Results

Total Results: over 10,000 records

Showing results for "improvements".

101. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet
     psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
     February 12, 2020 - Sidney Dekker , Charles Denham , and Lucian Leape ) take the hospital to task for focusing on narrow improvements … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements

102. Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. | PSNet
     psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
     February 09, 2022 - how investment in human factors and ergonomics can contribute to healthcare quality and safety improvements … A handoff protocol from the cardiovascular operating room to cardiac ICU is associated with improvements

103. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet
     psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
     March 24, 2021 - Of the ten retrospective studies included in the review, all reported improvements following RCA-recommended … November 24, 2021 National improvements in resident physician-reported patient safety

104. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? | PSNet
     psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
     June 30, 2021 - Patient safety advocates recognize the lack of appropriate measures to track improvements , and the … degree to which the nonsignificant reduction in preventable adverse events may actually signify real improvements

105. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet
     psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
     December 23, 2020 - reporting is an important tool for characterizing events and identifying opportunities for patient safety improvements … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements

106. Double key bounce and double keying errors. | PSNet
     psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
     February 01, 2023 - April 29, 2018 IV vincristine survey shows safety improvements needed. … April 29, 2018 ADC survey shows some improvements, but unnecessary risks still exist.

107. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44331/psn-pdf
     September 09, 2015 - temporal-trends-patient-safety-netherlands-reductions-preventable-adverse- events-or-end Patient safety advocates recognize the lack of appropriate measures to track improvements … degree to which the nonsignificant reduction in preventable adverse events may actually signify real improvements

108. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45120/psn-pdf
     September 11, 2016 - Prior studies of team training show improvements in safety culture, but its effect on patient outcomes … These improvements were present across different health care settings and team composition.

109. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38379/psn-pdf
     April 30, 2014 - slow in both ambulatory and hospital settings, due to cost issues and concern that IT may not lead to improvements … Prior studies in this area have found improvements in clinical outcomes associated with computerized

110. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35572/psn-pdf
     February 03, 2011 - Findings demonstrated only modest improvements in certain areas with variability noted in others. … findings fall short of the IOM recommendations and necessitate a more intensive agenda for accelerated improvements

111. Improving the quality of health care: who will lead? | PSNet
     psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead
     June 14, 2011 - quality problems and their most prominent causes, including a series of obstacles that prevent necessary improvements … Overall, this article provides an overview of the challenges facing health care quality improvements

112. Electronic Health Record Programs: Participation Has Increased, but Action Needed to Achieve Goals, Including Improved Quality of Care. | PSNet
     psnet.ahrq.gov/issue/electronic-health-record-programs-participation-has-increased-action-needed-achieve-goals
     September 07, 2016 - increased between 2011 and 2012, EHR systems lack the ability to track quality and safety to measure improvements … October 12, 2022 VA Health Care: Improvements Needed in Processes Used to Address Providers

113. Safer Delivery of Surgical Services: a Programme of Controlled Before-and-after Intervention Studies with Pre-planned Pooled Data Analysis. | PSNet
     psnet.ahrq.gov/issue/safer-delivery-surgical-services-programme-controlled-and-after-intervention-studies-pre
     October 12, 2016 - The investigators found that integrated training that combines technical and social improvements, such … as Lean , resulted in more effective improvements.

114. Differential impact of a crew resource management program according to professional specialty. | PSNet
     psnet.ahrq.gov/issue/differential-impact-crew-resource-management-program-according-professional-specialty
     July 31, 2013 - for operating room staff varied across professional specialty, with surgeons achieving the largest improvements … 4, 2015 Compliance with the WHO Surgical Safety Checklist: deviations and possible improvements

115. The impact of surgical safety checklists on theatre departments: a critical review of the literature. | PSNet
     psnet.ahrq.gov/issue/impact-surgical-safety-checklists-theatre-departments-critical-review-literature
     October 19, 2012 - Exploring the improvements and challenges associated with checklists in the surgical environment , … September 22, 2017 Implementation science: a neglected opportunity to accelerate improvements

116. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. | PSNet
     psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident
     April 16, 2008 - They suggest improvements for verbal sign-out and propose that these improvements be used in designing

117. Participation in a system-thinking simulation experience changes adverse event reporting. | PSNet
     psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
     July 30, 2014 - This study found that improvements in systems thinking increase adverse event (AE) reporting patterns … prelicensure training include reinforcement of systems thinking principles to achieve patient safety improvements

118. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43773/psn-pdf
     May 01, 2015 - These improvements resulted in significant cost-savings and reduced morbidity and mortality rates. … Although uncertainty about the cause of these improvements remains, the lower HAC rate clearly demonstrates

119. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42895/psn-pdf
     December 18, 2014 - However, there were no measurable overall improvements for patients admitted with pneumonia or surgical … patient safety initiatives have led to real progress in some areas but have not created across-the-board improvements

120. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33614/psn-pdf
     June 01, 2005 - The relevant corollary is that any study reporting dramatic improvements in any major clinical outcome … When clinical interventions do work, they tend to bring very modest gains: relative improvements of … 20% to 40% are often cause for celebration, and absolute improvements in the 5% to 10% range represent … If an article reports improvements in these ranges, scrutinize it closely. … If the improvements exceed these ranges, expect subsequent studies to show less impressive effects,