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Showing results for "improves".

6081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44651/psn-pdf
      December 09, 2015 - Measurement of diagnostic errors is a key first step to their reduction. December 9, 2015 Singh H. National Quality Measures Expert Commentaries. November 23, 2015. https://psnet.ahrq.gov/issue/measurement-diagnostic-errors-key-first-step-their-reduction Recently, diagnostic error has garnered much discussion and …

6082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47503/psn-pdf
      October 24, 2018 - I-PASS checklist: a powerful tool for patient handoffs. October 24, 2018 Peeples L. Pharmacy Practice News. October 10, 2018. https://psnet.ahrq.gov/issue/i-pass-checklist-powerful-tool-patient-handoffs Structured handoffs can reduce communication problems that contribute to medical error. This magazine article re…

6083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45812/psn-pdf
      June 22, 2017 - A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. June 22, 2017 Leis JA, Shojania KG. A primer on PDSA: executing plan-do-study-act cycles in practice, not just in name. BMJ Qual Saf. 2017;26(7):572-577. doi:10.1136/bmjqs-2016-006245. https://psnet.ahrq.gov/issue/primer-pdsa-execu…

6084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46938/psn-pdf
      April 25, 2018 - Diagnostic reasoning and cognitive biases of nurse practitioners. April 25, 2018 Lawson TN. Diagnostic Reasoning and Cognitive Biases of Nurse Practitioners. J Nurs Educ. 2018;57(4):203-208. doi:10.3928/01484834-20180322-03. https://psnet.ahrq.gov/issue/diagnostic-reasoning-and-cognitive-biases-nurse-practitioners…

6085. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39879/psn-pdf
      September 29, 2010 - The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. September 29, 2010 Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. J Trauma.…

6086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44911/psn-pdf
      February 17, 2016 - Improving doctor–patient communication in a digital world. February 17, 2016 Lakshmanan I. The Diane Rehm Show. February 9, 2016. https://psnet.ahrq.gov/issue/improving-doctor-patient-communication-digital-world Digital technologies represent both promise and risks for communication in health care. This radio inte…

6087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45034/psn-pdf
      February 25, 2019 - Future directions for diagnostic decision support. February 25, 2019 Carr S. ImproveDx. April 2016;3:1-3. https://psnet.ahrq.gov/issue/future-directions-diagnostic-decision-support Clinical decision support systems are tools being used to augment clinical reasoning and diagnostic accuracy. This newsletter article …

6088. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73469/psn-pdf
      July 07, 2021 - Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. July 7, 2021 Clari M, Conti A, Chiarini D, et al. Barriers to and facilitators of bedside nursing handover: a systematic review and meta-synthesis. J Nurs Care Qual. 2021;36(4):e51-e58. doi:10.1097/ncq.0000000000000564…

6089. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47377/psn-pdf
      February 20, 2019 - Every patient should be enabled to stop the line. February 20, 2019 Bell SK, Martinez W. Every patient should be enabled to stop the line. BMJ Qual Saf. 2019;28(3):172-176. doi:10.1136/bmjqs-2018-008714. https://psnet.ahrq.gov/issue/every-patient-should-be-enabled-stop-line The Toyota manufacturing model "stop the…

6090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74710/psn-pdf
      January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. January 26, 2022 Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further i…

6091. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48120/psn-pdf
      July 17, 2019 - 2018 John M. Eisenberg Patient Safety and Quality Awards. July 17, 2019 Jt Comm J Qual Patient Saf. 2019;45(7):461-486. https://psnet.ahrq.gov/issue/2018-john-m-eisenberg-patient-safety-and-quality-awards The Eisenberg Award honors individuals and organizations who have made important contributions to patient saf…

6092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840167/psn-pdf
      November 16, 2022 - 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. November 16, 2022 Kirkup B. Department of Health and Social Care. London, England: Crown Copyright; 2022.  ISBN: 9781528636759. https://psnet.ahrq.gov/issue/reading-signals-maternity-and-neonata…

6093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34998/psn-pdf
      June 22, 2009 - Cause and effect analysis of closed claims in obstetrics and gynecology. June 22, 2009 White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. https://psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-o…

6094. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44868/psn-pdf
      June 17, 2016 - Patient safety and the problem of many hands. June 17, 2016 Dixon-Woods M, Pronovost P. Patient safety and the problem of many hands. BMJ Qual Saf. 2016;25(7):485-488. doi:10.1136/bmjqs-2016-005232. https://psnet.ahrq.gov/issue/patient-safety-and-problem-many-hands Although individual and organizational accountabi…

6095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861769/psn-pdf
      January 31, 2024 - Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. January 31, 2024 McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016/j.jss.2023.11.054. https://psn…

6096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41466/psn-pdf
      June 20, 2012 - Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longitudinal survey study. June 20, 2012 Benn J, Burnett S, Parand A, et al. Factors predicting change in hospital safety climate and capability in a multi-site patient safety collaborative: a longit…

6097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44465/psn-pdf
      November 20, 2015 - Why even good physicians do not wash their hands. November 20, 2015 Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands Insufficient hand hygiene comp…

6098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47057/psn-pdf
      July 14, 2018 - A framework for operationalizing risk: a practical approach to patient safety.  July 14, 2018 Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21317. https://psnet.ahrq.gov/issue/frame…

6099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44125/psn-pdf
      May 28, 2015 - AHRQ focuses on ambulatory patient safety. May 28, 2015 Ricciardi R. AHRQ Focuses on Ambulatory Patient Safety. J Nurs Care Qual. 2015;30(3):193-6. doi:10.1097/NCQ.0000000000000124. https://psnet.ahrq.gov/issue/ahrq-focuses-ambulatory-patient-safety AHRQ has generated funding and educational opportunities toward u…

6100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46387/psn-pdf
      September 06, 2017 - A multicomponent fall prevention strategy reduces falls at an academic medical center. September 6, 2017 France D, Slayton J, Moore S, et al. A Multicomponent Fall Prevention Strategy Reduces Falls at an Academic Medical Center. The Joint Commission Journal on Quality and Patient Safety. 2017;43(9). doi:10.1016/j.…