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Showing results for "enhancing".

3081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849615/psn-pdf
      May 31, 2023 - Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. May 31, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. https://psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications- community-languages Gaps in patient…

3082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44146/psn-pdf
      June 03, 2015 - Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. June 3, 2015 Lyndon A, Johnson C, Bingham D, et al. Transforming communication and safety culture in intrapartum care: a multi-organization blueprint. Obstet Gynecol. 2015;125(5):1049-55. doi:10.1097/AOG.000000000000…

3083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45034/psn-pdf
      February 25, 2019 - Future directions for diagnostic decision support. February 25, 2019 Carr S. ImproveDx. April 2016;3:1-3. https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic accuracy. This newsletter article …

3084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863649/psn-pdf
      February 28, 2024 - It is a broader strategy for enhancing and reinforcing a culture of safety.

3085. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/865308
      January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Organizational Learning Curated Library Foundations Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Bohmer RM, Edmondson AC. Health Forum J. 2001;44:32-35. This comment…

3086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45339/psn-pdf
      August 10, 2016 - Hospital at night: an organizational design that provides safer care at night. August 10, 2016 Hamilton-Fairley D, Coakley J, Moss F. Hospital at night: an organizational design that provides safer care at night. BMC Med Edu. 2014;14(Suppl 1):S17. doi:10.1186/1472-6920-14-S1-S17. https://psnet.ahrq.gov/issue/hospi…

3087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837961/psn-pdf
      August 31, 2022 - Risk reduction strategy to decrease incidence of retained surgical items. August 31, 2022 Kaplan HJ, Spiera ZC, Feldman DL, et al. Risk reduction strategy to decrease incidence of retained surgical items. J Am Coll Surg. 2022;235(3):494-499. doi:10.1097/xcs.0000000000000264. https://psnet.ahrq.gov/issue/risk-reduc…

3088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44663/psn-pdf
      September 27, 2016 - Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. September 27, 2016 Mueller SK, Schnipper JL, Giannelli K, et al. Impact of regionalized care on concordance of plan and preventable adverse events on general medicine services. J Hosp Med. 2016;11(9):620-…

3089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41759/psn-pdf
      October 10, 2012 - Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. October 10, 2012 Chow WB, Rosenthal RA, Merkow RP, et al. Optimal preoperative assessment of the ge…

3090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44373/psn-pdf
      August 12, 2015 - Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): a systematic review. August 12, 2015 Glymph DC, Olenick M, Barbera S, et al. Healthcare Utilizing Deliberate Discussion Linking Events (HUDDLE): A Systematic Review. AANA J. 2015;83(3):183-188. https://psnet.ahrq.gov/issue/healthcare-utilizing-del…

3091. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47227/psn-pdf
      October 03, 2018 - Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. October 3, 2018 Biltoft J, Finneman L. Clinical and financial effects of smart pump-electronic medical record interoperability at a hospital in a regional health system. Am J Health Sy…

3092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47367/psn-pdf
      October 15, 2018 - Themed Issue on Innovations in Medication Safety. October 15, 2018 Kane-Gill SL. Innovations in Medication Safety: Services and Technologies to Enhance the Understanding and Prevention of Adverse Drug Reactions. Pharmacotherapy. 2018;38(8):782-784. doi:10.1002/phar.2154. https://psnet.ahrq.gov/issue/themed-issue-i…

3093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74116/psn-pdf
      November 24, 2021 - NCICLE Pathways to Excellence: Expectations for an Optimal Clinical Learning Environment to Achieve Safe and High-Quality Patient Care, 2021. November 24, 2021 Chicago, IL: National Collaborative for Improving the Clinical Learning Environment; 2021. ISBN: 9781945365416. https://psnet.ahrq.gov/issue/ncicle-pathwa…

3094. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43162/psn-pdf
      June 16, 2014 - The use of report cards and outcome measurements to improve the safety of surgical care: the American College of Surgeons National Surgical Quality Improvement Program. June 16, 2014 Maggard-Gibbons M. The use of report cards and outcome measurements to improve the safety of surgical care: the American College of…

3095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42922/psn-pdf
      April 12, 2014 - Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. April 12, 2014 Seigel J, Whalen L, Burgess E, et al. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. Jt Comm J Qual Patient S…

3096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44156/psn-pdf
      November 10, 2015 - Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. November 10, 2015 Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J Commun Healthc. 2015;8(1):76-…

3097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867097/psn-pdf
      November 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h…

3098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45499/psn-pdf
      May 03, 2017 - Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. May 3, 2017 Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from two interprofessional workshops. J Interprof Care. 2017;31(2):154-163. doi:10.1080/13561…

3099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43698/psn-pdf
      November 19, 2014 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. November 19, 2014 Banja J. Alcohol and drug testing of health professionals following preventable adverse events: a bad idea. Am J Bioeth. 2014;14(12):25-36. doi:10.1080/15265161.2014.964873. https://psnet.ahrq.gov/i…

3100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60359/psn-pdf
      May 20, 2020 - Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. May 20, 2020 ISMP Medication Safety Alert! Acute care edition. May 7, 2020;25(9). https://psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone- overdose Lack of familiarity with sm…