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121. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
     psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
     April 26, 2023 - But we now also have antilock brakes that let you maintain control on an icy day, which is the idea of … The idea that someone could die in the hospital, with all the doctors and nurses around, from something … This is the idea of serious but treatable complications, and respiratory arrests due to opioids are a … Susan McGrath: That points back to the idea that it’s a system and has various components, not just … Susan McGrath: I think the idea of having engineers be involved in healthcare system design is very

122. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-472
     February 26, 2025 - Failure-to-rescue (FTR) refers to the idea that many complications of medical care are not preventable … Failure-to-rescue (FTR) refers to the idea that many complications of medical care are not preventable

123. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60865/psn-pdf
     August 31, 2020 - you became interested in understanding the role of a strong culture within an institution and the idea … I use this board to emphasize our commitment and focus on the idea that these patients are all people … KH: That idea really resonates - bringing together the culture and person and family engagement as methods

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37423/psn-pdf
     December 19, 2007 - Patient Safety. December 19, 2007 Intern J Health Care Qual Assur. 2007;20(7):555-632. https://psnet.ahrq.gov/issue/patient-safety-5 This special issue includes articles by authors from Australia, Israel, France, Iran, and Belgium that explore ideas such as building a culture of safety, replacing medical equipment…

125. Incorporation of quality and safety principles in maintenance of certification: a qualitative analysis of American Board of Medical Specialties member boards. | PSNet
     psnet.ahrq.gov/issue/incorporation-quality-and-safety-principles-maintenance-certification-qualitative-analysis
     July 18, 2018 - Alcohol and drug testing of health professionals following preventable adverse events: a bad idea

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33638/psn-pdf
     August 01, 2006 - many in the Australian anesthesia community thought not), Jeep conceived the idea of creating a foundation … Crazy idea? Maybe.

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33674/psn-pdf
     February 01, 2009 - Robert Wachter: The idea makes a lot of sense. … I actually think the policy is a good idea. … So the idea of a policy that creates skin in the game for hospitals to do the right thing and promotes

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33807/psn-pdf
     May 01, 2016 - But none of us had any idea that there were so many alarms. … We're so worried about missing something that the idea that people are going to get 100 false alarms … I've talked to monitor manufacturers about this idea of making it contextual.

129. In Conversation With... John G. Reiling, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
     June 01, 2014 - The first point is that having a quiet environment is a good idea irrespective of how people are organized … I don't see how people can argue that trying to standardize is not a good idea.

130. Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis | PSNet
     psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve-management-sepsis
     February 26, 2025 - To test the idea of a remote monitoring team, WellSpan established a small, 24-hour team of remote nurses

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50739/psn-pdf
     December 11, 2019 - Medical error and moral luck. December 11, 2019 Allhoff F. Medical Error and Moral Luck. Kennedy Inst Ethics J. 2019;29(3):187-203. doi:10.1353/ken.2019.0022. https://psnet.ahrq.gov/issue/medical-error-and-moral-luck Medical error is an important problem but there has been little examination of associated conceptu…

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38844/psn-pdf
     June 30, 2011 - What's the difference between a hospital and a bottling factory? June 30, 2011 Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. https://psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory This commentary a…

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50826/psn-pdf
     January 22, 2020 - Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations January 22, 2020 Feldman SS, Brazil V, Zengul FD, et al, eds. Health Syst (Basingstoke). 2019;8(3):153-227. https://psnet.ahrq.gov/issue/health-informatics-healthcare-quality-and-safety-and-…

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855435/psn-pdf
     November 15, 2023 - Technology, Education and Safety November 15, 2023 Arnal-Velasco, D, ed. Curr Opin Anaesthesiol. 2023;36(6):649-705. https://psnet.ahrq.gov/issue/technology-education-and-safety-2 Adoption of new ideas is necessary to create safety in the perioperative environment. This collection of reviews illustrates relationsh…

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34137/psn-pdf
     February 06, 2018 - Anesthesia Patient Safety Foundation. February 6, 2018 P.O. Box 6668, Rochester, MN 55903. https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation The Anesthesia Patient Safety Foundation's (APSF) mission is to ensure that no patient is harmed by the effects of anesthesia. To achieve that mission, APSF s…

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44693/psn-pdf
     June 15, 2016 - Safety. June 15, 2016 Center for Health Design. https://psnet.ahrq.gov/issue/safety-0 Elements of the health care work environment can affect the care delivery. This website highlights design considerations for health care facilities that can help reduce noise, falls, and hospital-acquired infections. The collect…

137. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/849598/psn-pdf
     May 31, 2023 - To test the idea of a remote monitoring team, WellSpan established a small, 24-hour team of remote nurses

138. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34762/psn-pdf
     March 28, 2005 - Diffusion of Innovations. 5th ed. March 28, 2005 Rogers EM. New York NY: Free Press; 2005. https://psnet.ahrq.gov/issue/diffusion-innovations-5th-ed Those who seek to improve the quality and safety of health care would be well served by a deeper understanding of how innovations spread through systems. Rogers first…

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867097/psn-pdf
     November 06, 2024 - Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. November 6, 2024 Recommendations But No Action: Improving The Effectiveness Of Quality And Safety Recommendations In Healthcare. Dorset, UK: Health Services Safety Investigations Body; September 2024. h…

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863760/psn-pdf
     March 06, 2024 - Imagining improved interactions: patients' designs to address implicit bias. March 6, 2024 Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. https://psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias Implicit biases can compromise decision making a…