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Showing results for "improvements".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837732/psn-pdf
    July 27, 2022 - Undiagnosed and rare diseases in critical care: the role of diagnostic access. July 27, 2022 Bordini BJ. Undiagnosed and rare diseases in critical care: the role of diagnostic access. Crit Care Clin. 2022;38(2):159-171. doi:10.1016/j.ccc.2021.12.002. https://psnet.ahrq.gov/issue/undiagnosed-and-rare-diseases-criti…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44055/psn-pdf
    April 15, 2015 - Health Care Simulation to Advance Safety: Responding to Ebola and Other Threats. April 15, 2015 Rockville, MD: Agency for Healthcare Research and Quality; February 2015. AHRQ Publication No. 15- 0021. https://psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats Simulation …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45270/psn-pdf
    June 29, 2016 - Using contemporary leadership skills in medication safety programs. June 29, 2016 Hertig JB, Hultgren KE, Weber RJ. Using Contemporary Leadership Skills in Medication Safety Programs. Hosp Pharm. 2016;51(4):338-44. doi:10.1310/hpj5104-338. https://psnet.ahrq.gov/issue/using-contemporary-leadership-skills-medicatio…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844793/psn-pdf
    September 11, 2019 - PC standards for maternal safety. September 11, 2019 The Joint Commission. R3 Report. August 21, 2019;24:1-6. https://psnet.ahrq.gov/issue/pc-standards-maternal-safety Maternal safety in the United States is gaining momentum as a system-level patient safety concern. This report reviews the new Joint Commission Pro…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45263/psn-pdf
    September 04, 2016 - PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. September 4, 2016 Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316-320. https://psnet.ahrq.gov/i…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47076/psn-pdf
    August 15, 2018 - Incident learning in radiation oncology: a review. August 15, 2018 Ford E, Evans SB. Incident learning in radiation oncology: A review. Med Phys. 2018;45(5):e100-e119. doi:10.1002/mp.12800. https://psnet.ahrq.gov/issue/incident-learning-radiation-oncology-review Learning from adverse events is a core component of …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61097/psn-pdf
    November 04, 2020 - Obstetrician-gynecologist views of pregnancy-related medication safety. November 4, 2020 SteelFisher GK, Hero JO, Caporello HL, et al. Obstetrician-gynecologist views of pregnancy-related medication safety. J Womens Health (Larchmt). 2020;29(8):1113-1121. doi:10.1089/jwh.2019.8007. https://psnet.ahrq.gov/issue/obs…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44341/psn-pdf
    July 22, 2015 - Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients. July 22, 2015 Bydon M, Abt NB, De la Garza-Ramos R, et al. Impact of resident participation on morbidity and mortality in neurosurgical procedures: an analysis of 16,098 patients. J NeuroSurg. 2…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46640/psn-pdf
    August 08, 2018 - IDEA4PS: the development of a research-oriented learning healthcare system. August 8, 2018 Moffatt-Bruce SD, Huerta T, Gaughan A, et al. IDEA4PS: The Development of a Research-Oriented Learning Healthcare System. Am J Med Qual. 2018;33(4):420-425. doi:10.1177/1062860617751044. https://psnet.ahrq.gov/issue/idea4ps-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60878/psn-pdf
    January 01, 2021 - Intervention study for the reduction of medication errors in elderly trauma patients. September 2, 2020 Parro Martín M de los Á, Muñoz García M, Delgado Silveira E, et al. Intervention study for the reduction of medication errors in elderly trauma patients. J Eval Clin Pract. 2021;27(1):160-166. doi:10.1111/jep.134…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42274/psn-pdf
    May 22, 2013 - Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? May 22, 2013 Philibert I, Nasca TJ, Brigham T, et al. Duty-hour limits and patient care and resident outcomes: can high- quality studies offer insight into complex relationships? Annu Rev Med…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60718/psn-pdf
    July 22, 2020 - First Do No Harm. The Report of the Independent Medicines and Medical Devices Safety Review. July 22, 2020 Cumberlege J. London, England, Crown Copyright. July 8, 2020. https://psnet.ahrq.gov/issue/first-do-no-harm-report-independent-medicines-and-medical-devices-safety- review Implicit biases are known to affect…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/842759/psn-pdf
    January 18, 2023 - Cognitive aids in the management of clinical emergencies: a systematic review. January 18, 2023 Greig PR, Zolger D, Onwochei DN, et al. Cognitive aids in the management of clinical emergencies: a systematic review. Anaesthesia. 2023;78(3):343-355. doi:10.1111/anae.15939. https://psnet.ahrq.gov/issue/cognitive-aids…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46699/psn-pdf
    March 20, 2018 - Disclosure of harmful medical error to patients: a review with recommendations for pathologists. March 20, 2018 Heher YK, Dintzis SM. Disclosure of Harmful Medical Error to Patients: A Review With Recommendations for Pathologists. Adv Anat Pathol. 2018;25(2):124-130. doi:10.1097/PAP.0000000000000181. https://psnet…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839312/psn-pdf
    November 02, 2022 - Documenting the indication for antimicrobial prescribing: a scoping review. November 2, 2022 Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review. BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582. https://psnet.ahrq.gov/issue/documenting-indicati…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47762/psn-pdf
    April 10, 2019 - 2018 John M. Eisenberg Patient Safety and Quality Award Recipients Announced. April 10, 2019 Joint Commission. https://psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-award-recipients-announced The Eisenberg Award honors individuals and organizations who have made unique and sustained contri…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46564/psn-pdf
    December 06, 2017 - Can the aviation industry be useful in teaching oncology about safety? December 6, 2017 Davies JM, Delaney G. Can the Aviation Industry be Useful in Teaching Oncology about Safety? Clin Oncol (R Coll Radiol). 2017;29(10):669-675. doi:10.1016/j.clon.2017.06.007. https://psnet.ahrq.gov/issue/can-aviation-industry-be…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45146/psn-pdf
    July 18, 2016 - Driving surgical quality using operative video. July 18, 2016 O'Mahoney PRA, Yeo HL, Lange MM, et al. Driving Surgical Quality Using Operative Video. Surg Innov. 2016;23(4):337-40. doi:10.1177/1553350616643616. https://psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video Although using video documen…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46159/psn-pdf
    May 31, 2017 - Despite technology, verbal orders persist, read back is not widespread, and errors continue. May 31, 2017 ISMP Medication Safety Alert! Acute Care Edition. May 18, 2017;22:1-4. https://psnet.ahrq.gov/issue/despite-technology-verbal-orders-persist-read-back-not-widespread-and- errors-continue Verbal orders are kno…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37612/psn-pdf
    February 15, 2011 - Can we use incident reports to detect hospital adverse events? February 15, 2011 Blais R; Bruno D; Bartlett G; Tamblyn R. https://psnet.ahrq.gov/issue/can-we-use-incident-reports-detect-hospital-adverse-events Incident reporting systems are ubiquitous, despite a lack of evidence supporting their utility in identif…
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