-
psnet.ahrq.gov/node/43949/psn-pdf
November 17, 2016 - These included triggers that are already in use for detecting adverse events (such as
cardiopulmonary
-
psnet.ahrq.gov/node/45835/psn-pdf
February 01, 2017 - Strategies utilized in the program included RiskRounds
and web-based modules.
-
psnet.ahrq.gov/node/42205/psn-pdf
April 24, 2013 - errors documented after introduction of a comprehensive
electronic medication management system (that included
-
psnet.ahrq.gov/node/43171/psn-pdf
May 14, 2014 - These included errors of complacency, insufficient knowledge, and poor communication.
-
psnet.ahrq.gov/node/44339/psn-pdf
July 29, 2015 - rapid-response-systems-systematic-review-and-meta-analysis
This meta-analysis of rapid response systems concludes that despite the heterogeneity of included
-
psnet.ahrq.gov/node/46026/psn-pdf
May 03, 2017 - Recommended safety improvement strategies included plan-do-study-act cycles,
change management, and
-
psnet.ahrq.gov/node/44100/psn-pdf
June 10, 2015 - Barriers to developing such training included difficulty attaining buy-in from
clinicians and standardizing
-
psnet.ahrq.gov/node/45003/psn-pdf
July 18, 2016 - These findings are
similar to a prior study that included mostly adult surgeries.
-
psnet.ahrq.gov/node/42135/psn-pdf
April 22, 2013 - interprofessional-education-team-communication-working-together-improve-
patient-safety
A teamwork training program based on the TeamSTEPPS model that included
-
psnet.ahrq.gov/node/42763/psn-pdf
May 29, 2014 - The authors point
out that, unlike previous research, this study included errors that did not result
-
psnet.ahrq.gov/node/38641/psn-pdf
September 02, 2009 - These included excessive and confusing drug alerts and unreimbursed costs.
-
psnet.ahrq.gov/node/39333/psn-pdf
May 04, 2010 - The patterns discovered included inappropriate responses
to objective characteristics of immigrant patients
-
psnet.ahrq.gov/node/43409/psn-pdf
February 25, 2015 - The
final tool included 22 triggers and achieved high interrater reproducibility, but had only a modest
-
psnet.ahrq.gov/node/49683/psn-pdf
April 01, 2013 - His medical history included Crohn disease with ileocolectomy and
ileostomy; chronic pain; schizophrenia … Medications included mesalamine, clonidine, tramadol, haloperidol, olanzapine,
venlafaxine, potassium … These medications,
which included clozapine, but also olanzapine, risperidone, and quetiapine, were … Had the program been notified and included in the discharge process, it could have helped to coordinate
-
psnet.ahrq.gov/node/41973/psn-pdf
January 30, 2013 - the development of a medication reconciliation program to improve documentation
at discharge, which included
-
psnet.ahrq.gov/node/47763/psn-pdf
February 13, 2019 - Key areas of interest included high
reliability, safety culture, detection of deterioration, sepsis,
-
psnet.ahrq.gov/node/42171/psn-pdf
April 17, 2013 - The
most frequently identified problems included ineffective communication, inadequate training, and
-
psnet.ahrq.gov/node/42545/psn-pdf
September 04, 2013 - residency-schedule-burnout-and-patient-care-among-first-year-residents
Signs of burnout and fatigue were most often associated with being on a rotation that included
-
psnet.ahrq.gov/node/44835/psn-pdf
January 01, 2019 - Nearly half of the tweets included an emotional response such as anger, frustration, humor,
sadness,
-
psnet.ahrq.gov/node/35345/psn-pdf
July 20, 2009 - for improvement that draw from the experiences of non-health care
organizations, such as Toyota, are included