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Showing results for "improves".

9841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43584/psn-pdf
      October 22, 2014 - The "Dirty Dozen": 12 persistent safety gaffes that we need to resolve! October 22, 2014 ISMP Medication Safety Alert! Acute Care Edition. October 9, 2014;19:1-5. https://psnet.ahrq.gov/issue/dirty-dozen-12-persistent-safety-gaffes-we-need-resolve Changes in practice require time and monitoring to achieve lasting …

9842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45444/psn-pdf
      December 04, 2016 - Alarm fatigue: use of an evidence-based alarm management strategy. December 4, 2016 Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. https://psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy Reducing nuisance…

9843. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47270/psn-pdf
      August 08, 2018 - A method to identify pediatric high-risk diagnoses missed in the emergency department. August 8, 2018 Sundberg M, Perron CO, Kimia A, et al. A method to identify pediatric high-risk diagnoses missed in the emergency department. Diagnosis (Berl). 2018;5(2):63-69. doi:10.1515/dx-2018-0005. https://psnet.ahrq.gov/iss…

9844. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73582/psn-pdf
      August 11, 2021 - Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy. August 11, 2021 Alexander RG, Yazdanie F, Waite S, et al. Visual illusions in radiology: untrue perceptions in medical images and their implications for diagnostic accuracy. Front Neurosci. 2021;15:6…

9845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45520/psn-pdf
      October 05, 2016 - Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. October 5, 2016 Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):31994. doi:10.3402/jchimp.v6.31994. http…

9846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42191/psn-pdf
      June 25, 2013 - Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate. June 25, 2013 Watts RG, Parsons K. Chemotherapy medication errors in a pediatric cancer treatment center: pro…

9847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47039/psn-pdf
      September 12, 2018 - Overdiagnosis in primary care: framing the problem and finding solutions. September 12, 2018 Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. https://psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-findi…

9848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44872/psn-pdf
      February 12, 2016 - Reducing preventable harm in hospitals. February 12, 2016 Bornstein D. New York Times. January 26, and February 2, 2016. https://psnet.ahrq.gov/issue/reducing-preventable-harm-hospitals Discussing the importance of designing safeguards to prevent system failures that can result in patient harm, this two-part newsp…

9849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39138/psn-pdf
      May 13, 2024 - MHA Keystone Center for Patient Safety and Quality. May 13, 2024 Michigan Health and Hospital Association.   https://psnet.ahrq.gov/issue/mha-keystone-center-patient-safety-and-quality The Michigan Health and Hospital Association's Keystone Center has directed some of the most successful patient safety projec…

9850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44735/psn-pdf
      January 06, 2016 - Quality and patient safety teams in the perioperative setting. January 6, 2016 Serino MF. Quality and Patient Safety Teams in the Perioperative Setting. AORN J. 2015;102(6):617-28. doi:10.1016/j.aorn.2015.10.006. https://psnet.ahrq.gov/issue/quality-and-patient-safety-teams-perioperative-setting Team effectivenes…

9851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47217/psn-pdf
      June 27, 2018 - Drug shortages roundtable: minimizing the impact on patient care. June 27, 2018 Drug shortages roundtable: Minimizing the impact on patient care. Am J Health Syst Pharm. 2018;75(11):816-820. doi:10.2146/ajhp180048. https://psnet.ahrq.gov/issue/drug-shortages-roundtable-minimizing-impact-patient-care This commenta…

9852. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47501/psn-pdf
      February 06, 2019 - Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. February 6, 2019 Manojlovich M, Frankel RM, Harrod M, et al. Formative evaluation of the video reflexive ethnography method, as applied to the physician-nurse dyad. BMJ Qual Saf. 2019;28(2):160-166. doi:10.1136/b…

9853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74753/psn-pdf
      February 09, 2022 - The morbidity and mortality conference: opportunities for enhancing patient safety. February 9, 2022 Lazzara EH, Salisbury M, Hughes AM, et al. The morbidity and mortality conference: opportunities for enhancing patient safety. J Patient Saf. 2022;18(1):e275-e281. doi:10.1097/pts.0000000000000765. https://psnet.ah…

9854. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836858/psn-pdf
      April 06, 2022 - Psychological safety during the test of new work processes in an emergency department. April 6, 2022 Dieckmann P, Tulloch S, Dalgaard AE, et al. Psychological safety during the test of new work processes in an emergency department. BMC Health Serv Res. 2022;22(1):307. doi:10.1186/s12913-022-07687-y. https://psnet.…

9855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72481/psn-pdf
      November 18, 2020 - Computer-based simulation to reduce EHR-related chemotherapy ordering errors. November 18, 2020 Wyatt KD, Freedman EB, Arteaga GM, et al. Computer?based simulation to reduce EHR?related chemotherapy ordering errors. Cancer Med. 2020;9(23):8844-8851. doi:10.1002/cam4.3496. https://psnet.ahrq.gov/issue/computer-base…

9856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46934/psn-pdf
      March 14, 2018 - Engaging the front line: tapping into hospital-wide quality and safety initiatives. March 14, 2018 Wolpaw J, Schwengel D, Hensley N, et al. Engaging the Front Line: Tapping into Hospital-Wide Quality and Safety Initiatives. J Cardiothorac Vasc Anesth. 2018;32(1):522-533. doi:10.1053/j.jvca.2017.05.038. https://psn…

9857. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46922/psn-pdf
      January 01, 2019 - Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. March 21, 2018 Hansen JE, Lazow M, Hagedorn PA. Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. Pediatr Qual Saf. 2019;3(1). doi:10.1097/pq9.0000000000000053. https://ps…

9858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36265/psn-pdf
      April 21, 2015 - "Health courts" and accountability for patient safety. April 21, 2015 Mello MM, Studdert DM, Kachalia A, et al. "Health courts" and accountability for patient safety. Milbank Q. 2006;84(3):459-92. https://psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety This article provides an overview of "hea…

9859. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38443/psn-pdf
      February 25, 2009 - High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. February 25, 2009 Paige JT, Kozmenko V, Yang T, et al. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Surgery. 2009;145(2):138-46. doi:10.1016/j.surg.2008.09.0…

9860. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46912/psn-pdf
      March 28, 2018 - Ignoring the Alarms: How NHS Eating Disorder Services Are Failing Patients. March 28, 2018 London, UK: Parliamentary and Health Service Ombudsman; 2017. ISBN: 9781528601344. https://psnet.ahrq.gov/issue/ignoring-alarms-how-nhs-eating-disorder-services-are-failing-patients Patients with mental health conditions fac…