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Showing results for "focuses".

8021. Prevalence and nature of errors and near errors reported by hospital staff nurses. | PSNet
      psnet.ahrq.gov/issue/prevalence-and-nature-errors-and-near-errors-reported-hospital-staff-nurses
      April 24, 2018 - Study Prevalence and nature of errors and near errors reported by hospital staff nurses. Citation Text: Balas MC, Scott LD, Rogers AE. The prevalence and nature of errors and near errors reported by hospital staff nurses. Applied Nursing Research. 2005;17(4). doi:10.1016/j.apnr.2004.09…

8022. Maximize benefits of IV workflow management systems by addressing workarounds and errors. | PSNet
      psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing-workarounds-and-errors
      May 31, 2017 - Newspaper/Magazine Article Maximize benefits of IV workflow management systems by addressing workarounds and errors. Citation Text: Maximize benefits of IV workflow management systems by addressing workarounds and errors. ISMP Medication Safety Alert! Acute care edition. September 7, 20…

8023. Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. | PSNet
      psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
      June 23, 2021 - Book/Report Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Citation Text: Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806 Copy Citati…

8024. Exhibit 6.2. Horizon Hospital—Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-2.html
      November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.2. Horizon Hospital—Lakeview Healthcare Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2. C…

8025. Simulation for ward processes of surgical care. | PSNet
      psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care
      June 17, 2015 - Commentary Simulation for ward processes of surgical care. Citation Text: Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013. Copy Citation Format: DOI Google Scholar PubMed BibT…

8026. Through the Quality Kaleidoscope | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/evidence-based-reports/gapkaleidtp.html
      April 01, 2018 - Through the Quality Kaleidoscope Reflections on the Science and Practice of Improving Health Care Quality In 2004, AHRQ launched a collection of evidence reports, Closing the Quality Gap: A Critical Analysis of Quality Improvement Strategies , to bring data to bear on quality improvement opportunities. These …

8027. AHRQ Research Training and Career Development Opportunities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/funding/training-grants/trainover.pdf
      January 01, 2009 - AHRQ Research Training and Career Development Opportunities AHRQ Research Training and Career Development Opportunities Mentored Research Scientist Development Awards Mentored Research Scientist Development Awards foster the career development of promising new investigators who have research doctoral …

8028. Embedding quality and safety in otolaryngology–head and neck surgery education. | PSNet
      psnet.ahrq.gov/issue/embedding-quality-and-safety-otolaryngology-head-and-neck-surgery-education
      August 11, 2010 - Commentary Embedding quality and safety in otolaryngology–head and neck surgery education. Citation Text: McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/019459…

8029. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. | PSNet
      psnet.ahrq.gov/issue/pathology-and-patient-safety-critical-role-pathology-informatics-error-reduction-and-quality
      July 20, 2009 - Review Pathology and patient safety: the critical role of pathology informatics in error reduction and quality initiatives. Citation Text: Becich MJ, Gilbertson JR, Gupta D, et al. Pathology and patient safety: the critical role of pathology informatics in error reduction and quality i…

8030. Risk of mistaken DNR orders. | PSNet
      psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
      October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

8031. Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. | PSNet
      psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
      June 09, 2011 - Commentary Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. Citation Text: Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…

8032. The perinatal safety nurse: exemplar of transformational leadership. | PSNet
      psnet.ahrq.gov/issue/perinatal-safety-nurse-exemplar-transformational-leadership
      August 20, 2018 - Commentary The perinatal safety nurse: exemplar of transformational leadership. Citation Text: Raab CA, Palmer-Byfield R. The perinatal safety nurse: exemplar of transformational leadership. MCN Am J Matern Child Nurs. 2011;36(5):280-7; quiz 288-9. doi:10.1097/NMC.0b013e31822631ec. C…

8033. Recurrent wrong-route drug error – a professional shame. | PSNet
      psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame
      July 22, 2020 - Commentary Recurrent wrong-route drug error – a professional shame. Citation Text: Bell D. Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

8034. The spectrum of medical errors: when patients sue. | PSNet
      psnet.ahrq.gov/issue/spectrum-medical-errors-when-patients-sue
      October 28, 2020 - Review The spectrum of medical errors: when patients sue. Citation Text: Grant-Kels J, Kels B. The spectrum of medical errors: when patients sue. Int J Gen Med. 2012. doi:10.2147/ijgm.s24257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

8035. Roadmap to Health Care Safety for Massachusetts. | PSNet
      psnet.ahrq.gov/issue/roadmap-health-care-safety-massachusetts
      June 15, 2016 - Book/Report Roadmap to Health Care Safety for Massachusetts. Citation Text: Roadmap to Health Care Safety for Massachusetts. Massachusetts Healthcare Safety and Quality Consortium. Boston, MA: Betsy Lehman Center for Patient Safety; April 2023. Copy Citation Save …

8036. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-and-communication-through-care-rounds-pediatric-oncology-outpatient
      January 14, 2011 - Commentary Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. Citation Text: Blough CA, Walrath JM. Improving patient safety and communication through care rounds in a pediatric oncology outpatient clinic. J Nurs Care Qual. 2007;22…

8037. Pediatric Readiness in the Emergency Department. | PSNet
      psnet.ahrq.gov/issue/pediatric-readiness-emergency-department
      March 14, 2018 - Organizational Policy/Guidelines Pediatric Readiness in the Emergency Department. Citation Text: Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459. Copy Citation Format: …

8038. TeamSTEPPS: assuring optimal teamwork in clinical settings. | PSNet
      psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
      January 12, 2011 - Commentary TeamSTEPPS: assuring optimal teamwork in clinical settings. Citation Text: Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

8039. Accelerating the adoption of a safety culture. | PSNet
      psnet.ahrq.gov/issue/accelerating-adoption-safety-culture
      July 12, 2023 - Newspaper/Magazine Article Accelerating the adoption of a safety culture. Citation Text: Birk S. Accelerating the Adoption of a Safety Culture. Healthcare Executive. 2015;30(2):18-20, 22-24, 26. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML…

8040. Patient Safety in the Traditional and Evolving Nontraditional Office Setting | PSNet
      psnet.ahrq.gov/issue/patient-safety-traditional-and-evolving-nontraditional-office-setting
      September 14, 2011 - Commentary Patient Safety in the Traditional and Evolving Nontraditional Office Setting Citation Text: Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471. Copy Cit…