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Showing results for "improvements".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46462/psn-pdf
    April 11, 2018 - Speaking up: an ethical action exercise. April 11, 2018 Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047. https://psnet.ahrq.gov/issue/speaking-ethical-action-exercise Speaking up about concerns is a cornerstone to safety improveme…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863223/psn-pdf
    February 28, 2024 - Prioritizing Patient Safety Through Quality Measurement. February 28, 2024 Centers for Medicare & Medicaid Services, March 6 and 21, 2024.  https://psnet.ahrq.gov/issue/prioritizing-patient-safety-through-quality-measurement Quality measurement intersects with patient safety and care improvement efforts to…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72601/psn-pdf
    January 01, 2021 - Increasing physician reporting of diagnostic learning opportunities. December 23, 2020 Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. https://psnet.ahrq.gov/issue/increasing-physician-reporting…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45477/psn-pdf
    October 05, 2016 - Promoting safety through well-being: an experience in healthcare. October 5, 2016 Bruno A, Bracco F. Promoting Safety through Well-Being: An Experience in Healthcare. Front Psychol. 2016;7:1208. doi:10.3389/fpsyg.2016.01208. https://psnet.ahrq.gov/issue/promoting-safety-through-well-being-experience-healthcare Th…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73970/psn-pdf
    October 21, 2021 - The Good, The Bad, and The Ugly: Patient Experiences with CRPs. October 13, 2021 Collaborative for Accountability and Improvement. October 21, 2021.  https://psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps Communication-and-resolution program (CRP) initiatives are a valuable strategy for impro…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45386/psn-pdf
    November 23, 2016 - Balancing doctor egos and errors. November 23, 2016 Sweeney JF. Medical Economics. November 10, 2016. https://psnet.ahrq.gov/issue/balancing-doctor-egos-and-errors Disclosure and candor with patients after a medical error has gained support from organizations, clinicians, and patients. This magazine article discus…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47353/psn-pdf
    October 03, 2018 - The need for cognition and the curse of cognition. October 3, 2018 Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94. doi:10.1515/dx-2018-0072. https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition Cognitive bias is increasingly receiving recognition as a b…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73896/psn-pdf
    September 29, 2021 - Policies to promote shared responsibility for safer electronic health records. September 29, 2021 Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA. 2021;326(15):1477-1478. doi:10.1001/jama.2021.13945. https://psnet.ahrq.gov/issue/policies-promote-shared-respon…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73543/psn-pdf
    July 28, 2021 - AMC PSO Resource Center. July 28, 2021 Academic Medical Center Patient Safety Organization. https://psnet.ahrq.gov/issue/amc-pso-resource-center Patient Safety organizations (PSO) are in a unique position to educate their members and the larger community on patient safety challenges. This PSO resource collection i…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846455/psn-pdf
    March 22, 2023 - Diagnostic Centers of Excellence (X01 Clinical Trial Not Allowed). March 22, 2023 PAR-23-120. Bethesda, MD: National Institutes of Health; March 7, 2023 https://psnet.ahrq.gov/issue/diagnostic-centers-excellence-x01-clinical-trial-not-allowed Approaching diagnosis as a team activity is seen as a key approach to di…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72515/psn-pdf
    January 15, 2025 - AHRQ’s Surveys on Patient Safety Culture® Program: An Overview for New Users. December 17, 2024 Rockville, MD: Agency for Healthcare Research and Quality. January 15, 2025. https://psnet.ahrq.gov/issue/tutorial-ahrq-sopsr-data-entry-and-analysis-tool An organization’s understanding of its culture is foundational t…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47712/psn-pdf
    February 20, 2019 - A cognitive forcing tool to mitigate cognitive bias—a randomised control trial. February 20, 2019 O'Sullivan ED, Schofield SJ. A cognitive forcing tool to mitigate cognitive bias - a randomised control trial. BMC Med Educ. 2019;19(1):12. doi:10.1186/s12909-018-1444-3. https://psnet.ahrq.gov/issue/cognitive-forcing…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837346/psn-pdf
    June 08, 2022 - Decontamination of Surgical Instruments. June 8, 2022 Farnborough, UK; Healthcare Safety Investigation Branch; May 26, 2022. https://psnet.ahrq.gov/issue/decontamination-surgical-instruments Surgical equipment sterilization can be hampered by equipment design, production pressures, process complexity and policy mi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44023/psn-pdf
    November 16, 2015 - Impact of organizations on healthcare-associated infections. November 16, 2015 Castro-Sánchez E, Holmes AH. Impact of organizations on healthcare-associated infections. J Hosp Infect. 2015;89(4):346-50. doi:10.1016/j.jhin.2015.01.012. https://psnet.ahrq.gov/issue/impact-organizations-healthcare-associated-infectio…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45363/psn-pdf
    September 14, 2016 - Effective perioperative communication to enhance patient care. September 14, 2016 Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001. https://psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care Poor team …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44442/psn-pdf
    August 26, 2015 - How your hospital can make you sick. August 26, 2015 Consumer Reports. July 29, 2015. https://psnet.ahrq.gov/issue/how-your-hospital-can-make-you-sick This news article reports on health care–associated infections, particularly Clostridium difficile and methicillin-resistant Staphylococcus aureus, discusses ways h…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46059/psn-pdf
    July 11, 2017 - Pathologists' perspectives on disclosing harmful pathology error. July 11, 2017 Dintzis SM, Clennon EK, Prouty CD, et al. Pathologists' Perspectives on Disclosing Harmful Pathology Error. Arch Pathol Lab Med. 2017;141(6):841-845. doi:10.5858/arpa.2016-0136-OA. https://psnet.ahrq.gov/issue/pathologists-perspectives…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45951/psn-pdf
    October 31, 2017 - A systematic review of team training in health care: ten questions. October 31, 2017 Marlow SL, Hughes A, Sonesh SC, et al. A Systematic Review of Team Training in Health Care: Ten Questions. Jt Comm J Qual Patient Saf. 2017;43(4):197-204. doi:10.1016/j.jcjq.2016.12.004. https://psnet.ahrq.gov/issue/systematic-rev…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35339/psn-pdf
    April 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845075/psn-pdf
    February 22, 2023 - Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. February 22, 2023 Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,3–4,7. https://psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology Technological advancement…
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