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Total Results: 4,071 records

Showing results for "executive summary".
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  1. Enhancing safety reporting in adult ambulatory oncology with a clinician champion: a practice innovation. | PSNet

    psnet.ahrq.gov/issue/enhancing-safety-reporting-adult-ambulatory-oncology-clinician-champion-practice-innovation
    January 05, 2017 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  2. Placing Diagnosis Errors on the Policy Agenda. | PSNet

    psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
    October 31, 2014 - Summary (PDF) Free full text (PDF) Information Save Save to your library Print

  3. VA Health Care: Selected Credentialing Requirements at Seven Medical Facilities Met, but an Aspect of Privileging Process Needs Improvement. | PSNet

    psnet.ahrq.gov/issue/va-health-care-selected-credentialing-requirements-seven-medical-facilities-met-aspect
    July 05, 2006 - Available at Summary (PDF) Free full text (PDF) Save Save to your library Print

  4. Exploring the barriers to learning from crisis: organizational learning and crisis. | PSNet

    psnet.ahrq.gov/issue/exploring-barriers-learning-crisis-organizational-learning-and-crisis
    January 08, 2025 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  5. 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

  6. The power of collaboration with patient safety programs: building safe passage for patients, nurses, and clinical staff. | PSNet

    psnet.ahrq.gov/issue/power-collaboration-patient-safety-programs-building-safe-passage-patients-nurses-and
    April 21, 2021 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  7. Failure to rescue as a process measure to evaluate fetal safety during labor. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
    October 19, 2022 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  8. Administering and monitoring high-alert medications in acute care. | PSNet

    psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
    February 01, 2017 - Commentary Administering and monitoring high-alert medications in acute care. Citation Text: Cajanding JMR. Administering and monitoring high-alert medications in acute care. Nurs Stand. 2017;31(47):42-52. doi:10.7748/ns.2017.e10849. Copy Citation Format: DOI Google Scholar…

  9. Health IT Patient Safety Action and Surveillance Plan. | PSNet

    psnet.ahrq.gov/issue/health-it-patient-safety-action-and-surveillance-plan
    December 18, 2013 - Free full text (PDF) Summary (PDF) Save Save to your library Print Download

  10. Incorporating metacognition into morbidity and mortality rounds: the next frontier in quality improvement. | PSNet

    psnet.ahrq.gov/issue/incorporating-metacognition-morbidity-and-mortality-rounds-next-frontier-quality-improvement
    September 21, 2016 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  11. Partnering with Patients and Families to Design a Patient- and Family-Centered Health Care System: Recommendations and Promising Practices. | PSNet

    psnet.ahrq.gov/issue/partnering-patients-and-families-design-patient-and-family-centered-health-care-system
    November 29, 2017 - Incorporating Health Information Technology Into Workflow Redesign: Request for Information Summary

  12. A leadership framework for culture change in health care. | PSNet

    psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care
    January 02, 2017 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary

  13. 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 …

  14. The introduction of computerized physician order entry and change management in a tertiary pediatric hospital. | PSNet

    psnet.ahrq.gov/issue/introduction-computerized-physician-order-entry-and-change-management-tertiary-pediatric
    January 22, 2016 - October 28, 2015 Summary and frequency of barriers to adoption of CPOE in the US.

  15. Veterans Health Care: Veterans Health Administration Processes for Responding to Reported Adverse Events. | PSNet

    psnet.ahrq.gov/issue/veterans-health-care-veterans-health-administration-processes-responding-reported-adverse
    August 15, 2012 - Summary Free full text (PDF) Save Save to your library Print Download PDF

  16. A human factors curriculum for surgical clerkship students. | PSNet

    psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-students
    September 24, 2008 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  17. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. | PSNet

    psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
    February 28, 2024 - Patient Safety Innovations Rescue Improvement Conference Innovation Summary

  18. 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

  19. Evaluation of a redesign initiative in an internal-medicine residency. | PSNet

    psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
    February 17, 2011 - Study Evaluation of a redesign initiative in an internal-medicine residency. Citation Text: McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. Copy Citation …

  20. Organizational culture, critical success factors, and the reduction of hospital errors. | PSNet

    psnet.ahrq.gov/issue/organizational-culture-critical-success-factors-and-reduction-hospital-errors
    December 12, 2014 - Innovations Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary
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