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Showing results for "enhanced".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36511/psn-pdf
    January 07, 2011 - Facing ambiguous threats. January 7, 2011 Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. https://psnet.ahrq.gov/issue/facing-ambiguous-threats This study describes how organizations respond to signs that may or may not portend future catastrophes. The authors…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44654/psn-pdf
    November 11, 2015 - Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. November 11, 2015 Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. https://psnet.ahrq.gov/issue/reduction-chemo…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864866/psn-pdf
    March 20, 2024 - 2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report. March 20, 2024 Baltimore, MD: US Department of Health and Human Services; 2024. https://psnet.ahrq.gov/issue/2024-national-impact-assessment-centers-medicare-medicaid-services-cms- quality-measures Data…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43138/psn-pdf
    April 23, 2014 - The quest for safe surgical care: are we missing the obvious? April 23, 2014 Shuhaiber J. The quest for safe surgical care: are we missing the obvious? Bull Am Coll Surg. 2014;99(2):42-5. https://psnet.ahrq.gov/issue/quest-safe-surgical-care-are-we-missing-obvious Many studies have examined how checklists impact …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45896/psn-pdf
    March 15, 2017 - Medication governance: preventing errors and promoting patient safety. March 15, 2017 Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. https://psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43178/psn-pdf
    July 28, 2014 - Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. July 28, 2014 Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining s…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44918/psn-pdf
    April 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44088/psn-pdf
    May 13, 2015 - Safety culture and care: a program to prevent surgical errors. May 13, 2015 Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. https://psnet.ahrq.gov/issue/safety-culture-and-care-program-prev…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44890/psn-pdf
    July 11, 2017 - The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. July 11, 2017 Her QL, Amato MG, Seger DL, et al. The frequency of inappropriate nonformulary medication alert overrides in the inpatient setting. J Am Med Inform Assoc. 2016;23(5):924-33. doi:10.1093/jamia/ocv181. http…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48140/psn-pdf
    July 31, 2019 - Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. July 31, 2019 Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11(4):e4376. doi:10.7759/cureus.4376.…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38143/psn-pdf
    February 18, 2011 - A multidisciplinary teamwork training program: The Triad for Optimal Patient Safety (TOPS) experience. February 18, 2011 Sehgal NL, Fox M, Vidyarthi A, et al. A multidisciplinary teamwork training program: the Triad for Optimal Patient Safety (TOPS) experience. J Gen Intern Med. 2008;23(12):2053-7. doi:10.1007/s116…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44787/psn-pdf
    January 20, 2016 - Medication errors involving overrides of healthcare technology. January 20, 2016 Grissinger M. PA-PSRS Patient Saf Advis. December 2015;12:141-148. https://psnet.ahrq.gov/issue/medication-errors-involving-overrides-healthcare-technology Users often bypass alerts meant to enhance safety of medication ordering and d…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45015/psn-pdf
    July 18, 2016 - Interhospital transfer handoff practices among US tertiary care centers: a descriptive survey. July 18, 2016 Herrigel DJ, Carroll M, Fanning C, et al. Interhospital transfer handoff practices among US tertiary care centers: A descriptive survey. J Hosp Med. 2016;11(6):413-7. doi:10.1002/jhm.2577. https://psnet.ahr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45263/psn-pdf
    September 04, 2016 - PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. September 4, 2016 Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316-320. https://psnet.ahrq.gov/i…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38650/psn-pdf
    May 20, 2009 - Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adequate training in neurosurgery. May 20, 2009 Grady S, Batjer H, Dacey RG. Resident duty hour regulation and patient safety: establishing a balance between concerns about resident fatigue and adeq…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46259/psn-pdf
    September 24, 2017 - A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital volunteers. September 24, 2017 Louch G, O'Hara JK, Mohammed MA. A qualitative formative evaluation of a patient-centred patient safety intervention delivered in collaboration with hospital v…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42085/psn-pdf
    March 13, 2013 - In-facility delirium programs as a patient safety strategy: a systematic review. March 13, 2013 Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):375-80. doi:10.7326/0003-4819-158-5-201303051-00003. https://psnet.ah…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837154/psn-pdf
    May 18, 2022 - Survey shows room for improvement with three new best practices for hospitals. May 18, 2022 ISMP Medication Safety Alert! Acute care edition. May 5, 2022;27(9):1-5.  https://psnet.ahrq.gov/issue/survey-shows-room-improvement-three-new-best-practices-hospitals Practice changes take time to be fully incorporate…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40597/psn-pdf
    August 10, 2011 - Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. August 10, 2011 Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year- end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308. https://psnet.ahrq.gov/issue/improving-follo…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44749/psn-pdf
    December 27, 2018 - Southern Baptist Hospital of Florida v. Charles. December 27, 2018 Fla Ct App, 1st Dist. October 28, 2015. https://psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles The Patient Safety and Quality Improvement Act (PSQIA) provides federal protection of adverse event reports voluntarily submitted to pa…
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