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Showing results for "improves".

9501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866169/psn-pdf
      June 19, 2024 - Safe and equitable pediatric clinical use of AI. June 19, 2024 Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897. https://psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai Accepting shared res…

9502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46963/psn-pdf
      April 18, 2018 - A Just Culture Guide. April 18, 2018 NHS Improvement. London, UK: National Health Service; March 15, 2018. https://psnet.ahrq.gov/issue/just-culture-guide Although focusing on system failure has been highlighted as key to improving patient safety, individual behaviors must also be recognized as contributors to ris…

9503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72559/psn-pdf
      December 09, 2020 - The Life and Death of Elizabeth Dixon: A Catalyst for Change. December 9, 2020 Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714. https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change Missed diagnosis of a dangerous condition in utero, treatment errors, lack of respons…

9504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47433/psn-pdf
      February 22, 2019 - Impact of nurse peer review on a culture of safety. February 22, 2019 Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361. https://psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety This commentary describes an…

9505. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836928/psn-pdf
      April 13, 2022 - Action on patient safety can reduce health inequalities. April 13, 2022 Wade C, Malhotra AM, McGuire P, et al. Action on patient safety can reduce health inequalities. BMJ. 2022;376:e067090. doi:10.1136/bmj-2021-067090. https://psnet.ahrq.gov/issue/action-patient-safety-can-reduce-health-inequalities The role of h…

9506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40872/psn-pdf
      January 23, 2012 - Hospital performance trends on national quality measures and the association with Joint Commission accreditation. January 23, 2012 Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accreditation. J Hosp Med. 2011;6(8). doi…

9507. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837042/psn-pdf
      April 04, 2022 - Leadership Response to a Sentinel Event: Respectful, Effective Crisis Management. April 4, 2022 Institute for Healthcare Improvement. https://psnet.ahrq.gov/issue/leadership-response-sentinel-event-respectful-effective-crisis-management Crisis management skills are valuable at both the organizational and clinical …

9508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42095/psn-pdf
      April 09, 2013 - Six things every plastic surgeon needs to know about teamwork training and checklists. April 9, 2013 Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417. https://psnet.ahrq.gov/issue/six-things-every-plasti…

9509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865598/psn-pdf
      April 17, 2024 - Guardians of grafts: reducing medication errors in transplant recipients. April 17, 2024 ISMP Medication Safety Alert! Acute care. April 4, 2024;29(7):1-4. https://psnet.ahrq.gov/issue/guardians-grafts-reducing-medication-errors-transplant-recipients Safe medication therapy for transplant patients is complex and h…

9510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46161/psn-pdf
      May 31, 2017 - Developing team cognition: a role for simulation. May 31, 2017 Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96- 103. doi:10.1097/sih.0000000000000200. https://psnet.ahrq.gov/issue/developing-team-cognition-role-simulation Simulation training has been advocated as a …

9511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45987/psn-pdf
      April 26, 2017 - Using simulation to prepare nursing staff for the move to a new building. April 26, 2017 Knippa S, Senecal P-A. Using Simulation to Prepare Nursing Staff for the Move to a New Building. J Nurses Prof Dev. 2017;33(2):E1-E5. doi:10.1097/NND.0000000000000329. https://psnet.ahrq.gov/issue/using-simulation-prepare-nurs…

9512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35344/psn-pdf
      March 11, 2011 - Creating the web-based intensive care unit safety reporting system.  March 11, 2011 Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408. https://psnet.ahrq.gov/issue/creating-web-based-inten…

9513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35619/psn-pdf
      June 24, 2010 - Studying patient safety in health care organizations: accentuate the qualitative. June 24, 2010 Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. https://psnet.ahrq.gov/issue/studying-patient-safety-health-care-organ…

9514. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34770/psn-pdf
      April 17, 2017 - Clinical Risk Management. Enhancing Patient Safety. 2nd ed. April 17, 2017 Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. https://psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed Vincent has updated his text on risk management, infusing it with concepts directly rela…

9515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44729/psn-pdf
      January 07, 2016 - The morbidity and mortality meeting: time for a different approach? January 7, 2016 Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4- 8. doi:10.1136/archdischild-2015-309536. https://psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-appro…

9516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34731/psn-pdf
      July 08, 2016 - Crossing the Quality Chasm: A New Health System for the 21st Century. July 8, 2016 Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National Academies Press; 2001. ISBN: 9780309072809. https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century Following…

9517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841567/psn-pdf
      December 14, 2022 - Measuring Patient Safety December 14, 2022 Schreiber M, Van C, Mossburg SE. Measuring Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/measuring-patient-safety Following the landmark report To Err is Human: Building a Safer Health System, developed by the Institute of Medicine in 1999, pa…

9518. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable | PSNet
      psnet.ahrq.gov/web-mm/insulin-administration-pen-vs-vial-similar-not-interchangeable
      December 20, 2023 - Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable Citation Text: Camarillo H. Insulin Administration: Pen vs Vial – Similar, but Not Interchangeable. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…

9519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33881/psn-pdf
      August 01, 2019 - In Conversation With… Erik Hollnagel, PhD June 1, 2019 In Conversation With… Erik Hollnagel, PhD. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-erik-hollnagel-phd Editor's note: Dr. Hollnagel is Senior Professor of Patient Safety at the University of Jönköping (Sweden) as well as Visiting…

9520. Workaround Error | PSNet
      psnet.ahrq.gov/web-mm/workaround-error
      October 30, 2024 - Workaround Error Citation Text: Pape T. Workaround Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …