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Showing results for "improvements".

  1. 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…

  2. Educating seniors to be patient safety self-advocates in primary care. | PSNet

    psnet.ahrq.gov/issue/educating-seniors-be-patient-safety-self-advocates-primary-care
    December 15, 2011 - Study Educating seniors to be patient safety self-advocates in primary care. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Educating Seniors to Be Patient Safety Self-Advocates in Primary Care. J Patient Saf. 2008;4(2). doi:10.1097/pts.0b013e318175d806. Copy Citation Form…

  3. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. | PSNet

    psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
    October 04, 2023 - Review Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduction interventions. Citation Text: Ryan AN, Robertson KL, Glass BD. Look-alike medications in the perioperative setting: scoping review of medication incidents and risk reduct…

  4. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? | PSNet

    psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
    May 19, 2021 - Study Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Citation Text: Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Sensors (Basel). 2022;22(9):…

  5. Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. | PSNet

    psnet.ahrq.gov/issue/improving-adherence-long-term-opioid-therapy-guidelines-reduce-opioid-misuse-primary-care
    January 23, 2019 - Study Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. Citation Text: Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Ca…

  6. Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. | PSNet

    psnet.ahrq.gov/issue/proficiency-based-virtual-reality-training-significantly-reduces-error-rate-residents-during
    November 13, 2009 - Study Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Citation Text: Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the err…

  7. Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

    psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
    October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

  8. Inequities in inpatient pediatric patient safety events by category. | PSNet

    psnet.ahrq.gov/issue/inequities-inpatient-pediatric-patient-safety-events-category
    April 01, 2009 - Study Inequities in inpatient pediatric patient safety events by category. Citation Text: Pantell MS, Karvonen KL, Porter P, et al. Inequities in inpatient pediatric patient safety events by category. Hosp Pediatr. 2024;14(12):953-962. doi:10.1542/hpeds.2023-007129. Copy Citation F…

  9. The impact of mobile technology on teamwork and communication in hospitals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review
    January 29, 2020 - Review Emerging Classic The impact of mobile technology on teamwork and communication in hospitals: a systematic review. Citation Text: Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic…

  10. A Seasonal Care Transition Failure | PSNet

    psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
    June 01, 2016 - A Seasonal Care Transition Failure Citation Text: Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  11. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
    January 01, 2024 - Spotlight Spotlight Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary …

  12. In Conversation With… Mary Dixon-Woods, DPhil | PSNet

    psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
    March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil March 1, 2017  Also Read an Essay Citation Text: In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837324/psn-pdf
    July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries July 8, 2022 https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary- cesarean-deliveries Summary   Started in response to rising maternal morbidity and mortality rates in …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33893/psn-pdf
    February 19, 2010 - The revolutionary. February 19, 2010 Swidey N. https://psnet.ahrq.gov/issue/revolutionary An introduction to Donald Berwick, CEO of Boston's Institute for Healthcare Improvement, and his vision for reshaping health care to improve patient safety and quality. https://psnet.ahrq.gov/issue/revolutionary

  15. Medication Errors. | PSNet

    psnet.ahrq.gov/issue/medication-errors-0
    October 03, 2012 - Special or Theme Issue Medication Errors. Citation Text: Medication Errors. Brit J Clin Pharmacol. 2009;67:589-695. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  16. How does robotic-assisted surgery change OR safety culture? | PSNet

    psnet.ahrq.gov/issue/how-does-robotic-assisted-surgery-change-or-safety-culture
    April 24, 2024 - Commentary How does robotic-assisted surgery change OR safety culture? Citation Text: How does robotic-assisted surgery change OR safety culture? AMA J Ethics. 2023;25(8):E615-E623. doi:10.1001/amajethics.2023.615. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 …

  17. Shift to Safety. | PSNet

    psnet.ahrq.gov/issue/shift-safety
    May 22, 2019 - Multi-use Website Shift to Safety. Citation Text: Shift to Safety. Canadian Patient Safety Institute. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Septem…

  18. Patient Safety Measures: Complications. | PSNet

    psnet.ahrq.gov/issue/patient-safety-measures-complications
    March 23, 2012 - Multi-use Website Patient Safety Measures: Complications. Citation Text: Patient Safety Measures: Complications. Washington, DC: National Quality Forum; December 2012. Copy Citation Save Save to your library Print Download PDF Share Fac…

  19. Submit Your Toolkit | PSNet

    psnet.ahrq.gov/submit-your-toolkit-landing
    Breadcrumb Home Improvement Resources Toolkits Toolkit Submissions PSNet encourages healthcare-related organizations to help make care safer by submitting a Patient Safety Toolkit to support the implementation of products, services, processes, systems, policies, organizational stru…

  20. When doctors make mistakes. | PSNet

    psnet.ahrq.gov/issue/when-doctors-make-mistakes-1
    May 01, 2013 - Newspaper/Magazine Article When doctors make mistakes. Citation Text: When doctors make mistakes. Chen PW. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …
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