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Showing results for "improvements".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36117/psn-pdf
    July 19, 2006 - misses reported to the National Patient Safety Agency between 2004–2005, this report summarizes trends, improvements

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46306/psn-pdf
    August 02, 2017 - discusses the use of a tool that blends strategy, project monitoring, and process measurement to inform improvements

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40036/psn-pdf
    November 24, 2010 - Evidence Into Practice (TRIP) models and how they prevent error through culture of safety and teamwork improvements

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47588/psn-pdf
    November 21, 2018 - The piece describes improvements stemming from employment of medication safety officers at these organizations

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47363/psn-pdf
    August 22, 2018 - work of a multistakeholder collaborative that engages a wide range of experts to explore and propose improvements

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44703/psn-pdf
    December 16, 2015 - fields, such as aviation and nuclear power, to patient safety efforts can help generate sustainable improvements

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46788/psn-pdf
    April 11, 2018 - recommendations to augment safety such as rounding to monitor parent fatigue and reporting of events to inform improvements

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35614/psn-pdf
    March 10, 2011 - They also suggest potential improvements to the alerting process.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41629/psn-pdf
    January 03, 2017 - interventional-radiology Audiovisual recordings, reviews, continual feedback, and modifications led to significant improvements

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43941/psn-pdf
    February 25, 2015 - complications, including checklists, teamwork training courses for surgeons, preoperative briefings, and improvements

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36450/psn-pdf
    December 22, 2010 - inexperienced caregiver, supervision gaps, ineffective double-checks, and the misalignment of system improvements

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40584/psn-pdf
    July 25, 2011 - to address 12 commonly identified operating room crises, and found that the tool led to significant improvements

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45093/psn-pdf
    September 04, 2016 - issue/radically-redesigning-patient-safety Leadership and staff commitment are required to achieve improvements

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34588/psn-pdf
    January 04, 2017 - and this article provides a thoughtful model for other academic medical centers to mirror the rapid improvements

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46971/psn-pdf
    July 18, 2018 - to investigate adverse care incidents play an important part in generating the learning needed for improvements

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43684/psn-pdf
    November 26, 2014 - enhancing safety, resources and educational programs required to support implementation, and associated improvements

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38823/psn-pdf
    July 29, 2009 - attending-physician-work-hours-ethical-considerations-and-last-doctor-standing https://psnet.ahrq.gov/issue/effective-implementation-work-hour-limits-and-systemic-improvements

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35858/psn-pdf
    July 22, 2010 - that an increased awareness of fatigue in nursing and its impact on safety is necessary to realize improvements

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41213/psn-pdf
    September 20, 2012 - resident-led-institutional-patient-safety-and-quality-improvement-process Close collaboration between resident physicians and hospital leadership led to significant improvements

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39530/psn-pdf
    March 22, 2011 - reporting system for surgical errors was widely accepted by physicians and resulted in meaningful system improvements
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