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Showing results for "improvements".

5661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34626/psn-pdf
      August 13, 2018 - National Patient Safety Agency (NPSA). August 13, 2018 National Patient Safety Agency. https://psnet.ahrq.gov/issue/national-patient-safety-agency-npsa The National Patient Safety Agency was created in 2001 to coordinate efforts across the United Kingdom in reporting and learning from mistakes and problems. In Apr…

5662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50897/psn-pdf
      February 12, 2020 - Improving Safety and Security for Veterans Act of 2020. February 12, 2020 HB 5616, 116th Congress: 2020. https://psnet.ahrq.gov/issue/improving-safety-and-security-veterans-act-2020 This legislation aims to strengthen the US Veterans Health System by requiring reports on the quality of care and patient safety…

5663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36741/psn-pdf
      August 15, 2007 - Prescription for Improving Patient Safety: Addressing Medication Errors. August 15, 2007 The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.   https://psnet.ahrq.gov/issue/prescription-improving-patient-safety-addressing-medication-errors This report shares findings from an exper…

5664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39077/psn-pdf
      February 08, 2011 - Enhancing Patient Care: A Practical Guide to Improving Quality and Safety in Hospitals. February 8, 2011 Wolff A, Taylor S. Sydney, Australia: MJA Books; 2009. ISBN: 9780977578665. https://psnet.ahrq.gov/issue/enhancing-patient-care-practical-guide-improving-quality-and-safety-hospitals Authors from an Australian …

5665. Toolkits | PSNet
      psnet.ahrq.gov/toolkits
      March 01, 2025 - Toolkits Patient safety toolkits provide practical applications of PSNet research and concepts for front line providers to use in their day to day work. These toolkits contain resources necessary to implement patient safety systems and protocols. Want to submit a Toolkit? Has your organization deve…

5666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50392/psn-pdf
      September 01, 2019 - In Conversation With… Shantanu Agrawal, MD, MPhil September 1, 2019 In Conversation With… Shantanu Agrawal, MD, MPhil. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil Editor's note: Dr. Agrawal is president and CEO of the National Quality Forum (NQF). He is the form…

5667. Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care | PSNet
      psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
      July 23, 2024 - Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care Value and Quality of Care Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 23, 2020 …

5668. An electronic health record–based real-time analytics program for patient safety surveillance and improvement. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
      May 19, 2018 - Study An electronic health record–based real-time analytics program for patient safety surveillance and improvement. Citation Text: Classen D, Li M, Miller S, et al. An Electronic Health Record-Based Real-Time Analytics Program For Patient Safety Surveillance And Improvement. Health Aff …

5669. In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. | PSNet
      psnet.ahrq.gov/issue/situ-simulation-tool-longitudinally-identify-and-track-latent-safety-threats-structured
      June 08, 2022 - Study In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study. Citation Text: Jafri FN, Yang CJ, Kumar A, et al. In situ simulation as a tool to longitud…

5670. A program to prevent catheter-associated urinary tract infection in acute care. | PSNet
      psnet.ahrq.gov/issue/program-prevent-catheter-associated-urinary-tract-infection-acute-care
      December 21, 2017 - Study Classic A program to prevent catheter-associated urinary tract infection in acute care. Citation Text: Saint S, Greene T, Krein SL, et al. A Program to Prevent Catheter-Associated Urinary Tract Infection in Acute Care. New Engl J Med. 2016;374(22):2111-211…

5671. Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina. | PSNet
      psnet.ahrq.gov/issue/perception-safety-surgical-practice-among-operating-room-personnel-survey-data-associated-all
      February 07, 2018 - Study Perception of safety of surgical practice among operating room personnel from survey data is associated with all-cause 30-day postoperative death rate in South Carolina. Citation Text: Molina G, Berry WR, Lipsitz S, et al. Perception of Safety of Surgical Practice Among Operating R…

5672. Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. | PSNet
      psnet.ahrq.gov/issue/learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency
      December 15, 2021 - Study Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis. Citation Text: Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors …

5673. A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/partially-structured-postoperative-handoff-protocol-improves-communication-2-mixed-surgical
      November 19, 2018 - Study A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. Citation Text: Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partia…

5674. The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. | PSNet
      psnet.ahrq.gov/issue/critical-role-health-information-technology-safe-integration-behavioral-health-and-primary
      February 22, 2023 - Commentary The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care. Citation Text: Segal M, Giuffrida P, Possanza L, et al. The critical role of health information technology in the safe integration of behav…

5675. 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. | PSNet
      psnet.ahrq.gov/issue/matching-michigan-2-year-stepped-interventional-programme-minimise-central-venous-catheter
      April 29, 2015 - Study 'Matching Michigan': a 2-year stepped interventional programme to minimise central venous catheter-blood stream infections in intensive care units in England. Citation Text: Bion J, Richardson A, Hibbert P, et al. 'Matching Michigan': a 2-year stepped interventional programme to …

5676. Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. | PSNet
      psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
      January 18, 2011 - Study Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. Citation Text: Meurling L, Hedman L, Felländer-Tsai L, et al. Leaders' and followers' individual experiences during the early phase of simulation-based t…

5677. Association between end-of-rotation resident transition in care and mortality among hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/association-between-end-rotation-resident-transition-care-and-mortality-among-hospitalized
      August 15, 2018 - Study Association between end-of-rotation resident transition in care and mortality among hospitalized patients. Citation Text: Denson JL, Jensen A, Saag HS, et al. Association Between End-of-Rotation Resident Transition in Care and Mortality Among Hospitalized Patients. JAMA. 2016;316(2…

5678. Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. | PSNet
      psnet.ahrq.gov/issue/association-surgical-task-during-training-team-skill-acquisition-among-surgical-residents
      March 12, 2025 - Study Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. Citation Text: Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill Acquisition…

5679. Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
      December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…

5680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33709/psn-pdf
      July 01, 2011 - What Have We Learned About Safe Inpatient Handovers? March 1, 2011 Kripalani S. What Have We Learned About Safe Inpatient Handovers? PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers Perspective The care of hospitalized patients is marked by numerous tra…