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Showing results for "implementing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38021/psn-pdf
    August 27, 2008 - A review of the current evidence base for significant event analysis. August 27, 2008 Bowie P, Pope L, Lough M. A review of the current evidence base for significant event analysis. J Eval Clin Pract. 2008;14(4):520-36. doi:10.1111/j.1365-2753.2007.00908.x. https://psnet.ahrq.gov/issue/review-current-evidence-base…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35124/psn-pdf
    June 29, 2005 - JCAHO proposal for patient-centered care brings concept to mainstream healthcare settings. June 29, 2005 ECRI. Risk Management Reporter. June 2005. https://psnet.ahrq.gov/issue/jcaho-proposal-patient-centered-care-brings-concept-mainstream-healthcare- settings This commentary provides a definition of patient-cent…

  3. Good Night's Sleep Gone Wrong | PSNet

    psnet.ahrq.gov/web-mm/good-nights-sleep-gone-wrong
    September 01, 2015 - Alerting physicians to duplicate sleep aid therapies and implementing hard stops in provider order entry

  4. Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. | PSNet

    psnet.ahrq.gov/issue/junior-doctors-and-patient-safety-evaluating-knowledge-attitudes-and-perception-safety
    February 18, 2019 - Study Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. Citation Text: Durani P, Dias J, Singh HP, et al. Junior doctors and patient safety: evaluating knowledge, attitudes and perception of safety climate. BMJ Qual Saf. 2013;22(1):65-…

  5. Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
    March 27, 2024 - Study Medication errors and error chains involving high-alert medications in a paediatric hospital setting: a qualitative analysis of self-reported medication safety incidents. Citation Text: Kuitunen S, Saksa M, Holmström A-R. Medication errors and error chains involving high-alert medi…

  6. AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. | PSNet

    psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates-and-preliminary-0
    October 23, 2019 - Book/Report AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Citation Text: AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. Rockville, MD: Agency for Healthc…

  7. Transforming healthcare: a safety imperative. | PSNet

    psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative
    June 26, 2019 - Commentary Classic Transforming healthcare: a safety imperative. Citation Text: Leape L, Berwick D, Clancy C, et al. Transforming healthcare: a safety imperative. Qual Saf Health Care. 2009;18(6):424-8. doi:10.1136/qshc.2009.036954. Copy Citation Format: …

  8. Expert consensus on currently accepted measures of harm. | PSNet

    psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
    January 25, 2023 - Commentary Expert consensus on currently accepted measures of harm. Citation Text: Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. Copy Citation Format: …

  9. Morbidity and mortality conference in emergency medicine residencies and the culture of safety. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conference-emergency-medicine-residencies-and-culture-safety
    November 16, 2022 - Study Morbidity and mortality conference in emergency medicine residencies and the culture of safety. Citation Text: Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7…

  10. Instruments for patient safety assessment: a scoping review. | PSNet

    psnet.ahrq.gov/issue/instruments-patient-safety-assessment-scoping-review
    October 12, 2022 - Review Instruments for patient safety assessment: a scoping review. Citation Text: Nunes E, Sirtoli F, Lima E, et al. Instruments for patient safety assessment: a scoping review. Healthcare. 2024;12(20):2075. doi:10.3390/healthcare12202075. Copy Citation Format: DOI Google …

  11. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. | PSNet

    psnet.ahrq.gov/issue/ahrq-psnet-annual-webinar-evidence-advancing-rapid-response-systems-and-opioid-stewardship
    December 10, 2024 - Webinar AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. Citation Text: Agency for Healthcare Quality and Research. AHRQ PSNet Annual Webinar: Evidence on Advancing Rapid Response Systems and Opioid Stewardship. February 10, 2025, 1:00pm-2:0…

  12. Interventions to improve timely cancer diagnosis: an integrative review. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-timely-cancer-diagnosis-integrative-review
    May 25, 2022 - Study Interventions to improve timely cancer diagnosis: an integrative review. Citation Text: Graber ML, Winters BD, Matin R, et al. Interventions to improve timely cancer diagnosis: an integrative review. Diagnosis (Berl). 2024;Epub Oct 18. doi:10.1515/dx-2024-0113. Copy Citation …

  13. Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. | PSNet

    psnet.ahrq.gov/issue/confidential-reporting-patient-safety-events-primary-care-results-multilevel-classification
    April 07, 2021 - Study Confidential reporting of patient safety events in primary care: results from a multilevel classification of cognitive and system factors. Citation Text: Kostopoulou O, Delaney B. Confidential reporting of patient safety events in primary care: results from a multilevel classific…

  14. Typology of solutions addressing diagnostic disparities: gaps and opportunities. | PSNet

    psnet.ahrq.gov/issue/typology-solutions-addressing-diagnostic-disparities-gaps-and-opportunities
    November 02, 2022 - Study Typology of solutions addressing diagnostic disparities: gaps and opportunities. Citation Text: Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. …

  15. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. | PSNet

    psnet.ahrq.gov/issue/image-gently-step-lightly-promoting-radiation-safety-pediatric-interventional-radiology
    August 20, 2018 - Commentary Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. Citation Text: Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. AJR Am J Roentgenol. 2010;195(4):W29…

  16. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. | PSNet

    psnet.ahrq.gov/issue/differential-diagnosis-checklists-reduce-diagnostic-error-differentially-randomised
    September 23, 2020 - Study Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Citation Text: Kämmer JE, Schauber SK, Hautz SC, et al. Differential diagnosis checklists reduce diagnostic error differentially: a randomised experiment. Med Educ. 2021;55(10):1172-1…

  17. Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model. | PSNet

    psnet.ahrq.gov/issue/standardized-competencies-parenteral-nutrition-prescribing-american-society-parenteral-and
    February 17, 2015 - Commentary Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model. Citation Text: Guenter P, Boullata JI, Ayers P, et al. Standardized Competencies for Parenteral Nutrition Prescribing: The American Society for Pare…

  18. Transforming concepts in patient safety: a progress report. | PSNet

    psnet.ahrq.gov/issue/transforming-concepts-patient-safety-progress-report
    January 20, 2015 - Review Classic Transforming concepts in patient safety: a progress report. Citation Text: Gandhi TK, Kaplan GS, Leape L, et al. Transforming concepts in patient safety: a progress report. BMJ Qual Saf. 2018;27(12):1019-1026. doi:10.1136/bmjqs-2017-007756. Copy…

  19. Building a learning organization. | PSNet

    psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  20. Facing ambiguous threats. | PSNet

    psnet.ahrq.gov/issue/facing-ambiguous-threats
    December 24, 2008 - Commentary Facing ambiguous threats. Citation Text: Roberto MA, Bohmer RMJ, Edmondson A. Facing ambiguous threats. Harv Bus Rev. 2006;84(11):106-13, 157. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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