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Showing results for "gaps".

  1. Applying the Universal Protocol to improve patient safety in radiology services. | PSNet

    psnet.ahrq.gov/issue/applying-universal-protocol-improve-patient-safety-radiology-services
    March 27, 2018 - Providers Quality and Safety Professionals Radiology Identification Errors Discontinuities, Gaps

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73200/psn-pdf
    April 28, 2021 - A Sweet Case of Hidden Hydrogen Ions April 28, 2021 Plante D, Falero A. A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions The Case  A?24-year-old, Arabic-speaking?woman?with a history of type 1?diabetes?mellitus, gastroparesis,?and severe e…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43998/psn-pdf
    May 28, 2015 - Bridging the gap between hospital and primary care: the pharmacist home visit. May 28, 2015 Ensing HT, Koster ES, Stuijt CCM, et al. Bridging the gap between hospital and primary care: the pharmacist home visit. Int J Clin Pharm. 2015;37(3):430-4. doi:10.1007/s11096-015-0093-4. https://psnet.ahrq.gov/issue/bridgin…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837038/psn-pdf
    May 04, 2022 - Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. May 4, 2022 London UK: Patient Safety Learning: 2022. https://psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs Unsafe care affects a wide range of individuals and organizations physically, emotionally, and financi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849606/psn-pdf
    May 31, 2023 - The Patient Safety Adoption Framework: a practical framework to bridge the know-do gap. May 31, 2023 Moyal-Smith R, Margo J, Maloney FL, et al. J Patient Saf. 2023;19(4):243-248. https://psnet.ahrq.gov/issue/patient-safety-adoption-framework-practical-framework-bridge-know-do-gap Individual, team, and organization…

  6. Fumbled Handoff | PSNet

    psnet.ahrq.gov/web-mm/fumbled-handoff
    September 01, 2006 - between institutions or between the inpatient and outpatient setting, in-hospital signouts represent gaps … patients at increased risk for harm.( 3 ) Although practitioners are generally effective in bridging gaps … Gaps in the continuity of care and progress on patient safety.

  7. Is It Safe to Be Direct? | PSNet

    psnet.ahrq.gov/web-mm/it-safe-be-direct
    September 30, 2015 - direct admission process can be complex and, like all complex systems, can be aggravated by inherent gaps … Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320:791-794. … See More About The Topic Hospitals Gynecology Cardiology Discontinuities, Gaps

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47456/psn-pdf
    April 30, 2019 - ISMP Gap Analysis Tool (GAT) for Safe IV Push Medication Practices. April 30, 2019 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices Standardized practices have not been uniformly adopted to support safe IV medicati…

  9. I-PASS checklist: a powerful tool for patient handoffs. | PSNet

    psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs
    November 21, 2018 - See More About The Topic Outpatient Pharmacy Pharmacists Pharmacy Discontinuities, Gaps

  10. Real-time debriefing after critical events: exploring the gap between principle and reality. | PSNet

    psnet.ahrq.gov/issue/real-time-debriefing-after-critical-events-exploring-gap-between-principle-and-reality
    December 15, 2021 - Review Emerging Classic Real-time debriefing after critical events: exploring the gap between principle and reality. Citation Text: Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between principle and reality. …

  11. Five hospitals release data on inspections. | PSNet

    psnet.ahrq.gov/issue/five-hospitals-release-data-inspections
    August 24, 2016 - Health Care Executives and Administrators Patients Identification Errors Discontinuities, Gaps

  12. Patient Safety: An Old and New Issue. | PSNet

    psnet.ahrq.gov/issue/patient-safety-old-and-new-issue
    June 01, 2011 - October 4, 2006 View More See More About The Topic Discontinuities, Gaps

  13. Don't come back, hospitals say. | PSNet

    psnet.ahrq.gov/issue/dont-come-back-hospitals-say
    August 17, 2016 - Hospitals Patients General Internal Medicine Hospital Medicine Discontinuities, Gaps

  14. STate Action on Avoidable Rehospitalizations. | PSNet

    psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations
    January 20, 2016 - Ambulatory Care Health Care Executives and Administrators Policy Makers Discontinuities, Gaps

  15. A Sweet Case of Hidden Hydrogen Ions | PSNet

    psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
    November 30, 2023 - A Sweet Case of Hidden Hydrogen Ions Citation Text: Plante D, Falero A. A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41003/psn-pdf
    April 16, 2018 - Gap assessment of hospitals' adoption of the just culture principles. April 16, 2018 Barger DM; Marella W; Charney FJ. https://psnet.ahrq.gov/issue/gap-assessment-hospitals-adoption-just-culture-principles This article reports that Pennsylvania health care organizations overestimated their adoption of just culture…

  17. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - the hospital and home can jeopardize patient safety for a myriad of reasons, such as communication gaps … the hospital and home can jeopardize patient safety for a myriad of reasons, such as communication gaps

  18. Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. | PSNet

    psnet.ahrq.gov/issue/bridging-gap-framework-and-strategies-integrating-quality-and-safety-mission-teaching
    April 24, 2018 - Commentary Bridging the gap: a framework and strategies for integrating the quality and safety mission of teaching hospitals and graduate medical education. Citation Text: Tess A, Vidyarthi A, Yang J, et al. Bridging the Gap: A Framework and Strategies for Integrating the Quality and Saf…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38864/psn-pdf
    July 08, 2013 - Addressing the quality and safety gap—parts I-III. July 8, 2013 Princeton, NJ: Robert Wood Johnson Foundation; November 2010. https://psnet.ahrq.gov/issue/addressing-quality-and-safety-gap-parts-i-iii Part I of this three-part series examines the quality improvement experience of four health care organizations and…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46055/psn-pdf
    July 26, 2017 - Bridging the gap between work-as-imagined and work-as- done. July 26, 2017 Deutsch ES. PA-PSRS Patient Saf Advis. June 2017;14:80-83. https://psnet.ahrq.gov/issue/bridging-gap-between-work-imagined-and-work-done Understanding what is possible in the context of frontline practice is key when designing enhancements …
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