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Showing results for "focusing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47305/psn-pdf
    March 19, 2019 - Effect of genetic diagnosis on patients with previously undiagnosed disease. March 19, 2019 Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458. https://psnet.ahrq.gov/issue/effect-gen…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46879/psn-pdf
    September 24, 2018 - Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital. September 24, 2018 Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf. 2018;44(10):599-604. doi:10.…

  3. Using Multiple Strategies To Promote a Health Care Quality Report | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/distribute/promote/multiple/index.html
    September 01, 2019 - Using Multiple Strategies To Promote a Health Care Quality Report Effective promotion of a comparative quality report requires a multi-faceted approach. Even if you have focused carefully on a particular group, you are still trying to communicate with a large and probably diverse audience. That means that the…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836962/psn-pdf
    April 20, 2022 - Using human factors and ergonomics principles to prevent inpatient falls. April 20, 2022 Kwok Y-ting, Lam M-sang. Using human factors and ergonomics principles to prevent inpatient falls. BMJ Open Qual. 2022;11(1):e001696. doi:10.1136/bmjoq-2021-001696. https://psnet.ahrq.gov/issue/using-human-factors-and-ergonomi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73912/psn-pdf
    October 06, 2021 - The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science. October 6, 2021 Bajaj K, de Roche A, Goffman D. Rockville, MD: Agency for Healthcare Research and Quality; September 2021. AHRQ Publication No. 20(21)-0040-6-EF. https://ps…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60613/psn-pdf
    June 24, 2020 - A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. June 24, 2020 Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. Ann Intern Med. 2020;172(11_Supp):S92…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860718/psn-pdf
    January 17, 2024 - Impact of hospital accreditation on quality improvement in healthcare: a systematic review. January 17, 2024 Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.1371/journal.pone.0294180. https://…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860732/psn-pdf
    April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838926/psn-pdf
    October 26, 2022 - Position Statement on Criminalization of Medical Error and Call for Action to Prevent Patient Harm from Error. October 26, 2022 Cooper J, Thomas BJ, Rebello E, et al for the APSF Criminalization of Error Task Force. APSF Newsletter. October 2022; 37(3):80-81 https://psnet.ahrq.gov/issue/position-statement-cri…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45266/psn-pdf
    January 01, 2020 - Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. August 31, 2016 Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57. doi:10.1097/pts.000000000000023…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852752/psn-pdf
    August 23, 2023 - Differential perceptions of what constitutes a medical error associated with electronic medical records. August 23, 2023 Koppel R, Kuziemsky C, Elkin PL, et al. Differential perceptions of what constitutes a medical error associated with electronic medical records. Stud Health Technol Inform. 2023;304:21-25. doi:1…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46580/psn-pdf
    June 25, 2018 - Out-of-hospital pediatric patient safety events: results of the CSI chart review. June 25, 2018 Meckler G, Hansen M, Lambert W, et al. Out-of-Hospital Pediatric Patient Safety Events: Results of the CSI Chart Review. Prehosp Emerg Care. 2018;22(3):290-299. doi:10.1080/10903127.2017.1371261. https://psnet.ahrq.gov/…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50733/psn-pdf
    December 11, 2019 - Association between measured teamwork and medical errors: an observational study of prehospital care in the USA December 11, 2019 Herzberg S, Hansen M, Schoonover A, et al. Association between measured teamwork and medical errors: an observational study of prehospital care in the USA. BMJ Open. 2019;9(10):e025314.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838009/psn-pdf
    September 07, 2022 - High-risk medication in home care nursing: a Delphi study. September 7, 2022 Dumitrescu I, Casteels M, De Vliegher K, et al. High-risk medication in home care nursing: a Delphi study. J Patient Saf. 2022;18(5):435-443. doi:10.1097/pts.0000000000001023. https://psnet.ahrq.gov/issue/high-risk-medication-home-care-nu…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44810/psn-pdf
    April 21, 2016 - Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review. April 21, 2016 Luu N-P, Pitts S, Petty BG, et al. Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic Review. J Gen Intern Med. 2016;31(4):417-25. …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863750/psn-pdf
    March 06, 2024 - "Plans are worthless, but planning is everything": advancing patient safety by better managing the paradox of planning versus adaptation. March 6, 2024 Call RC, Espiritu SG, Barrows DA. “Plans are worthless, but planning is everything”: advancing patient safety by better managing the paradox of planning versus ada…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46830/psn-pdf
    May 30, 2018 - A call to bridge across silos during care transitions. May 30, 2018 Sheikh F, Gathecha E, Bellantoni M, et al. A Call to Bridge Across Silos during Care Transitions. Jt Comm J Qual Patient Saf. 2018;44(5):270-278. doi:10.1016/j.jcjq.2017.10.006. https://psnet.ahrq.gov/issue/call-bridge-across-silos-during-care-tran…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45795/psn-pdf
    May 24, 2017 - Patient Hand-Off iNitiation and Evaluation (PHONE) study: a randomized trial of patient handoff methods. May 24, 2017 Clanton J, Gardner A, Subichin M, et al. Patient Hand-Off iNitiation and Evaluation (PHONE) study: A randomized trial of patient handoff methods. Am J Surg. 2017;213(2):299-306. doi:10.1016/j.amjsu…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44742/psn-pdf
    January 06, 2016 - A piece of my mind. From shame to guilt to love. January 6, 2016 Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507- 2508. doi:10.1001/jama.2015.11521. https://psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love While numerous studies have examined the psychological i…

  20. Figures 1-3 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-195-figures-1-3.pdf
    June 30, 2015 - Figures 1-3 Figure 1. Path Between the Measure Focus and Health Outcome Child Suffers Post-Traumatic Headache and Seeks ED Care •Without signs or symptoms of intracranial injury •Without history of a condition that would warrant imaging CT Scan or MRI Overuse •Imaging obtained without lik…
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