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Showing results for "enhancing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46043/psn-pdf
    April 05, 2017 - High-reliability and the I-PASS communication tool. April 5, 2017 Clements K. High-reliability and the I-PASS communication tool. Nursing Management (Springhouse). 2017;48(3). doi:10.1097/01.numa.0000512897.68425.e5. https://psnet.ahrq.gov/issue/high-reliability-and-i-pass-communication-tool High reliability has y…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73971/psn-pdf
    October 13, 2021 - Safety culture as a patient safety practice for alarm fatigue. October 13, 2021 Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74166/psn-pdf
    March 14, 2022 - Preventing home medication administration errors. March 14, 2022 Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666. https://psnet.ahrq.gov/issue/preventing-home-medication-administration-errors Children with comp…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60672/psn-pdf
    July 08, 2020 - The Care We Need July 8, 2020 Washington DC: National Quality Forum; 2020. https://psnet.ahrq.gov/issue/care-we-need This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach to improve the US health care system. Five strategic objectives are provided--one of which f…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43334/psn-pdf
    July 16, 2014 - Changing our culture: adopting the military aviation safety system. July 16, 2014 Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846163/psn-pdf
    March 15, 2023 - Using A.I. to detect breast cancer that doctors miss. March 15, 2023 Satariano A, Metz C. New York Times. March 5, 2023. https://psnet.ahrq.gov/issue/using-ai-detect-breast-cancer-doctors-miss Artificial intelligence (AI) is an innovation that represents great promise for diagnostic accuracy and timeliness im…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41438/psn-pdf
    January 03, 2017 - Implementing SBAR across a large multihospital health system. January 3, 2017 Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43123/psn-pdf
    August 04, 2015 - Redesigning surgical decision making for high-risk patients. August 4, 2015 Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. https://psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patient…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44495/psn-pdf
    September 30, 2015 - Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. September 30, 2015 Stone PW, Pogorzelska-Maziarz M, Reagan J, et al. Impact of laws aimed at healthcare-associated infection reduction: a qualitative study. BMJ Qual Saf. 2015;24(10):637-44. doi:10.1136/bmjqs-2014- 003921. htt…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43252/psn-pdf
    August 24, 2016 - Patient Safety: Perspectives on Evidence, Information and Knowledge Transfer. August 24, 2016 Zipperer L, ed. London, UK: Gower Publishing; 2014. ISBN: 9781409438571. https://psnet.ahrq.gov/issue/patient-safety-perspectives-evidence-information-and-knowledge-transfer This book provides information about utilizing …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854639/psn-pdf
    October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73354/psn-pdf
    June 02, 2021 - Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. June 2, 2021 National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021. https://psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop Maternal safety is challenged by clinical, equity…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47749/psn-pdf
    June 19, 2019 - A simulation-based approach to training in heuristic clinical decision-making. June 19, 2019 Altabbaa G, Raven AD, Laberge J. A simulation-based approach to training in heuristic clinical decision- making. Diagnosis (Berl). 2019;6(2):91-99. doi:10.1515/dx-2018-0084. https://psnet.ahrq.gov/issue/simulation-based-ap…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72686/psn-pdf
    January 27, 2021 - The Cognitive Autopsy: A Root Cause Analysis of Medical Decision Making. January 27, 2021 Croskerry P. New York, NY: Oxford University Press; 2020. ISBN: 9780190088743.  https://psnet.ahrq.gov/issue/cognitive-autopsy-root-cause-analysis-medical-decision-making Diagnostic error reduction methods are evolv…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41934/psn-pdf
    May 24, 2016 - Work Design Drivers of Organizational Learning about Operational Failures: A Laboratory Experiment on Medication Administration. May 24, 2016 Tucker AL. Cambridge, MA: Harvard Business School; November 19, 2012. (Revised September 2013). HBS Working Paper No. 13-044. https://psnet.ahrq.gov/issue/work-design-drive…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838639/psn-pdf
    October 19, 2022 - Calibrate Dx: A Resource to Improve Diagnostic Decisions. October 19, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)- 0047-2-EF. https://psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions Delayed, wrong, and missed diagnoses are commo…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39197/psn-pdf
    January 06, 2010 - root-cause-analysis https://psnet.ahrq.gov/primer/never-events https://psnet.ahrq.gov/issue/resident-duty-hours-enhancing-sleep-supervision-and-safety

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43027/psn-pdf
    July 23, 2014 - improving-team-information-sharing-structured-call-out-anaesthetic-emergencies-randomized https://psnet.ahrq.gov/issue/enhancing-patient-safety-during-hand-offs-standardized-communication-and-teamwork-using-sbar

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44513/psn-pdf
    September 23, 2015 - recommendations to improve diagnosis, including promoting teamwork among interdisciplinary health care teams, enhancing

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47516/psn-pdf
    December 19, 2018 - Diverse stakeholders in Australia established an agenda for enhancing test result management, which
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