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Showing results for "improvements".

  1. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. | PSNet

    psnet.ahrq.gov/issue/care-coordination-strategies-and-barriers-during-medication-safety-incidents-qualitative
    March 17, 2021 - Study Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. Citation Text: Russ-Jara AL, Luckhurst CL, Dismore RA, et al. Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive…

  2. Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. | PSNet

    psnet.ahrq.gov/issue/hospital-board-oversight-quality-and-patient-safety-narrative-review-and-synthesis-recent
    November 13, 2019 - Review Classic Hospital board oversight of quality and patient safety: a narrative review and synthesis of recent empirical research. Citation Text: Millar R, Mannion R, Freeman T, et al. Hospital board oversight of quality and patient safety: a narrative review…

  3. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
    March 13, 2013 - Review Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. Citation Text: Hempel S, Maggard-Gibbons M, Nguyen DK, et al. Wrong-Site Surgery, Retained Surgical Items, and Surgical Fires : A Systematic Review of Surgical Never Even…

  4. Evaluating the effect of data standardization and validation on patient matching accuracy. | PSNet

    psnet.ahrq.gov/issue/evaluating-effect-data-standardization-and-validation-patient-matching-accuracy
    November 28, 2018 - Study Evaluating the effect of data standardization and validation on patient matching accuracy. Citation Text: Grannis SJ, Xu H, Vest JR, et al. Evaluating the effect of data standardization and validation on patient matching accuracy. J Am Med Inform Assoc. 2019;26(5):447-456. doi:10.1…

  5. Leapfrog safety grades in California hospitals: a data analysis. | PSNet

    psnet.ahrq.gov/issue/leapfrog-safety-grades-california-hospitals-data-analysis
    November 16, 2022 - Study Leapfrog safety grades in California hospitals: a data analysis. Citation Text: Razick D, Amani N, Ali L, et al. Leapfrog safety grades in California hospitals: a data analysis. Am J Med Qual. 2024;39(5):251-255. doi:10.1097/jmq.0000000000000200. Copy Citation Format: …

  6. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-during-transitions-care-patient-safety-strategy-systematic-review
    January 12, 2022 - Review Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Citation Text: Kwan JL, Lo L, Sampson M, et al. Medication reconciliation during transitions of care as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158…

  7. Medication errors in intensive care units: an umbrella review of control measures. | PSNet

    psnet.ahrq.gov/issue/medication-errors-intensive-care-units-umbrella-review-control-measures
    February 09, 2022 - Review Medication errors in intensive care units: an umbrella review of control measures. Citation Text: Dionisi S, Giannetta N, Liquori G, et al. Medication errors in intensive care units: an umbrella review of control measures. Healthcare (Basel). 2022;10(7):1221. doi:10.3390/healthcar…

  8. Linking patient safety culture to quality ratings in the nursing home setting. | PSNet

    psnet.ahrq.gov/issue/linking-patient-safety-culture-quality-ratings-nursing-home-setting
    June 29, 2022 - Study Linking patient safety culture to quality ratings in the nursing home setting. Citation Text: Yount N, Zebrak KA, Famolaro T, et al. Linking Patient Safety Culture to Quality Ratings in the Nursing Home Setting. J Appl Gerontol. 2021;41(1):73-81. doi:10.1177/0733464820969283. Cop…

  9. Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-using-simulation-development-clinical-reasoning-undergraduate-nursing-students
    September 09, 2020 - Review Effectiveness of using simulation in the development of clinical reasoning in undergraduate nursing students: a systematic review. Citation Text: Theobald KA, Tutticci N, Ramsbotham J, et al. Effectiveness of using simulation in the development of clinical reasoning in undergradua…

  10. A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
    February 14, 2024 - Study A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. Citation Text: Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessi…

  11. The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. | PSNet

    psnet.ahrq.gov/issue/effect-implementing-bar-code-medication-administration-emergency-department-medication
    December 01, 2021 - Study The effect of implementing bar-code medication administration in an emergency department on medication administration errors and nursing satisfaction. Citation Text: Owens K, Palmore M, Penoyer D, et al. The effect of implementing bar-code medication administration in an emergency …

  12. Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic reviews. | PSNet

    psnet.ahrq.gov/issue/reviewing-impact-computerized-provider-order-entry-clinical-outcomes-quality-systematic
    May 21, 2009 - Review Reviewing the impact of computerized provider order entry on clinical outcomes: the quality of systematic reviews. Citation Text: Weir C, Staggers N, Laukert T. Reviewing the impact of computerized provider order entry on clinical outcomes: The quality of systematic reviews. Int…

  13. A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system. | PSNet

    psnet.ahrq.gov/issue/blueprint-success-implementation-center-medicare-and-medicaid-services-mandated
    September 09, 2020 - Commentary A blueprint for success: implementation of the Center for Medicare and Medicaid Services mandated anesthesiology oversight for procedural sedation in a large health system. Citation Text: Abdelmalak BB, Adhami T, Simmons W, et al. A blueprint for success: implementation of the…

  14. Maintaining maternal-newborn safety during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/maintaining-maternal-newborn-safety-during-covid-19-pandemic
    November 16, 2022 - Commentary Maintaining maternal-newborn safety during the COVID-19 pandemic. Citation Text: Patrick NA, Johnson TS. Maintaining maternal-newborn safety during the COVID-19 pandemic. Nurs Womens Health. 2021;25(3):212-220. doi:10.1016/j.nwh.2021.03.003. Copy Citation Format: …

  15. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. | PSNet

    psnet.ahrq.gov/issue/identification-barriers-and-enablers-receiving-speaking-message-content-analysis-approach
    March 29, 2023 - Study Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Citation Text: Barlow M, Morse KJ, Watson B, et al. Identification of the barriers and enablers for receiving a speaking up message: a content analysis approach. Adv Simul …

  16. Anesthesiology patient handoff education interventions: a systematic review. | PSNet

    psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review
    April 28, 2021 - Review Anesthesiology patient handoff education interventions: a systematic review. Citation Text: Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…

  17. Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. | PSNet

    psnet.ahrq.gov/issue/do-written-disclosures-serious-events-increase-risk-malpractice-claims-one-health-care
    October 12, 2011 - Study Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience. Citation Text: Painter LM, Kidwell KM, Kidwell RP, et al. Do Written Disclosures of Serious Events Increase Risk of Malpractice Claims? One Health Care System's Experi…

  18. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. | PSNet

    psnet.ahrq.gov/issue/implementing-pre-operative-checklist-increase-patient-safety-1-year-follow-personnel
    October 19, 2012 - Study Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Citation Text: Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta…

  19. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. | PSNet

    psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges
    July 10, 2019 - Commentary Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. Citation Text: Schiff G, Shojania KG. Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. BMJ Qual Saf. 2022;31(2):148-152.…

  20. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. | PSNet

    psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai
    May 18, 2022 - Commentary Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Citation Text: Singh HK, Claeys KC, Advani SD, et al. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. Infect Control Hosp…
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