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Showing results for "improvements".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46606/psn-pdf
    July 10, 2019 - Implementation of a mock root cause analysis to provide simulated patient safety training. July 10, 2019 Murphy M, Duff J, Whitney J, et al. Implementation of a mock root cause analysis to provide simulated patient safety training. BMJ Open Qual. 2017;6(2). doi:10.1136/bmjoq-2017-000096. https://psnet.ahrq.gov/iss…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45152/psn-pdf
    November 18, 2016 - Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. November 18, 2016 Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. Am J Med Qual. 2016;31(6):598-600. h…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72473/psn-pdf
    January 01, 2021 - Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020 Jung OS, Kundu P, Edmondson AC, et al. Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation …

  4. Centre for Patient Safety and Service Quality. | PSNet

    psnet.ahrq.gov/issue/centre-patient-safety-and-service-quality
    August 01, 2024 - Multi-use Website Centre for Patient Safety and Service Quality. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 17, 2009 This research program was established to explo…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849602/psn-pdf
    May 31, 2023 - Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal communication is related to patient safety threats and higher-quality care. May 31, 2023 Dietl JE, Derksen C, Keller FM, et al. Psychosocial processes in healthcare workers: how individuals' perceptions of interpersonal com…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46142/psn-pdf
    June 14, 2017 - Introducing a new junior doctor electronic weekend handover on an orthopaedic ward. June 14, 2017 Maroo S, Raj D. Introducing a New Junior Doctor Electronic Weekend Handover on an Orthopaedic Ward. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u212695.w5059. https://psnet.ahrq.gov/issue/introducing-new-ju…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837039/psn-pdf
    May 04, 2022 - The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality and safety. May 4, 2022 Arnetz JE. The Joint Commission's new and revised workplace violence prevention standards for hospitals: a major step forward toward improved quality an…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74264/psn-pdf
    January 19, 2022 - Characteristics of critical incident reporting systems in primary care: an international survey. January 19, 2022 Höcherl A, Lüttel D, Schütze D, et al. Characteristics of critical incident reporting systems in primary care: an international survey. J Patient Saf. 2022;18(1):e85-e91. doi:10.1097/pts.000000000000070…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838195/psn-pdf
    September 28, 2022 - National Plan for Health Workforce Well-Being. September 28, 2022 Dzau VJ, Kirch D, Murthy V, Nasca T, eds; NAM’s Action Collaborative on Clinician Well-Being and Resilience. Washington DC: The National Academies Press; 2022. ISBN 9780309694674. https://psnet.ahrq.gov/issue/national-plan-health-workforce-well-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49776/psn-pdf
    November 01, 2016 - Continuity Errors in Resident Clinic November 1, 2016 Warm EJ. Continuity Errors in Resident Clinic. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic The Case A 32-year-old woman presented to internal medicine clinic for evaluation of headaches and difficulty concentrating. …

  11. Rethinking Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016  View more articles from the same authors. Citation Text: Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33661/psn-pdf
    December 01, 2007 - Care Transitions December 1, 2007 Kripalani S. Care Transitions. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/care-transitions Perspective Hospital discharge is often viewed as the end of an acute medical event. Goodbyes are said as patients pack their belongings and return home. Physicians scratch …

  13. Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. | PSNet

    psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote
    November 16, 2022 - Commentary Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. Citation Text: Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to…

  14. Improving patient safety via automated laboratory-based adverse event grading. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-automated-laboratory-based-adverse-event-grading
    October 19, 2022 - Study Improving patient safety via automated laboratory-based adverse event grading. Citation Text: Niland JC, Stiller T, Neat J, et al. Improving patient safety via automated laboratory-based adverse event grading. J Am Med Inform Assoc. 2012;19(1):111-5. doi:10.1136/amiajnl-2011-0005…

  15. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. | PSNet

    psnet.ahrq.gov/issue/revealing-and-resolving-patient-safety-defects-impact-leadership-walkrounds-frontline
    June 16, 2011 - Study Revealing and resolving patient safety defects: the impact of leadership WalkRounds on frontline caregiver assessments of patient safety. Citation Text: Frankel A, Grillo SP, Pittman M, et al. Revealing and resolving patient safety defects: the impact of leadership WalkRounds on …

  16. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-electronic-prescribing-medication-errors-and-adverse-drug-events-systematic-review
    October 30, 2013 - Review The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. Citation Text: Ammenwerth E, Schnell-Inderst P, Machan C, et al. The effect of electronic prescribing on medication errors and adverse drug events: a systematic review. J Am M…

  17. Getting the board on board: engaging hospital boards in quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
    November 23, 2016 - Study Getting the board on board: engaging hospital boards in quality and patient safety. Citation Text: Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. Copy Citation Format: …

  18. Organizational learning in the morbidity and mortality conference. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
    June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

  19. A national patient safety curriculum in pediatric emergency medicine. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-curriculum-pediatric-emergency-medicine
    January 12, 2022 - Study A national patient safety curriculum in pediatric emergency medicine. Citation Text: Stankovic C, Wolff M, Chang TP, et al. A National Patient Safety Curriculum in Pediatric Emergency Medicine. Pediatr Emerg Care. 2019;35(8):519-521. doi:10.1097/PEC.0000000000001533. Copy Citatio…

  20. Patient misidentifications caused by errors in standard barcode technology. | PSNet

    psnet.ahrq.gov/issue/patient-misidentifications-caused-errors-standard-barcode-technology
    June 13, 2012 - Study Patient misidentifications caused by errors in standard barcode technology. Citation Text: Snyder ML, Carter A, Jenkins K, et al. Patient misidentifications caused by errors in standard bar code technology. Clin Chem. 2010;56(10):1554-60. doi:10.1373/clinchem.2010.150094. Copy …
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