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Showing results for "executive summary".
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441. Automation of the I-PASS tool to improve transitions of care. | PSNet
     psnet.ahrq.gov/issue/automation-i-pass-tool-improve-transitions-care
     August 04, 2021 - Study Automation of the I-PASS tool to improve transitions of care. Citation Text: Skaret MM, Weaver TD, Humes RJ, et al. Automation of the I-PASS Tool to Improve Transitions of Care. J Healthc Qual. 2019;41(5):274-280. doi:10.1097/JHQ.0000000000000174. Copy Citation Format: …

442. Day of discharge does not impact hospital readmission after major cardiac surgery. | PSNet
     psnet.ahrq.gov/issue/day-discharge-does-not-impact-hospital-readmission-after-major-cardiac-surgery
     October 16, 2019 - June 29, 2022 Evaluation of an electronic health record structured discharge summary

443. Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. | PSNet
     psnet.ahrq.gov/issue/characteristics-morbidity-and-mortality-conferences-associated-implementation-patient-safety
     March 18, 2020 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

444. Development of trigger tools for surveillance of adverse events in ambulatory surgery. | PSNet
     psnet.ahrq.gov/issue/development-trigger-tools-surveillance-adverse-events-ambulatory-surgery
     October 01, 2014 - March 27, 2019 Evaluation of an electronic health record structured discharge summary

445. Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. | PSNet
     psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
     September 20, 2011 - Free full text (PDF) Summary Related news video Related news article Save Save

446. A preliminary taxonomy of medical errors in family practice. | PSNet
     psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice
     April 08, 2011 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

447. Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet
     psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
     July 05, 2013 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

448. The nature and causes of unintended events reported at ten emergency departments. | PSNet
     psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments
     February 20, 2013 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

449. Adverse events and near misses relating to information management in a hospital. | PSNet
     psnet.ahrq.gov/issue/adverse-events-and-near-misses-relating-information-management-hospital
     December 29, 2014 - Study Adverse events and near misses relating to information management in a hospital. Citation Text: Jylhä V, Bates DW, Saranto K. Adverse events and near misses relating to information management in a hospital. Health Inf Manag. 2016;45(2):55-63. doi:10.1177/1833358316641551. Copy Ci…

450. The impact of major intraoperative adverse events on hospital readmissions. | PSNet
     psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
     July 01, 2017 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

451. Patient safety and quality improvement: reducing risk of harm. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-reducing-risk-harm
     November 15, 2011 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

452. Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. | PSNet
     psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability
     July 01, 2011 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

453. Catastrophic medical malpractice payouts in the United States. | PSNet
     psnet.ahrq.gov/issue/catastrophic-medical-malpractice-payouts-united-states
     April 17, 2013 - April 17, 2013 25-Year summary of US malpractice claims for diagnostic errors 1986–2010

454. A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. | PSNet
     psnet.ahrq.gov/issue/systematic-review-effect-distraction-surgeon-performance-directions-operating-room-policy-and
     November 14, 2011 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

455. Managing alarm systems for quality and safety in the hospital setting. | PSNet
     psnet.ahrq.gov/issue/managing-alarm-systems-quality-and-safety-hospital-setting
     August 13, 2014 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

456. Measuring faculty reflection on adverse patient events: development and initial validation of a case-based learning system. | PSNet
     psnet.ahrq.gov/issue/measuring-faculty-reflection-adverse-patient-events-development-and-initial-validation-case
     September 20, 2011 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

457. Building a learning organization. | PSNet
     psnet.ahrq.gov/issue/building-learning-organization
     June 16, 2011 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

458. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. | PSNet
     psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
     November 26, 2014 - The impact of coronavirus disease 2019 (COVID-19) on healthcare-associated infections in 2020: a summary

459. Multiprofessional survey of protocol use in the intensive care unit. | PSNet
     psnet.ahrq.gov/issue/multiprofessional-survey-protocol-use-intensive-care-unit
     August 30, 2017 - Study Multiprofessional survey of protocol use in the intensive care unit. Citation Text: LeBlanc JM, Kane-Gill SL, Pohlman AS, et al. Multiprofessional survey of protocol use in the intensive care unit. J Crit Care. 2012;27(6):738.e9-17. doi:10.1016/j.jcrc.2012.07.012. Copy Citation…

460. Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet
     psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
     September 10, 2014 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary