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Showing results for "executive summary".
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461. Sentinel events, serious reportable events, and root cause analysis. | PSNet
     psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
     February 26, 2014 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

462. 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

463. 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

464. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. | PSNet
     psnet.ahrq.gov/issue/physicians-beliefs-about-using-emr-and-cpoe-pursuit-contextualized-understanding-health-it
     May 16, 2012 - Study Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Citation Text: Holden RJ. Physicians' beliefs about using EMR and CPOE: in pursuit of a contextualized understanding of health IT use behavior. Int J Med Inform. …

465. 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

466. 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…

467. 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 15, 2017 Evaluation of an electronic health record structured discharge summary

468. 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

469. 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

470. Improving Diagnosis in Health Care. | PSNet
     psnet.ahrq.gov/issue/improving-diagnosis-health-care
     September 12, 2018 - July 12, 2016 Health Literacy: Past, Present, and Future: Workshop Summary.

471. Surgical never events in the United States. | PSNet
     psnet.ahrq.gov/issue/surgical-never-events-united-states
     September 10, 2014 - July 16, 2015 25-Year summary of US malpractice claims for diagnostic errors 1986–2010

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836885/psn-pdf
     May 16, 2022 - have been the driving force behind changes to responses and processes in cardiac arrest events.17 In summary

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73643/psn-pdf
     August 01, 2022 - psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled- nursing Summary … medication lists to SNF-administered medication records.2   Discussions between the teams include summary … Engaging directly with the executive leadership helps to ensure support.

474. Responding to safe care: healthcare staff experiences caring for a child with intellectual disability in hospital. Implications for practice and training. | PSNet
     psnet.ahrq.gov/issue/responding-safe-care-healthcare-staff-experiences-caring-child-intellectual-disability
     June 15, 2022 - September 26, 2018 Facilitating Patient Understanding of Discharge Instructions: Workshop Summary

475. Improving communication with primary care physicians at the time of hospital discharge. | PSNet
     psnet.ahrq.gov/issue/improving-communication-primary-care-physicians-time-hospital-discharge
     November 16, 2022 - Study Improving communication with primary care physicians at the time of hospital discharge. Citation Text: Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. do…

476. Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment. | PSNet
     psnet.ahrq.gov/issue/identifying-and-encouraging-high-quality-healthcare-analysis-content-and-aims-patient-letters
     September 14, 2022 - November 16, 2022 Patient safety from executive hospital management to wards: a qualitative

477. Differences in hospitals' workplace violence incident reporting practices: a mixed methods study. | PSNet
     psnet.ahrq.gov/issue/differences-hospitals-workplace-violence-incident-reporting-practices-mixed-methods-study
     January 19, 2022 - December 14, 2022 Comprehensive Healthcare Inspection Summary Report: Evaluation

478. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. | PSNet
     psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
     June 29, 2009 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

479. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. | PSNet
     psnet.ahrq.gov/issue/impact-clinical-pharmacy-admission-medication-reconciliation-program-medication-errors-high
     August 30, 2017 - Study Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients. Citation Text: Buckley MS, Harinstein LM, Clark KB, et al. Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "hig…

480. Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. | PSNet
     psnet.ahrq.gov/issue/association-workload-call-medical-interns-call-sleep-duration-shift-duration-and
     September 25, 2008 - Study Classic Association of workload of on-call medical interns with on-call sleep duration, shift duration, and participation in educational activities. Citation Text: Arora V, Georgitis E, Siddique J, et al. Association of workload of on-call medical intern…