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Showing results for "improvements".

5821. Disseminating innovations in health care. | PSNet
      psnet.ahrq.gov/issue/disseminating-innovations-health-care
      August 04, 2021 - Commentary Classic Disseminating innovations in health care. Citation Text: Berwick DM. Disseminating Innovations in Health Care. JAMA. 2003;289(15):1969-1975. doi:10.1001/jama.289.15.1969. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

5822. Transfer of accountability: transforming shift handover to enhance patient safety. | PSNet
      psnet.ahrq.gov/issue/transfer-accountability-transforming-shift-handover-enhance-patient-safety
      April 24, 2018 - Commentary Transfer of accountability: transforming shift handover to enhance patient safety. Citation Text: Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79. Copy Citation …

5823. Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. | PSNet
      psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
      May 29, 2019 - Study Computerized physician order entry of medications and clinical decision support can improve problem list documentation compliance. Citation Text: Galanter W, Hier DB, Jao C, et al. Computerized physician order entry of medications and clinical decision support can improve problem…

5824. Building an ambulatory safety program at an academic health system. | PSNet
      psnet.ahrq.gov/issue/building-ambulatory-safety-program-academic-health-system
      April 22, 2016 - Commentary Building an ambulatory safety program at an academic health system. Citation Text: Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. Copy Citation Forma…

5825. Medical error disclosure training: evidence for values-based ethical environments. | PSNet
      psnet.ahrq.gov/issue/medical-error-disclosure-training-evidence-values-based-ethical-environments
      October 15, 2016 - Study Medical error disclosure training: evidence for values-based ethical environments. Citation Text: Rathert C, Phillips W. Medical Error Disclosure Training: Evidence for Values-Based Ethical Environments. Journal of Business Ethics. 2010;97(3). doi:10.1007/s10551-010-0520-3. Cop…

5826. Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive
      January 24, 2024 - Commentary Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. Citation Text: Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive…

5827. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-acute-surgical-ward-exploratory-cohort-study-process-and-outcome
      March 03, 2011 - Study Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Citation Text: Kreckler S, Catchpole K, New SJ, et al. Quality and safety on an acute surgical ward: an exploratory cohort study of process and outcome. Ann Surg. 2009;250(6):1035-40…

5828. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment. | PSNet
      psnet.ahrq.gov/issue/evaluation-nationally-mandated-drug-use-reviews-improve-patient-safety-nursing-homes-natural
      July 20, 2011 - Study Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment. Citation Text: Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a…

5829. The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. | PSNet
      psnet.ahrq.gov/issue/non-technical-skills-used-anaesthetic-technicians-critical-incidents-reported-australian
      January 19, 2011 - Study The non-technical skills used by anaesthetic technicians in critical incidents reported to the Australian Incident Monitoring System between 2002 and 2008. Citation Text: Rutherford JS, Flin R, Irwin A. The non-technical skills used by anaesthetic technicians in critical incidents …

5830. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. | PSNet
      psnet.ahrq.gov/issue/practice-gaps-patient-safety-among-dermatology-residents-and-their-teachers-survey-study
      August 19, 2009 - Study Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. Citation Text: Swary JH, Stratman EJ. Practice gaps in patient safety among dermatology residents and their teachers: a survey study of dermatology residents. JA…

5831. Promoting health care safety through training high reliability teams. | PSNet
      psnet.ahrq.gov/issue/promoting-health-care-safety-through-training-high-reliability-teams
      January 06, 2018 - Commentary Promoting health care safety through training high reliability teams. Citation Text: Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010090. Copy Citation Format: …

5832. Intentionally harmful violations and patient safety: the example of Harold Shipman. | PSNet
      psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
      January 25, 2017 - Commentary Intentionally harmful violations and patient safety: the example of Harold Shipman. Citation Text: Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. Copy C…

5833. Briefing and debriefing in the operating room using fighter pilot crew resource management. | PSNet
      psnet.ahrq.gov/issue/briefing-and-debriefing-operating-room-using-fighter-pilot-crew-resource-management
      May 29, 2024 - Study Briefing and debriefing in the operating room using fighter pilot crew resource management. Citation Text: McGreevy JM, Otten TD. Briefing and debriefing in the operating room using fighter pilot crew resource management. J Am Coll Surg. 2007;205(1):169-76. Copy Citation Fo…

5834. Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/clinical-information-transfer-and-medication-reconciliation-patients-transferred-pediatric
      September 28, 2010 - Study Clinical information transfer and medication reconciliation in patients transferred from the pediatric intensive care unit. Citation Text: Grant MJC, Larsen GY. Clinical Information Transfer and Medication Reconciliation in Patients Transferred from the Pediatric Intensive Care U…

5835. Safety is part of quality: a proposal for a continuum in performance measurement. | PSNet
      psnet.ahrq.gov/issue/safety-part-quality-proposal-continuum-performance-measurement
      February 25, 2009 - Study Safety is part of quality: a proposal for a continuum in performance measurement. Citation Text: Kazandjian VA, Wicker KG, Matthes N, et al. Safety is part of quality: a proposal for a continuum in performance measurement. J Eval Clin Pract. 2008;14(2):354-359. doi:10.1111/j.1365…

5836. Managing safety in perioperative settings: strategies of meso-level nurse leaders. | PSNet
      psnet.ahrq.gov/issue/managing-safety-perioperative-settings-strategies-meso-level-nurse-leaders
      April 06, 2011 - Study Managing safety in perioperative settings: strategies of meso-level nurse leaders. Citation Text: Brooks JV, Nelson-Brantley H. Managing safety in perioperative settings: strategies of meso-level nurse leaders. Health Care Manage Rev. 2023;48(2):175-184. doi:10.1097/hmr.00000000000…

5837. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-06/final_spotlight_miscommunication_possible_artifact_06.21.2021.pdf
      January 01, 2021 - Spotlight Spotlight The Consequences of Miscommunication Regarding a Possible Artifact Source and Credits • This presentation is based on the June 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Kriti Gwal, MD o AHRQ WebM&M Edit…

5838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40553/psn-pdf
      June 22, 2011 - Applying the Universal Protocol to improve patient safety in radiology services. June 22, 2011 PA-PSRS Patient Saf Advis. June 2011;8:63-69. https://psnet.ahrq.gov/issue/applying-universal-protocol-improve-patient-safety-radiology-services Exploring causes of wrong-site, wrong patient, and wrong procedure errors i…

5839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39737/psn-pdf
      November 30, 2016 - Physician's Guide to Patient Safety Organizations. November 30, 2016 Chicago, IL: American Medical Association; 2009. https://psnet.ahrq.gov/issue/physicians-guide-patient-safety-organizations This guide reviews the Patient Safety Quality and Improvement Act of 2005 and aims to further physician knowledge of and p…

5840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42573/psn-pdf
      September 04, 2013 - QI Gateway: Quality Improvement for Residents. September 4, 2013 The Committee of Interns and Residents; CIR; SEIU Healthcare. https://psnet.ahrq.gov/issue/qi-gateway-quality-improvement-residents This Web site hosts resources for resident physicians to support collaboration on safety and quality activities at tea…