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Showing results for "improvements".

9921. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38131/psn-pdf
      January 02, 2017 - The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. January 2, 2017 Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;34(10):619-23, 561. https://psnet.ahrq…

9922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42467/psn-pdf
      August 08, 2013 - Changes in language services use by US pediatricians. August 8, 2013 DeCamp LR, Kuo DZ, Flores G, et al. Changes in language services use by US pediatricians. Pediatrics. 2013;132(2):e396-406. doi:10.1542/peds.2012-2909. https://psnet.ahrq.gov/issue/changes-language-services-use-us-pediatricians Limited English pr…

9923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48169/psn-pdf
      July 24, 2019 - 50 Years of Inquiries in the National Health Service. July 24, 2019 Polit Q. 2019;90:177-342. https://psnet.ahrq.gov/issue/50-years-inquiries-national-health-service The National Health Service strategy of publishing their inquiries into systematic poor care in the health service is a model of transparency. Articl…

9924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44420/psn-pdf
      August 26, 2015 - Obstetric safety and quality. August 26, 2015 Pettker CM, Grobman WA. Obstetric Safety and Quality. Obstet Gynecol. 2015;126(1):196-206. doi:10.1097/AOG.0000000000000918. https://psnet.ahrq.gov/issue/obstetric-safety-and-quality Obstetric hospital admission has substantial potential for harm should something go wr…

9925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46787/psn-pdf
      October 15, 2018 - Institute for Safe Medication Practices International Mentorship Program. October 15, 2018 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/institute-safe-medication-practices-international-mentorship-program Structured interaction with a wide variety of experts and environments enables medica…

9926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837042/psn-pdf
      April 04, 2022 - Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. April 4, 2022 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management Crisis management skills are valuable at both the organizational and clinical …

9927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42095/psn-pdf
      April 09, 2013 - Six things every plastic surgeon needs to know about teamwork training and checklists. April 9, 2013 Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417. https://psnet.ahrq.gov/issue/six-things-every-plasti…

9928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865598/psn-pdf
      April 17, 2024 - Guardians of grafts: reducing medication errors in transplant recipients. April 17, 2024 ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4. https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients Safe medication therapy for transplant patients is complex and h…

9929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46161/psn-pdf
      May 31, 2017 - Developing team cognition: a role for simulation. May 31, 2017 Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96- 103. doi:10.1097/sih.0000000000000200. https://psnet.ahrq.gov/issue/developing-team-cognition-role-simulation Simulation training has been advocated as a …

9930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45987/psn-pdf
      April 26, 2017 - Using simulation to prepare nursing staff for the move to a new building. April 26, 2017 Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329. https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs…

9931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35344/psn-pdf
      March 11, 2011 - Creating the web-based intensive care unit safety reporting system.  March 11, 2011 Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408. https://psnet.ahrq.gov/issue/creating-web-based-inten…

9932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35619/psn-pdf
      June 24, 2010 - Studying patient safety in health care organizations: accentuate the qualitative. June 24, 2010 Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…

9933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44729/psn-pdf
      January 07, 2016 - The morbidity and mortality meeting: time for a different approach? January 7, 2016 Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4- 8. doi:10.1136/archdischild-2015-309536. https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-appro…

9934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47433/psn-pdf
      February 22, 2019 - Impact of nurse peer review on a culture of safety. February 22, 2019 Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361. https://psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety This commentary describes an…

9935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836928/psn-pdf
      April 13, 2022 - Action on patient safety can reduce health inequalities. April 13, 2022 Wade C, Malhotra AM, McGuire P, et al. Action on patient safety can reduce health inequalities. BMJ. 2022;376:e067090. doi:10.1136/bmj-2021-067090. https://psnet.ahrq.gov/issue/action-patient-safety-can-reduce-health-inequalities The role of h…

9936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837667/psn-pdf
      July 13, 2022 - Challenges and opportunities of patient safety event reporting. July 13, 2022 Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014. https://psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting Repor…

9937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74848/psn-pdf
      February 16, 2022 - Patients for Patient Safety US. February 16, 2022 404.510.8787; info@pfps.us https://psnet.ahrq.gov/issue/patients-patient-safety-us Patient safety improvement has made progress but more can be done. This organization supports community efforts in the United States to engage policymakers in work toward aligning ef…

9938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46080/psn-pdf
      August 28, 2017 - A growth mindset approach to preparing trainees for medical error. August 28, 2017 Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. https://psnet.ahrq.gov/issue/growth-mindset-approach-preparing…

9939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854252/psn-pdf
      October 04, 2023 - Standardization and visualization of the surgical time-out. October 4, 2023 Levy BE, Wilt WS, Lantz S, et al. Standardization and visualization of the surgical time-out. J Patient Saf. 2023;19(7):453-459. doi:10.1097/pts.0000000000001156. https://psnet.ahrq.gov/issue/standardization-and-visualization-surgical-time-…

9940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45364/psn-pdf
      September 04, 2016 - A piece of my mind. Changing the narrative. September 4, 2016 Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. https://psnet.ahrq.gov/issue/piece-my-mind-changing-narrative Storytelling can share knowledge and build community among physicians. However, if clinicians communicat…