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Showing results for "improvements".

  1. Attitudes toward the large-scale implementation of an incident reporting system. | PSNet

    psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
    March 23, 2011 - Study Attitudes toward the large-scale implementation of an incident reporting system. Citation Text: Braithwaite J, Westbrook MT, Travaglia J. Attitudes toward the large-scale implementation of an incident reporting system. Int J Qual Health Care. 2008;20(3):184-91. doi:10.1093/intqhc…

  2. 'Between the flags': implementing a rapid response system at scale. | PSNet

    psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
    June 08, 2011 - Commentary 'Between the flags': implementing a rapid response system at scale. Citation Text: Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845. Copy Citation For…

  3. The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. | PSNet

    psnet.ahrq.gov/issue/nursing-home-expert-panels-falls-investigation-guide-toolkit-how-guide
    January 09, 2025 - Tools/Toolkit The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Citation Text: The Nursing Home Expert Panel’s Falls Investigation Guide Toolkit: How-To Guide. Portland, OR: Oregon Patient Safety Commission; 2022.  Copy Citation Sav…

  4. Reason's accident causation model: application to adverse events in acute care. | PSNet

    psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
    October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …

  5. Impact and implementation of simulation-based training for safety. | PSNet

    psnet.ahrq.gov/issue/impact-and-implementation-simulation-based-training-safety
    August 02, 2023 - Review Impact and implementation of simulation-based training for safety. Citation Text: Bilotta FF, Werner SM, Bergese SD, et al. Impact and implementation of simulation-based training for safety. ScientificWorldJournal. 2013;2013:652956. doi:10.1155/2013/652956. Copy Citation F…

  6. What is the NHS Safety Thermometer? | PSNet

    psnet.ahrq.gov/issue/what-nhs-safety-thermometer
    November 02, 2016 - Commentary What is the NHS Safety Thermometer? Citation Text: Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  7. An evaluation of information transfer through the continuum of surgical care: a feasibility study. | PSNet

    psnet.ahrq.gov/issue/evaluation-information-transfer-through-continuum-surgical-care-feasibility-study
    December 21, 2014 - Study An evaluation of information transfer through the continuum of surgical care: a feasibility study. Citation Text: Nagpal K, Vats A, Ahmed K, et al. An evaluation of information transfer through the continuum of surgical care: a feasibility study. Ann Surg. 2010;252(2):402-7. doi:1…

  8. Using an interactive voice response system to improve patient safety following hospital discharge. | PSNet

    psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
    February 01, 2017 - Study Using an interactive voice response system to improve patient safety following hospital discharge. Citation Text: Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. …

  9. A framework for encouraging patient engagement in medical decision making. | PSNet

    psnet.ahrq.gov/issue/framework-encouraging-patient-engagement-medical-decision-making
    September 17, 2010 - Commentary A framework for encouraging patient engagement in medical decision making. Citation Text: Holzmueller CG, Wu AW, Pronovost P. A framework for encouraging patient engagement in medical decision making. J Patient Saf. 2012;8(4):161-164. doi:10.1097/PTS.0b013e318267c56e. Copy C…

  10. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. | PSNet

    psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship
    August 30, 2023 - Commentary Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Citation Text: Gupta M, Ringer S, Tess A, et al. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. Acad…

  11. Resilience in healthcare and clinical handover. | PSNet

    psnet.ahrq.gov/issue/resilience-healthcare-and-clinical-handover
    August 19, 2009 - Commentary Resilience in healthcare and clinical handover. Citation Text: Jeffcott SA, Ibrahim JE, Cameron PA. Resilience in healthcare and clinical handover. Qual Saf Health Care. 2009;18(4):256-60. doi:10.1136/qshc.2008.030163. Copy Citation Format: DOI Google Scholar Pu…

  12. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. | PSNet

    psnet.ahrq.gov/issue/handoffs-and-communication-underappreciated-roles-situational-awareness-and-inattentional
    February 01, 2003 - Commentary Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Citation Text: Gosbee JW. Handoffs and communication: the underappreciated roles of situational awareness and inattentional blindness. Clin Obstet Gynecol. 2010;53(3)…

  13. Safety huddles in the PACU: when a patient self-medicates. | PSNet

    psnet.ahrq.gov/issue/safety-huddles-pacu-when-patient-self-medicates
    December 14, 2016 - Commentary Safety huddles in the PACU: when a patient self-medicates. Citation Text: Setaro J, Connolly M. Safety huddles in the PACU: when a patient self-medicates. J Perianesth Nurs. 2011;26(2):96-102. doi:10.1016/j.jopan.2011.01.010. Copy Citation Format: DOI Google Sc…

  14. Attitudes of health sciences faculty members towards interprofessional teamwork and education. | PSNet

    psnet.ahrq.gov/issue/attitudes-health-sciences-faculty-members-towards-interprofessional-teamwork-and-education
    March 02, 2011 - Study Attitudes of health sciences faculty members towards interprofessional teamwork and education. Citation Text: Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ. 2007;41(9):892-896. Copy Cit…

  15. Promoting patient safety: results of a TeamSTEPPS initiative. | PSNet

    psnet.ahrq.gov/issue/promoting-patient-safety-results-teamstepps-initiative
    October 17, 2012 - Commentary Promoting patient safety: results of a TeamSTEPPS initiative. Citation Text: Gaston T, Short N, Ralyea C, et al. Promoting patient safety: results of a TeamSTEPPS initiative. J Nurs Adm. 2016;46(4):201-207. doi:10.1097/nna.0000000000000333. Copy Citation Format: …

  16. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. | PSNet

    psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
    October 08, 2016 - Commentary Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. Citation Text: Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-…

  17. Medical librarians supporting information systems project lifecycles toward improved patient safety. | PSNet

    psnet.ahrq.gov/issue/medical-librarians-supporting-information-systems-project-lifecycles-toward-improved-patient
    March 27, 2024 - Commentary Medical librarians supporting information systems project lifecycles toward improved patient safety. Citation Text: Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians …

  18. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
    August 02, 2015 - Study Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Citation Text: Bisset GS, Crowe J. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Pediatr Radiol. 2014;44(5):552-7. doi:10.1007…

  19. Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. | PSNet

    psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot
    November 16, 2022 - Study Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. Citation Text: Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …

  20. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. | PSNet

    psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology
    April 22, 2020 - Commentary A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Citation Text: Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. C…
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