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Total Results: over 10,000 records

Showing results for "focuses".

9581. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. | PSNet
      psnet.ahrq.gov/issue/liquid-based-papanicolaou-tests-endometrial-carcinoma-diagnosis-performance-error-root-cause
      September 01, 2012 - Study Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analysis, and quality improvement. Citation Text: Sams SB, Currens HS, Raab SS. Liquid-based Papanicolaou tests in endometrial carcinoma diagnosis: performance, error root cause analys…

9582. The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet
      psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital
      March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

9583. Identifying high-risk medication: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/identifying-high-risk-medication-systematic-literature-review
      June 27, 2011 - Review Identifying high-risk medication: a systematic literature review. Citation Text: Saedder EA, Brock B, Nielsen LP, et al. Identifying high-risk medication: a systematic literature review. Eur J Clin Pharmacol. 2014;70(6):637-45. doi:10.1007/s00228-014-1668-z. Copy Citation Fo…

9584. Hospital board checklist to improve culture and reduce central line–associated bloodstream infections. | PSNet
      psnet.ahrq.gov/issue/hospital-board-checklist-improve-culture-and-reduce-central-line-associated-bloodstream
      May 24, 2012 - Commentary Hospital board checklist to improve culture and reduce central line–associated bloodstream infections. Citation Text: Goeschel CA, Holzmueller CG, Pronovost P. Hospital Board Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual…

9585. Providers' and patients' perspectives on diagnostic errors in the acute care setting. | PSNet
      psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
      October 20, 2021 - Study Providers' and patients' perspectives on diagnostic errors in the acute care setting. Citation Text: Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.101…

9586. Patient involvement in medication safety in hospital: an exploratory study. | PSNet
      psnet.ahrq.gov/issue/patient-involvement-medication-safety-hospital-exploratory-study
      February 21, 2024 - Study Patient involvement in medication safety in hospital: an exploratory study. Citation Text: Mohsin-Shaikh S, Garfield S, Franklin BD. Patient involvement in medication safety in hospital: an exploratory study. Int J Clin Pharm. 2014;36(3):657-66. doi:10.1007/s11096-014-9951-8. Cop…

9587. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. | PSNet
      psnet.ahrq.gov/issue/medication-errors-impact-prescribing-and-transcribing-errors-preventable-harm-hospitalised
      August 18, 2010 - Study Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients. Citation Text: van Doormaal JE, van den Bemt PMLA, Mol PGM, et al. Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospit…

9588. Teaching quality improvement and patient safety to trainees: a systematic review. | PSNet
      psnet.ahrq.gov/issue/teaching-quality-improvement-and-patient-safety-trainees-systematic-review
      June 09, 2015 - Review Classic Teaching quality improvement and patient safety to trainees: a systematic review. Citation Text: Wong BM, Etchells E, Kuper A, et al. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med. 2010;85(9):1425-39. d…

9589. Adverse drug events caused by serious medication administration errors. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-caused-serious-medication-administration-errors
      December 19, 2009 - Study Adverse drug events caused by serious medication administration errors. Citation Text: Kale A, Keohane C, Maviglia SM, et al. Adverse drug events caused by serious medication administration errors. BMJ Qual Saf. 2012;21(11):933-8. doi:10.1136/bmjqs-2012-000946. Copy Citation …

9590. Wisdom through adversity: learning and growing in the wake of an error. | PSNet
      psnet.ahrq.gov/issue/wisdom-through-adversity-learning-and-growing-wake-error
      October 08, 2016 - Study Wisdom through adversity: learning and growing in the wake of an error. Citation Text: Plews-Ogan M, Owens JE, May NB. Wisdom through adversity: learning and growing in the wake of an error. Patient Educ Couns. 2013;91(2):236-42. doi:10.1016/j.pec.2012.12.006. Copy Citation …

9591. Does crew resource management training work? An update, an extension, and some critical needs. | PSNet
      psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs
      January 02, 2017 - Review Does crew resource management training work? An update, an extension, and some critical needs. Citation Text: Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:…

9592. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. | PSNet
      psnet.ahrq.gov/issue/what-kinds-insights-do-safety-i-and-safety-ii-approaches-provide-critical-reflection-use
      February 02, 2022 - Commentary What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflection on the use of SHERPA and FRAM in healthcare. Citation Text: Sujan M, Lounsbury O, Pickup L, et al. What kinds of insights do Safety-I and Safety-II approaches provide? A critical reflect…

9593. An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens? | PSNet
      psnet.ahrq.gov/issue/evaluation-hand-hygiene-intensive-care-unit-are-visitors-potential-vector-pathogens
      April 22, 2015 - Study An evaluation of hand hygiene in an intensive care unit: are visitors a potential vector for pathogens? Citation Text: Birnbach DJ, Rosen LF, Fitzpatrick M, et al. An evaluation of hand hygiene in an intensive care unit: Are visitors a potential vector for pathogens? J Infect Publi…

9594. Digital health intervention on patient safety for children and parents: a scoping review. | PSNet
      psnet.ahrq.gov/issue/digital-health-intervention-patient-safety-children-and-parents-scoping-review
      January 23, 2017 - Review Digital health intervention on patient safety for children and parents: a scoping review. Citation Text: Park J, Jeon H, Choi EK. Digital health intervention on patient safety for children and parents: a scoping review. J Adv Nurs. 2024;80(5):1750-1760. doi:10.1111/jan.15954. Co…

9595. Wisconsin Critical Access Hospital Sees Big Results with AHRQ’s CUSP, RED and TeamSTEPPS® | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201520.html
      July 01, 2015 - Wisconsin Critical Access Hospital Sees Big Results with AHRQ’s CUSP, RED and TeamSTEPPS® Search All Impact Case Studies July 2015 Amery Hospital & Clinic, a 25-bed acute care critical access hospital in rural Wisconsin, used AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce surgical site in…

9596. Cultural transformation after implementation of crew resource management: is it really possible? | PSNet
      psnet.ahrq.gov/issue/cultural-transformation-after-implementation-crew-resource-management-it-really-possible
      November 16, 2022 - Study Cultural transformation after implementation of crew resource management: is it really possible? Citation Text: Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390…

9597. Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/index.html
      August 01, 2024 - Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Next Page Table of Contents Developing and Sustaining State-Based Infrastructure To Support Primary Care Quality Improvement Using This Guide 1. Background and Introduction 2. Developing and Running …

9598. Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication regimens. | PSNet
      psnet.ahrq.gov/issue/electronic-surveillance-and-pharmacist-intervention-vulnerable-older-inpatients-high-risk
      March 21, 2017 - Study Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medication regimens. Citation Text: Peterson JF, Kripalani S, Danciu I, et al. Electronic surveillance and pharmacist intervention for vulnerable older inpatients on high-risk medicatio…

9599. Unit-based care teams and the frequency and quality of physician–nurse communications. | PSNet
      psnet.ahrq.gov/issue/unit-based-care-teams-and-frequency-and-quality-physician-nurse-communications
      November 16, 2022 - Study Unit-based care teams and the frequency and quality of physician–nurse communications. Citation Text: Gordon M, Melvin P, Graham DA, et al. Unit-based care teams and the frequency and quality of physician-nurse communications. Arch Pediatr Adolesc Med. 2011;165(5):424-8. doi:10.100…

9600. Patient involvement in patient safety: how willing are patients to participate? | PSNet
      psnet.ahrq.gov/issue/patient-involvement-patient-safety-how-willing-are-patients-participate
      September 05, 2013 - Study Classic Patient involvement in patient safety: how willing are patients to participate? Citation Text: Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:…