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Showing results for "improves".

9421. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35339/psn-pdf
      April 23, 2014 - Disclosing harmful medical errors to patients: a time for professional action. April 23, 2014 Gallagher TH, Levinson W. Disclosing Harmful Medical Errors to Patients. Arch Intern Med. 2005;165(16). doi:10.1001/archinte.165.16.1819. https://psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-time-profes…

9422. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43574/psn-pdf
      October 08, 2014 - The mixed blessings of smart infusion devices and health care IT. October 8, 2014 Nemeth CP, Brown J, Crandall B, et al. The mixed blessings of smart infusion devices and health care IT. Mil Med. 2014;179(8 Suppl):4-10. doi:10.7205/MILMED-D-13-00505. https://psnet.ahrq.gov/issue/mixed-blessings-smart-infusion-devi…

9423. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46301/psn-pdf
      October 11, 2017 - Care transitions know-how not just for clinicians. October 11, 2017 Ready T. HealthLeaders Media. September 26, 2017. https://psnet.ahrq.gov/issue/care-transitions-know-how-not-just-clinicians Transitions are an error-prone process. This news article reports that organizational leadership should be engaged in enha…

9424. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47353/psn-pdf
      October 03, 2018 - The need for cognition and the curse of cognition. October 3, 2018 Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94. doi:10.1515/dx-2018-0072. https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition Cognitive bias is increasingly receiving recognition as a b…

9425. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47512/psn-pdf
      February 20, 2019 - Framing the challenges of artificial intelligence in medicine. February 20, 2019 Yu K-H, Kohane IS. Framing the challenges of artificial intelligence in medicine. BMJ Qual Saf. 2019;28(3):238-241. doi:10.1136/bmjqs-2018-008551. https://psnet.ahrq.gov/issue/framing-challenges-artificial-intelligence-medicine Use o…

9426. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42355/psn-pdf
      February 11, 2015 - Advancing Successful Care Transitions to Improve Outcomes. February 11, 2015 Society of Hospital Medicine https://psnet.ahrq.gov/issue/project-boost-mentored-implementation-program This Web site provides resources associated with the Better Outcomes for Older adults through Safe Transitions project, called Projec…

9427. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845075/psn-pdf
      February 22, 2023 - Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology. February 22, 2023 Tan JM, Cannesson MP. APSF Newsletter. 2023;38(2):1,3–4,7. https://psnet.ahrq.gov/issue/artificial-intelligence-patient-safety-and-achieving-quintuple-aim-anesthesiology Technological advancement…

9428. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43106/psn-pdf
      September 27, 2016 - The sterile cockpit: an effective approach to reducing medication errors? September 27, 2016 Federwisch M, Ramos H, Adams S' C. The sterile cockpit: an effective approach to reducing medication errors? Am J Nurs. 2014;114(2):47-55. doi:10.1097/01.NAJ.0000443777.80999.5c. https://psnet.ahrq.gov/issue/sterile-cockpi…

9429. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863764/psn-pdf
      March 06, 2024 - Medication errors 2023: the year in review: January through December. March 6, 2024 Pharmacy Practice News; February 2024: Suppl 1-12. https://psnet.ahrq.gov/issue/medication-errors-2023-year-review-january-through-december The medication process has multiple steps in it that can open the door to mistakes. This ar…

9430. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41401/psn-pdf
      January 09, 2018 - Understanding Patient Safety, Third Edition. January 9, 2018 Wachter RM, Gupta K. New York, NY: McGraw-Hill Professional; 2017. ISBN: 9781259860249. https://psnet.ahrq.gov/issue/understanding-patient-safety-third-edition The third edition of this widely read textbook, written by national leaders in patient safety, …

9431. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60672/psn-pdf
      July 08, 2020 - The Care We Need July 8, 2020 Washington DC: National Quality Forum; 2020. https://psnet.ahrq.gov/issue/care-we-need This report builds on the legacy of To Err is Human and Crossing the Quality Chasm to outline an approach to improve the US health care system. Five strategic objectives are provided--one of which f…

9432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47145/psn-pdf
      July 23, 2018 - The elusive and illusive quest for diagnostic safety metrics. July 23, 2018 Schiff G, Ruan EL. The Elusive and Illusive Quest for Diagnostic Safety Metrics. J Gen Intern Med. 2018;33(7):983-985. doi:10.1007/s11606-018-4454-2. https://psnet.ahrq.gov/issue/elusive-and-illusive-quest-diagnostic-safety-metrics Measur…

9433. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41438/psn-pdf
      January 03, 2017 - Implementing SBAR across a large multihospital health system. January 3, 2017 Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. https://psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system…

9434. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842775/psn-pdf
      January 18, 2023 - Safer Together Survey: Advancing Patient and Workforce Safety January 18, 2023 Cambridge, MA: Institute for Healthcare Improvement: January 2023. https://psnet.ahrq.gov/issue/safer-together-survey-advancing-patient-and-workforce-safety The National Steering Committee for Patient Safety (NSC) was formed to engage w…

9435. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848829/psn-pdf
      May 10, 2023 - Lessons from the Covid War: An Investigative Report. May 10, 2023 Covid Crisis Group. New York: Public Affairs; 2023. ISBN?: ?9781541703803. https://psnet.ahrq.gov/issue/lessons-covid-war-investigative-report The transfer of failure experiences to generate learning and improve service is a complicated responsibilit…

9436. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867450/psn-pdf
      January 08, 2025 - Advancing Health Care Safety for All. January 8, 2025 Advancing Health Care Safety for All. Centers for Medicare and Medicaid Services. 2024. https://psnet.ahrq.gov/issue/advancing-health-care-safety-all As one element of a national program to improve care quality, the Centers for Medicare and Medicaid Services (C…

9437. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854639/psn-pdf
      October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…

9438. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45918/psn-pdf
      May 24, 2017 - Applying human-centered design thinking to enhance safety in the OR. May 24, 2017 Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004. https://psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-…

9439. Discontinued Medications: Are They Really Discontinued? | PSNet
      psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
      January 05, 2017 - Discontinued Medications: Are They Really Discontinued? Citation Text: Mankey CG, Varkey P. Discontinued Medications: Are They Really Discontinued?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: …

9440. One Bronchoscopy, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
      December 09, 2020 - One Bronchoscopy, Two Errors Citation Text: Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…