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Showing results for "improvements".

  1. 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…

  2. 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…

  3. 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 …

  4. 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 …

  5. 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…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844792/psn-pdf
    January 01, 2020 - Surgical data recording technology: a solution to address medical errors? September 18, 2019 Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. https://psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors…

  7. 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…

  8. 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…

  9. 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…

  10. 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…

  11. 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…

  12. 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…

  13. 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…

  14. 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…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45918/psn-pdf
    May 24, 2017 - Applying human-centered design thinking to enhance safety in the OR. May 24, 2017 Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004. https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867450/psn-pdf
    January 08, 2025 - Advancing Health Care Safety for All. January 8, 2025 Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024. https://psnet.ahrq.gov/issue/advancing-health-care-safety-all As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services (C…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41401/psn-pdf
    January 09, 2018 - Understanding Patient Safety, Third Edition. January 9, 2018 Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249. https://psnet.ahrq.gov/issue/understanding-patient-safety-third-edition The third edition of this widely read textbook, written by national leaders in patient safety, …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47145/psn-pdf
    July 23, 2018 - The elusive and illusive quest for diagnostic safety metrics. July 23, 2018 Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. https://psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics Measur…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41438/psn-pdf
    January 03, 2017 - Implementing SBAR across a large multihospital health system. January 3, 2017 Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854639/psn-pdf
    October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…
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