-
psnet.ahrq.gov/node/37024/psn-pdf
January 02, 2017 - The authors describe the implementation of a nonpunitive reporting system at their hospital and the
improvements
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psnet.ahrq.gov/node/46003/psn-pdf
May 10, 2017 - monitoring program that allows
organizations to identify areas of weakness and track the impact of improvements
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psnet.ahrq.gov/node/44532/psn-pdf
December 21, 2018 - discusses weaknesses in health care incident reporting systems that limit their ability to
contribute to improvements
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psnet.ahrq.gov/node/43718/psn-pdf
December 03, 2014 - revealed an overall interest in patient safety and teamwork, but also identified
numerous areas for improvements
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psnet.ahrq.gov/node/41728/psn-pdf
January 18, 2013 - This study found that implementation of standardized guidelines for patient signout led to limited
improvements
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digital.ahrq.gov/ahrq-funded-projects/enabling-medication-management-through-utilization-health-information/annual-summary/2010
January 01, 2010 - The evidence from these studies indicates process improvements, often measured as improvements in medication … Improvements in use, knowledge, skills, and attitudes were also found to be associated with MMIT systems
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care/annual-summary/2009
January 01, 2009 - included a multimethod evaluation of a two-part intervention of extending the use of eReferral and making improvements … 2009 Activities: The focus of activity was on defining the primary care side intervention and making improvements … Survey results showed that specialists reported significant improvements in their ability to identify
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psnet.ahrq.gov/node/40584/psn-pdf
July 25, 2011 - to address 12 commonly identified operating room crises, and found that the
tool led to significant improvements
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psnet.ahrq.gov/node/34588/psn-pdf
January 04, 2017 - and this article provides a thoughtful model for other academic medical
centers to mirror the rapid improvements
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psnet.ahrq.gov/node/41629/psn-pdf
January 03, 2017 - interventional-radiology
Audiovisual recordings, reviews, continual feedback, and modifications led to significant improvements
-
psnet.ahrq.gov/node/47363/psn-pdf
August 22, 2018 - work of a multistakeholder collaborative that engages a wide range of experts
to explore and propose improvements
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psnet.ahrq.gov/node/35614/psn-pdf
March 10, 2011 - They also suggest potential improvements to the
alerting process.
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psnet.ahrq.gov/node/45093/psn-pdf
September 04, 2016 - issue/radically-redesigning-patient-safety
Leadership and staff commitment are required to achieve improvements
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psnet.ahrq.gov/node/46788/psn-pdf
April 11, 2018 - recommendations to augment safety such as rounding to
monitor parent fatigue and reporting of events to inform improvements
-
psnet.ahrq.gov/node/43941/psn-pdf
February 25, 2015 - complications, including checklists, teamwork training courses for
surgeons, preoperative briefings, and improvements
-
psnet.ahrq.gov/node/44703/psn-pdf
December 16, 2015 - fields, such as aviation and nuclear power, to patient safety efforts can help
generate sustainable improvements
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psnet.ahrq.gov/node/36450/psn-pdf
December 22, 2010 - inexperienced caregiver, supervision gaps,
ineffective double-checks, and the misalignment of system improvements
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psnet.ahrq.gov/node/46971/psn-pdf
July 18, 2018 - to investigate adverse care incidents play an important part in generating the
learning needed for improvements
-
psnet.ahrq.gov/node/40036/psn-pdf
November 24, 2010 - Evidence Into
Practice (TRIP) models and how they prevent error through culture of safety and teamwork improvements
-
psnet.ahrq.gov/node/47588/psn-pdf
November 21, 2018 - The piece describes improvements stemming from employment
of medication safety officers at these organizations