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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46017/psn-pdfJuly 11, 2017 - Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. July 11, 2017 Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxillofac Surg. 2017;55(5):449-453. do… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/46744/psn-pdfJanuary 17, 2018 - Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. January 17, 2018 Mohan D, Farris C, Fischhoff B, et al. Efficacy of educational video game versus traditional educational apps at improving physician decision… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/72475/psn-pdfNovember 18, 2020 - Omissions of care in nursing homes: a uniform definition for research and quality improvement. November 18, 2020 Mangrum R, Stewart MD, Gifford DR, et al. Omissions of care in nursing homes: a uniform definition for research and quality improvement. J Am Med Dir Assoc. 2020;21(11):1587-1591.e2. doi:10.1016/j.jamda… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45876/psn-pdfJanuary 01, 2021 - Making residents part of the safety culture: improving error reporting and reducing harms. February 15, 2017 Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1097/PTS.0000000000000344. https://… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47896/psn-pdfJuly 10, 2019 - Engaging patients and informal caregivers to improve safety and facilitate person- and family-centered care during transitions from hospital to home: a qualitative descriptive study. July 10, 2019 Backman C, Cho-Young D. Engaging patients and informal caregivers to improve safety and facilitate person- and family… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/860722/psn-pdfJanuary 17, 2024 - Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? January 17, 2024 Djärv T. Ten years of incident reports on in-hospital cardiac arrest – Are they useful for improvements? Resusc Plus. 2023;17:100525. doi:10.1016/j.resplu.2023.100525. https://psnet.ahrq.gov/issue/ten-y… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/859343/psn-pdfDecember 20, 2023 - Reducing retained foreign objects in the operating room: a quality improvement initiative. December 20, 2023 Keane OA, Chambers C, Brady CM, et al. Reducing retained foreign objects in the operating room: a quality improvement initiative. J Am Coll Surg. 2023;237(6):864-872. doi:10.1097/xcs.0000000000000847. https… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45384/psn-pdfNovember 18, 2016 - Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. November 18, 2016 Redley B, Bucknall T, Evans S, et al. Inter-professional clinical handover in post-anaesthetic care units: tools to improve quality and safety. Int J Qual Health Care. 2016;28(5):573-579. htt… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/867134/psn-pdfNovember 13, 2024 - Improving adverse drug event reporting by healthcare professionals. November 13, 2024 Shalviri G, Mohebbi N, Mirbaha F, et al. Improving adverse drug event reporting by healthcare professionals. Cochrane Database Syst Rev. 2024;2024(10):CD012594. doi:10.1002/14651858.cd012594.pub2. https://psnet.ahrq.gov/issue/im… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47249/psn-pdfJuly 25, 2018 - Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. July 25, 2018 ISMP Medication Safety Alert! Acute care edition. July 12, 2018;23:1-4. https://psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored- improve-safety Smart pump… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/60059/psn-pdfAugust 12, 2020 - Survey shows room for improvement with two new ISMP Targeted Medication Safety Best Practices. August 12, 2020 ISMP Medication Safety Alert! Acute care edition. July 30, 2020;25(15). https://psnet.ahrq.gov/issue/survey-shows-room-improvement-two-new-ismp-targeted-medication-safety- best-practices This article rep… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/836925/psn-pdfApril 13, 2022 - Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. April 13, 2022 Paulik O, Hallen J, Lapkin S, et al. Strength of improvement recommendations from injurious fall investigations: a retrospective multi-incident analysis. J Patient Saf. 2022;18(3):e61… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44205/psn-pdfJune 21, 2015 - Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. June 21, 2015 Sacks GD, Shannon EM, Dawes AJ, et al. Teamwork, communication and safety climate: a systematic review of interventions to improve surgical culture. BMJ Qual Saf. 2015;24(7):458-67. doi:10.11… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/47654/psn-pdfFebruary 27, 2019 - The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. February 27, 2019 Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. A… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45692/psn-pdfJanuary 01, 2020 - A patient reported approach to identify medical errors and improve patient safety in the emergency department. November 23, 2016 Glickman SW, Mehrotra A, Shea CM, et al. A Patient Reported Approach to Identify Medical Errors and Improve Patient Safety in the Emergency Department. J Patient Saf. 2020;16(3):211-215. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36834/psn-pdfAugust 26, 2011 - Healthcare climate: a framework for measuring and improving patient safety. August 26, 2011 Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med. 2007;35(5):1312-7. https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-i… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44334/psn-pdfNovember 20, 2015 - Improvement in detection of wrong-patient errors when radiologists include patient photographs in their interpretation of portable chest radiographs. November 20, 2015 Tridandapani S, Olsen K, Bhatti P. Improvement in Detection of Wrong-Patient Errors When Radiologists Include Patient Photographs in Their Interpre… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/45072/psn-pdfMay 04, 2016 - Interventions to improve safe sleep among hospitalized infants at eight children's hospitals. May 4, 2016 Kuhlmann S, Ahlers-Schmidt CR, Lukasiewicz G, et al. Interventions to Improve Safe Sleep Among Hospitalized Infants at Eight Children's Hospitals. Hosp Pediatr. 2016;6(2):88-94. doi:10.1542/hpeds.2015- 0121. … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/44162/psn-pdfMay 27, 2015 - Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. May 27, 2015 Marasinghe KM. Computerised clinical decision support systems to improve medication safety in long-term care homes: a systematic review. BMJ Open. 2015;5(5):e006539. doi:10.1136/bm… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/848813/psn-pdfMay 10, 2023 - Blood and blood products transfusion errors: what can we do to improve patient safety. May 10, 2023 Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326. https://psnet.ahrq.gov/issue/blood-and-blood-p…
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