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Total Results: 753 records

Showing results for "executive summary".
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441. Reporting and classification of patient safety events in a cardiothoracic intensive care unit and cardiothoracic postoperative care unit. | PSNet
     psnet.ahrq.gov/issue/reporting-and-classification-patient-safety-events-cardiothoracic-intensive-care-unit-and
     August 02, 2011 - July 12, 2023 Evaluation of an electronic health record structured discharge summary

442. 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

443. Hospital credentialing and privileging of surgeons: a potential safety blind spot. | PSNet
     psnet.ahrq.gov/issue/hospital-credentialing-and-privileging-surgeons-potential-safety-blind-spot
     September 24, 2017 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

444. 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

445. Use of simulation-based education to reduce catheter-related bloodstream infections. | PSNet
     psnet.ahrq.gov/issue/use-simulation-based-education-reduce-catheter-related-bloodstream-infections
     June 27, 2018 - Study Use of simulation-based education to reduce catheter-related bloodstream infections. Citation Text: Barsuk JH, Cohen ER, Feinglass J, et al. Use of simulation-based education to reduce catheter-related bloodstream infections. Arch Intern Med. 2009;169(15):1420-3. doi:10.1001/archin…

446. Actions Needed to Improve Newly Enrolled Veterans' Access to Primary Care. | PSNet
     psnet.ahrq.gov/issue/actions-needed-improve-newly-enrolled-veterans-access-primary-care
     September 07, 2016 - March 1, 2023 Comprehensive Healthcare Inspection Summary Report: Evaluation of Care

447. 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

448. 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

449. 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…

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. 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

452. 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

453. 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…

454. 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

455. 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

456. 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

457. 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

458. Measuring patient safety culture: an assessment of the clustering of responses at unit level and hospital level. | PSNet
     psnet.ahrq.gov/issue/measuring-patient-safety-culture-assessment-clustering-responses-unit-level-and-hospital
     February 20, 2013 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

459. The role of continuous quality improvement and psychological safety in predicting work-arounds. | PSNet
     psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
     July 31, 2008 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

460. Determinants of adverse events in hospitals—the potential role of patient safety culture. | PSNet
     psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture
     October 22, 2008 - November 16, 2022 Evaluation of an electronic health record structured discharge summary