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Showing results for "improvements".

  1. 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/more-words-interpersonal-communication-cognitive-bias-and-diagnostic-errors
    March 11, 2013 - Commentary 'More than words' - interpersonal communication, cognitive bias and diagnostic errors. Citation Text: Dahm MR, Williams M, Crock C. ‘More than words’ – Interpersonal communication, cognitive bias and diagnostic errors. Patient Educ Couns. 2022;105(1):252-256. doi:10.1016/j.pec…

  2. Journey to no preventable risk: The Baylor Health Care System patient safety experience. | PSNet

    psnet.ahrq.gov/issue/journey-no-preventable-risk-baylor-health-care-system-patient-safety-experience
    November 23, 2014 - Commentary Journey to no preventable risk: The Baylor Health Care System patient safety experience. Citation Text: Kennerly DA, Richter KM, Good V, et al. Journey to no preventable risk: the Baylor Health Care System patient safety experience. Am J Med Qual. 2011;26(1):43-52. doi:10.11…

  3. Transferring aviation practices into clinical medicine for the promotion of high reliability. | PSNet

    psnet.ahrq.gov/issue/transferring-aviation-practices-clinical-medicine-promotion-high-reliability
    September 12, 2018 - Review Transferring aviation practices into clinical medicine for the promotion of high reliability. Citation Text: Powell-Dunford N, McPherson MK, Pina JS, et al. Transferring Aviation Practices into Clinical Medicine for the Promotion of High Reliability. Aerosp Med Hum Perform. 2017;8…

  4. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. | PSNet

    psnet.ahrq.gov/issue/chemotherapeutic-errors-hospitalised-cancer-patients-attributable-damage-and-extra-costs
    May 04, 2012 - Study Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. Citation Text: Ranchon F, Salles G, Späth H-M, et al. Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs. BMC Cancer. 2011;11:478. doi:10.1186/1…

  5. The "physician-led chart audit": engaging providers in fortifying a culture of safety. | PSNet

    psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety
    November 20, 2013 - Study The "physician-led chart audit": engaging providers in fortifying a culture of safety. Citation Text: Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000…

  6. Human factors and simulation in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-simulation-emergency-medicine
    November 16, 2022 - Commentary Human factors and simulation in emergency medicine. Citation Text: Hayden EM, Wong AH, Ackerman J, et al. Human Factors and Simulation in Emergency Medicine. Acad Emerg Med. 2018;25(2):221-229. doi:10.1111/acem.13315. Copy Citation Format: DOI Google Scholar PubM…

  7. Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care
    October 13, 2021 - Study Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Citation Text: Diagnostic errors in hospitalized adults who died or were transferred to intensive care. Auerbach AD, Lee TM, Hubbard CC, et al for the UPSIDE Research Group. JAMA Inte…

  8. Design for patient safety: a systems-based risk identification framework. | PSNet

    psnet.ahrq.gov/issue/design-patient-safety-systems-based-risk-identification-framework
    February 03, 2021 - Study Emerging Classic Design for patient safety: a systems-based risk identification framework. Citation Text: Simsekler MCE, Ward JR, Clarkson J. Design for patient safety: a systems-based risk identification framework. Ergonomics. 2018;61(8):1046-1064. doi:10…

  9. Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

    psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
    October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…

  10. Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. | PSNet

    psnet.ahrq.gov/issue/organizational-perspectives-nurse-executives-15-hospitals-impact-and-effectiveness-rapid
    August 03, 2022 - Study Organizational perspectives of nurse executives in 15 hospitals on the impact and effectiveness of rapid response teams. Citation Text: Smith PL, McSweeney J. Organizational Perspectives of Nurse Executives in 15 Hospitals on the Impact and Effectiveness of Rapid Response Teams. Jt…

  11. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. | PSNet

    psnet.ahrq.gov/issue/making-infection-prevention-and-control-everyones-business-hospital-staff-views-patient
    April 29, 2015 - Study Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Citation Text: Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…

  12. Handoff practices in emergency medicine: are we making progress? | PSNet

    psnet.ahrq.gov/issue/handoff-practices-emergency-medicine-are-we-making-progress
    September 23, 2020 - Study Handoff practices in emergency medicine: are we making progress? Citation Text: Hern G, Gallahue FE, Burns BD, et al. Handoff Practices in Emergency Medicine: Are We Making Progress? Acad Emerg Med. 2016;23(2):197-201. doi:10.1111/acem.12867. Copy Citation Format: DOI…

  13. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. | PSNet

    psnet.ahrq.gov/issue/introduction-surgical-safety-checklist-tertiary-referral-obstetric-centre
    October 04, 2023 - Study The introduction of a surgical safety checklist in a tertiary referral obstetric centre. Citation Text: Kearns RJ, Uppal V, Bonner J, et al. The introduction of a surgical safety checklist in a tertiary referral obstetric centre. BMJ Qual Saf. 2011;20(9):818-22. doi:10.1136/bmjqs…

  14. 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…

  15. Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. | PSNet

    psnet.ahrq.gov/issue/understanding-procedural-violations-using-safety-i-and-safety-ii-case-community-pharmacies
    February 06, 2019 - Study Understanding procedural violations using Safety-I and Safety-II: the case of community pharmacies. Citation Text: Jones CEL, Phipps D, Ashcroft DM. Understanding procedural violations using Safety-I and Safety-II: The case of community pharmacies. Saf Sci. 2018;105:114-120. doi:10…

  16. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. | PSNet

    psnet.ahrq.gov/issue/transforming-morbidity-and-mortality-conference-promote-safety-and-quality-picu
    April 28, 2021 - Study Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Citation Text: Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1…

  17. Leading article: how can I optimise my role as a leader within the surgical team? | PSNet

    psnet.ahrq.gov/issue/leading-article-how-can-i-optimise-my-role-leader-within-surgical-team
    October 29, 2017 - Review Leading article: how can I optimise my role as a leader within the surgical team? Citation Text: Green B, Mitchell DA, Stevenson P, et al. Leading article: how can I optimise my role as a leader within the surgical team? Br J Oral Maxillofac Surg. 2016;54(8):847-850. doi:10.1016/j…

  18. 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…

  19. '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 …

  20. Relationship between quality of care and negligence litigation in nursing homes. | PSNet

    psnet.ahrq.gov/issue/relationship-between-quality-care-and-negligence-litigation-nursing-homes
    September 07, 2011 - Study Relationship between quality of care and negligence litigation in nursing homes. Citation Text: Studdert DM, Spittal MJ, Mello MM, et al. Relationship between quality of care and negligence litigation in nursing homes. N Engl J Med. 2011;364(13):1243-1250. doi:10.1056/nejmsa100933…
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