-
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
-
psnet.ahrq.gov/node/36450/psn-pdf
December 22, 2010 - inexperienced caregiver, supervision gaps,
ineffective double-checks, and the misalignment of system improvements
-
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
-
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
-
psnet.ahrq.gov/node/47588/psn-pdf
November 21, 2018 - The piece describes improvements stemming from employment
of medication safety officers at these organizations
-
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
-
psnet.ahrq.gov/node/47647/psn-pdf
January 23, 2019 - efforts to address the problem, and provides direction for WHO leadership and policy makers to achieve
improvements
-
psnet.ahrq.gov/node/46055/psn-pdf
July 26, 2017 - work-as-done, this
commentary highlights the value of combining the two approaches to inform and implement improvements
-
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
-
psnet.ahrq.gov/node/46095/psn-pdf
April 26, 2017 - Chapters will include discussions about second victims, improvements in medication safety, and the
economic
-
psnet.ahrq.gov/node/41134/psn-pdf
July 06, 2012 - for operating room staff varied across professional specialty,
with surgeons achieving the largest improvements
-
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
-
psnet.ahrq.gov/node/38905/psn-pdf
September 02, 2009 - systematic review found that computerized reminders for physicians were generally associated with
small improvements
-
psnet.ahrq.gov/node/43684/psn-pdf
November 26, 2014 - enhancing safety, resources and
educational programs required to support implementation, and associated improvements
-
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
-
psnet.ahrq.gov/node/36004/psn-pdf
March 28, 2011 - They found that improvements could be made in several areas, including the use of read-
backs and medication
-
psnet.ahrq.gov/node/38190/psn-pdf
May 14, 2009 - https://psnet.ahrq.gov/issue/not-again
https://psnet.ahrq.gov/issue/iv-vincristine-survey-shows-safety-improvements-needed
-
psnet.ahrq.gov/node/43621/psn-pdf
October 22, 2014 - The author advocates for keeping teams that work well together to further
optimize improvements.
-
psnet.ahrq.gov/node/36362/psn-pdf
October 27, 2010 - They found the changes led to significant improvements.
-
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