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Showing results for "improvements".

  1. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. | PSNet

    psnet.ahrq.gov/issue/why-didnt-you-call-me-factors-junior-learners-consider-when-deciding-whether-call-their
    July 14, 2021 - Study Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. Citation Text: Alibhai KM, Zabolotniuk TR, Raîche I, et al. Why didn't you call me? Factors junior learners consider when deciding whether to call their supervisor. J Surg Educ.…

  2. Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. | PSNet

    psnet.ahrq.gov/issue/preanalytical-errors-primary-healthcare-questionnaire-study-information-search-procedures
    July 07, 2010 - Study Preanalytical errors in primary healthcare: a questionnaire study of information search procedures, test request management and test tube labelling. Citation Text: Söderberg J, Brulin C, Grankvist K, et al. Preanalytical errors in primary healthcare: a questionnaire study of info…

  3. Evaluation of the culture of safety and quality in pediatric primary care practices. | PSNet

    psnet.ahrq.gov/issue/evaluation-culture-safety-and-quality-pediatric-primary-care-practices
    January 26, 2022 - Study Evaluation of the culture of safety and quality in pediatric primary care practices. Citation Text: Oyegoke S, Gigli KH. Evaluation of the culture of safety and quality in pediatric primary care practices. J Patient Saf. 2022;18(4):e753-e759. doi:10.1097/pts.0000000000000942. Cop…

  4. Clinical decision support as a prevention tool for medication errors in the operating room: a retrospective cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-prevention-tool-medication-errors-operating-room-retrospective
    July 05, 2023 - Study Clinical decision support as a prevention tool for medication errors in the operating room: a retrospective cross-sectional study. Citation Text: Amici LD, van Pelt M, Mylott L, et al. Clinical decision support as a prevention tool for medication errors in the operating room: a ret…

  5. Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. | PSNet

    psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
    June 30, 2011 - Review Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. Citation Text: McDowell SE, Mt-Isa S, Ashby D, et al. Where errors occur in the preparation and administration of intravenous medicines: a systematic rev…

  6. An assessment of basic patient safety skills in residents entering the first year of clinical training. | PSNet

    psnet.ahrq.gov/issue/assessment-basic-patient-safety-skills-residents-entering-first-year-clinical-training
    February 21, 2018 - Study An assessment of basic patient safety skills in residents entering the first year of clinical training. Citation Text: Comunale ME, Sandoval M, Broussard LT. An Assessment of Basic Patient Safety Skills in Residents Entering the First Year of Clinical Training. J Patient Saf. 2018;…

  7. Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert. | PSNet

    psnet.ahrq.gov/issue/identifying-critically-ill-patients-risk-inappropriate-antibiotic-therapy-pilot-study-point
    August 02, 2011 - Study Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot study of a point-of-care decision support alert. Citation Text: Micek ST, Heard KM, Gowan M, et al. Identifying critically ill patients at risk for inappropriate antibiotic therapy: a pilot st…

  8. Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. | PSNet

    psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
    June 24, 2009 - Commentary Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. Citation Text: Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…

  9. What is driving hospitals' patient-safety efforts? | PSNet

    psnet.ahrq.gov/issue/what-driving-hospitals-patient-safety-efforts
    February 10, 2015 - Commentary What is driving hospitals' patient-safety efforts? Citation Text: Devers KJ, Pham HH, Liu G. What is driving hospitals' patient-safety efforts? Health Aff (Millwood). 2004;23(2):103-15. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  10. Anesthesia Risk Alert program: a proactive safety initiative. | PSNet

    psnet.ahrq.gov/issue/anesthesia-risk-alert-program-proactive-safety-initiative
    September 02, 2015 - Study Anesthesia Risk Alert program: a proactive safety initiative. Citation Text: Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. Copy Citation Format: …

  11. The problems of detecting medication errors in hospitals. | PSNet

    psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
    February 01, 2012 - Study Classic The problems of detecting medication errors in hospitals. Citation Text: Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360. Copy Citation …

  12. Community discharge among post-acute nursing home residents: an association with patient safety culture? | PSNet

    psnet.ahrq.gov/issue/community-discharge-among-post-acute-nursing-home-residents-association-patient-safety
    November 04, 2020 - Study Community discharge among post-acute nursing home residents: an association with patient safety culture? Citation Text: Guo W, Li Y, Temkin-Greener H. Community discharge among post-acute nursing home residents: an association with patient safety culture? J Am Med Dir Assoc. 2021;2…

  13. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. | PSNet

    psnet.ahrq.gov/issue/oncology-pharmacist-led-medication-reconciliation-among-cancer-patients-initiating
    March 24, 2021 - Study Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. Citation Text: Chun DS, Faso A, Muss HB, et al. Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy. J Oncol Pharm Pract. 2020;26(5):1156-116…

  14. Safety climate associated with adverse events in nursing homes: a national VA study. | PSNet

    psnet.ahrq.gov/issue/safety-climate-associated-adverse-events-nursing-homes-national-va-study
    September 08, 2021 - Study Safety climate associated with adverse events in nursing homes: a national VA study. Citation Text: Quach ED, Kazis LE, Zhao S, et al. Safety climate associated with adverse events in nursing homes: a national VA study. J Am Med Dir Assoc. 2021;22(2):388-392. doi:10.1016/j.jamda.20…

  15. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. | PSNet

    psnet.ahrq.gov/issue/impacts-pharmacist-managed-outpatient-clinic-and-chemotherapy-directed-electronic-order-sets
    June 18, 2014 - Study The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic order sets for monitoring oral chemotherapy. Citation Text: Battis B, Clifford L, Huq M, et al. The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed electronic orde…

  16. Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. | PSNet

    psnet.ahrq.gov/issue/patient-safety-over-power-hierarchy-scoping-review-healthcare-professionals-speaking-skills
    November 11, 2009 - Review Emerging Classic Patient safety over power hierarchy: a scoping review of healthcare professionals' speaking-up skills training. Citation Text: Kim S, Appelbaum NP, Baker N, et al. Patient Safety Over Power Hierarchy: A Scoping Review of Healthcare Profes…

  17. Quality and safety implications of emergency department information systems. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-implications-emergency-department-information-systems
    November 30, 2012 - Commentary Quality and safety implications of emergency department information systems. Citation Text: Farley HL, Baumlin KM, Hamedani A, et al. Quality and safety implications of emergency department information systems. Ann Emerg Med. 2013;62(4):399-407. doi:10.1016/j.annemergmed.201…

  18. Adverse event reporting priorities: an integrative review. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
    March 10, 2021 - Review Adverse event reporting priorities: an integrative review. Citation Text: Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. Copy Citation Format: …

  19. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

    psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation
    May 19, 2021 - Study Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Citation Text: Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…

  20. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. | PSNet

    psnet.ahrq.gov/issue/team-cognition-handoffs-relating-system-factors-team-cognition-functions-and-outcomes-two
    February 16, 2022 - Study Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two handoff processes. Citation Text: Wooldridge AR, Carayon P, Hoonakker PLT, et al. Team cognition in handoffs: relating system factors, team cognition functions and outcomes in two hand…
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