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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/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…

  3. 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…

  4. 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 …

  5. 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…

  6. 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…

  7. 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…

  8. 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…

  9. 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 …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40577/psn-pdf
    July 06, 2011 - Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy. July 6, 2011 Dooley MJ, Wiseman M, McRae A, et al. Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary preventio…

  11. 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…

  12. 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 …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46026/psn-pdf
    May 03, 2017 - Key principles in quality and safety in radiology. May 3, 2017 Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. https://psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology This review s…

  14. 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…

  15. 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…

  16. 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…

  17. 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…

  18. 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…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47557/psn-pdf
    November 14, 2018 - A Patient-Safe Future. November 14, 2018 Patient Safety Learning: London, UK; September 2018. https://psnet.ahrq.gov/issue/patient-safe-future This paper provides an analysis of the current status of patient safety in the United Kingdom. The report outlines existing challenges and strategies to drive system improv…

  20. 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…
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