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Showing results for "improves".

9441. 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…

9442. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837747/psn-pdf
      July 27, 2022 - Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. July 27, 2022 Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication No. 22- 0038. https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events Diagno…

9443. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838142/psn-pdf
      September 21, 2022 - A health system that won't learn from its mistakes. September 21, 2022 Keller C. A health system that won't learn from its mistakes. Health Aff (Millwood). 2022;41(9):1353-1356. doi:10.1377/hlthaff.2022.00581. https://psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes Communication failures due to hierarch…

9444. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837847/psn-pdf
      August 17, 2022 - Defining and studying errors in surgical care: a systematic review. August 17, 2022 Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. https://psnet.ahrq.gov/issue/defining-and-studying-err…

9445. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47229/psn-pdf
      August 01, 2018 - The practice of respect in the ICU. August 1, 2018 Brown SM, Azoulay E, Benoit D, et al. The Practice of Respect in the ICU. Am J Respir Crit Care Med. 2018;197(11):1389-1395. doi:10.1164/rccm.201708-1676CP. https://psnet.ahrq.gov/issue/practice-respect-icu This commentary explores the results of a multidisciplina…

9446. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38970/psn-pdf
      July 05, 2013 - Joint Commission Center for Transforming Healthcare. July 5, 2013 Joint Commission. https://psnet.ahrq.gov/issue/joint-commission-center-transforming-healthcare The Joint Commission has traditionally focused on accreditation of health care organizations and, through its Joint Commission Resources arm, on quality i…

9447. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60604/psn-pdf
      June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…

9448. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854637/psn-pdf
      October 18, 2023 - A scoping review of clinical handover mnemonic devices. October 18, 2023 Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. https://psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices Cogniti…

9449. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60696/psn-pdf
      July 15, 2020 - Culture as a Cure: Assessments of Patient Safety Culture in OECD Countries. July 15, 2020 de Bienassisi K, Kristensenii S, Burtscheri M, et al for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2020. OECD Health Working Papers, No. 119. https://psnet.ahrq.gov/…

9450. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34648/psn-pdf
      April 21, 2015 - Gaps in the continuity of care and progress on patient safety. April 21, 2015 Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety This commentary discusses the concept o…

9451. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44946/psn-pdf
      February 01, 2017 - Quality gaps identified through mortality review. February 1, 2017 Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. https://psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review Inpatien…

9452. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35176/psn-pdf
      June 23, 2009 - Mapping changes in surgical mortality over 9 years by peer review audit. June 23, 2009 Thompson A, Ashraf Z, Burton H, et al. Mapping changes in surgical mortality over 9 years by peer review audit. Br J Surg. 2005;92(11):1449-52. https://psnet.ahrq.gov/issue/mapping-changes-surgical-mortality-over-9-years-peer-re…

9453. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60040/psn-pdf
      March 11, 2020 - Shifting the Mindset: A Closer Look at Hospital Complaints. March 11, 2020 Newcastle upon Tyne, UK: Healthwatch; January 2020. https://psnet.ahrq.gov/issue/shifting-mindset-closer-look-hospital-complaints Organizations need to do more than report and collect complaint data to realize improvements based on what is…

9454. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44132/psn-pdf
      May 13, 2015 - Adverse outcomes: why bad things happen to good people. May 13, 2015 Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol. 2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064. https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people This commentary…

9455. 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…

9456. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50425/psn-pdf
      September 04, 2019 - Why doctors still offer treatments that may not help. September 4, 2019 Frakt A. New York Times. August 26, 2019. https://psnet.ahrq.gov/issue/why-doctors-still-offer-treatments-may-not-help The slow adoption of improvement innovations is a persistent challenge to high-quality and safe patient care. This newspaper…

9457. 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…

9458. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43219/psn-pdf
      January 01, 2015 - Developing a reporting and tracking tool for nursing student errors and near misses. May 28, 2014 Disch J, Barnsteiner J. Developing a Reporting and Tracking Tool for Nursing Student Errors and Near Misses. J Nurs Reg. 2015;5(1):4-10. doi:10.1016/s2155-8256(15)30093-4. https://psnet.ahrq.gov/issue/developing-repor…

9459. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40790/psn-pdf
      January 01, 2012 - Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. December 1, 2011 Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. J Nurs Care Qual. 2…

9460. 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…