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Showing results for "improvements".

  1. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. | PSNet

    psnet.ahrq.gov/issue/rca-recast-root-cause-analysis-simulation-interprofessional-clinical-learning-environment
    May 18, 2022 - Study The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Citation Text: Ziemba JB, Berns JS, Huzinec JG, et al. The RCA ReCAst: a root cause analysis simulation for the interprofessional clinical learning environment. Acad Med. 2021;…

  2. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. | PSNet

    psnet.ahrq.gov/issue/surfacing-safety-hazards-using-standardized-operating-room-briefings-and-debriefings-large
    January 03, 2017 - Study Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional medical center. Citation Text: Bandari J, Schumacher K, Simon M, et al. Surfacing safety hazards using standardized operating room briefings and debriefings at a large regional …

  3. Improving physician's hand over among oncology staff using standardized communication tool. | PSNet

    psnet.ahrq.gov/issue/improving-physicians-hand-over-among-oncology-staff-using-standardized-communication-tool
    November 11, 2020 - Commentary Improving physician's hand over among oncology staff using standardized communication tool. Citation Text: Alolayan A, Alkaiyat M, Ali Y, et al. Improving physician's hand over among oncology staff using standardized communication tool. BMJ Qual Improv Rep. 2017;6(1). doi:10.1…

  4. Preoperative site marking: are we adhering to good surgical practice? | PSNet

    psnet.ahrq.gov/issue/preoperative-site-marking-are-we-adhering-good-surgical-practice
    August 02, 2017 - Study Preoperative site marking: are we adhering to good surgical practice? Citation Text: Bathla S, Chadwick M, Nevins EJ, et al. Preoperative Site Marking. J Patient Saf. 2021;17(6):e503-e508. doi:10.1097/pts.0000000000000398. Copy Citation Format: DOI Google Scholar BibT…

  5. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. | PSNet

    psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
    November 17, 2014 - Review Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Citation Text: Weller J, Boyd M, Cumin D. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. Postgrad Med J. 2014;90(1061):149-54. doi:10.1136/postgra…

  6. Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/increasing-medication-error-reporting-rates-while-reducing-harm-through-simultaneous-cultural
    April 24, 2018 - Study Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit. Citation Text: Abstoss KM, Shaw BE, Owens TA, et al. Increasing medication error reporting rates while reducing harm through sim…

  7. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. | PSNet

    psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications
    September 25, 2024 - Study Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Citation Text: Tang KM, Lee P, Anosike BI, et al. Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. Hosp Pediatr. 2024;14(4):281-290. doi:10.1542/hped…

  8. Alterations in Spanish language interpretation during pediatric critical care family meetings. | PSNet

    psnet.ahrq.gov/issue/alterations-spanish-language-interpretation-during-pediatric-critical-care-family-meetings
    April 24, 2018 - Study Alterations in Spanish language interpretation during pediatric critical care family meetings. Citation Text: Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. do…

  9. Assuring safe patient care in a level III NICU in anticipation of hospital closure. | PSNet

    psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure
    April 22, 2016 - Study Assuring safe patient care in a level III NICU in anticipation of hospital closure. Citation Text: Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7. Copy Citation…

  10. Crisis checklists in emergency medicine: another step forward for cognitive aids. | PSNet

    psnet.ahrq.gov/issue/crisis-checklists-emergency-medicine-another-step-forward-cognitive-aids
    April 21, 2021 - Commentary Crisis checklists in emergency medicine: another step forward for cognitive aids. Citation Text: Chen Y-YK, Arriaga AF. Crisis checklists in emergency medicine: another step forward for cognitive aids. BMJ Qual Saf. 2021;30(9):689-693. doi:10.1136/bmjqs-2021-013203. Copy Cit…

  11. Adoption of National Quality Forum safe practices by magnet hospitals. | PSNet

    psnet.ahrq.gov/issue/adoption-national-quality-forum-safe-practices-magnet-hospitals
    May 15, 2019 - Study Adoption of National Quality Forum safe practices by magnet hospitals. Citation Text: Jayawardhana J, Welton JM, Lindrooth R. Adoption of National Quality Forum Safe Practices by Magnet® Hospitals. JONA: The Journal of Nursing Administration. 2011;41(9). doi:10.1097/nna.0b013e318…

  12. Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. | PSNet

    psnet.ahrq.gov/issue/evaluation-interventions-improve-inpatient-hospital-documentation-within-electronic-health
    June 28, 2011 - Review Evaluation of interventions to improve inpatient hospital documentation within electronic health records: a systematic review. Citation Text: Wiebe N, Varela LO, Niven DJ, et al. Evaluation of interventions to improve inpatient hospital documentation within electronic health recor…

  13. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. | PSNet

    psnet.ahrq.gov/innovation/esimpler-dynamic-electronic-health-record-integrated-checklist-clinical-decision-support
    June 16, 2021 - EMERGING INNOVATIONS eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. Citation Text: Geva A, Albert BD, Hamilton S, et al. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support duri…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46448/psn-pdf
    September 27, 2017 - Simulation in Otolaryngology. September 27, 2017 Malekzadeh S, ed. Otolaryngol Clin North Am. 2017;50(5):xv-xviii, 875-1036. https://psnet.ahrq.gov/issue/simulation-otolaryngology This special issue highlights areas in otolaryngology where simulation is being used to develop multidisciplinary team-based approaches…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44287/psn-pdf
    September 21, 2023 - Patient safety in the operating room. September 21, 2023 Wahr JA. UpToDate. September 21, 2023. https://psnet.ahrq.gov/issue/operating-room-hazards-and-approaches-improve-patient-safety The operating room is a high-risk environment influenced by culture, teamwork, and task complexity. This review provides an overv…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33847/psn-pdf
    August 01, 2017 - In Conversation With… Karl Bilimoria, MD, MS August 1, 2017 In Conversation With… Karl Bilimoria, MD, MS. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0 Editor's note: Dr. Bilimoria is the Director of the Surgical Outcomes and Quality Improvement Center of Northwest…

  17. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
    July 01, 2012 - Spotlight Case July 2008 Spotlight Case Not-So-Therapeutic Tap * * Source and Credits This presentation is based on the July 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jeffrey H. Barsuk, MD, MS; Northwestern University Feinberg Scho…

  18. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/74277
    January 01, 2021 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Medication/Drug Errors Curated Library Primers Medication Administration Errors Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March, 12 2021 Medication administration errors are a persistent patient saf…

  19. The impact of professionalism on safe surgical care. | PSNet

    psnet.ahrq.gov/issue/impact-professionalism-safe-surgical-care
    January 23, 2017 - Commentary The impact of professionalism on safe surgical care. Citation Text: Whittemore A, Surgery NES for V. The impact of professionalism on safe surgical care. J Vasc Surg. 2007;45(2):415-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  20. Despite technology, verbal orders persist, read back is not widespread, and errors continue. | PSNet

    psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and-errors-continue
    June 28, 2017 - Newspaper/Magazine Article Despite technology, verbal orders persist, read back is not widespread, and errors continue. Citation Text: Despite technology, verbal orders persist, read back is not widespread, and errors continue. ISMP Medication Safety Alert! Acute Care Edition. May 18, 20…
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