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Showing results for "focus".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50605/psn-pdf
     October 30, 2019 - Report focuses on risk to patients from ED errors. October 30, 2019 Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019. https://psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors The pace of emergency care delivery can reduce reliability. This news story discusses an analysis of medical liability claims…

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36354/psn-pdf
     February 16, 2011 - The human face of simulation: patient-focused simulation training. February 16, 2011 Kneebone R, Nestel D, Wetzel C, et al. The human face of simulation: patient-focused simulation training. Acad Med. 2006;81(10):919-24. https://psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training The au…

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37695/psn-pdf
     April 11, 2011 - Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's hospitals. April 11, 2011 Takata GS, Mason W, Taketomo C, et al. Development, testing, and findings of a pediatric-focused trigger tool to identify medication-related harm in US children's ho…

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43526/psn-pdf
     December 15, 2014 - Achieving a climate for patient safety by focusing on relationships. December 15, 2014 Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068. https://psnet.ahrq.gov/issue/achieving-climate-pa…

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38378/psn-pdf
     September 24, 2010 - I-CaRe: a case review tool focused on improving inpatient care. September 24, 2010 Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpati…

466. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38015/psn-pdf
     August 27, 2008 - Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  August 27, 2008 Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process- focused evaluation. Int J Med Inform. 2008;77(8):546-54. https://psnet.ahrq.gov/issue/impact-electronic-presc…

467. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36366/psn-pdf
     April 11, 2011 - Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. April 11, 2011 Sharek PJ, Horbar JD, Mason W, et al. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-foc…

468. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43409/psn-pdf
     February 25, 2015 - Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. February 25, 2015 Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.002. https://psnet.ahrq.gov/issu…

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47114/psn-pdf
     October 13, 2018 - Focused ethnography of diagnosis in academic medical centers. October 13, 2018 Chopra V, Harrod M, Winter S, et al. Focused Ethnography of Diagnosis in Academic Medical Centers. J Hosp Med. 2018;13(10):668-672. doi:10.12788/jhm.2966. https://psnet.ahrq.gov/issue/focused-ethnography-diagnosis-academic-medical-cente…

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45228/psn-pdf
     June 29, 2016 - An innovative approach to the surgical time out: a patient- focused model. June 29, 2016 Kozusko SD, Elkwood L, Gaynor D, et al. An Innovative Approach to the Surgical Time Out: A Patient- Focused Model. AORN J. 2016;103(6):617-22. doi:10.1016/j.aorn.2016.04.001. https://psnet.ahrq.gov/issue/innovative-approach-su…

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44125/psn-pdf
     May 28, 2015 - AHRQ focuses on ambulatory patient safety. May 28, 2015 Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124. https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety AHRQ has generated funding and educational opportunities toward u…

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36455/psn-pdf
     December 22, 2010 - Changing the work environment in ICUs to achieve patient-focused care: the time has come. December 22, 2010 McCauley K, Irwin RS. Changing the work environment in ICUs to achieve patient-focused care: the time has come. Chest. 2006;130(5):1571-8. https://psnet.ahrq.gov/issue/changing-work-environment-icus-achieve-…

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33775/psn-pdf
     December 01, 2014 - "(9) Second, focus on tangible patient safety improvements in each partnership hospital. … The initial focus was development and utilization of a patient safety situational analysis tool, to … had been learned through each partnership.(12) Moreover, local spread was also emphasized, with a focus … At the same time, a WHO Collaborating Centre in Brazil has announced its focus on utilizing the APPS

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33825/psn-pdf
     January 01, 2017 - Tools also tend to focus on a linear or temporal view of an event, rather than a systems view of events … Poor design and implementation of risk controls Tendency to focus on weak solutions such as reminders … Focus on single incidents and institutions Incidents tend to be investigated in isolation—single events … RCA-derived risk controls tend to focus on solutions that are within the internal control of the organization

475. Diagnostic Errors | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors
     December 01, 2013 - Perhaps more importantly, physicians who find diagnostic errors interesting tend to focus on the cognitive … This focus on individual diagnostic acumen and the psychology of cognition may not attract those interested … An analysis of outpatient physician focus groups similarly saw clinicians attribute diagnostic errors … The focus of the patient safety field on diagnosis over the past 5 years appears to be bearing fruit. … How do you think about that common question among researchers—the benefits and risks of focus versus

476. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34021/psn-pdf
     March 07, 2005 - Focusing on Medical Errors. March 7, 2005 Temple WJ, ed. J Surg Oncol. 2004;88(3):111-199. https://psnet.ahrq.gov/issue/focusing-medical-errors This issue provides a review of medical error from a variety of perspectives, including pediatrics, anesthesiology, pharmacy, pathology, laboratory medicine, and insurers.…

477. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33755/psn-pdf
     September 01, 2013 - Focus on problems. … inevitably occurs slowly, through cycles of action and interpretation.(8) Problem solving gives action focus … A focus on problem solving also reinforces the learning orientation that is core to a culture of safety

478. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34022/psn-pdf
     March 07, 2005 - Focusing on Health Care Safety. March 7, 2005 IEEE Transactions on Systems, Man, and Cybernetics, Part A: Systems and Humans. 2004;34(601):689- 778. https://psnet.ahrq.gov/issue/focusing-health-care-safety This special issue covers concepts of cognition, the use of planning and protocols, communication patterns, …

479. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35186/psn-pdf
     July 13, 2005 - on the six practices promoted by the campaign, it reviews the progress to date, with a particular focus

480. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39703/psn-pdf
     March 18, 2016 - Patient Safety Culture Report: Focusing on Indicators. March 18, 2016 Utrecht, Netherlands: European Network for Patient Safety; 2010. https://psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators This report identifies care process and outcome indicators in the European Union and describes how the…