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Showing results for "improvements".

6721. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45034/psn-pdf
      February 25, 2019 - Future directions for diagnostic decision support. February 25, 2019 Carr S. ImproveDx. April 2016;3:1-3. https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic accuracy. This newsletter article …

6722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47200/psn-pdf
      August 20, 2018 - Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit. August 20, 2018 Sedlock EW, Ottosen M, Nether K, et al. J Patient Saf Risk Manag. 2018;23:167–175. https://psnet.ahrq.gov/issue/creating-comprehensive-unit-based-approach-detecting-and-preventing-har…

6723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859353/psn-pdf
      December 20, 2023 - Global State of Patient Safety 2023. December 20, 2023 Illingworth J, Shaw A, Fernandez et al. London UK: Imperial College London; 2023. https://psnet.ahrq.gov/issue/global-state-patient-safety-2023 Patient safety data can support learning health systems and worldwide improvement. This report discusses a set of in…

6724. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47377/psn-pdf
      February 20, 2019 - Every patient should be enabled to stop the line. February 20, 2019 Bell SK, Martinez W. Every patient should be enabled to stop the line. BMJ Qual Saf. 2019;28(3):172-176. doi:10.1136/bmjqs-2018-008714. https://psnet.ahrq.gov/issue/every-patient-should-be-enabled-stop-line The Toyota manufacturing model "stop the…

6725. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39879/psn-pdf
      September 29, 2010 - The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. September 29, 2010 Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. J Trauma.…

6726. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46387/psn-pdf
      September 06, 2017 - A multicomponent fall prevention strategy reduces falls at an academic medical center. September 6, 2017 France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2017;43(9). doi:10.1016/j.…

6727. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34998/psn-pdf
      June 22, 2009 - Cause and effect analysis of closed claims in obstetrics and gynecology. June 22, 2009 White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-o…

6728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44125/psn-pdf
      May 28, 2015 - AHRQ focuses on ambulatory patient safety. May 28, 2015 Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124. https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety AHRQ has generated funding and educational opportunities toward u…

6729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867085/psn-pdf
      November 06, 2024 - The medication kit conundrum: considerations to enhance safety and efficiency. November 6, 2024 Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae233. https://psnet.ahrq.gov/issue/medi…

6730. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836758/psn-pdf
      March 16, 2022 - Internet of things in healthcare for patient safety: an empirical study. March 16, 2022 Yesmin T, Carter MW, Gladman AS. Internet of things in healthcare for patient safety: an empirical study. BMC Health Serv Res. 2022;22(1):278. doi:10.1186/s12913-022-07620-3. https://psnet.ahrq.gov/issue/internet-things-healthc…

6731. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44911/psn-pdf
      February 17, 2016 - Improving doctor–patient communication in a digital world. February 17, 2016 Lakshmanan I. The Diane Rehm Show. February 9, 2016. https://psnet.ahrq.gov/issue/improving-doctor-patient-communication-digital-world Digital technologies represent both promise and risks for communication in health care. This radio inte…

6732. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47057/psn-pdf
      July 14, 2018 - A framework for operationalizing risk: a practical approach to patient safety.  July 14, 2018 Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317. https://psnet.ahrq.gov/issue/frame…

6733. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45812/psn-pdf
      June 22, 2017 - A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. June 22, 2017 Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. https://psnet.ahrq.gov/issue/primer-pdsa-execu…

6734. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44651/psn-pdf
      December 09, 2015 - Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Singh H. National Quality Measures Expert Commentaries. November 23, 2015. https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction Recently, diagnostic error has garnered much discussion and …

6735. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47503/psn-pdf
      October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…

6736. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48120/psn-pdf
      July 17, 2019 - 2018 John M. Eisenberg Patient Safety and Quality Awards. July 17, 2019 Jt Comm J Qual Patient Saf. 2019;45(7):461-486. https://psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-awards The Eisenberg Award honors individuals and organizations who have made important contributions to patient saf…

6737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866809/psn-pdf
      September 25, 2024 - Stop the line: interventions to prevent retained surgical items. September 25, 2024 Angelilli S. Stop the line: interventions to prevent retained surgical items. AORN J. 2024;120(2):71-81. doi:10.1002/aorn.14190. https://psnet.ahrq.gov/issue/stop-line-interventions-prevent-retained-surgical-items Retained surgica…

6738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73469/psn-pdf
      July 07, 2021 - Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. July 7, 2021 Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-e58. doi:10.1097/ncq.0000000000000564…

6739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74710/psn-pdf
      January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. January 26, 2022 Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further i…

6740. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840167/psn-pdf
      November 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022 Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022.  ISBN: 9781528636759. https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata…