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Showing results for "executive summary".
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  1. Case study: identifying potential problems at the human/technical interface in complex clinical systems. | PSNet

    psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems
    July 22, 2009 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  2. Debriefing medical teams: 12 evidence-based best practices and tips. | PSNet

    psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-practices-and-tips
    February 15, 2011 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  3. Interventions for reducing medication errors in children in hospital. | PSNet

    psnet.ahrq.gov/issue/interventions-reducing-medication-errors-children-hospital
    May 19, 2018 - PubMed citation Available at Summary (PDF) Save Save to your library Print

  4. How surgeons disclose medical errors to patients: a study using standardized patients.   | PSNet

    psnet.ahrq.gov/issue/how-surgeons-disclose-medical-errors-patients-study-using-standardized-patients
    July 10, 2008 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  5. Mirror, Mirror on the Wall: An Update on the Quality of American Health Care Through the Patient's Lens. | PSNet

    psnet.ahrq.gov/issue/mirror-mirror-wall-update-quality-american-health-care-through-patients-lens
    August 15, 2007 - Summary Free full text (PDF) Save Save to your library Print Download PDF

  6. PHSO Review: Quality of NHS Complaints Investigations. | PSNet

    psnet.ahrq.gov/issue/phso-review-quality-nhs-complaints-investigations
    November 16, 2015 - View More Related Resources Hospital Reporting Program: Annual Summary

  7. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet

    psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
    April 24, 2018 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  8. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet

    psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
    November 18, 2015 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  9. Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet

    psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
    December 24, 2008 - Summary, Evidence Report/Technology Assessment.

  10. Association of resident fatigue and distress with perceived medical errors. | PSNet

    psnet.ahrq.gov/issue/association-resident-fatigue-and-distress-perceived-medical-errors
    February 02, 2011 - Study Association of resident fatigue and distress with perceived medical errors. Citation Text: West CP, Tan AD, Habermann TM, et al. Association of resident fatigue and distress with perceived medical errors. JAMA. 2009;302(12):1294-300. doi:10.1001/jama.2009.1389. Copy Citation …

  11. Measuring patient safety events: opportunities and challenges. | PSNet

    psnet.ahrq.gov/issue/measuring-patient-safety-events-opportunities-and-challenges
    February 15, 2023 - February 15, 2023 Hospital Reporting Program: Annual Summary.

  12. Standardization in patient safety: the WHO High 5s project. | PSNet

    psnet.ahrq.gov/issue/standardization-patient-safety-who-high-5s-project
    January 12, 2022 - 30, 2014 Developing a systematic approach to safer medication use during pregnancy: summary

  13. Development of "SWARM" as a model for high reliability, rapid problem solving, and institutional learning. | PSNet

    psnet.ahrq.gov/issue/development-swarm-model-high-reliability-rapid-problem-solving-and-institutional-learning
    November 16, 2022 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  14. Critical events in the lives of interns. | PSNet

    psnet.ahrq.gov/issue/critical-events-lives-interns
    November 16, 2022 - Study Critical events in the lives of interns. Citation Text: Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  15. Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. | PSNet

    psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals
    October 19, 2022 - View More Related Resources Hospital Reporting Program: Annual Summary

  16. "No-go considerations" for in situ simulation safety. | PSNet

    psnet.ahrq.gov/issue/no-go-considerations-situ-simulation-safety
    April 14, 2021 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  17. Clinical clerkship students' perceptions of (un)safe transitions for every patient. | PSNet

    psnet.ahrq.gov/issue/clinical-clerkship-students-perceptions-unsafe-transitions-every-patient
    October 19, 2022 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  18. Organisational reporting and learning systems: innovating inside and outside of the box. | PSNet

    psnet.ahrq.gov/issue/organisational-reporting-and-learning-systems-innovating-inside-and-outside-box
    July 22, 2020 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866055/psn-pdf
    May 29, 2024 - psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle Summary … Elements include verification and resolution of incorrect counts; a brief summary of the procedure and … Gain buy-in from executive leadership. … found it essential to measure how the innovation was progressing via monitoring by local and national executive

  20. Estimating the hospital costs of inpatient harms. | PSNet

    psnet.ahrq.gov/issue/estimating-hospital-costs-inpatient-harms
    February 07, 2024 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary
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