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Showing results for "implemented".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37562/psn-pdf
    June 14, 2011 - Effectiveness and efficiency of root cause analysis in medicine. June 14, 2011 Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine Application of root c…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41556/psn-pdf
    January 03, 2017 - Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. January 3, 2017 Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” Awards. Jt Comm J Qual Patient S…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42719/psn-pdf
    December 18, 2014 - Talking with patients about other clinicians' errors. December 18, 2014 Gallagher TH, Mello MM, Levinson W, et al. Talking with patients about other clinicians' errors. N Engl J Med. 2013;369(18):1752-7. doi:10.1056/NEJMsb1303119. https://psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors Physicia…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865817/psn-pdf
    May 08, 2024 - Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatient wards. May 8, 2024 Sova PM, Holmström A-R, Airaksinen M, et al. Using Healthcare Failure Mode and Effect Analysis in prospective medication safety risk management in secondary care inpatie…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45709/psn-pdf
    September 01, 2018 - Integrated approach to reduce perinatal adverse events: standardized processes, interdisciplinary teamwork training, and performance feedback. September 1, 2018 Riley W, Begun JW, Meredith L, et al. Integrated Approach to Reduce Perinatal Adverse Events: Standardized Processes, Interdisciplinary Teamwork Training,…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40649/psn-pdf
    April 21, 2015 - Explaining Michigan: developing an ex post theory of a quality improvement program. April 21, 2015 Dixon-Woods M, Bosk CL, Aveling EL, et al. Explaining Michigan: developing an ex post theory of a quality improvement program. Milbank Q. 2011;89(2):167-205. doi:10.1111/j.1468-0009.2011.00625.x. https://psnet.ahrq.g…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36889/psn-pdf
    May 28, 2024 - Surveys on Patient Safety Culture. May 28, 2024 Rockville MD: Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/surveys-patient-safety-culture Safety culture has been described as a key to establishing high reliability organizations. The National Quality Forum's Safe Practices for Healthcare …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60853/psn-pdf
    August 26, 2020 - Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP. August 26, 2020 Cicero MX, Adelgais K, Hoyle JD, et al. Medication dosing safety for pediatric patients: recognizi…

  9. Patient safety: healthcare acquired conditions and serious reportable events. | PSNet

    psnet.ahrq.gov/issue/patient-safety-healthcare-acquired-conditions-and-serious-reportable-events
    March 25, 2025 - Press Release/Announcement Patient safety: healthcare acquired conditions and serious reportable events. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 23, 2009 This …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60551/psn-pdf
    January 01, 2021 - Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. June 3, 2020 Tedesco D, Moghavem N, Weng Y, et al. Improvement in patient safety may precede policy changes: trends in patient safety indicators in the United States, 2000-2013. J Patient …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73486/psn-pdf
    July 14, 2021 - ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. July 14, 2021 Awan M, Zagales I, McKenney M, et al. ACGME 2011 duty hours restrictions and their effects on surgical residency training and patients outcomes: a systematic review. J Surg …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45602/psn-pdf
    February 20, 2017 - Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. February 20, 2017 Minami CA, Odell DD, Bilimoria KY. Ethical Considerations in the Development of the Flexibility in Duty Hour Requirements for Surgical Trainees Trial. JAMA Surg. 2017;152(1):7-8. d…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846707/psn-pdf
    March 29, 2023 - Effect of patient safety education interventions on patient safety culture of health care professionals: systematic review and meta-analysis. March 29, 2023 Agbar F, Zhang S, Wu Y, et al. Effect of patient safety education interventions on patient safety culture of health care professionals: Systematic review and …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866189/psn-pdf
    June 26, 2024 - Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid response system intervention. June 26, 2024 Bucknall TK, Guinane J, McCormack B, et al. Listen to me, I really am sick! Patient and family narratives of clinical deterioration before and during rapid res…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45648/psn-pdf
    February 01, 2017 - Findings of a naloxone database and its utilization to improve safety and education in a tertiary care medical center. February 1, 2017 Rosenfeld DM, Betcher JA, Shah RA, et al. Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a Tertiary Care Medical Center. Pain Pract. 2016;1…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38485/psn-pdf
    June 23, 2017 - Impact of a comprehensive patient safety strategy on obstetric adverse events. June 23, 2017 Pettker CM, Thung SF, Norwitz ER, et al. Impact of a comprehensive patient safety strategy on obstetric adverse events. Am J Obstet Gynecol. 2009;200(5):492.e1-8. doi:10.1016/j.ajog.2009.01.022. https://psnet.ahrq.gov/issu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50773/psn-pdf
    January 08, 2020 - Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. January 8, 2020 Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the Treatment of Deteriorating Surgic…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39233/psn-pdf
    August 02, 2013 - Rapid response teams: a systematic review and meta- analysis. August 2, 2013 Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424. https://psnet.ahrq.gov/issue/rapid-response-teams-systematic-review…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73584/psn-pdf
    August 11, 2021 - What became of the 'eyes and the ears'?: exploring the challenges to reporting poor quality of care among trainee medical staff. August 11, 2021 Berry P. What became of the ‘eyes and the ears’?: exploring the challenges to reporting poor quality of care among trainee medical staff. Postgrad Med J. 2021;97(1153):69…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865485/psn-pdf
    April 03, 2024 - Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services. April 3, 2024 Molloy L, Wilson V, O'Connor MF, et al. Exploring safety culture within inpatient mental health units: the results from participant observation across three men…
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