-
psnet.ahrq.gov/node/35408/psn-pdf
August 05, 2009 - These
characteristics include status, experience with error, level of knowledge, receptivity to feedback
-
psnet.ahrq.gov/node/37413/psn-pdf
November 14, 2011 - Along with educational materials, the toolkits include medication guides and checklists, all of which
-
psnet.ahrq.gov/node/46418/psn-pdf
September 20, 2017 - Topics covered include psychological harm following a neonatal intensive care unit stay and
the etiology
-
psnet.ahrq.gov/node/34791/psn-pdf
March 28, 2005 - Additional results presented include the type of adverse effects, admissions resulting from
noncompliance
-
psnet.ahrq.gov/node/36816/psn-pdf
August 26, 2011 - embedding-quality-improvement-and-patient-safety-ucla-value-analysis-
experience
The authors describe an initiative to include
-
psnet.ahrq.gov/node/34844/psn-pdf
February 24, 2011 - The gaps highlighted include physician documentation of a follow-up plan and
patients’ understanding
-
psnet.ahrq.gov/node/43145/psn-pdf
June 15, 2014 - The projects include a discharge handoff tool, a surgical briefing and debriefing,
and a statewide campaign
-
psnet.ahrq.gov/node/45558/psn-pdf
May 10, 2017 - Topics discussed include just culture, disclosure, and bias.
-
psnet.ahrq.gov/node/34756/psn-pdf
October 12, 2016 - design-everyday-things
Norman, a cognitive psychologist, outlines the elements of effective user-centered design, which include
-
psnet.ahrq.gov/node/34623/psn-pdf
January 28, 2015 - Five areas have been identified as priorities for the Commission's efforts and
include interventions
-
psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - Such preventive measures may include placing the patient on an observation protocol (special precautions … Such a protocol may include locating the patient close to the desk, placing an electronic monitoring … Additional precautions common in mental health and rehabilitation facilities include automatic door locks … Response to elopement by patients with diminished capacity should be immediate and include unit staff … In addition, the commentary does not include information regarding investigational or off-label use of
-
psnet.ahrq.gov/node/34136/psn-pdf
January 29, 2018 - Current IHI initiatives include a white paper collection, an
international conference series, and an
-
psnet.ahrq.gov/node/38136/psn-pdf
November 21, 2016 - events
Interviews with patients and family members revealed that the disclosure process often did not include
-
psnet.ahrq.gov/node/33914/psn-pdf
September 29, 2017 - The Inpatient Quality Indicators
include inpatient mortality for certain procedures and medical conditions
-
psnet.ahrq.gov/node/45512/psn-pdf
October 05, 2016 - wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/improvement-detection-wrong-patient-errors-when-radiologists-include-patient-photographs
-
psnet.ahrq.gov/node/47649/psn-pdf
January 09, 2019 - Key
recommendations include low-molecular-weight heparin as the preferred agent when medication
prophylaxis
-
psnet.ahrq.gov/node/39491/psn-pdf
March 22, 2011 - published-literature-handoffs-hospitals-deficiencies-identified-extensive-review
This review highlights gaps in the current literature on handoffs, which include
-
psnet.ahrq.gov/node/33944/psn-pdf
January 29, 2018 - Efforts include the Lucian Leape Institute, an
annual conference, awards, a certification program and
-
psnet.ahrq.gov/node/47477/psn-pdf
November 14, 2018 - Factors
discussed include overreliance on poorly functioning technology, communication failures, and
-
psnet.ahrq.gov/node/35419/psn-pdf
February 15, 2010 - Topics covered
include insurance issues, pathology databases, and general pathology and lab error reduction