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Showing results for "improvements".

9901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44132/psn-pdf
      May 13, 2015 - Adverse outcomes: why bad things happen to good people. May 13, 2015 Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol. 2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064. https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people This commentary…

9902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47464/psn-pdf
      October 17, 2018 - How to prevent the top 4 medication errors. October 17, 2018 Sederstrom J. Drug Topics. September 17, 2018. https://psnet.ahrq.gov/issue/how-prevent-top-4-medication-errors Medication errors continue to be a worldwide patient safety challenge that requires both systems and individual practice strategies for improv…

9903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50425/psn-pdf
      September 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper…

9904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851653/psn-pdf
      July 26, 2023 - Content analysis of nurses' reflections on medication errors in a regional hospital. July 26, 2023 Issacs AN, RAYMOND A, KENT B. Content analysis of nurses’ reflections on medication errors in a regional hospital. Contemp Nurse. 2023;59(3):202-213. doi:10.1080/10376178.2023.2220432. https://psnet.ahrq.gov/issue/co…

9905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43219/psn-pdf
      January 01, 2015 - Developing a reporting and tracking tool for nursing student errors and near misses. May 28, 2014 Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. https://psnet.ahrq.gov/issue/developing-repor…

9906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40790/psn-pdf
      January 01, 2012 - Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. December 1, 2011 Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. J Nurs Care Qual. 2…

9907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46073/psn-pdf
      May 30, 2018 - The burnout crisis in American medicine. May 30, 2018 Xu R. The Atlantic. May 11, 2018. https://psnet.ahrq.gov/issue/burnout-crisis-american-medicine Clinician burnout is a growing concern in health care. This magazine article illustrates how ineffective electronic health record systems contribute to the problem a…

9908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72511/psn-pdf
      November 25, 2020 - Hospital Preparedness for a COVID-19 Surge: Assessment Tool. November 25, 2020 Boston, MA:  Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool Hospital crisis management, preparation, and planning are of heightened interest due to the …

9909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47766/psn-pdf
      March 27, 2019 - Advancing the Safety of Acute Pain Management. March 27, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/advancing-safety-acute-pain-management Pain management has emerged as a complex safety concern. This report discusses four organizational prerequisites to improve pain …

9910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46240/psn-pdf
      June 21, 2017 - Implementation of a modified bedside handoff for a postpartum unit. June 21, 2017 Wollenhaup CA, Stevenson EL, Thompson J, et al. Implementation of a Modified Bedside Handoff for a Postpartum Unit. J Nurs Admin. 2017;47(6):320-326. doi:10.1097/NNA.0000000000000487. https://psnet.ahrq.gov/issue/implementation-modif…

9911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853251/psn-pdf
      July 19, 2024 - Annual Speak Up Data Reports. July 19, 2024 Stratford, London; The National Guardian. https://psnet.ahrq.gov/issue/annual-speak-data-reports Organizational efforts to collect and respond to the concerns of staff and patients are a cornerstone to patient safety improvement despite challenges to implement them. This…

9912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865818/psn-pdf
      May 08, 2024 - The role for policy in AI-assisted medical diagnosis. May 8, 2024 Newman-Toker DE, Sharfstein JM. The role for policy in AI-assisted medical diagnosis. JAMA Health Forum. 2024;5(4):e241339. doi:10.1001/jamahealthforum.2024.1339. https://psnet.ahrq.gov/issue/role-policy-ai-assisted-medical-diagnosis Artificial inte…

9913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60975/psn-pdf
      September 30, 2020 - Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. September 30, 2020 Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. AHRQ Publication No. 20-0040-3-EF. https://psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic…

9914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45025/psn-pdf
      May 04, 2016 - Reducing prognostic errors: a new imperative in quality healthcare. May 4, 2016 Khullar D, Jena AB. Reducing prognostic errors: a new imperative in quality healthcare. BMJ. 2016;352:i1417. doi:10.1136/bmj.i1417. https://psnet.ahrq.gov/issue/reducing-prognostic-errors-new-imperative-quality-healthcare This comment…

9915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46199/psn-pdf
      September 27, 2017 - The development and implementation of checklists in obstetrics. September 27, 2017 Medicine S for M-F, Bernstein PS, Combs A, et al. The development and implementation of checklists in obstetrics. Am J Obstet Gynecol. 2017;217(2):B2-B6. doi:10.1016/j.ajog.2017.05.032. https://psnet.ahrq.gov/issue/development-and-i…

9916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74749/psn-pdf
      February 09, 2022 - A safety maturity model for technology-induced errors. February 9, 2022 Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol Inform. 2022;289:447-451. doi:10.3233/shti210954. https://psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors Although health…

9917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45949/psn-pdf
      July 11, 2017 - Beyond medication reconciliation: the correct medication list. July 11, 2017 Rose AJ, Fischer SH, Paasche-Orlow MK. Beyond Medication Reconciliation: The Correct Medication List. JAMA. 2017;317(20):2057-2058. doi:10.1001/jama.2017.4628. https://psnet.ahrq.gov/issue/beyond-medication-reconciliation-correct-medicati…

9918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45612/psn-pdf
      November 09, 2016 - Pharmacist work stress and learning from quality related events. November 9, 2016 Boyle TA, Bishop A, Morrison B, et al. Pharmacist work stress and learning from quality related events. Res Social Adm Pharm. 2016;12(5):772-83. doi:10.1016/j.sapharm.2015.10.003. https://psnet.ahrq.gov/issue/pharmacist-work-stress-a…

9919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45531/psn-pdf
      December 14, 2016 - The role of safety culture in influencing provider perceptions of patient safety. December 14, 2016 Bishop A, Boyle TA. The Role of Safety Culture in Influencing Provider Perceptions of Patient Safety. J Patient Saf. 2016;12(4):204-209. https://psnet.ahrq.gov/issue/role-safety-culture-influencing-provider-percepti…

9920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44871/psn-pdf
      April 22, 2016 - Making checklists work: South Carolina's statewide experiment. April 22, 2016 Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6. https://psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment Although checklist implementation as a safety strategy has achieved some success…