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Showing results for "improvements".

  1. Good and bad reasons: the Swiss cheese model and its critics. | PSNet

    psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics
    September 14, 2022 - Commentary Classic Good and bad reasons: the Swiss cheese model and its critics. Citation Text: Larouzee J, Le Coze J-C. Good and bad reasons: the Swiss cheese model and its critics. Safety Sci. 2020;126:104660. doi:10.1016/j.ssci.2020.104660. Copy Citation …

  2. Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. | PSNet

    psnet.ahrq.gov/issue/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky
    May 12, 2021 - Study Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. Citation Text: Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting ris…

  3. Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. | PSNet

    psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment
    May 25, 2010 - Commentary Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. Citation Text: Ross PT, Abdoler E, Flygt LA, et al. Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors. Aca…

  4. Development of a pediatric adverse events terminology. | PSNet

    psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
    November 16, 2022 - Commentary Development of a pediatric adverse events terminology. Citation Text: Gipson DS, Kirkendall E, Gumbs-Petty B, et al. Development of a Pediatric Adverse Events Terminology. Pediatrics. 2017;139(1). doi:10.1542/peds.2016-0985. Copy Citation Format: DOI Google Schol…

  5. Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
    January 22, 2016 - Review Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. Citation Text: Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. Copy Citati…

  6. Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3? | PSNet

    psnet.ahrq.gov/issue/compliance-guidelines-prevent-surgical-site-infections-simple-1-2-3
    January 21, 2019 - Study Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3? Citation Text: Meeks DW, Lally KP, Carrick MM, et al. Compliance with guidelines to prevent surgical site infections: As simple as 1-2-3? Am J Surg. 2011;201(1):76-83. doi:10.1016/j.amjsurg.2009.0…

  7. Opportunities to mine EHRs for malpractice risk management and patient safety. | PSNet

    psnet.ahrq.gov/issue/opportunities-mine-ehrs-malpractice-risk-management-and-patient-safety
    October 28, 2020 - Commentary Opportunities to mine EHRs for malpractice risk management and patient safety. Citation Text: Adler-Milstein J, Sarkar U, Wachter RM. Opportunities to mine EHRs for malpractice risk management and patient safety. J Patient Saf Risk Manag. 2022;27(4):160-162. doi:10.1177/251604…

  8. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-needs-assessment-and-informed-curriculum-academic-childrens-hospital
    June 28, 2023 - Study Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Citation Text: Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. do…

  9. The patient is in: patient involvement strategies for diagnostic error mitigation. | PSNet

    psnet.ahrq.gov/issue/patient-patient-involvement-strategies-diagnostic-error-mitigation
    April 24, 2018 - Review The patient is in: patient involvement strategies for diagnostic error mitigation. Citation Text: McDonald KM, Bryce CL, Graber ML. The patient is in: patient involvement strategies for diagnostic error mitigation. BMJ Qual Saf. 2013;22 Suppl 2:ii33-ii39. doi:10.1136/bmjqs-2012-…

  10. Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. | PSNet

    psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
    February 10, 2015 - Study Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. Citation Text: Simpson KR, Knox GE, Martin M, et al. Michigan Health & Hospital Association Keystone Obstetrics: A Statewide Collaborative for Perinatal…

  11. Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. | PSNet

    psnet.ahrq.gov/issue/epidemiology-diagnostic-errors-pediatric-emergency-departments-using-electronic-triggers
    December 16, 2020 - Study Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Citation Text: Mahajan P, White E, Shaw KN, et al. Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Acad Emerg Med. 2025;Epub Jan 15. doi:1…

  12. Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/evaluation-and-accurate-diagnoses-pediatric-diseases-using-artificial-intelligence
    April 15, 2020 - Study Classic Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Citation Text: Liang H, Tsui BY, Ni H, et al. Evaluation and accurate diagnoses of pediatric diseases using artificial intelligence. Nat Med. 2019;25(3):433-438.…

  13. Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. | PSNet

    psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
    May 25, 2022 - Study Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. Citation Text: doi:10.1001/jamaoncol.2022.0114. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  14. Understanding psychological safety in health care and education organizations: a comparative perspective. | PSNet

    psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
    July 30, 2014 - Commentary Understanding psychological safety in health care and education organizations: a comparative perspective. Citation Text: Edmondson AC, Higgins M, Singer SJ, et al. Understanding Psychological Safety in Health Care and Education Organizations: A Comparative Perspective. Res Hum…

  15. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. | PSNet

    psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
    February 17, 2011 - Study Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Citation Text: Rogers SO, Gawande AA, Kwaan M, et al. Analysis of surgical errors in closed malpractice claims at 4 liability insurers. Surgery. 2006;140(1):25-33. Copy Citation Format: …

  16. Potential uses of AI for perioperative nursing handoffs: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
    September 01, 2021 - Study Potential uses of AI for perioperative nursing handoffs: a qualitative study. Citation Text: King CR, Shambe A, Abraham J. Potential uses of AI for perioperative nursing handoffs: a qualitative study. JAMIA Open. 2023;6(1):ooaf015. doi:10.1093/jamiaopen/ooad015. Copy Citation …

  17. Implementing SBAR across a large multihospital health system. | PSNet

    psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
    November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…

  18. An intervention to enhance nursing staff teamwork and engagement. | PSNet

    psnet.ahrq.gov/issue/intervention-enhance-nursing-staff-teamwork-and-engagement
    June 21, 2010 - Study An intervention to enhance nursing staff teamwork and engagement. Citation Text: Kalisch BJ, Curley M, Stefanov S. An intervention to enhance nursing staff teamwork and engagement. J Nurs Adm. 2007;37(2):77-84. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

  19. Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices for critically ill patients. | PSNet

    psnet.ahrq.gov/issue/knowledge-translation-critical-care-factors-associated-prescription-commonly-recommended-best
    October 31, 2011 - Study Knowledge translation in critical care: factors associated with prescription of commonly recommended best practices for critically ill patients. Citation Text: Ilan R, Fowler RA, Geerts R, et al. Knowledge translation in critical care: factors associated with prescription of comm…

  20. To catch a killer: electronic sepsis alert tools reaching a fever pitch? | PSNet

    psnet.ahrq.gov/issue/catch-killer-electronic-sepsis-alert-tools-reaching-fever-pitch
    November 15, 2023 - Commentary To catch a killer: electronic sepsis alert tools reaching a fever pitch? Citation Text: Ruppel H, Liu V. To catch a killer: electronic sepsis alert tools reaching a fever pitch? BMJ Qual Saf. 2019;28(9):693-696. doi:10.1136/bmjqs-2019-009463. Copy Citation Format: …
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