-
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/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/33914/psn-pdf
September 29, 2017 - The Inpatient Quality Indicators
include inpatient mortality for certain procedures and medical conditions
-
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/33944/psn-pdf
January 29, 2018 - Efforts include the Lucian Leape Institute, an
annual conference, awards, a certification program and
-
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/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
-
psnet.ahrq.gov/node/46855/psn-pdf
February 21, 2018 - Areas of focus include the importance of modeling
behaviors such as transparency, adopting just culture
-
psnet.ahrq.gov/node/36372/psn-pdf
February 24, 2011 - authors describe how they redesigned morbidity and mortality (M&M) conferences at their hospital to
include
-
psnet.ahrq.gov/node/44576/psn-pdf
January 23, 2018 - Areas of emphasis include reducing health
care–associated infections, enhancing care transitions, and
-
psnet.ahrq.gov/node/46095/psn-pdf
April 26, 2017 - Chapters will include discussions about second victims, improvements in medication safety, and the
economic
-
psnet.ahrq.gov/node/46385/psn-pdf
October 23, 2018 - Strategies discussed include artificial intelligence, lessons learned initiatives,
and data-tracking
-
psnet.ahrq.gov/node/47647/psn-pdf
January 23, 2019 - Recommendations include universal health coverage, coordination of efforts, and
dissemination of effective
-
psnet.ahrq.gov/node/47244/psn-pdf
August 01, 2018 - Topics covered include patient-centered simulation, adaptive learning, and communities of practice.
-
psnet.ahrq.gov/node/42843/psn-pdf
January 22, 2014 - Key
components of the program include hiring a medical director for patient safety, establishing a safety
-
psnet.ahrq.gov/node/43453/psn-pdf
November 21, 2016 - family-centered-rounds
Family-centered rounds are multidisciplinary rounds that involve patients and their families, include
-
psnet.ahrq.gov/node/44263/psn-pdf
November 06, 2015 - Recommendations to
prevent such errors include standardizing practices and using whiteboards as communication
-
psnet.ahrq.gov/node/43348/psn-pdf
July 16, 2014 - identifying-patient-safety-problems-during-team-rounds-ethnographic-study
Although this direct observation study found that medical team rounds usually include