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Showing results for "improvements".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47983/psn-pdf
    May 01, 2019 - Health systems and hospitals in pursuit of high reliability. May 1, 2019 Cheney C. HealthLeaders Media. April 17, 2019. https://psnet.ahrq.gov/issue/health-systems-and-hospitals-pursuit-high-reliability This news article describes how a 19-hospital health system successfully applied high reliability principles to …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48179/psn-pdf
    August 21, 2019 - Is WHO's surgical safety checklist being hyped? August 21, 2019 Urbach DR, Dimick JB, Haynes AB, et al. Is WHO's surgical safety checklist being hyped? BMJ. 2019;366:l4700. doi:10.1136/bmj.l4700. https://psnet.ahrq.gov/issue/whos-surgical-safety-checklist-being-hyped Checklists are a popular yet controversial stra…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41818/psn-pdf
    July 02, 2014 - Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. July 2, 2014 Bharwani AM, Harris C, Southwick FS. Perspective: a business school view of medical interprofessional rounds: transforming rounding groups into rounding teams. Acad Med. 2012;87(1…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42147/psn-pdf
    March 27, 2013 - The clinical safety of disabled patients: proposal for a methodology for analysis of health care risks and specific measures for improvement. March 27, 2013 Perea-Pérez B, Labajo-González E, Bratos-Murillo M, et al. The clinical safety of disabled patients: proposal for a methodology for analysis of health care ri…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37726/psn-pdf
    April 30, 2008 - Patient Safety and Quality: An Evidence-Based Handbook for Nurses. April 30, 2008 Hughes RG, ed. Rockville, MD: Agency for Healthcare Research and Quality; 2008. AHRQ Publication No. 08-0043.   https://psnet.ahrq.gov/issue/patient-safety-and-quality-evidence-based-handbook-nurses This handbook prepared by the Age…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42442/psn-pdf
    July 24, 2013 - Using Plan Do Study Act to transform a simulation center. July 24, 2013 Murphy JI. Using Plan Do Study Act to Transform a Simulation Center. Clin Simul Nurs. 2012;9(7). doi:10.1016/j.ecns.2012.03.002. https://psnet.ahrq.gov/issue/using-plan-do-study-act-transform-simulation-center This commentary describes the res…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73898/psn-pdf
    September 29, 2021 - A Thematic Analysis of HSIB's First 22 Investigations.  September 29, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; September 9, 2021. https://psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations In-depth failure investigations provide improvement insights for individuals and or…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866964/psn-pdf
    October 16, 2024 - Pediatric perioperative medication errors. October 16, 2024 Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86. https://psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors Medication safety is a primary concern during surgery, particularly when treating child…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40152/psn-pdf
    January 19, 2011 - Reducing clinical errors in cancer education: interpreter training. January 19, 2011 Gany FM, Gonzalez CJ, Basu G, et al. Reducing clinical errors in cancer education: interpreter training. J Cancer Educ. 2010;25(4):560-4. doi:10.1007/s13187-010-0107-9. https://psnet.ahrq.gov/issue/reducing-clinical-errors-cancer-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47364/psn-pdf
    October 31, 2018 - AI can't replace doctors. But it can make them better. October 31, 2018 Parikh R. MIT Technol Rev. October 23, 2018. https://psnet.ahrq.gov/issue/ai-cant-replace-doctors-it-can-make-them-better Computerized decision support and artificial intelligence (AI) are being utilized to enhance decision-making in health ca…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40274/psn-pdf
    December 29, 2014 - Predictors of the perceived impact of a patient safety collaborative: an exploratory study. December 29, 2014 Pinto A, Benn J, Burnett S, et al. Predictors of the perceived impact of a patient safety collaborative: an exploratory study. Int J Qual Health Care. 2011;23(2):173-81. doi:10.1093/intqhc/mzq089. https://…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764408/psn-pdf
    March 02, 2022 - Ensuring critical instruments and devices are appropriate for reuse. March 2, 2022 Quick Safety. February 14, 2022;(64):1-3. https://psnet.ahrq.gov/issue/ensuring-critical-instruments-and-devices-are-appropriate-reuse Complete, appropriate reprocessing and sterilization of reusable medical instruments and devices …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854249/psn-pdf
    January 01, 2014 - What is safety science? August 19, 2013 Aven T. What is safety science? Safety Sci. 2014;67:15-20. doi:10.1016/j.ssci.2013.07.026. https://psnet.ahrq.gov/issue/what-safety-science Safety is seen as the absence of accidents and safety science research can be used to improve many industries, including healthcare. Th…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867695/psn-pdf
    March 05, 2025 - The Future of Patient and Family Engagement in Quality and Patient Safety. March 5, 2025 The Future of Patient and Family Engagement in Quality and Patient Safety. Front Health Serv. 2024. https://psnet.ahrq.gov/issue/future-patient-and-family-engagement-quality-and-patient-safety Patient and family engagement in …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844060/psn-pdf
    June 01, 2016 - Developing a measure of value in health care. June 1, 2016 Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health. 2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009. https://psnet.ahrq.gov/issue/developing-measure-value-health-care Value-based healthcare is emerging…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862607/psn-pdf
    February 14, 2024 - Assessing diagnostic performance. February 14, 2024 Cosby K, Yang D, Fineberg HV. Assessing diagnostic performance. NEJM Evid. 2024;3(2):EVIDra2300232. doi:10.1056/evidra2300232. https://psnet.ahrq.gov/issue/assessing-diagnostic-performance Assessing diagnostic performance to reduce diagnostic errors requires a sh…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43601/psn-pdf
    December 09, 2015 - Special Focus Issue: Patient Safety. December 9, 2015 Wagner VD, ed. AORN J. 2014;100:351-456. https://psnet.ahrq.gov/issue/special-focus-issue-patient-safety Articles in this special issue explore strategies to establish a culture of safety in health care settings, including coaching to improve team briefing and …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39023/psn-pdf
    November 19, 2018 - Pediatric Readiness in the Emergency Department. November 19, 2018 Remick K, Gausche-Hill M, Joseph MM, et al. Pediatric Readiness in the Emergency Department. Pediatrics. 2018;142(5):e20182459. doi:10.1542/peds.2018-2459. https://psnet.ahrq.gov/issue/pediatric-readiness-emergency-department This revised set of gu…

  19. The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis | PSNet

    psnet.ahrq.gov/innovation/generalizability-medication-administration-discrepancy-detection-system-quantitative
    November 04, 2020 - EMERGING INNOVATIONS The generalizability of a medication administration discrepancy detection system: quantitative comparative analysis Citation Text: Kirkendall E, Huth H, Rauenbuehler B, et al. The generalizability of a medication administration discrepancy detection system: quantitative compar…

  20. 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…
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