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Showing results for "implementing".

  1. Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. | PSNet

    psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case
    January 22, 2017 - Study Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of case reports from a national Veterans Affairs database. Citation Text: Mills PD, Huber SJ, Watts BV, et al. Systemic vulnerabilities to suicide among veterans from the Iraq and A…

  2. Safe Administration of Medication in School: Policy Statement. | PSNet

    psnet.ahrq.gov/issue/safe-administration-medication-school-policy-statement
    May 31, 2023 - Organizational Policy/Guidelines Safe Administration of Medication in School: Policy Statement. Citation Text: Miotto MB, Balchan B, Combe L, et al. Safe Administration of Medication in School: Policy Statement. Pediatrics. 2024;153(6):2024066839. doi:10.1542/peds.2024-066839. Copy Cit…

  3. Developing a programme for medication reconciliation at the time of admission into hospital. | PSNet

    psnet.ahrq.gov/issue/developing-programme-medication-reconciliation-time-admission-hospital
    March 09, 2022 - Study Developing a programme for medication reconciliation at the time of admission into hospital. Citation Text: Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi…

  4. Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. | PSNet

    psnet.ahrq.gov/issue/dissecting-communication-barriers-healthcare-path-enhancing-communication-resiliency
    July 12, 2023 - Commentary Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety. Citation Text: Guttman OT, Lazzara EH, Keebler JR, et al. Dissecting Communication Barriers in Healthcare: A Path to Enhancing Communication Resilien…

  5. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. | PSNet

    psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing
    December 14, 2022 - Study Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Citation Text: Klasen JM, Beck J, Randall CL, et al. Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. Acad Pe…

  6. Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. | PSNet

    psnet.ahrq.gov/issue/using-communication-and-teamwork-skills-cats-assessment-measure-health-care-team-performance
    July 05, 2013 - Commentary Using the Communication and Teamwork Skills (CATS) assessment to measure health care team performance. Citation Text: Frankel A, Gardner R, Maynard L, et al. Using the Communication and Teamwork Skills (CATS) Assessment to measure health care team performance. Jt Comm J Qual P…

  7. Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. | PSNet

    psnet.ahrq.gov/issue/educational-quality-improvement-report-outcomes-revised-morbidity-and-mortality-format
    March 10, 2010 - Study Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. Citation Text: Bechtold ML, Scott SD, Nelson K, et al. Educational quality improvement report: outcomes from a revised morbidity and mortality format tha…

  8. Rapid response systems: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-systematic-review-and-meta-analysis
    January 29, 2018 - Review Rapid response systems: a systematic review and meta-analysis. Citation Text: Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1). doi:10.1186/s13054-015-0973-y. Copy Citation Format: DOI Google Schola…

  9. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. | PSNet

    psnet.ahrq.gov/issue/feedback-loop-failure-modes-medical-diagnosis-how-biases-can-emerge-and-be-reinforced
    November 01, 2023 - Study Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Citation Text: Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1…

  10. Use of a novel, modified fishbone diagram to analyze diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/use-novel-modified-fishbone-diagram-analyze-diagnostic-errors
    February 13, 2019 - Commentary Use of a novel, modified fishbone diagram to analyze diagnostic errors. Citation Text: Reilly JB, Myers JS, Salvador D, et al. Use of a novel, modified fishbone diagram to analyze diagnostic errors. Diagnosis (Berl). 2014;1(2):167-171. doi:10.1515/dx-2013-0040. Copy Citation…

  11. Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals. | PSNet

    psnet.ahrq.gov/issue/design-retrospective-patient-record-study-occurrence-adverse-events-among-patients-dutch
    December 29, 2014 - Study Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals. Citation Text: Zegers M, de Bruijne M, Wagner C, et al. Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch…

  12. Nurse–patient ratios as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/nurse-patient-ratios-patient-safety-strategy-systematic-review
    March 20, 2013 - Review Nurse–patient ratios as a patient safety strategy: a systematic review. Citation Text: Shekelle PG. Nurse-patient ratios as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):404-409. doi:10.7326/0003-4819-158-5-201303051-00007. Copy Citation F…

  13. Dual surgeon operating to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
    July 22, 2020 - Commentary Dual surgeon operating to improve patient safety. Citation Text: Ellis R, Hardie JA, Summerton DJ, et al. Dual surgeon operating to improve patient safety. Surg. 2021;59(7):752-756. doi:10.1016/j.bjoms.2021.02.014. Copy Citation Format: DOI Google Scholar BibTeX …

  14. Medication dosing errors for patients with renal insufficiency in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/medication-dosing-errors-patients-renal-insufficiency-ambulatory-care
    July 31, 2008 - Study Medication dosing errors for patients with renal insufficiency in ambulatory care. Citation Text: Yap C, Dunham D, Thompson JA, et al. Medication Dosing Errors for Patients with Renal Insufficiency in Ambulatory Care. The Joint Commission Journal on Quality and Patient Safety. 2016…

  15. The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. | PSNet

    psnet.ahrq.gov/issue/influence-context-effectiveness-hospital-quality-improvement-strategies-review-systematic
    May 26, 2014 - Review The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews. Citation Text: Kringos DS, Suñol R, Wagner C, et al. The influence of context on the effectiveness of hospital quality improvement strategies: a review of syst…

  16. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. | PSNet

    psnet.ahrq.gov/issue/maintaining-perioperative-safety-uncertain-times-covid-19-pandemic-response-strategies
    December 23, 2020 - Commentary Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. Citation Text: Mazzola SM, Grous C. Maintaining perioperative safety in uncertain times: COVID-19 pandemic response strategies. AORN J. 2020;112(4):397-405. doi:10.1002/aorn.13195. Co…

  17. Exclusion of residents from surgery-intensive care team communication: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
    December 04, 2015 - Study Exclusion of residents from surgery-intensive care team communication: a qualitative study. Citation Text: Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j…

  18. The consequences of whistle-blowing: an integrative review. | PSNet

    psnet.ahrq.gov/issue/consequences-whistle-blowing-integrative-review
    November 16, 2022 - Review The consequences of whistle-blowing: an integrative review. Citation Text: Lim CR, Zhang MWB, Hussain SF, et al. The Consequences of Whistle-blowing: An Integrative Review. J Patient Saf. 2021;17(6):e497-e502. doi:10.1097/PTS.0000000000000396. Copy Citation Format: D…

  19. The safe day call: reducing silos in health care through frontline risk assessment. | PSNet

    psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
    May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…

  20. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. | PSNet

    psnet.ahrq.gov/issue/medication-errors-neonatal-intensive-care-unit-influence-observation-error-rate
    May 13, 2009 - Study Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Medication errors in a neonatal intensive care unit. Influence of observation on the error rate. Acta Paediatr. …
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