. Never Events for Hospital Care in Canada: Safer Care for Patients. | PSNet
     psnet.ahrq.gov/issue/never-events-hospital-care-canada-safer-care-patients
     August 12, 2020 - This report reviews the results of a consensus effort to determine a list of never events for hospital

195. Medication errors 2018: the year in review. | PSNet
     psnet.ahrq.gov/issue/medication-errors-2018-year-review
     October 23, 2019 - Despite considerable effort, medication errors continue to occur and result in patient harm .

196. Development of a patient safety web-based education curriculum for physicians, nurses, and patients. | PSNet
     psnet.ahrq.gov/issue/development-patient-safety-web-based-education-curriculum-physicians-nurses-and-patients
     March 29, 2023 - The authors present their work on an AHRQ-funded effort to develop educational tools for patients, physicians

197. Making Complaints Count: Supporting Complaints Handling in the NHS and UK Government Departments. | PSNet
     psnet.ahrq.gov/issue/making-complaints-count-supporting-complaints-handling-nhs-and-uk-government-departments
     July 19, 2023 - found that lack of training, consistency and learning orientation reduced the effectiveness of the effort

198. Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care | PSNet
     psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
     June 01, 2023 - that involves developing a safety culture , a system-focused framework, and plan to sustain the effort

199. Driving Learning and Improvement After RCA2 Event Reviews. | PSNet
     psnet.ahrq.gov/issue/driving-learning-and-improvement-after-rca2-event-reviews
     April 06, 2022 - is a recognized approach to examining failures by identifying causal factors to define improvement effort

200. ‘Medical errors are the third leading cause of death’ and other statistics you should question. | PSNet
     psnet.ahrq.gov/issue/medical-errors-are-third-leading-cause-death-and-other-statistics-you-should-question
     February 24, 2025 - medical errors continue to draw attention to gaps in care that demonstrate the need for continued effort