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Showing results for "focusing".

4401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47983/psn-pdf
      May 01, 2019 - Health systems and hospitals in pursuit of high reliability. May 1, 2019 Cheney C. HealthLeaders Media. April 17, 2019. https://psnet.ahrq.gov/issue/health-systems-and-hospitals-pursuit-high-reliability This news article describes how a 19-hospital health system successfully applied high reliability principles to …

4402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46634/psn-pdf
      November 22, 2017 - Ambulatory Care Patient Safety 2017–2018. November 22, 2017 National Quality Forum; NQF. https://psnet.ahrq.gov/issue/ambulatory-care-patient-safety-2017-2018 Patient safety in ambulatory care is emerging as a focus of research, regulation, and measurement efforts. This website provides information and resources r…

4403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39050/psn-pdf
      January 04, 2010 - Safety as a criterion for quality: The Critical Nursing Situation Index in paediatric critical care, an observational study. January 4, 2010 de Neef M, Bos AP, Tol D. Safety as a criterion for quality: the critical nursing situation index in paediatric critical care, an observational study. Intensive Crit Care Nur…

4404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37477/psn-pdf
      January 16, 2008 - Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. January 16, 2008 Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. J Nurs Adm. 2008;38(1):27-32. do…

4405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46452/psn-pdf
      November 15, 2017 - Quality Improvement. November 15, 2017 Gupta M, Kaplan HC, eds. Clin Perinatol. 2017;44(3):469-728. https://psnet.ahrq.gov/issue/quality-improvement Improvement efforts in health care focus on quality and patient safety. Articles in this special issue explore the complexities of providing effective perinatal–neona…

4406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40249/psn-pdf
      June 20, 2011 - Nurses' perceptions of how rapid response teams affect the nurse, team, and system. June 20, 2011 Williams DJ, Newman A, Jones CB, et al. Nurses' perceptions of how rapid response teams affect the nurse, team, and system. J Nurs Care Qual. 2011;26(3):265-72. doi:10.1097/NCQ.0b013e318209f135. https://psnet.ahrq.gov…

4407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41194/psn-pdf
      March 11, 2013 - Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. March 11, 2013 Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract. 2013;19(2):285-91. doi:10.1111/j.13…

4408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45359/psn-pdf
      September 21, 2016 - Health care worker fatigue. September 21, 2016 Gardner LA, Dubeck D. Health Care Worker Fatigue. Am J Nurs. 2016;116(8):58-62. doi:10.1097/01.NAJ.0000490182.21432.85. https://psnet.ahrq.gov/issue/health-care-worker-fatigue Fatigue can contribute to human error. This commentary discusses incidents reported to Penns…

4409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847547/psn-pdf
      March 12, 2025 - National Action Alliance to Advance Patient and Workforce Safety Webinar Series. March 12, 2025 US Department of Health and Human Services. 2023-2025.  https://psnet.ahrq.gov/issue/national-action-alliance-advance-patient-safety-webinar-series Work toward zero harm in health care is gaining national attention…

4410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865588/psn-pdf
      April 17, 2024 - Inattentional blindness in medicine. April 17, 2024 Hults CM, Ding Y, Xie GG, et al. Inattentional blindness in medicine. Cogn Res Princ Implic. 2024;9(1):18. doi:10.1186/s41235-024-00537-x. https://psnet.ahrq.gov/issue/inattentional-blindness-medicine Inattentional blindness occurs when a person is focused so int…

4411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867394/psn-pdf
      March 10, 2025 - Request for Information: Diagnostic Excellence Measurement. December 18, 2024 Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and Quality. Fed Register. December 12, 2024;89:100497-100498. https://psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement …

4412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50607/psn-pdf
      December 01, 2020 - Digital Health and Patient Safety. December 1, 2020 Health Informatics J. 2020;26:181-189;576-591;683-718;1017-1042;2295-2299;3123-3162. https://psnet.ahrq.gov/issue/digital-health-and-patient-safety-technology-not-magic-wand This special collection examines the use of novel health information technology (HIT) to p…

4413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43230/psn-pdf
      July 15, 2014 - Hospital deaths in patients with sepsis from 2 independent cohorts. July 15, 2014 Liu V, Escobar GJ, Greene JD, et al. Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312(1):90-2. https://psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts This study used nati…

4414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34658/psn-pdf
      March 07, 2005 - The role of error in organizing behaviour. March 7, 2005 Rasmussen J. The role of error in organizing behaviour. Qual Saf Health Care. 2003;12(5):377-383. doi:10.1136/qhc.12.5.377. https://psnet.ahrq.gov/issue/role-error-organizing-behaviour In this article, Rasmussen presents the concept of human error, and how c…

4415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841490/psn-pdf
      December 14, 2022 - Prevent administration of ear drops into the eyes. December 14, 2022 ISMP Medication Safety Alert!: Acute Care Edition. December 1, 2022;27(24):1-3. https://psnet.ahrq.gov/issue/prevent-administration-ear-drops-eyes Look-alike medications are vulnerable to wrong route and other use errors. This article examines the…

4416. Health Information Technology to Improve Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/webinars/health-it.html
      March 01, 2021 - Health Information Technology to Improve Primary Care June 22, 2016: Practical Solutions for Supporting Primary Care Quality Improvement With Health Information Technology This EvidenceNOW Webinar focused on how health information technology (IT) can support quality improvement (QI) in primary care practices.…

4417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839328/psn-pdf
      November 02, 2022 - Quality and Safety. November 2, 2022 Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272. https://psnet.ahrq.gov/issue/quality-and-safety-1 Progress made in the adoption of infrastructure, Safety I, and Safety II concepts in high- and middle- to lower-income countries around the world support safe pedia…

4418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838645/psn-pdf
      January 19, 2022 - LeDeR - Learning from Lives and Deaths. January 19, 2022 Norah Frye Centre for Disability Studies; Bristol, England. https://psnet.ahrq.gov/issue/leder-learning-lives-and-deaths People with a Learning Disability and autistic people (LeDeR) is a National Health Service-sponsored initiative that seeks to improve the…

4419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42487/psn-pdf
      September 27, 2017 - 'Safe enough in here?': Patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. September 27, 2017 Stenhouse RC. 'Safe enough in here?': patients' expectations and experiences of feeling safe in an acute psychiatric inpatient ward. J Clin Nurs. 2013;22(21-22):3109-19. doi:10.…

4420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45550/psn-pdf
      August 01, 2023 - Leape Ahead Award. August 1, 2023 American Association for Physician Leadership. https://psnet.ahrq.gov/issue/leape-ahead-award Efforts to incorporate respect and patient safety concepts into medical training have been inspired by the work and leadership of Dr. Lucian Leape, founding chairman of the Lucian Leape I…