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Showing results for "improvements".

  1. A review of current and emerging approaches to address failure-to-rescue. | PSNet

    psnet.ahrq.gov/issue/review-current-and-emerging-approaches-address-failure-rescue
    March 20, 2024 - Review A review of current and emerging approaches to address failure-to-rescue. Citation Text: Taenzer AH, Pyke JB, McGrath SP. A review of current and emerging approaches to address failure-to-rescue. Anesthesiology. 2011;115(2):421-31. doi:10.1097/ALN.0b013e318219d633. Copy Citation…

  2. An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet

    psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
    May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

  3. Information needs in operating room teams: what is right, what is wrong, and what is needed? | PSNet

    psnet.ahrq.gov/issue/information-needs-operating-room-teams-what-right-what-wrong-and-what-needed
    August 18, 2017 - Study Information needs in operating room teams: what is right, what is wrong, and what is needed? Citation Text: Forrest D, Healey A, Shirafkan H, et al. Information needs in operating room teams: what is right, what is wrong, and what is needed? Surg Endosc. 2011;25(6):1913-20. doi:1…

  4. Awareness of human factors in the operating theatres during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/awareness-human-factors-operating-theatres-during-covid-19-pandemic
    October 27, 2021 - Study Awareness of human factors in the operating theatres during the COVID-19 pandemic. Citation Text: Britton CR, Hayman G, Stroud N. Awareness of Human Factors in the operating theatres during the COVID-19 pandemic. J Perioper Pract. 2021;31(1-2):44-50. doi:10.1177/1750458920978858. …

  5. Unintended errors with EHR-based result management: a case series. | PSNet

    psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
    April 29, 2018 - Commentary Unintended errors with EHR-based result management: a case series. Citation Text: Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294. Copy Citation Format: DOI G…

  6. Overcoming human barriers to safety event reporting in radiology. | PSNet

    psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
    February 09, 2022 - Commentary Overcoming human barriers to safety event reporting in radiology. Citation Text: Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. Copy Citation Format: …

  7. A system-wide initiative to prevent retained vaginal sponges. | PSNet

    psnet.ahrq.gov/issue/system-wide-initiative-prevent-retained-vaginal-sponges
    November 07, 2012 - Commentary A system-wide initiative to prevent retained vaginal sponges. Citation Text: Chagolla BA, Gibbs VC, Keats JP, et al. A system-wide initiative to prevent retained vaginal sponges. MCN Am J Matern Child Nurs. 2011;36(5):312-317. doi:10.1097/NMC.0b013e31822ab204. Copy Citatio…

  8. A state-of-the-art review of speaking up in healthcare. | PSNet

    psnet.ahrq.gov/issue/state-art-review-speaking-healthcare
    October 13, 2021 - Review A state-of-the-art review of speaking up in healthcare. Citation Text: Violato E. A state-of-the-art review of speaking up in healthcare. Adv Health Sci Educ Theory Pract. 2022;27(4):1177-1194. doi:10.1007/s10459-022-10124-8. Copy Citation Format: DOI Google Scholar …

  9. Establishing a rapid response team (RRT) in an academic hospital: one year's experience. | PSNet

    psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
    September 28, 2010 - Study Establishing a rapid response team (RRT) in an academic hospital: one year's experience. Citation Text: King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. Copy Citat…

  10. Better off at home--how we fail children with complex medical conditions. | PSNet

    psnet.ahrq.gov/issue/better-home-how-we-fail-children-complex-medical-conditions
    December 14, 2022 - Commentary Better off at home--how we fail children with complex medical conditions. Citation Text: Newcomer CA. Better off at home--how we fail children with complex medical conditions. N Engl J Med. 2023;388(3):198-200. doi:10.1056/nejmp2213657. Copy Citation Format: DOI …

  11. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. | PSNet

    psnet.ahrq.gov/issue/evidence-based-red-cell-transfusion-critically-ill-quality-improvement-using-computerized
    February 15, 2017 - Study Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician order entry. Citation Text: Rana R, Afessa B, Keegan MT, et al. Evidence-based red cell transfusion in the critically ill: quality improvement using computerized physician …

  12. Interruption handling strategies during paediatric medication administration. | PSNet

    psnet.ahrq.gov/issue/interruption-handling-strategies-during-paediatric-medication-administration
    July 27, 2018 - Study Interruption handling strategies during paediatric medication administration. Citation Text: Colligan L, Bass EJ. Interruption handling strategies during paediatric medication administration. BMJ Qual Saf. 2012;21(11):912-7. doi:10.1136/bmjqs-2011-000292. Copy Citation Format…

  13. Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. | PSNet

    psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-during-opioid-overdose-epidemic
    January 31, 2024 - Commentary Emerging Classic Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. Citation Text: Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJM…

  14. Predictors of misunderstanding pediatric liquid medication instructions. | PSNet

    psnet.ahrq.gov/issue/predictors-misunderstanding-pediatric-liquid-medication-instructions
    December 21, 2017 - Study Predictors of misunderstanding pediatric liquid medication instructions. Citation Text: Bailey SC, Pandit AU, Yin S, et al. Predictors of misunderstanding pediatric liquid medication instructions. Fam Med. 2009;41(10):715-21. Copy Citation Format: Google Scholar Pub…

  15. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
    September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

  16. Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3
    November 30, 2016 - Commentary Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Citation Text: Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Intensive Care Med. 2016;42(4):591-601. Copy Citation Save Save to your library Print Download…

  17. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis. | PSNet

    psnet.ahrq.gov/issue/importance-preparation-doctors-handovers-acute-medical-assessment-unit-hierarchical-task
    March 02, 2011 - Study The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis. Citation Text: Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical …

  18. Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/relationship-hospital-organizational-culture-patient-safety-climate-veterans-health
    October 14, 2009 - Study Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration. Citation Text: Hartmann CW, Meterko M, Rosen AK, et al. Relationship of hospital organizational culture to patient safety climate in the Veterans Health Administration…

  19. Hospital responses to the Leapfrog Group in local markets. | PSNet

    psnet.ahrq.gov/issue/hospital-responses-leapfrog-group-local-markets
    March 04, 2011 - Study Hospital responses to the Leapfrog Group in local markets. Citation Text: Scanlon D, Christianson JB, Ford E. Hospital responses to the leapfrog group in local markets. Med Care Res Rev. 2008;65(2):207-31. doi:10.1177/1077558707312499. Copy Citation Format: DOI Goog…

  20. Findings from the ISMP Medication Safety Self-Assessment for hospitals. | PSNet

    psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-assessment-hospitals
    September 26, 2017 - Study Findings from the ISMP Medication Safety Self-Assessment for hospitals. Citation Text: Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597. Copy Citation Format: …
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