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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - recent audit, median delay between discharge and summary generation was 2 weeks
Summaries often do not include … problems and complications to watch for
Know the follow-up plan and who to call if things go wrong
Include … discharge
Specifically inform patient on side effects
Discharge summaries
Dictate in a timely fashion
Include … signs and what to do if things are not going well
Confirm that patient comprehends your instructions
Include
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psnet.ahrq.gov/node/33761/psn-pdf
February 01, 2014 - Sources for interruptions and distractions include noise, other people, or electronic
devices. … Noises may include alarms, ringing phones, and other clinicians. … Electronic distractions include
beepers, text messages, e-mails, or other communication technologies … These include: (i) establishing a no interruption
zone (NIZ); (ii) ensuring a do-not-disturb approach
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psnet.ahrq.gov/node/34808/psn-pdf
February 18, 2011 - Results include the specific complications from surgical misadventures and the associated cost
estimations
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psnet.ahrq.gov/node/44856/psn-pdf
September 29, 2017 - Core elements include engaging
leadership, monitoring effectiveness, and reporting benchmarks.
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psnet.ahrq.gov/node/47738/psn-pdf
February 06, 2019 - Recommended approaches include avoidance of error-prone abbreviations, use
of Tall Man lettering, and
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psnet.ahrq.gov/node/47913/psn-pdf
April 10, 2019 - This quality
improvement study sought to standardize paging communication to include six critical elements
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psnet.ahrq.gov/node/44050/psn-pdf
September 27, 2017 - Predictors of missed nursing care include poor
safety culture and increased nursing workload.
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psnet.ahrq.gov/node/45253/psn-pdf
October 03, 2017 - Although error disclosure is increasingly encouraged in health care, challenges to achieving transparency
include
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psnet.ahrq.gov/node/45281/psn-pdf
September 01, 2016 - Strategies include applying human factors engineering concepts to alert
triggers and designing spaces
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psnet.ahrq.gov/node/45062/psn-pdf
May 18, 2016 - Sections
include guidelines, clinical decision support, electronic prescribing, and prescription drug
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psnet.ahrq.gov/node/43109/psn-pdf
December 10, 2014 - The authors summarize the results of this initiative, which include reduced rates
of certain hospital-acquired
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psnet.ahrq.gov/node/43184/psn-pdf
May 14, 2014 - The authors include a checklist to
enhance the safety of such transitions.
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psnet.ahrq.gov/node/43456/psn-pdf
October 03, 2017 - Goals of this legislation include regulating and improving staffing levels, enabling veterans to access
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psnet.ahrq.gov/node/37809/psn-pdf
November 21, 2016 - Key
recommendations include involving patients and families in health care leadership, through measures
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psnet.ahrq.gov/node/60217/psn-pdf
January 01, 2012 - Initiatives include the Confidential Enquiries into Maternal and Infant Deaths program which produces
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psnet.ahrq.gov/node/60265/psn-pdf
January 01, 2019 - Topics
covered include foundations to the specialty, quality improvement, patient and family partnerships
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psnet.ahrq.gov/node/47872/psn-pdf
March 27, 2019 - Interventions
identified include automated alerting to primary care providers when patients are hospitalized
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psnet.ahrq.gov/node/35650/psn-pdf
June 25, 2010 - discuss strategies that hospitals might take to
improve their patients' perception of safety, which include
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psnet.ahrq.gov/node/34801/psn-pdf
February 10, 2011 - Additional data
presented include classes of medication involved in errors, types of errors detected
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psnet.ahrq.gov/node/43186/psn-pdf
May 19, 2014 - The authors include examples of how checklists can improve adoption of best practices and
discuss the