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Showing results for "improvements".

9601. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48106/psn-pdf
      July 24, 2019 - Teamwork Toolkit. July 24, 2019 Durham, NC: Duke Center for Healthcare Safety and Quality; June 2019. https://psnet.ahrq.gov/issue/teamwork-toolkit Improving teamwork and communication is a continued focus in the hospital setting. This toolkit is designed to help organizations create a culture that embeds teamwork…

9602. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45229/psn-pdf
      July 13, 2016 - The WakeWings journey: creating a patient safety program. July 13, 2016 Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. https://psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program Successful and sustainable implementa…

9603. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60565/psn-pdf
      June 03, 2020 - The public has been forgiving. But hospitals got some things wrong. June 3, 2020 Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21. https://psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong The complexity of the COVID-19 crisis cr…

9604. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72652/psn-pdf
      January 20, 2021 - Textbook of Patient Safety and Clinical Risk Management. January 20, 2021 Donaldson L, Ricciardi W, Sheridan S, Tartaglia R, eds. Springer Nature: Cham Switzerland; 2021. ISBN 9783030594022.    https://psnet.ahrq.gov/issue/textbook-patient-safety-and-clinical-risk-management Foundations and practical exp…

9605. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72685/psn-pdf
      January 27, 2021 - Human Factors and Ergonomics in Healthcare. January 27, 2021 Carayon P, Hignett S, Albolino S eds. Int J Qual Health Care. 2021;33(Supp1):1-71.    https://psnet.ahrq.gov/issue/human-factors-and-ergonomics-healthcare Human factors approaches have been identified as one of the primary vehicles to create las…

9606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41792/psn-pdf
      November 21, 2012 - Systematic review of serious games for medical education and surgical skills training. November 21, 2012 Graafland M, Schraagen JM, Schijven MP. Systematic review of serious games for medical education and surgical skills training. Br J Surg. 2012;99(10):1322-30. doi:10.1002/bjs.8819. https://psnet.ahrq.gov/issue/…

9607. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60677/psn-pdf
      July 08, 2020 - Optimizing patient safety through system strategies and patient engagement. July 8, 2020 Rooprai P, Mistry N. Patient Saf Qual Healthc. June 23, 2020. https://psnet.ahrq.gov/issue/optimizing-patient-safety-through-system-strategies-and-patient-engagement Health systems are complex environments that require integra…

9608. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40198/psn-pdf
      February 09, 2011 - Measures and measurement of high-performance work systems in health care settings: propositions for improvement. February 9, 2011 Etchegaray J, St John C, Thomas EJ. Measures and measurement of high-performance work systems in health care settings: Propositions for improvement. Health Care Manage Rev. 2011;36(1):3…

9609. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849338/psn-pdf
      May 24, 2023 - The impact of language barriers on patient care: a pharmacy perspective. May 24, 2023 Patel J. PM Healthcare Journal. Spring 2023(4):5-18. https://psnet.ahrq.gov/issue/impact-language-barriers-patient-care-pharmacy-perspective Language discordance is known to degrade medication safety. The article discusses an exa…

9610. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45508/psn-pdf
      September 28, 2016 - Surviving a bad diagnosis. September 28, 2016 Hobson K. US News News and World Report. September 13, 2016. https://psnet.ahrq.gov/issue/surviving-bad-diagnosis Diagnostic error has recently gained recognition as an important patient safety concern. This news article relates the experiences of patients who were mis…

9611. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38278/psn-pdf
      January 15, 2009 - The impact of introducing medical emergency team system on the documentations of vital signs. January 15, 2009 Chen J, Hillman KM, Bellomo R, et al. The impact of introducing medical emergency team system on the documentations of vital signs. Resuscitation. 2008;80(1). doi:10.1016/j.resuscitation.2008.10.009. http…

9612. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42139/psn-pdf
      March 27, 2013 - Personalised performance feedback reduces narcotic prescription errors in a NICU. March 27, 2013 Sullivan KM, Suh S, Monk H, et al. Personalised performance feedback reduces narcotic prescription errors in a NICU. BMJ Qual Saf. 2013;22(3):256-62. doi:10.1136/bmjqs-2012-001089. https://psnet.ahrq.gov/issue/personal…

9613. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837076/psn-pdf
      May 11, 2022 - AHRQ Challenge on Innovative Solutions To Update or Re-Create TeamSTEPPS Videos. May 11, 2022 Rockville, MD; Agency for Healthcare Research and Quality: April 2022. https://psnet.ahrq.gov/issue/ahrq-challenge-innovative-solutions-update-or-re-create-teamstepps-videos TeamSTEPPS promotes effective teamwork, collabo…

9614. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45006/psn-pdf
      April 06, 2016 - Quality and Patient Safety. April 6, 2016 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/quality-and-patient-safety The Agency for Healthcare Research and Quality has provided access to patient safety research, information, and tools for nearly two decades. This website offers a wide rang…

9615. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42631/psn-pdf
      November 08, 2013 - "That was a close call": endorsing a broad definition of near misses in health care. November 8, 2013 Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. https://psnet.ahrq.gov/issue/was-close-call…

9616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46210/psn-pdf
      July 12, 2017 - Could emotional intelligence make patients safer? July 12, 2017 Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db. https://psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer Nontechnical skill development i…

9617. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37675/psn-pdf
      April 09, 2008 - Hospital progress in reducing error: the impact of external interventions. April 9, 2008 Hosford SB. Hospital progress in reducing error: the impact of external interventions. Hosp Top. 2008;86(1):9-19. doi:10.3200/HTPS.86.1.9-20. https://psnet.ahrq.gov/issue/hospital-progress-reducing-error-impact-external-interv…

9618. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839328/psn-pdf
      November 02, 2022 - Quality and Safety. November 2, 2022 Iyer R, Walker A, eds. Paediatr Anaesth. 2022;32(11):1176-1272. https://psnet.ahrq.gov/issue/quality-and-safety-1 Progress made in the adoption of infrastructure, Safety I, and Safety II concepts in high- and middle- to lower-income countries around the world support safe pedia…

9619. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35345/psn-pdf
      July 20, 2009 - Fixing healthcare from the inside, today. July 20, 2009 Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. https://psnet.ahrq.gov/issue/fixing-healthcare-inside-today This commentary provides a broad overview of the issues facing health care systems in their efforts to promot…

9620. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47533/psn-pdf
      June 19, 2019 - Patient Safety: A Health Affairs Briefing. June 19, 2019 Project Hope. https://psnet.ahrq.gov/issue/patient-safety-health-affairs-briefing To Err Is Human was released almost 2 decades ago and continues to influence a growing area of study aimed at improving health care and reducing medical error. This in-person a…