-
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/47196/psn-pdf
October 17, 2018 - author suggests that an adaptive rather than linear decision-making
approach would support reasoning improvements
-
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/46095/psn-pdf
April 26, 2017 - Chapters will include discussions about second victims, improvements in medication safety, and the
economic
-
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/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/41134/psn-pdf
July 06, 2012 - for operating room staff varied across professional specialty,
with surgeons achieving the largest improvements
-
psnet.ahrq.gov/node/36362/psn-pdf
October 27, 2010 - They found the changes led to significant improvements.
-
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/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/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/perspective/conversation-withpeter-j-pronovost-md-phd
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% … 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, or … in "safety culture" (as measured by any of these instruments) produce actual improvements in safety
-
psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
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 major … 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, or
-
psnet.ahrq.gov/node/43334/psn-pdf
July 16, 2014 - psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
This commentary discusses 10 improvements
-
psnet.ahrq.gov/node/41246/psn-pdf
April 06, 2012 - utilizing-improvement-science-methods-improve-physician-compliance-proper-
hand-hygiene
This study highlights the importance of instituting a project champion to drive improvements
-
psnet.ahrq.gov/node/45367/psn-pdf
September 28, 2016 - This report discusses PSO-related programs that resulted in improvements,
such as readmission reduction
-
psnet.ahrq.gov/node/33956/psn-pdf
March 07, 2005 - The report offers recommendations for necessary quality improvements.
-
psnet.ahrq.gov/node/42017/psn-pdf
December 29, 2014 - These renovations were associated with improvements in some of the measured safety indicators.
-
psnet.ahrq.gov/node/35282/psn-pdf
May 27, 2011 - They use their findings to suggest improvements in their hospital’s CPOE system and to analyze
CPOE
-
psnet.ahrq.gov/node/44846/psn-pdf
August 31, 2016 - accompanying set of infographics spotlight the importance of addressing HAIs and provide updates on
improvements