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Showing results for "improvements".

9941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48068/psn-pdf
      June 12, 2019 - Health Professions Education. June 12, 2019 Dhaliwal G, Olson APJ, Singhal G, eds. Diagnosis (Berl). 2019;6(2):75-185. https://psnet.ahrq.gov/issue/health-professions-education Clinical and educational environments are increasingly focusing on improving diagnosis. This special issue explores an overarching approac…

9942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48067/psn-pdf
      June 12, 2019 - Maternal sleepiness and risk of infant drops in the postpartum period. June 12, 2019 Bittle MD, Knapp H, Polomano RC, et al. Maternal Sleepiness and Risk of Infant Drops in the Postpartum Period. Jt Comm J Qual Patient Saf. 2019;45(5):337-347. doi:10.1016/j.jcjq.2018.12.001. https://psnet.ahrq.gov/issue/maternal-s…

9943. 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…

9944. 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…

9945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855103/psn-pdf
      November 08, 2023 - Adverse Events. November 8, 2023 United States Office of the Inspector General: 2010-2023. https://psnet.ahrq.gov/issue/adverse-events-0 Large-scale data analysis provides insights to generate evidence-based improvement action. This collection of reports provides access to investigations of the impact of heal…

9946. 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…

9947. 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 …

9948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851461/psn-pdf
      July 19, 2023 - Patient safety 2.0: slaying dragons, not just investigating them. July 19, 2023 Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. https://psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them …

9949. 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…

9950. 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 …

9951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38907/psn-pdf
      January 03, 2017 - Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. January 3, 2017 Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient Saf. 2009;35(9):439-448. https…

9952. 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…

9953. 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…

9954. 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…

9955. 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…

9956. 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…

9957. 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…

9958. 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…

9959. 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…

9960. 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…