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Showing results for "improvements".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50825/psn-pdf
    January 22, 2020 - Investigation into Detection of Retained Vaginal Swabs and Tampons Following Childbirth. January 22, 2020 Farnborough, UK; Healthcare Safety Investigation Branch; December 18, 2019. https://psnet.ahrq.gov/issue/investigation-detection-retained-vaginal-swabs-and-tampons-following- childbirth Maternal care during a…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50758/psn-pdf
    December 18, 2019 - Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. December 18, 2019 Wears R, Sutcliffe K. New York, NY: Oxford University Press; 2019. ISBN: 9780190271268. https://psnet.ahrq.gov/issue/still-not-safe-patient-safety-and-middle-managing-american-medicine The modern patient safety movement …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45303/psn-pdf
    June 15, 2017 - The global burden of diagnostic errors in primary care. June 15, 2017 Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. https://psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care The need to i…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43106/psn-pdf
    September 27, 2016 - The sterile cockpit: an effective approach to reducing medication errors? September 27, 2016 Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. https://psnet.ahrq.gov/issue/sterile-cockpi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43269/psn-pdf
    July 28, 2014 - Restoring trust in VA health care. July 28, 2014 Kizer KW, Jha AK. Restoring trust in VA health care. N Engl J Med. 2014;371(4):295-297. doi:10.1056/NEJMp1406852. https://psnet.ahrq.gov/issue/restoring-trust-va-health-care In response to a recent investigation raising concerns about inaccurate reporting of wait-ti…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47387/psn-pdf
    September 12, 2018 - Guideline implementation: team communication. September 12, 2018 Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. https://psnet.ahrq.gov/issue/guideline-implementation-team-communication Although team development has rec…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866257/psn-pdf
    July 25, 2024 - Enhancing Surgical Team Communication: SOPS and TeamSTEPPS in Action. July 10, 2024 Agency for Healthcare Research and Quality. July 25, 2024. https://psnet.ahrq.gov/issue/enhancing-surgical-team-communication-sops-and-teamstepps-action Teamwork in the surgical suite is core to safe care but can be challenging to …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46698/psn-pdf
    February 07, 2018 - Enhancing the quality and safety of the perioperative patient. February 7, 2018 Staender S, Smith A. Enhancing the quality and safety of the perioperative patient. Curr Opin Anaesthesiol. 2017;30(6):730-735. doi:10.1097/ACO.0000000000000517. https://psnet.ahrq.gov/issue/enhancing-quality-and-safety-perioperative-p…

  9. Eptifibatide Epilogue | PSNet

    psnet.ahrq.gov/web-mm/eptifibatide-epilogue
    March 04, 2011 - Eptifibatide Epilogue Citation Text: Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33767/psn-pdf
    May 01, 2014 - Innovations in Promoting Hand Hygiene Compliance May 1, 2014 Marra AR, Edmond MB. Innovations in Promoting Hand Hygiene Compliance. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance Perspective One hundred sixty-five years after the publication of Ignaz Semmel…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49864/psn-pdf
    June 01, 2019 - Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout June 1, 2019 Adair KC, Frankel A, Sexton B. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/speaking-patient-safety-…

  12. Treatment Challenges After Discharge | PSNet

    psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
    January 03, 2017 - SPOTLIGHT CASE Treatment Challenges After Discharge Citation Text: Coffey C. Treatment Challenges After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar Bib…

  13. Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-systems-could-be-modified-reduce-alert-fatigue-while-still
    December 21, 2022 - Commentary Clinical decision support systems could be modified to reduce 'alert fatigue' while still minimizing the risk of litigation. Citation Text: Kesselheim AS, Cresswell K, Phansalkar S, et al. Clinical decision support systems could be modified to reduce 'alert fatigue' while stil…

  14. A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. | PSNet

    psnet.ahrq.gov/issue/systematic-review-types-and-causes-prescribing-errors-generated-using-computerized-provider
    July 02, 2019 - Review A systematic review of the types and causes of prescribing errors generated from using computerized provider order entry systems in primary and secondary care. Citation Text: Brown CL, Mulcaster HL, Triffitt KL, et al. A systematic review of the types and causes of prescribing err…

  15. The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations. | PSNet

    psnet.ahrq.gov/issue/challenges-electronic-health-records-and-diabetes-electronic-prescribing-implications-safety
    September 23, 2020 - Review The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations. Citation Text: Ratanawongsa N, Chan LLS, Fouts MM, et al. The Challenges of Electronic Health Records and Diabetes Electronic Prescribing: Imp…

  16. Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study | PSNet

    psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-preventable-harm-first
    October 09, 2019 - Study Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study Citation Text: Fernholm R, Holzmann MJ, Wachtler C, et al. Patient-related factors associated with an increased risk of being a rep…

  17. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. | PSNet

    psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
    November 06, 2015 - Study Classic Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. Citation Text: Bell CM, Brener SS, Gunraj N, et al. Association of ICU or hospital admission with unintentional discontinuation of me…

  18. Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). | PSNet

    psnet.ahrq.gov/issue/evaluating-safety-mental-health-related-prescribing-uk-primary-care-cross-sectional-study
    August 14, 2019 - Study Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional study using the Clinical Practice Research Datalink (CPRD). Citation Text: Khawagi WY, Steinke DT, Carr MJ, et al. Evaluating the safety of mental health-related prescribing in UK prima…

  19. Communicating findings of delayed diagnostic evaluation to primary care providers. | PSNet

    psnet.ahrq.gov/issue/communicating-findings-delayed-diagnostic-evaluation-primary-care-providers
    June 21, 2016 - Study Communicating findings of delayed diagnostic evaluation to primary care providers. Citation Text: Meyer AND, Murphy DR, Singh H. Communicating Findings of Delayed Diagnostic Evaluation to Primary Care Providers. J Am Board Fam Med. 2016;29(4):469-73. doi:10.3122/jabfm.2016.04.15036…

  20. Reducing hospital harm: establishing a command centre to foster situational awareness. | PSNet

    psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
    June 29, 2022 - EMERGING INNOVATIONS Reducing hospital harm: establishing a command centre to foster situational awareness. Citation Text: Collins B. Reducing hospital harm: establishing a command centre to foster situational awareness. Healthc Q. 2022;25(2):75-81. doi:10.12927/hcq.2022.26885. Copy Citation …
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