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Showing results for "improvements".

  1. 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…

  2. Utilizing pharmacogenomic testing can improve medication safety and prevent harm. | PSNet

    psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and-prevent-harm
    April 17, 2024 - Newspaper/Magazine Article Utilizing pharmacogenomic testing can improve medication safety and prevent harm. Citation Text: Utilizing pharmacogenomic testing can improve medication safety and prevent harm. ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4. Copy Citation …

  3. An interview with Audrey Nelson. Interviewed by Steven Berman. | PSNet

    psnet.ahrq.gov/issue/interview-audrey-nelson-interviewed-steven-berman
    January 19, 2022 - Commentary An interview with Audrey Nelson. Interviewed by Steven Berman. Citation Text: Nelson AL. An interview with Audrey Nelson. Interviewed by Steven Berman. Jt Comm J Qual Patient Saf. 2005;31(12):665-670. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  4. Patient Safety in Public Hospitals. | PSNet

    psnet.ahrq.gov/issue/patient-safety-public-hospitals
    November 20, 2013 - Book/Report Patient Safety in Public Hospitals. Citation Text: Patient Safety in Public Hospitals. Victorian Auditor-General's Office. Melbourne, Australia: Victorian Government Printer; 2008. ISBN: 1921060689. Copy Citation Save Save to your library P…

  5. White blood cell left shift in a neonate: a case of mistaken identity. | PSNet

    psnet.ahrq.gov/issue/white-blood-cell-left-shift-neonate-case-mistaken-identity
    March 30, 2022 - Commentary White blood cell left shift in a neonate: a case of mistaken identity. Citation Text: White blood cell left shift in a neonate: a case of mistaken identity. Mohamed IS; Wynn RJ; Cominsky K; Reynolds AM; Ryan RM; Kumar VH; Lakshminrusimha S. Copy Citation …

  6. Speaking up, being heard: registered nurses' perceptions of workplace communication. | PSNet

    psnet.ahrq.gov/issue/speaking-being-heard-registered-nurses-perceptions-workplace-communication
    June 12, 2019 - Study Speaking up, being heard: registered nurses' perceptions of workplace communication. Citation Text: Garon M. Speaking up, being heard: registered nurses' perceptions of workplace communication. J Nurs Manag. 2012;20(3):361-71. doi:10.1111/j.1365-2834.2011.01296.x. Copy Citation…

  7. 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…

  8. 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…

  9. 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…

  10. 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…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866869/psn-pdf
    October 02, 2024 - Core Elements of Hospital Diagnostic Excellence (DxEx). October 2, 2024 Core Elements of Hospital Diagnostic Excellence (DxEx). Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/core-elements-hospital-diagnostic-excellence-dxex Diagnostic excellence is an expansion of the diagnostic error red…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45849/psn-pdf
    February 22, 2017 - Monitoring teamwork: a narrative review. February 22, 2017 Rutherford JS. Monitoring teamwork: a narrative review. Anaesthesia. 2017;72 Suppl 1:84-94. doi:10.1111/anae.13744. https://psnet.ahrq.gov/issue/monitoring-teamwork-narrative-review Anesthesiology was an early adopter of teamwork as a safety improvement st…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46332/psn-pdf
    September 24, 2017 - Sharing the process of diagnostic decision making. September 24, 2017 Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. https://psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making Improving diagnosis has …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73383/psn-pdf
    January 01, 2020 - Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care January 1, 2020 Irvine, CA: The Patient Safety Movement; 2020. https://psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable- care Patient safety success requires leadership, …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33944/psn-pdf
    January 29, 2018 - National Patient Safety Foundation. January 29, 2018 National Patient Safety Foundation. https://psnet.ahrq.gov/issue/national-patient-safety-foundation Founded in 1997, the National Patient Safety Foundation supported a variety of initiatives, engaging multidisciplinary action toward improvement in patient safety…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44966/psn-pdf
    March 16, 2016 - Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance. March 16, 2016 McNamara P, Shaller D, De La Mare J, Ivers N. Rockville, MD: Agency for Healthcare Research and Quality; March 2016. AHRQ Publication No. 16-0017-EF. https://psnet.ahrq.gov/issue/confidential-physician-feedback-rep…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50716/psn-pdf
    December 04, 2019 - Organisation for Economic Co-operation and Development: Health at a Glance 2019. December 4, 2019 Paris, France: OECD Publishing: 2019. https://psnet.ahrq.gov/issue/organisation-economic-co-operation-and-development-health-glance-2019 This report documents the overall state of health care, based on an internationa…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854263/psn-pdf
    November 03, 2023 - Diagnostic Safety and Quality Webinar Series: Overview and Implications for Hospitals. November 3, 2023 Washington DC: The Leapfrog Group; 2023. https://psnet.ahrq.gov/issue/diagnostic-safety-and-quality-webinar-series-overview-and-implications- hospitals Diagnostic errors in hospitals are the focus on continued …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836832/psn-pdf
    March 30, 2022 - Improving Education—A Key to Better Diagnostic Outcomes. March 30, 2022 Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes Diagnostic skil…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43009/psn-pdf
    January 07, 2015 - Improving the Emergency Department Discharge Process. January 7, 2015 Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF. https://psnet.ahrq.gov/issue/improving-emergency-department-discharge-process This report a…
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