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Showing results for "improvements".

  1. Signout Fallout | PSNet

    psnet.ahrq.gov/web-mm/signout-fallout
    November 16, 2022 - SPOTLIGHT CASE Signout Fallout Citation Text: Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…

  2. SNFs: Opening the Black Box | PSNet

    psnet.ahrq.gov/web-mm/snfs-opening-black-box
    August 27, 2012 - SNFs: Opening the Black Box Citation Text: Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  3. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet

    psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
    March 27, 2024 - Annual Perspective Ensuring Patient and Workforce Safety Culture in Healthcare John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg | March 27, 2024  View more articles from the same authors. Citation Text: Murray J, Sorra J, Gale B, et al. Ensuring Patient…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47054/psn-pdf
    July 19, 2018 - A target to achieve zero preventable trauma deaths through quality improvement. July 19, 2018 Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. https://psnet.ahrq.gov/issue/target-achi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44507/psn-pdf
    July 18, 2016 - Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms for improved patient outcomes. July 18, 2016 Fein EC, Mackie B, Chernyak-Hai L, et al. Six habits to enhance MET performance under stress: A discussion paper reviewing team mechanisms for improved patient outcomes. Aus…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47554/psn-pdf
    November 07, 2018 - Diagnostic Excellence Initiative. November 7, 2018 Gordon and Betty Moore Foundation. https://psnet.ahrq.gov/issue/diagnostic-excellence-improving-experience-and-outcomes-patient-care Missed or delayed diagnoses lead to delays in care and significant preventable harm for patients. Despite an increasing focus on di…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40806/psn-pdf
    October 31, 2011 - How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. October 31, 2011 Cima RR, La…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853236/psn-pdf
    September 06, 2023 - Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. September 6, 2023 Garcia-Jorda D, Nikitovic D, Gilfoyle E. Video review of simulated pediatric cardiac arrest to identify errors/latent safety threats: a mixed methods study. Simul Healthc. 2023;18(4…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854376/psn-pdf
    October 11, 2023 - Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. October 11, 2023 Michelson KA, McGarghan FLE, Waltzman ML, et al. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Hosp Pediatr. 2023;13(7):e170-e174. doi:10.1542/hpeds…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47932/psn-pdf
    August 21, 2019 - Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. August 21, 2019 Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communication: Implementation of an Elec…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47216/psn-pdf
    July 11, 2018 - Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. July 11, 2018 Washington, DC: United States Government Accountability Office; May 2018. Publication GAO-18-380. https://psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-effort…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72551/psn-pdf
    December 09, 2020 - Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. December 9, 2020 Koike D, Nomura Y, Nagai M, et al. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. Int J Qual Health Care. 202…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61067/psn-pdf
    January 01, 2021 - A program to provide clinicians with feedback on their diagnostic performance in a learning health system. October 28, 2020 Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J Qual Patient Saf. 2021;47(2):120…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47508/psn-pdf
    October 24, 2018 - Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. October 24, 2018 Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.1002/aorn.12372. https://psnet.ahrq.go…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73604/psn-pdf
    August 18, 2021 - The effect of providing staff training and enhanced support to care homes on care processes, safety climate and avoidable harms: evaluation of a care home quality improvement programme in England. August 18, 2021 Damery S, Flanagan S, Jones J, et al. The effect of providing staff training and enhanced support to c…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46546/psn-pdf
    January 10, 2018 - Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. January 10, 2018 Shaikh U, Afsar-Manesh N, Amin AN, et al. Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care tra…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73322/psn-pdf
    May 26, 2021 - Detecting and assessing suicide ideation during the COVID-19 pandemic. May 26, 2021 Simon GE, Stewart CC, Gary MC, et al. Improvement brief: detecting and assessing suicide ideation during the COVID-19 pandemic. Jt Comm J Qual Patient Saf. 2021;47(7):452-457. doi:10.1016/j.jcjq.2021.04.002. https://psnet.ahrq.gov/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46257/psn-pdf
    October 11, 2017 - Outcomes of concurrent operations: results from the American College of Surgeons' National Surgical Quality Improvement Program. October 11, 2017 Liu JB, Berian JR, Ban KA, et al. Outcomes of Concurrent Operations: Results From the American College of Surgeons' National Surgical Quality Improvement Program. Ann Su…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36843/psn-pdf
    January 05, 2017 - Improving medication reconciliation in the outpatient setting. January 5, 2017 Varkey P, Cunningham J, Bisping S. Improving medication reconciliation in the outpatient setting. Jt Comm J Qual Patient Saf. 2007;33(5):286-92. https://psnet.ahrq.gov/issue/improving-medication-reconciliation-outpatient-setting The Jo…

  20. Request for Information: Diagnostic Excellence Measurement. | PSNet

    psnet.ahrq.gov/issue/request-information-diagnostic-excellence-measurement
    January 15, 2025 - Press Release/Announcement Request for Information: Diagnostic Excellence Measurement. Citation Text: Request for Information: Diagnostic Excellence Measurement. Agency for Healthcare Research and Quality. Fed Register. December 12, 2024;89:100497-100498. Copy Citation Format: …
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