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Showing results for "enhanced".

3301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37752/psn-pdf
      May 07, 2019 - Guidance for the Safe Use of Automated Dispensing Cabinets. May 7, 2019 Horsham, PA: Institute for Safe Medication Practices; 2019. https://psnet.ahrq.gov/issue/guidance-safe-use-automated-dispensing-cabinets Drug dispensing systems have been adopted in hospitals to prevent medication errors, but accidents associ…

3302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73523/psn-pdf
      July 21, 2021 - TeamSTEPPS Video Toolkit. July 21, 2021 AHA Team Training and Project Firstline. Chicago, IL: American Hospital Association, Center for Disease Control and Prevention; July 2021. https://psnet.ahrq.gov/issue/teamstepps-video-toolkit Problems in communication are common contributors to patient care mistakes. This t…

3303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45005/psn-pdf
      May 04, 2016 - Leading High-Reliability Organizations in Healthcare. May 4, 2016 Morrow R. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781466594883. https://psnet.ahrq.gov/issue/leading-high-reliability-organizations-healthcare High reliability has been recently adopted as a goal for health care. This book reviews the primar…

3304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41185/psn-pdf
      March 24, 2012 - Learning from near misses: from quick fixes to closing off the Swiss-cheese holes. March 24, 2012 Jeffs L, Berta W, Lingard LA, et al. Learning from near misses: from quick fixes to closing off the Swiss- cheese holes. BMJ Qual Saf. 2012;21(4):287-94. doi:10.1136/bmjqs-2011-000256. https://psnet.ahrq.gov/issue/lea…

3305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44770/psn-pdf
      September 24, 2016 - Obstacles to research on the effects of interruptions in healthcare. September 24, 2016 Grundgeiger T, Dekker SWA, Sanderson P, et al. Obstacles to research on the effects of interruptions in healthcare. BMJ Qual Saf. 2016;25(6):392-5. doi:10.1136/bmjqs-2015-004083. https://psnet.ahrq.gov/issue/obstacles-research-…

3306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44155/psn-pdf
      June 24, 2015 - Patient Safety Tool Kit. June 24, 2015 WHO Regional Office for the Eastern Mediterranean. Cairo, Egypt: World Health Organization; 2015. ISBN: 9789290220596. https://psnet.ahrq.gov/issue/patient-safety-tool-kit Patient safety programs should reflect local needs, motivate clinician and leadership engagement, and s…

3307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46553/psn-pdf
      October 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi…

3308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47539/psn-pdf
      November 28, 2018 - The star of the diagnostic journey: assessing patient perspectives. November 28, 2018 Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45. https://psnet.ahrq.gov/issue/star-diagnostic-journey-assessing-patient-perspectives Patients are increasingly seen as partners in efforts to improve health ca…

3309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47214/psn-pdf
      June 20, 2018 - Journal of Patient Safety and Risk Management. June 20, 2018 Wu AW, ed. Thousand Oaks, CA: SAGE Publications. ISSN: 2516-0435. https://psnet.ahrq.gov/issue/journal-patient-safety-and-risk-management Risk management and legal issues can affect safety responses throughout a health care system. Articles in this publi…

3310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43185/psn-pdf
      May 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de…

3311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44550/psn-pdf
      September 30, 2015 - Infections associated with reprocessed flexible bronchoscopes. September 30, 2015 FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; September 17, 2015. https://psnet.ahrq.gov/issue/infections-associated-reprocessed-flexible-bronchoscopes Use of incompletely cleaned medical devices has b…

3312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50805/psn-pdf
      January 15, 2020 - Advancing safety with closed-loop communication of test results. January 15, 2020 Quick Safety. December 17, 2019;(52):1-3. https://psnet.ahrq.gov/issue/advancing-safety-closed-loop-communication-test-results Incomplete or delayed test result communication is a known factor in diagnostic error. This article shares…

3313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42370/psn-pdf
      June 19, 2013 - Resident Projects for Improvement. June 19, 2013 Heilman J, ed. UNM CIR Journal of Quality Improvement in Healthcare. Albuquerque, NM: University of New Mexico; May 2013. https://psnet.ahrq.gov/issue/journal-quality-improvement-healthcare-second-edition This publication outlines quality and safety improvement proj…

3314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46055/psn-pdf
      July 26, 2017 - Bridging the gap between work-as-imagined and work-as- done. July 26, 2017 Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done Understanding what is possible in the context of frontline practice is key when designing enhancements …

3315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36041/psn-pdf
      June 21, 2006 - Intraoperative adverse events and related postoperative complications in spine surgery: implications for enhancing patient safety founded on evidence-based protocols. June 21, 2006 Rampersaud YR; Moro ER; Neary MA; White K; Lewis SJ; Massicotte EM; Fehlings MG. https://psnet.ahrq.gov/issue/intraoperative-adverse-…

3316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46334/psn-pdf
      August 09, 2017 - Maternal deaths at MetroWest hospital prompt state probes. August 9, 2017 Kowalczyk L. Boston Globe. July 29, 2017. https://psnet.ahrq.gov/issue/maternal-deaths-metrowest-hospital-prompt-state-probes Maternal death is a sentinel event. This news article reports on two incidents at one hospital that prompted inves…

3317. CDS Connect Work Group October 2021 Summary (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/34806/CDS_Connect_WG_October_2021_Summary.pdf
      January 01, 2021 - MITRE enhanced the support of Clinical Practice Guidelines (CPG)-on-FHIR, as well as enabled FHIR server

3318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73643/psn-pdf
      August 01, 2022 - errors during care transitions by providing clinicians with the framework for knowledge sharing and enhanced

3319. Getting Started: Laying the Groundwork for Implementing Automatic Referral and Effective Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/getting-started-implementation-guide.pdf
      March 01, 2023 - are actually referred (via AR); and o Maximize the number that enroll, attend, and graduate through enhanced

3320. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
      September 26, 2019 - hospital’s multi-faceted intervention included antibiotic stewardship measures, contact isolation, and enhanced … Toth et al., 201719 • Enhanced contact isolation • Active surveillance The model’s intervention … Active surveillance and enhanced contact isolation were found to be successful in one model of LTACHs … high Organism: CP-KP Toth et al., 201719 Mathematical model that measured the effects of enhanced … The enhanced isolation model accounted for patients contributing 75% less to transmission rate compared