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Showing results for "improvements".

7001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46579/psn-pdf
      April 11, 2018 - Electronic medicine can send you test results quickly. But what if they're scary? April 11, 2018 Boodman SG. Washington Post. March 26, 2018. https://psnet.ahrq.gov/issue/electronic-medicine-can-send-you-test-results-quickly-what-if-theyre-scary Although providing patients with access to physician notes and test r…

7002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46844/psn-pdf
      March 07, 2018 - Learning collaboratives: insights and a new taxonomy from AHRQ's two decades of experience. March 7, 2018 Nix M, McNamara P, Genevro J, et al. Learning Collaboratives: Insights And A New Taxonomy From AHRQ's Two Decades Of Experience. Health Aff (Millwood). 2018;37(2):205-212. doi:10.1377/hlthaff.2017.1144. https…

7003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73065/psn-pdf
      March 24, 2021 - Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care. March 24, 2021 Goh HS, Tan V, Chang J, et al. Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term car…

7004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47568/psn-pdf
      March 06, 2019 - Trends in anesthesia-related liability and lessons learned. March 6, 2019 Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-l…

7005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863760/psn-pdf
      March 06, 2024 - Imagining improved interactions: patients' designs to address implicit bias. March 6, 2024 Yang C, Coney L, Mohanraj D, et al. AMIA Annu Symp Proc. 2023;2023:774-783. https://psnet.ahrq.gov/issue/imagining-improved-interactions-patients-designs-address-implicit-bias Implicit biases can compromise decision making a…

7006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37294/psn-pdf
      May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…

7007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46572/psn-pdf
      January 01, 2018 - Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review. December 21, 2017 Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and …

7008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35220/psn-pdf
      May 14, 2015 - Patient Safety and Quality Improvement Act of 2005. May 14, 2015 Pub L No. 109-41.  https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005 This bill amends the Public Health Service Act to encourage a culture of safety in health care organizations. The bill, signed into law July 29, 2005…

7009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47305/psn-pdf
      March 19, 2019 - Effect of genetic diagnosis on patients with previously undiagnosed disease. March 19, 2019 Splinter K, Adams DR, Bacino CA, et al. Effect of Genetic Diagnosis on Patients with Previously Undiagnosed Disease. New Engl J Med. 2018;379(22):2131-2139. doi:10.1056/NEJMoa1714458. https://psnet.ahrq.gov/issue/effect-gen…

7010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47589/psn-pdf
      January 09, 2019 - Framework for Effective Board Governance of Health System Quality. January 9, 2019 Daley Ullem E, Gandhi TK, Mate K, et al. IHI White Paper. Boston, MA: Institute for Healthcare Improvement; 2018. https://psnet.ahrq.gov/issue/framework-effective-board-governance-health-system-quality The role of hospital boards i…

7011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50887/psn-pdf
      February 12, 2020 - Lessons learned from a systems approach to engaging patients and families in patient safety transformation. February 12, 2020 Hatlie MJ, Nahum A, Leonard R, et al. Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation. Jt Comm J Qual Patient Saf. 2020;46(3):158-1…

7012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854835/psn-pdf
      October 25, 2023 - Improving patient safety by shifting power from health professionals to patients. October 25, 2023 BMJ. 2023(383):2219, 2278, 2319, 2331. https://psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients This compendium of editorials and opinion pieces discuss “Martha’s Rule,” a ne…

7013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844989/psn-pdf
      February 22, 2023 - Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. February 22, 2023 White A, Fulda KG, Blythe R, et al. Defining and enhancing collaboration between community pharmacists and primary care providers to improve medication safety. Expert Opin D…

7014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45772/psn-pdf
      January 11, 2017 - Technical Series on Safer Primary Care. January 11, 2017 Geneva, Switzerland: World Health Organization; 2016. https://psnet.ahrq.gov/issue/technical-series-safer-primary-care Much of patient safety research has focused on the hospital setting, but a majority of health care is delivered in the ambulatory setting. …

7015. New Vistas in Patient Safety and Simulation. | PSNet
      psnet.ahrq.gov/issue/new-vistas-patient-safety-and-simulation
      November 14, 2011 - Special or Theme Issue New Vistas in Patient Safety and Simulation. Citation Text: New Vistas in Patient Safety and Simulation. Kofke AW, Nadkarni VM, eds. Anesthesiol Clin. 2007;25(2):209-390 Copy Citation Save Save to your library Print …

7016. Safety and satisfaction: where are the connections? | PSNet
      psnet.ahrq.gov/issue/safety-and-satisfaction-where-are-connections
      June 25, 2010 - Newspaper/Magazine Article Safety and satisfaction: where are the connections? Citation Text: Safety and satisfaction: where are the connections? Wolosin RJ. Copy Citation Save Save to your library Print Download PDF Share Facebook …

7017. STate Action on Avoidable Rehospitalizations. | PSNet
      psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations
      January 20, 2016 - Multi-use Website STate Action on Avoidable Rehospitalizations. Citation Text: STate Action on Avoidable Rehospitalizations. Institute for Healthcare Improvement. 2009 -2013. Copy Citation Save Save to your library Print Download PDF Share …

7018. First, Do No Harm. | PSNet
      psnet.ahrq.gov/issue/first-do-no-harm-0
      September 05, 2007 - Special or Theme Issue First, Do No Harm. Citation Text: First, Do No Harm. Virtual Mentor. 2011;13(9):587-678. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

7019. Residency evaluations—where is the patient voice? | PSNet
      psnet.ahrq.gov/issue/residency-evaluations-where-patient-voice
      June 21, 2023 - Commentary Residency evaluations—where is the patient voice? Citation Text: Tummalapalli SL. Residency Evaluations-Where Is the Patient Voice? JAMA Intern Med. 2017;177(12):1722-1723. doi:10.1001/jamainternmed.2017.6029. Copy Citation Format: DOI Google Scholar PubMed BibTe…

7020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47177/psn-pdf
      January 23, 2019 - Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. January 23, 2019 Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attending Physician Supervision on Medical Errors, Patient Safety, and Resident Ed…