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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44092/psn-pdf
    November 16, 2015 - Does lean management improve patient safety culture? … Does lean management improve patient safety culture? … https://psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation … activities compared to their reported safety culture before participating, suggesting that efforts to improve … https://psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41200/psn-pdf
    January 03, 2017 - Implementing a perioperative handoff tool to improve postprocedural patient transfers. … Implementing a perioperative handoff tool to improve postprocedural patient transfers. … https://psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient- … transfers This commentary describes how to implement a perioperative handoff tool to improve interdisciplinary … https://psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42696/psn-pdf
    March 21, 2017 - Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication … Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication … https://psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician … situation, background, assessment, recommendation) communication tool has been implemented in an effort to improve … information was often not communicated by the nurse nor elicited by physicians, and use of SBAR did not improve
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41683/psn-pdf
    September 19, 2012 - Techniques to improve patient safety in hospitals: what nurse administrators need to know. … Techniques to improve patient safety in hospitals: what nurse administrators need to know. … https://psnet.ahrq.gov/issue/techniques-improve-patient-safety-hospitals-what-nurse-administrators-need … - know This review describes techniques to improve patient safety and highlights team training as an … https://psnet.ahrq.gov/issue/techniques-improve-patient-safety-hospitals-what-nurse-administrators-need-know
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37233/psn-pdf
    December 15, 2011 - Nurses improve medication safety with medication allergy and adverse drug reports. … Nurses improve medication safety with medication allergy and adverse drug reports. … https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug- reports … This article describes a project that aimed to improve reporting of adverse drug events, adverse drug … https://psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39886/psn-pdf
    April 17, 2013 - Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety … Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety … https://psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm- improve-patient … properties of sensemaking and discusses how nurses and physicians can incorporate these elements to improve … https://psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45710/psn-pdf
    December 22, 2017 - Our current approach to root cause analysis: is it contributing to our failure to improve patient safety … Our current approach to root cause analysis: is it contributing to our failure to improve patient safety … https://psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve … Experts have previously highlighted flaws with the RCA process and suggested ways to improve it. … Annual Perspective explores ongoing problems with the RCA process and sheds light on opportunities to improve
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41553/psn-pdf
    December 02, 2014 - Quality improvement initiative to reduce serious safety events and improve patient safety culture. … Quality improvement initiative to reduce serious safety events and improve patient safety culture. … https://psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-serious-safety-events-and-improve- … patient-safety A multifaceted initiative to improve safety culture and implement system changes at … https://psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-serious-safety-events-and-improve-patient-safety
  9. psnet.ahrq.gov/issue/teledx-how-telemedicine-working-and-not-working-support-diagnosis
    November 08, 2017 - Society to Improve Diagnosis in Medicine. June 3, 2021. … Facebook Twitter Linkedin Copy URL May 26, 2021 Society to Improve … Society to Improve Diagnosis in Medicine. June 3, 2021. … February 25, 2019 Research to improve diagnosis: time to study the real world. … January 26, 2022 A diagnostic time-out to improve differential diagnosis in pediatric
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35039/psn-pdf
    February 24, 2019 - Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety … Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety … ://psnet.ahrq.gov/issue/managing-unnecessary-variability-patient-demand-reduce-nursing-stress-and- improve-patient … They suggest reducing potentially controllable variation to minimize stress on nursing staff and improve … https://psnet.ahrq.gov/issue/managing-unnecessary-variability-patient-demand-reduce-nursing-stress-and-improve-patient
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39597/psn-pdf
    July 14, 2010 - Ten strategies to improve management of abnormal test result alerts in the electronic health record. … Ten strategies to improve management of abnormal test result alerts in the electronic health record. … https://psnet.ahrq.gov/issue/ten-strategies-improve-management-abnormal-test-result-alerts-electronic … - health-record This commentary describes strategies to improve the utility of automated test result … https://psnet.ahrq.gov/issue/ten-strategies-improve-management-abnormal-test-result-alerts-electronic-health-record
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42901/psn-pdf
    January 29, 2014 - Do safety checklists improve teamwork and communication in the operating room? … Do safety checklists improve teamwork and communication in the operating room? … https://psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room- … checklists in the operating room measurably augment teamwork and communication, which may explain how they improve … https://psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40342/psn-pdf
    April 21, 2015 - Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient … Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient … https://psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could- improve-patient-safety … aviation error prevention tactics and suggests that adopting these initiatives in health care can improve … https://psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could-improve-patient-safety
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47425/psn-pdf
    October 10, 2018 - Patient-mediated interventions to improve professional practice. … Patient-mediated interventions to improve professional practice. … https://psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice Engaging patients … This review and meta-analysis assessed which patient engagement strategies improve clinician adherence … https://psnet.ahrq.gov/issue/patient-mediated-interventions-improve-professional-practice https://psnet.ahrq.gov
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42064/psn-pdf
    March 16, 2013 - Making Health Care Safer: A Critical Review of Modern Evidence Supporting Strategies to Improve Patient … psnet.ahrq.gov/issue/making-health-care-safer-critical-review-modern-evidence-supporting- strategies-improve … Thus, this supplement highlights "the continuing tension between needing to improve care and knowing … psnet.ahrq.gov/issue/making-health-care-safer-critical-review-modern-evidence-supporting-strategies-improve … https://psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38472/psn-pdf
    March 11, 2009 - Feedback from incident reporting: information and action to improve patient safety. … Feedback from incident reporting: information and action to improve patient safety. … https://psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety … remains little consensus about how to best use the information gathered from reporting systems to improve … https://psnet.ahrq.gov/issue/feedback-incident-reporting-information-and-action-improve-patient-safety
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41346/psn-pdf
    May 02, 2012 - Team mental models and their potential to improve teamwork and safety: a review and implications for … Team mental models and their potential to improve teamwork and safety: A review and implications for … https://psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review … models in health care, this review identifies gaps in the evidence base that should be addressed to improve … https://psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42019/psn-pdf
    December 29, 2014 - Can incident reporting improve safety? … Can incident reporting improve safety? … https://psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views- effectiveness-incident … positive changes in care processes and staff attitudes regarding patient safety, using such reports to improve … https://psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45133/psn-pdf
    July 18, 2016 - Pharmacist medication reviews to improve safety monitoring in primary care patients. … Pharmacist medication reviews to improve safety monitoring in primary care patients. … https://psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care- patients … study performed in a community behavioral health center, medication reviews by pharmacists helped improve … https://psnet.ahrq.gov/issue/pharmacist-medication-reviews-improve-safety-monitoring-primary-care-patients
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35861/psn-pdf
    March 28, 2011 - How can the principles of complexity science be applied to improve the coordination of care for complex … How can the principles of complexity science be applied to improve the coordination of care for complex … https://psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care … - complex-pediatric The authors explore how complexity science can be applied to improve the coordination … https://psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric