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Showing results for "improvements".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60634/psn-pdf
    January 01, 2021 - Quality & safety in the time of coronavirus--design better, learn faster. July 1, 2020 Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051. https://psnet.ahrq.gov/issue/quality-safety-time-coronavirus-desig…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838320/psn-pdf
    May 12, 2010 - Regional variations in diagnostic practices. May 12, 2010 Song Y, Skinner J, Bynum JPW, et al. Regional variations in diagnostic practices. N Engl J Med. 2010;363(1):45-53. doi:10.1056/nejmsa0910881. https://psnet.ahrq.gov/issue/regional-variations-diagnostic-practices Improving diagnostic safety is a national pri…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39086/psn-pdf
    May 24, 2015 - Psychiatry morbidity and mortality rounds: implementation and impact. May 24, 2015 Goldman S, Demaso DR, Kemler B. Psychiatry morbidity and mortality rounds: implementation and impact. Acad Psychiatry. 2009;33(5):383-8. doi:10.1176/appi.ap.33.5.383. https://psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-r…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839814/psn-pdf
    January 01, 2023 - Influencing a culture of quality and safety through huddles. November 9, 2022 McCain N, Ferguson T, Barry Hultquist T, et al. Influencing a culture of quality and safety through huddles. J Nurs Care Qual. 2023;38(1):26-32. doi:10.1097/ncq.0000000000000642. https://psnet.ahrq.gov/issue/influencing-culture-quality-a…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838083/psn-pdf
    September 14, 2022 - A pause in pediatrics: implementation of a pediatric diagnostic time-out. September 14, 2022 Yale SC, Cohen SS, Kliegman RM, et al. A pause in pediatrics: implementation of a pediatric diagnostic time-out. Diagnosis (Berl). 2022;9(3):348-351. doi:10.1515/dx-2022-0010. https://psnet.ahrq.gov/issue/pause-pediatrics-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838191/psn-pdf
    September 28, 2022 - Improved Diagnostic Accuracy Through Probability- Based Diagnosis. September 28, 2022 Rockville, MD: Agency for Healthcare Research and Quality; September 2022. AHRQ Publication No. 22- 0026-3-EF. https://psnet.ahrq.gov/issue/improved-diagnostic-accuracy-through-probability-based-diagnosis Correct consideration o…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838194/psn-pdf
    September 28, 2022 - Measure Dx: implementing pathways to discover and learn from diagnostic errors. September 28, 2022 Bradford A, Shofer M, Singh H. Measure Dx: Implementing pathways to discover and learn from diagnostic errors. Int J Qual Health Care. 2022;34(3):mzac068. doi:10.1093/intqhc/mzac068. https://psnet.ahrq.gov/issue/meas…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865454/psn-pdf
    March 27, 2024 - Ensuring Patient and Workforce Safety Culture in Healthcare March 27, 2024 Murray J, Sorra J, Gale B, et al. Ensuring Patient and Workforce Safety Culture in Healthcare. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare Introduction In 2020, the I…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33682/psn-pdf
    April 01, 2009 - In Conversation with...Mark Chassin, MD, MPP, MPH April 1, 2009 In Conversation with..Mark Chassin, MD, MPP, MPH . PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph Editor's note: Mark R. Chassin, MD, MPP, MPH, is president of The Joint Commission, the preeminent s…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33695/psn-pdf
    April 01, 2010 - The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance April 1, 2010 Roberts LL, Ward MM, Evans TC. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance. PSNet [internet]. 2010. ht…

  11. Dangerous Shift | PSNet

    psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - SPOTLIGHT CASE Dangerous Shift Citation Text: Patterson ES. Dangerous Shift. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

  12. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
    January 01, 2022 - Spotlight Spotlight Patient Safety Events Involving Opioid Dose Stacking Source and Credits • This presentation is based on the January 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Hollie Porras, PharmD, BCPS and Cathy Lammers…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47544/psn-pdf
    December 12, 2018 - Using good catches to promote a just culture and perioperative patient safety. December 12, 2018 Monahan JJ. Using Good Catches to Promote a Just Culture and Perioperative Patient Safety. AORN J. 2018;108(5):548-552. doi:10.1002/aorn.12394. https://psnet.ahrq.gov/issue/using-good-catches-promote-just-culture-and-p…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46753/psn-pdf
    January 30, 2018 - Leadership oversight for patient safety programs: an essential element. January 30, 2018 Moffatt-Bruce SD, Clark S, DiMaio M, et al. Leadership Oversight for Patient Safety Programs: An Essential Element. Ann Thorac Surg. 2017;105(2):351-356. doi:10.1016/j.athoracsur.2017.11.021. https://psnet.ahrq.gov/issue/leade…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46386/psn-pdf
    April 03, 2018 - The impact of electronic health records on diagnosis. April 3, 2018 Graber ML, Byrne C, Johnston D. The impact of electronic health records on diagnosis. Diagnosis (Berl). 2017;4(4):211-223. doi:10.1515/dx-2017-0012. https://psnet.ahrq.gov/issue/impact-electronic-health-records-diagnosis Health information technol…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839825/psn-pdf
    November 09, 2022 - Preventing medication errors in pediatric anesthesia: a systematic scoping review. November 9, 2022 Shawahna R, Jaber M, Jumaa E, et al. Preventing medication errors in pediatric anesthesia: a systematic scoping review. J Patient Saf. 2022;18(7):e1047-e1060. doi:10.1097/pts.0000000000001019. https://psnet.ahrq.gov…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43943/psn-pdf
    December 04, 2015 - Culture Change in the NHS: Applying the Lessons of the Francis Inquiries. December 4, 2015 Department of Health. London, England: Crown Publishing; February 2015. ISBN: 9781474112116. https://psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries The Francis inquiry uncovered numerous problems …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47408/psn-pdf
    September 19, 2018 - Ways to Improve Electronic Health Record Safety. September 19, 2018 Philadelphia, PA: Pew Charitable Trusts, American Medical Association, and Medstar Health; 2018. https://psnet.ahrq.gov/issue/ways-improve-electronic-health-record-safety Electronic health records both contribute to and detract from safe care. This…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73077/psn-pdf
    March 24, 2021 - Well-Being Playbook 2.0. A COVID-19 Resource for Hospital and Health System Leaders. March 24, 2021 AHA Physician Alliance. Chicago, IL: American Hospital Association. February 2021.  https://psnet.ahrq.gov/issue/well-being-playbook-20-covid-19-resource-hospital-and-health-system-leaders Human factors enginee…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44674/psn-pdf
    December 18, 2017 - Achieving Safe Health Care: Delivery of Safe Patient Care at Baylor Scott & White Health. December 18, 2017 Compton J. Boca Raton, FL: CRC Press; 2016. ISBN: 9781498732390. https://psnet.ahrq.gov/issue/achieving-safe-health-care-delivery-safe-patient-care-baylor-scott-white-health Since the publication of the Inst…
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