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Showing results for "establishing".

  1. Perspective: a culture of respect—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
    October 04, 2006 - Commentary Perspective: a culture of respect—part 1 and part 2. Citation Text: Perspective: a culture of respect—part 1 and part 2. Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858. Copy Citation Save Save to your library Print Down…

  2. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet

    psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
    June 28, 2010 - Commentary Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Citation Text: Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…

  3. Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-between-centers-medicare-and-medicaid-services-hospital-star-rating-and-patient
    December 18, 2018 - Study Association between the Centers for Medicare and Medicaid Services hospital star rating and patient outcomes. Citation Text: Wang DE, Tsugawa Y, Figueroa JF, et al. Association Between the Centers for Medicare and Medicaid Services Hospital Star Rating and Patient Outcomes. JAMA In…

  4. The Charter on Professionalism for Health Care Organizations. | PSNet

    psnet.ahrq.gov/issue/charter-professionalism-health-care-organizations
    May 25, 2016 - Commentary The Charter on Professionalism for Health Care Organizations. Citation Text: Egener BE, Mason DJ, McDonald WJ, et al. The Charter on Professionalism for Health Care Organizations. Acad Med. 2017;92(8):1091-1099. doi:10.1097/ACM.0000000000001561. Copy Citation Format: …

  5. Preventing blood transfusion failures: FMEA, an effective assessment method. | PSNet

    psnet.ahrq.gov/issue/preventing-blood-transfusion-failures-fmea-effective-assessment-method
    August 25, 2021 - Study Preventing blood transfusion failures: FMEA, an effective assessment method. Citation Text: Najafpour Z, Hasoumi M, Behzadi F, et al. Preventing blood transfusion failures: FMEA, an effective assessment method. BMC Health Serv Res. 2017;17(1):453. doi:10.1186/s12913-017-2380-3. C…

  6. Evaluation of a measurement system to assess ICU team performance. | PSNet

    psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance
    November 17, 2014 - Study Evaluation of a measurement system to assess ICU team performance. Citation Text: Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. Copy Citation Fo…

  7. Supporting structures for team situation awareness and decision making: insights from four delivery suites. | PSNet

    psnet.ahrq.gov/issue/supporting-structures-team-situation-awareness-and-decision-making-insights-four-delivery
    October 13, 2010 - Study Supporting structures for team situation awareness and decision making: insights from four delivery suites. Citation Text: Mackintosh N, Berridge E-J, Freeth D. Supporting structures for team situation awareness and decision making: insights from four delivery suites. J Eval Cl…

  8. Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. | PSNet

    psnet.ahrq.gov/issue/critical-incident-stress-management-cism-complex-systems-cultural-adaptation-and-safety
    December 29, 2014 - Study Critical incident stress management (CISM) in complex systems: cultural adaptation and safety impacts in healthcare. Citation Text: Müller-Leonhardt A, Mitchell SG, Vogt J, et al. Critical Incident Stress Management (CISM) in complex systems: cultural adaptation and safety impacts …

  9. Root-cause analysis: swatting at mosquitoes versus draining the swamp. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-swatting-mosquitoes-versus-draining-swamp
    January 31, 2024 - Commentary Root-cause analysis: swatting at mosquitoes versus draining the swamp. Citation Text: Trbovich PL, Shojania KG. Root-cause analysis: swatting at mosquitoes versus draining the swamp. BMJ Qual Saf. 2017;26(5):350-353. doi:10.1136/bmjqs-2016-006229. Copy Citation Format: …

  10. A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. | PSNet

    psnet.ahrq.gov/issue/failure-medication-delivery-system-how-disclosure-and-systems-investigation-improve-patient
    April 03, 2005 - Commentary A failure in the medication delivery system-how disclosure and systems investigation improve patient safety. Citation Text: Lucas SR, Pollak E, Makowski C. A failure in the medication delivery system—how disclosure and systems investigation improve patient safety. J Healthc Ri…

  11. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

    psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
    November 18, 2015 - Study Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Citation Text: Castle L, Franzblau-Isaac E, Paulsen J. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. Jt Comm J Qual Patient Saf. 2005;31(6):319-24. Copy Citation …

  12. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. | PSNet

    psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
    September 18, 2024 - Study Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. Citation Text: Campione Russo A, Tilly J‐L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13…

  13. TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. | PSNet

    psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient
    November 18, 2009 - Review TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. Citation Text: Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatie…

  14. Patient safety in plastic surgery: identifying areas for quality improvement efforts. | PSNet

    psnet.ahrq.gov/issue/patient-safety-plastic-surgery-identifying-areas-quality-improvement-efforts
    November 01, 2017 - Study Patient safety in plastic surgery: identifying areas for quality improvement efforts. Citation Text: Hernandez-Boussard T, McDonald KM, Rhoads KF, et al. Patient safety in plastic surgery: identifying areas for quality improvement efforts. Ann Plast Surg. 2015;74(5):597-602. doi:10…

  15. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. | PSNet

    psnet.ahrq.gov/issue/scaffolding-our-systems-patients-and-families-reaching-source-healthcare-resilience
    February 23, 2022 - Commentary Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. Citation Text: O'Hara JK, Aase K, Waring J. Scaffolding our systems? Patients and families 'reaching in' as a source of healthcare resilience. BMJ Qual Saf. 2019;28(1):3-6. doi:1…

  16. Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

    psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality
    December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

  17. Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students. | PSNet

    psnet.ahrq.gov/issue/long-term-effects-e-learning-course-patient-safety-controlled-longitudinal-study-medical
    March 16, 2016 - Study Long-term effects of an e-learning course on patient safety: a controlled longitudinal study with medical students. Citation Text: Gaupp R, Dinius J, Drazic I, et al. Long-term effects of an e-learning course on patient safety: A controlled longitudinal study with medical students.…

  18. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. | PSNet

    psnet.ahrq.gov/issue/risk-identification-and-prediction-complaints-and-misconduct-against-health-practitioners
    June 19, 2024 - Review Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Citation Text: Wang Y, Ram SS, Scahill S. Risk identification and prediction of complaints and misconduct against health practitioners: a scoping review. Int J Qual Heal…

  19. Hospital and procedure incidence of pediatric retained surgical items. | PSNet

    psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
    December 02, 2020 - Study Hospital and procedure incidence of pediatric retained surgical items. Citation Text: Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. Copy Citation Format:…

  20. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. | PSNet

    psnet.ahrq.gov/issue/clinical-staging-error-prostate-cancer-localization-and-relevance-undetected-tumour-areas
    April 21, 2021 - Study Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. Citation Text: Bolenz C, Gierth M, Grobholz R, et al. Clinical staging error in prostate cancer: localization and relevance of undetected tumour areas. BJU Int. 2009;103(9):1184-9. d…
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