Results

Total Results: 5,932 records

Showing results for "focuses".

221. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. | PSNet
     psnet.ahrq.gov/issue/contribution-diagnostic-errors-maternal-morbidity-and-mortality-during-and-immediately-after
     February 17, 2021 - The brief focuses on events occurring during childbirth and up to a week postpartum. 

222. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet
     psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
     November 25, 2015 - generate lasting improvements in response to the Francis inquiry , this report discusses a model that focuses

223. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37768/psn-pdf
     April 27, 2010 - This commentary further explores the basis of Medicare's efforts and focuses on criteria that should

224. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39566/psn-pdf
     January 03, 2017 - The comprehensive unit-based safety program (CUSP) focuses on improving important determinants of safety

225. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43589/psn-pdf
     November 17, 2014 - The authors note that a benefit of peer review is that it focuses on individual decision- making, which

226. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35979/psn-pdf
     September 17, 2010 - The authors discuss a measurement approach that focuses on the following: how often do we harm patients

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39231/psn-pdf
     January 13, 2010 - In health care, he focuses on the Michigan Keystone Project, in which the use of checklists led to a

228. Medical Error. | PSNet
     psnet.ahrq.gov/issue/medical-error
     August 07, 2018 - This two-part report focuses on the experience of committing a medical error , along with strategies

229. Preventing high-alert medication errors in hospital patients. | PSNet
     psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
     November 18, 2015 - This article focuses on four primary types of high-alert medications—anticoagulants, sedatives, insulins

230. Patient Safety Systems Chapter. | PSNet
     psnet.ahrq.gov/issue/patient-safety-systems-chapter
     November 27, 2018 - The material focuses on the importance of integrating safety and quality work with frontline activities

231. Resilient Health Care Series. | PSNet
     psnet.ahrq.gov/issue/resilient-health-care-series
     October 25, 2018 - Resilience in health care focuses on developing systems that enable care teams to respond to emergent

232. Establishing a culture for patient safety - the role of education. | PSNet
     psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
     August 23, 2017 - The author discusses the importance of education in creating a culture of safety and specifically focuses

233. Laparoscopic bile duct injury: understanding the psychology and heuristics of the error. | PSNet
     psnet.ahrq.gov/issue/laparoscopic-bile-duct-injury-understanding-psychology-and-heuristics-error
     May 29, 2014 - This review of the literature on bile duct injury during cholecystectomy focuses on cognitive errors

234. Taking the Lead in Patient Safety: How Healthcare Leaders Influence Behavior and Create Culture. | PSNet
     psnet.ahrq.gov/issue/taking-lead-patient-safety-how-healthcare-leaders-influence-behavior-and-create-culture
     August 29, 2017 - With insight from industry experts, this book focuses on the role of patient safety leaders in creating

235. Pediatric Quality and Safety. | PSNet
     psnet.ahrq.gov/issue/pediatric-quality-and-safety
     August 01, 2018 - This monthly, open-access journal focuses on exploring quality and safety improvement approaches for

236. Safety cultural preconditions for organizational learning in high-risk organizations. | PSNet
     psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations
     June 17, 2009 - This commentary focuses on the importance of cultural redundancy as an element of a safety culture .

237. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. | PSNet
     psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico
     April 16, 2019 - Research into diagnostic errors frequently focuses on hospitals, emergency departments, and primary

238. Potentiality of algorithms and artificial intelligence adoption to improve medication management in primary care: a systematic review. | PSNet
     psnet.ahrq.gov/issue/potentiality-algorithms-and-artificial-intelligence-adoption-improve-medication-management
     July 27, 2022 - This review focuses on AI used to reduce medication errors in the primary care setting.

239. The role of pediatric nurses during preventable adverse event disclosure: a scoping review. | PSNet
     psnet.ahrq.gov/issue/role-pediatric-nurses-during-preventable-adverse-event-disclosure-scoping-review
     October 19, 2022 - disclosure after a preventable patient safety event is encouraged in healthcare, but much of the research focuses

240. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. | PSNet
     psnet.ahrq.gov/issue/organizational-learning-starting-points-and-presuppositions-case-study-hospitals-surgical
     September 25, 2024 - This qualitative study focuses on the starting points and presuppositions of organizational learning