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Showing results for "improved".

  1. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. | PSNet

    psnet.ahrq.gov/issue/scoping-review-adverse-incidents-research-aged-care-homes-learnings-gaps-and-challenges
    November 18, 2020 - Review A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Citation Text: St Clair B, Jorgensen M, Nguyen A, et al. A scoping review of adverse incidents research in aged care homes: learnings, gaps, and challenges. Gerontol Geriatr Med. 20…

  2. Alert Fatigue | PSNet

    psnet.ahrq.gov/primer/alert-fatigue
    March 15, 2025 - Alert Fatigue Citation Text: Alert Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Ci…

  3. High Reliability | PSNet

    psnet.ahrq.gov/primer/high-reliability
    January 29, 2020 - High Reliability Citation Text: High Reliability. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35447/psn-pdf
    November 02, 2005 - Training health care professionals for patient safety. November 2, 2005 Clancy CM. https://psnet.ahrq.gov/issue/training-health-care-professionals-patient-safety Agency for Healthcare Research and Quality (AHRQ) Director Carolyn Clancy summarizes the Agency's research and training activities in teamwork, medical e…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42871/psn-pdf
    September 13, 2016 - Diagnosis. September 13, 2016 Graber ML, Plebani M, eds. Berlin, Germany: Society to Improve Diagnosis in Medicine and DeGruyter. ISSN: 2194-802X. https://psnet.ahrq.gov/issue/diagnosis This journal offers multidisciplinary research and commentary covering such topics as diagnostic error, clinical reasoning, and …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40669/psn-pdf
    August 27, 2013 - STate Action on Avoidable Rehospitalizations. August 27, 2013 Institute for Healthcare Improvement. 2009 -2013. https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations This Web site supports an initiative to reduce avoidable rehospitalizations by improving transitions in care and communication betwe…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39940/psn-pdf
    December 14, 2016 - Quality and Safety in Women's Health Care. Second Edition. December 14, 2016 Women's Health Care Physicians; Committee on Patient Safety and Quality Improvement. Washington, DC: American College of Obstetricians and Gynecologists; 2010. ISBN: 9781934946930. https://psnet.ahrq.gov/issue/quality-and-safety-womens-he…

  8. Slow Down: Right Drug, Wrong Formulation | PSNet

    psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
    October 13, 2018 - Slow Down: Right Drug, Wrong Formulation Citation Text: Amato MG, Schiff G. Slow Down: Right Drug, Wrong Formulation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndN…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49828/psn-pdf
    May 01, 2018 - Out of Sight, Out of Mind: Out-of-Office Test Result Management May 1, 2018 Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management Case Objectives Recognize the general responsibilities of…

  10. In Conversation With… David Blumenthal, MD, MPP | PSNet

    psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
    July 01, 2012 - from patient safety that accepting criticism reflects an optimism that we can do better—and we have improved

  11. The Media’s Role in Patient Safety | PSNet

    psnet.ahrq.gov/perspective/medias-role-patient-safety
    April 27, 2022 - The Media’s Role in Patient Safety April 27, 2022  Also Read the Conversation View more articles from the same authors. Citation Text: Millenson ML, Dowell P, Mossburg SE. The Media’s Role in Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcar…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40572/psn-pdf
    June 27, 2018 - Understanding care transitions as a patient safety issue. June 27, 2018 Butterfield S; Stegel C; Glock S; Tartaglia D. https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue This article describes a regional collaborative to enhance care transitions of Medicare beneficiaries by improving …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42042/psn-pdf
    December 18, 2013 - Finding the patient in patient safety. December 18, 2013 Hor S-Y, Godbold N, Collier A, et al. Finding the patient in patient safety. Health (London). 2013;17(6):567- 83. doi:10.1177/1363459312472082. https://psnet.ahrq.gov/issue/finding-patient-patient-safety Highlighting the value of involving patients in their …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42798/psn-pdf
    June 17, 2014 - The concept of shared mental models in healthcare collaboration. June 17, 2014 McComb SA, Simpson V. The concept of shared mental models in healthcare collaboration. J Adv Nurs. 2014;70(7):1479-88. doi:10.1111/jan.12307. https://psnet.ahrq.gov/issue/concept-shared-mental-models-healthcare-collaboration This conce…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36428/psn-pdf
    December 22, 2010 - Medical errors: where are we now? December 22, 2010 Mewshaw MR, White KM, Walrath JM. Medical errors: where are we now? Nurs Manage. 2006;37(10):50- 54. https://psnet.ahrq.gov/issue/medical-errors-where-are-we-now The authors discuss the Patient Safety and Quality Improvement Act of 2005 and the role nurse manager…

  16. Out of Sight, Out of Mind: Out-of-Office Test Result Management | PSNet

    psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
    September 01, 2007 - SPOTLIGHT CASE Out of Sight, Out of Mind: Out-of-Office Test Result Management Citation Text: Poon EG. Out of Sight, Out of Mind: Out-of-Office Test Result Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

  17. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet

    psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
    December 23, 2020 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience James B. Conway; Saul N. Weingart, MD, PhD | May 1, 2005  View more articles from the same authors. Citation Text: Conway JB, Weingart SN. Organizational Change…

  18. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet

    psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
    March 01, 2017 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety Sara J. Singer, MBA, PhD | September 1, 2013  View more articles from the same authors. Citation Text: Singer SJ. What We've Learned About Leveraging Leadership a…

  19. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet

    psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
    July 20, 2010 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience Karen Frush, MD | May 1, 2005  View more articles from the same authors. Citation Text: Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSN…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49574/psn-pdf
    November 01, 2008 - A Mid-Summer Fog November 1, 2008 Braddock CH. A Mid-Summer Fog. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/mid-summer-fog The Case A 33-year-old woman with type I diabetes mellitus was admitted for symptoms of left flank pain, dysuria, and emesis, concerning for pyelonephritis. The patient was taking …
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