-
psnet.ahrq.gov/node/72618/psn-pdf
December 23, 2020 - The Nudge Unit at Penn Medicine focuses on a range of different care improvement
projects, including
-
psnet.ahrq.gov/node/47450/psn-pdf
March 27, 2019 - A qualitative evaluation of healthcare professionals'
perceptions of adverse events focusing on
communication and teamwork in maternity care.
March 27, 2019
Rönnerhag M, Severinsson E, Haruna M, et al. A qualitative evaluation of healthcare professionals'
perceptions of adverse events focusing on communication and…
-
psnet.ahrq.gov/node/836749/psn-pdf
March 16, 2022 - Comparison of a focused family cancer history
questionnaire to family history documentation in the
electronic medical record.
March 16, 2022
Clift K, Macklin-Mantia S, Barnhorst M, et al. Comparison of a focused family cancer history questionnaire
to family history documentation in the electronic medical record. J…
-
psnet.ahrq.gov/node/73182/psn-pdf
April 28, 2021 - Learning from morbidity and mortality conferences: focus
and sustainability of lessons for patient care.
April 28, 2021
de Vos MS, Hamming JF, Marang-van de Mheen PJ. Learning from morbidity and mortality conferences:
focus and sustainability of lessons for patient care. J Patient Saf. 2021;17(3):231-238.
doi:10.1…
-
psnet.ahrq.gov/node/837627/psn-pdf
July 06, 2022 - Distinguishing high-performing from low-performing
hospitals for severe maternal morbidity: a focus on
quality and equity.
July 6, 2022
Howell EA, Sofaer S, Balbierz A, et al. Distinguishing high-performing from low-performing hospitals for
severe maternal morbidity: a focus on quality and equity. Obstet Gynecol. …
-
psnet.ahrq.gov/node/60959/psn-pdf
September 30, 2020 - Institutional COVID-19 protocols: focused on preparation,
safety, and care consolidation.
September 30, 2020
DiSilvio B, Virani A, Patel S, et al. Institutional COVID-19 protocols: focused on preparation, safety, and
care consolidation. Crit Care Nurs Q. 2020;43(4):413-427. doi:10.1097/cnq.0000000000000327.
https:…
-
psnet.ahrq.gov/node/841155/psn-pdf
February 02, 2020 - Understanding unwarranted variation in clinical practice:
a focus on network effects, reflective medicine and
learning health systems.
February 2, 2020
Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on
network effects, reflective medicine and learning health systems…
-
psnet.ahrq.gov/node/845657/psn-pdf
March 08, 2023 - Dissemination and Implementation of Equity-Focused
Evidence-Based Interventions in Healthcare Delivery
Systems (R18).
March 8, 2023
Rockville, MD: Agency for Healthcare Research and Quality. February 15, 2023. RFA-HS-23-002.
https://psnet.ahrq.gov/issue/dissemination-and-implementation-equity-focused-evidence-base…
-
psnet.ahrq.gov/node/48018/psn-pdf
July 31, 2019 - PEARLS for systems integration: a modified PEARLS
framework for debriefing systems-focused simulations.
July 31, 2019
Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for
Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342.
doi:10.1097/SIH.0000000000…
-
psnet.ahrq.gov/node/50869/psn-pdf
February 05, 2020 - How can patient-held lists of medication enhance patient
safety? A mixed-methods study with a focus on user
experience.
February 5, 2020
Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A
mixed-methods study with a focus on user experience. BMJ Qual Saf. 2020…
-
psnet.ahrq.gov/node/853434/psn-pdf
September 13, 2023 - Handling polypharmacy--a qualitative study using focus
group interviews with older patients, their relatives, and
healthcare professionals.
September 13, 2023
Mikkelsen TH, Søndergaard J, Kjaer NK, et al. Handling polypharmacy –a qualitative study using focus
group interviews with older patients, their relatives, …
-
psnet.ahrq.gov/node/73710/psn-pdf
September 15, 2021 - Strengths and weaknesses in the diagnostic process of
endometriosis from the patients' perspective: a focus
group study.
September 15, 2021
van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of
endometriosis from the patients’ perspective: a focus group study. Diagnos…
-
psnet.ahrq.gov/node/74062/psn-pdf
January 01, 2022 - Perceptions of providing safe care for frail older people at
home: a qualitative study based on focus group
interviews with home care staff.
November 10, 2021
Silverglow A, Johansson L, Lidén E, et al. Perceptions of providing safe care for frail older people at home:
a qualitative study based on focus group inter…
-
psnet.ahrq.gov/node/40458/psn-pdf
May 21, 2019 - Managing disruptive behaviors in the health care setting:
focus on obstetrics services.
May 21, 2019
Rosenstein AH. Managing disruptive behaviors in the health care setting: focus on obstetrics services. Am
J Obstet Gynecol. 2011;204(3):187-92. doi:10.1016/j.ajog.2010.10.899.
https://psnet.ahrq.gov/issue/managing-…
-
psnet.ahrq.gov/node/41288/psn-pdf
April 22, 2012 - Identifying, understanding and overcoming barriers to
medication error reporting in hospitals: a focus group
study.
April 22, 2012
Hartnell N, MacKinnon NJ, Sketris I, et al. Identifying, understanding and overcoming barriers to medication
error reporting in hospitals: a focus group study. BMJ Qual Saf. 2012;21(5)…
-
psnet.ahrq.gov/node/43618/psn-pdf
October 22, 2014 - FOCUS: The Society of Cardiovascular Anesthesiologists'
initiative to improve quality and safety in the
cardiovascular operating room.
October 22, 2014
Barbeito A, Lau WT, Weitzel N, et al. FOCUS: the Society of Cardiovascular Anesthesiologists' initiative to
improve quality and safety in the cardiovascular operat…
-
psnet.ahrq.gov/node/49785/psn-pdf
February 01, 2017 - psnet.ahrq.gov/web-mm/refused-medication-error
While this case is problematic on many levels, this commentary focuses
-
psnet.ahrq.gov/node/49655/psn-pdf
June 01, 2012 - this patient was fungal endocarditis (a disease with a high morbidity and mortality), this
commentary focuses
-
psnet.ahrq.gov/node/33630/psn-pdf
March 01, 2006 - Gaba of Stanford focuses on the unique merits of high-fidelity simulation in
improving communication
-
psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering
October 23, 2013 - The field of resilience engineering focuses on learning proactively about how things usually go well