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Showing results for "improvements".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45936/psn-pdf
    March 08, 2017 - Using information from external errors to signal a "clear and present danger." March 8, 2017 ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. https://psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger Monitoring external reports of error and harm can pr…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45569/psn-pdf
    January 23, 2017 - Patient experience must move beyond bad apples. January 23, 2017 Hamedani A, Safdar B, Aaronson E, et al. Patient Experience Must Move Beyond Bad Apples. Ann Intern Med. 2016;165(12):869-870. doi:10.7326/M16-1725. https://psnet.ahrq.gov/issue/patient-experience-must-move-beyond-bad-apples Patient safety leaders ha…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38929/psn-pdf
    April 01, 2010 - Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review. April 1, 2010 Bosch M, Faber MJ, Cruijsberg J, et al. Review article: Effectiveness of patient care teams and the role of clinical expertise and coordination: a literature review. Med Care Res Rev. 2009;66(…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47114/psn-pdf
    October 13, 2018 - Focused ethnography of diagnosis in academic medical centers. October 13, 2018 Chopra V, Harrod M, Winter S, et al. Focused Ethnography of Diagnosis in Academic Medical Centers. J Hosp Med. 2018;13(10):668-672. doi:10.12788/jhm.2966. https://psnet.ahrq.gov/issue/focused-ethnography-diagnosis-academic-medical-cente…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41227/psn-pdf
    March 21, 2012 - Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. March 21, 2012 Hilmas E, Peoples JD. Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety. JPEN J Parenter Enteral Nutr. 2012;36(2 …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853980/psn-pdf
    September 27, 2023 - RFID tags reduce restocking errors of anesthesia medications. September 27, 2023 Banks MA. Specialty Pharmacy Continuum. September 15, 2023. https://psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications Radiofrequency identification (RFID) devices are being used to improve processes in the…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47512/psn-pdf
    February 20, 2019 - Framing the challenges of artificial intelligence in medicine. February 20, 2019 Yu K-H, Kohane IS. Framing the challenges of artificial intelligence in medicine. BMJ Qual Saf. 2019;28(3):238-241. doi:10.1136/bmjqs-2018-008551. https://psnet.ahrq.gov/issue/framing-challenges-artificial-intelligence-medicine Use o…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838638/psn-pdf
    September 01, 2012 - Directed peer review in surgical pathology. September 1, 2012 Smith ML, Raab SS. Directed peer review in surgical pathology. Adv Anat Pathol. 2012;19(5):331-337. doi:10.1097/pap.0b013e31826661b7. https://psnet.ahrq.gov/issue/directed-peer-review-surgical-pathology Diagnostic error in pathology can result in delaye…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42355/psn-pdf
    February 11, 2015 - Advancing Successful Care Transitions to Improve Outcomes. February 11, 2015 Society of Hospital Medicine https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program This Web site provides resources associated with the Better Outcomes for Older adults through Safe Transitions project, called Projec…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43574/psn-pdf
    October 08, 2014 - The mixed blessings of smart infusion devices and health care IT. October 8, 2014 Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. https://psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73861/psn-pdf
    September 22, 2021 - Bringing the clinical laboratory into the strategy to advance diagnostic excellence. September 22, 2021 Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/dx-2020-0119. https://psnet.ahrq.g…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863764/psn-pdf
    March 06, 2024 - Medication errors 2023: the year in review: January through December. March 6, 2024 Pharmacy Practice News; February 2024: Suppl 1-12. https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december The medication process has multiple steps in it that can open the door to mistakes. This ar…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40130/psn-pdf
    January 12, 2011 - Patient safety culture: factors that influence clinician involvement in patient safety behaviours. January 12, 2011 Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 2010;19(6):585-91. doi:10.1136/qshc…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47268/psn-pdf
    May 11, 2019 - Measuring shared mental models in healthcare. May 11, 2019 Gisick LM, Webster KL, Keebler JR, et al. J Patient Saf Risk Manag. 2018;23:207–219. https://psnet.ahrq.gov/issue/measuring-shared-mental-models-healthcare Shared mental models are an important element of team collaboration. This review explores the current…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46508/psn-pdf
    November 22, 2017 - The checklist: recognize limits, but harness its power. November 22, 2017 Alspach JAG. The Checklist: Recognize Limits, but Harness Its Power. Crit Care Nurse. 2017;37(5):12-18. doi:10.4037/ccn2017603. https://psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power Checklists are used in various health c…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37895/psn-pdf
    July 09, 2008 - Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? July 9, 2008 Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 2008;39(3). doi:10.1016/j.jsr.2008.01.00…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44546/psn-pdf
    December 14, 2016 - Diagnostic delays in paediatric stroke. December 14, 2016 Mallick AA, Ganesan V, Kirkham FJ, et al. Diagnostic delays in paediatric stroke. J Neurol Neurosurg Psychiatry. 2015;86(8):917-21. doi:10.1136/jnnp-2014-309188. https://psnet.ahrq.gov/issue/diagnostic-delays-paediatric-stroke Diagnostic error is a rapidly …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74100/psn-pdf
    November 24, 2021 - Pediatric medication errors and reduction strategies in the perioperative period. November 24, 2021 Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324. https://psnet.ahrq.gov/issue/pediatric-medication-errors-and-reduction-strategies-perioperative-period Pediatric medication errors during anesthesia …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38200/psn-pdf
    November 05, 2008 - Measuring mobile patient safety information system success: an empirical study. November 5, 2008 Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. https://psnet.ahrq.gov/issue/measuring-mobile…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45930/psn-pdf
    April 26, 2017 - A boy's life is lost to sepsis. Thousands are saved in his wake. April 26, 2017 Dwyer J. New York Times. April 13, 2017. https://psnet.ahrq.gov/issue/boys-life-lost-sepsis-thousands-are-saved-his-wake Stories of patient harm due to medical mistakes can serve as catalysts for organizational improvement. This newsp…
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