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Showing results for "improvements".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37386/psn-pdf
    January 06, 2017 - Medication reconciliation in ambulatory oncology. January 6, 2017 Weingart SN, Cleary A, Seger AC, et al. Medication reconciliation in ambulatory oncology. Jt Comm J Qual Patient Saf. 2007;33(12):750-7. https://psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-oncology The Joint Commission mandates systems…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45754/psn-pdf
    September 01, 2018 - Addressing ambulatory safety and malpractice: the Massachusetts PROMISES project. September 1, 2018 Schiff G, Nieva HR, Griswold P, et al. Addressing Ambulatory Safety and Malpractice: The Massachusetts PROMISES Project. Health Serv Res. 2016;51 Suppl 3:2634-2641. doi:10.1111/1475-6773.12621. https://psnet.ahrq.go…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42515/psn-pdf
    October 24, 2013 - Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. October 24, 2013 Taylor AM, Chuo J, Figueroa-Altmann A, et al. Using four-phased unit-based patient safety walkrounds to uncover correctable system flaws. Jt Comm J Qual Patient Saf. 2013;39(9):396-403. https://psnet.ahrq.g…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38489/psn-pdf
    November 25, 2009 - Evaluation of the contributions of an electronic web- based reporting system: enabling action. November 25, 2009 Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15. doi:10.1097/PTS.0b013e318198dc8…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38366/psn-pdf
    January 28, 2009 - Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. January 28, 2009 Antonacci AC, Lam S, Lavarias V, et al. Benchmarking surgical incident reports using a database and a triage system to reduce adverse outcomes. Arch Surg. 2008;143(12):1192-7. doi:10.1001/archsu…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867233/psn-pdf
    December 04, 2024 - Evaluation of a natural language processing approach to identify diagnostic errors and analysis of safety learning system case review data: retrospective cohort study. December 4, 2024 Tabaie A, Tran A, Calabria T, et al. Evaluation of a natural language processing approach to identify diagnostic errors and analys…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46584/psn-pdf
    December 06, 2017 - Alterations in Spanish language interpretation during pediatric critical care family meetings. December 6, 2017 Sinow CS, Corso I, Lorenzo J, et al. Alterations in Spanish Language Interpretation During Pediatric Critical Care Family Meetings. Crit Care Med. 2017;45(11):1915-1921. doi:10.1097/CCM.0000000000002650. …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849596/psn-pdf
    May 31, 2023 - Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient sample. May 31, 2023 Manadan A, Arora S, Whittier M, et al. Patients admitted on weekends have higher in-hospital mortality than those admitted on weekdays: analysis of national inpatient…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45872/psn-pdf
    April 13, 2017 - Finding diagnostic errors in children admitted to the PICU. April 13, 2017 Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU. Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059. https://psnet.ahrq.gov/issue/finding-diagnostic-errors-childre…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845298/psn-pdf
    March 01, 2023 - National statutory reporting: not even ticking the boxes? The quality of 'Learning from Deaths' reporting in quality accounts within the NHS in England 2017-2020. March 1, 2023 Brummell Z, Braun D, Hussein Z, et al. National statutory reporting: not even ticking the boxes? The quality of ‘Learning from Deaths’ rep…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44304/psn-pdf
    September 09, 2015 - Association of the 2011 ACGME resident duty hour reform with postoperative patient outcomes in surgical specialties. September 9, 2015 Rajaram R, Chung JW, Cohen ME, et al. Association of the 2011 ACGME Resident Duty Hour Reform with Postoperative Patient Outcomes in Surgical Specialties. J Am Coll Surg. 2015;221(…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36384/psn-pdf
    January 05, 2017 - Forum: The 100,000 Lives Campaign: a scientific and policy review [with IHI response]. January 5, 2017 Wachter R, Pronovost P. The 100,000 Lives Campaign: A scientific and policy review. Jt Comm J Qual Patient Saf. 2006;32(11):621-7. https://psnet.ahrq.gov/issue/forum-100000-lives-campaign-scientific-and-policy-re…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37803/psn-pdf
    January 06, 2017 - Paying the piper: investing in infrastructure for patient safety.  January 6, 2017 Pronovost P, Rosenstein BJ, Paine LA, et al. Paying the piper: investing in infrastructure for patient safety. Jt Comm J Qual Patient Saf. 2008;34(6):342-8. https://psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36044/psn-pdf
    April 27, 2010 - Expected and unanticipated consequences of the quality and information technology revolutions. April 27, 2010 Wachter R. Expected and unanticipated consequences of the quality and information technology revolutions. JAMA. 2006;295(23):2780-3. https://psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-qua…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862608/psn-pdf
    February 14, 2024 - Communication and birth experiences among Black birthing people who experienced preterm birth. February 14, 2024 Gregory EF, Johnson GT, Barreto A, et al. Communication and birth experiences among Black birthing people who experienced preterm birth. Ann Fam Med. 2024;22(1):31-36. doi:10.1370/afm.3048. https://psne…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38163/psn-pdf
    April 11, 2011 - Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. April 11, 2011 Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric e…

  17. Neuromuscular blocking agents: reducing associated wrong-drug errors. | PSNet

    psnet.ahrq.gov/issue/neuromuscular-blocking-agents-reducing-associated-wrong-drug-errors
    April 26, 2023 - Newspaper/Magazine Article Neuromuscular blocking agents: reducing associated wrong-drug errors. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 16, 2018 This article discu…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41319/psn-pdf
    May 17, 2012 - Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. May 17, 2012 de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/bmjqs-2011-000347. https://psnet.ahrq…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45392/psn-pdf
    August 17, 2016 - Boosting medical diagnostics by pooling independent judgments. August 17, 2016 Kurvers RHJM, Herzog SM, Hertwig R, et al. Boosting medical diagnostics by pooling independent judgments. Proc Natl Acad Sci U S A. 2016;113(31):8777-8782. doi:10.1073/pnas.1601827113. https://psnet.ahrq.gov/issue/boosting-medical-diagn…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33568/psn-pdf
    June 15, 2024 - Root Cause Analysis June 15, 2024 Root Cause Analysis. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/root-cause-analysis PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…
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