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Showing results for "improvements".

  1. Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. | PSNet

    psnet.ahrq.gov/issue/creating-pediatric-joint-council-promote-patient-safety-and-quality-governance-and
    January 29, 2015 - Commentary Creating a Pediatric Joint Council to promote patient safety and quality, governance, and accountability across Johns Hopkins Medicine. Citation Text: Rosen MA, Mueller BU, Milstone AM, et al. Creating a Pediatric Joint Council to Promote Patient Safety and Quality, Governance…

  2. Reducing errors through discharge medication reconciliation by pharmacy services. | PSNet

    psnet.ahrq.gov/issue/reducing-errors-through-discharge-medication-reconciliation-pharmacy-services
    October 20, 2021 - Study Reducing errors through discharge medication reconciliation by pharmacy services. Citation Text: Bishop MA, Cohen BA, Billings LK, et al. Reducing errors through discharge medication reconciliation by pharmacy services.  Am J Health Syst Pharm. 2015;72(17 Suppl 2):S120-6. doi:10.21…

  3. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. | PSNet

    psnet.ahrq.gov/issue/acceptance-recommendations-inpatient-pharmacy-case-managers-unintended-consequences
    November 16, 2022 - Study Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. Citation Text: Anderegg S, Demik DE, Carter BL, et al. Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hosp…

  4. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. | PSNet

    psnet.ahrq.gov/issue/greatest-impact-safe-harbor-rule-may-be-improve-patient-safety-not-reduce-liability-claims
    July 05, 2017 - Study Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by physicians. Citation Text: Kachalia A, Little A, Isavoran M, et al. Greatest impact of safe harbor rule may be to improve patient safety, not reduce liability claims paid by p…

  5. Risk of adverse drug events by patient destination after hospital discharge. | PSNet

    psnet.ahrq.gov/issue/risk-adverse-drug-events-patient-destination-after-hospital-discharge
    March 04, 2020 - Study Risk of adverse drug events by patient destination after hospital discharge. Citation Text: Triller DM, Clause SL, Hamilton RA. Risk of adverse drug events by patient destination after hospital discharge. Am J Health Syst Pharm. 2005;62(18):1883-9. Copy Citation Format: …

  6. Evaluation and certification of computerized physician order entry systems. | PSNet

    psnet.ahrq.gov/issue/evaluation-and-certification-computerized-physician-order-entry-systems
    May 27, 2011 - Review Evaluation and certification of computerized physician order entry systems. Citation Text: Classen D, Avery A, Bates DW. Evaluation and certification of computerized provider order entry systems. J Am Med Inform Assoc. 2007;14(1):48-55. Copy Citation Format: Google…

  7. Safety culture and care: a program to prevent surgical errors. | PSNet

    psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors
    March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

  8. 'Bad apples': time to redefine as a type of systems problem? | PSNet

    psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
    April 19, 2017 - Commentary 'Bad apples': time to redefine as a type of systems problem? Citation Text: Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. Copy Citation Format: DOI Google …

  9. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. | PSNet

    psnet.ahrq.gov/issue/cost-implications-acgmes-2011-changes-resident-duty-hours-and-training-environment
    August 05, 2015 - Study Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. Citation Text: Nuckols TK, Escarce JJ. Cost implications of ACGME's 2011 changes to resident duty hours and the training environment. J Gen Intern Med. 2012;27(2):241-9. doi:10.1007/s1160…

  10. Improving safety in the operating room: a systematic literature review of retained surgical sponges. | PSNet

    psnet.ahrq.gov/issue/improving-safety-operating-room-systematic-literature-review-retained-surgical-sponges
    March 05, 2025 - Review Improving safety in the operating room: a systematic literature review of retained surgical sponges. Citation Text: Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(…

  11. ACR guidance document on MR safe practices: updates and critical information 2019. | PSNet

    psnet.ahrq.gov/issue/acr-guidance-document-mr-safe-practices-updates-and-critical-information-2019
    June 22, 2022 - Commentary ACR guidance document on MR safe practices: updates and critical information 2019. Citation Text: ACR guidance document on MR safe practices: updates and critical information 2019. ACR Committee on MR Safety, Greenberg TD, Hoff MN, Gilk TB, et al. J Magn Reson Imaging. 20…

  12. How house officers cope with their mistakes. | PSNet

    psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
    June 26, 2015 - Study Classic How house officers cope with their mistakes. Citation Text: Wu AW, Folkman S, McPhee SJ, et al. How house officers cope with their mistakes. West J Med. 1993;159(5):565-569. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

  13. Resident shift handoff strategies in US internal medicine residency programs. | PSNet

    psnet.ahrq.gov/issue/resident-shift-handoff-strategies-us-internal-medicine-residency-programs
    July 02, 2014 - Study Resident shift handoff strategies in US internal medicine residency programs. Citation Text: Wray CM, Chaudhry S, Pincavage A, et al. Resident Shift Handoff Strategies in US Internal Medicine Residency Programs. JAMA. 2016;316(21):2273-2275. doi:10.1001/jama.2016.17786. Copy Cita…

  14. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. | PSNet

    psnet.ahrq.gov/issue/unacceptable-behaviours-between-healthcare-workers-just-tip-patient-safety-iceberg
    February 16, 2022 - Commentary Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. Citation Text: Bamberger E, Bamberger P. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. BMJ Qual Saf. 2022;31(9):638-641. doi:10.11…

  15. Influence of unit-level staffing on medication errors and falls in military hospitals. | PSNet

    psnet.ahrq.gov/issue/influence-unit-level-staffing-medication-errors-and-falls-military-hospitals
    February 02, 2011 - Study Influence of unit-level staffing on medication errors and falls in military hospitals. Citation Text: Breckenridge-Sproat S, Johantgen M, Patrician PA. Influence of unit-level staffing on medication errors and falls in military hospitals. West J Nurs Res. 2012;34(4):455-74. doi:1…

  16. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. | PSNet

    psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review
    August 14, 2024 - Review Do safety briefings improve patient safety in the acute hospital setting? A systematic review. Citation Text: Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.…

  17. Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. | PSNet

    psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine-interruptions
    September 27, 2023 - Commentary Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. Citation Text: Morrison B, Rudolph JW. Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in th…

  18. Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK. | PSNet

    psnet.ahrq.gov/issue/psychometric-properties-hospital-survey-patient-safety-culture-findings-uk
    March 22, 2023 - Study Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK. Citation Text: Waterson P, Griffiths P, Stride C, et al. Psychometric properties of the Hospital Survey on Patient Safety Culture: findings from the UK. Qual Saf Health Care. 2010;19(5…

  19. A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. | PSNet

    psnet.ahrq.gov/issue/review-educational-strategies-improve-nurses-roles-recognizing-and-responding-deteriorating
    October 16, 2013 - Review A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. Citation Text: Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles in recognizing and responding to deterio…

  20. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. | PSNet

    psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
    April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. Citation Text: Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…
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