-
psnet.ahrq.gov/node/38305/psn-pdf
January 15, 2009 - The surveys identified several medications not included on
the Institute for Safe Medication Practices
-
psnet.ahrq.gov/node/40208/psn-pdf
February 09, 2011 - The most commonly missed findings included fractures,
dislocations, and pulmonary nodules.
-
psnet.ahrq.gov/node/34934/psn-pdf
March 11, 2011 - Barriers included workload issues and a lack of team coordination.
-
psnet.ahrq.gov/node/39364/psn-pdf
March 10, 2010 - implementation of an explicit daily goals sheet, which was completed by physicians and nurses and
included
-
psnet.ahrq.gov/node/43023/psn-pdf
April 16, 2014 - Extending beyond fear of legal action, barriers to disclosure included
uncertainty, helplessness, and
-
psnet.ahrq.gov/node/40486/psn-pdf
June 01, 2011 - process-changes-increase-compliance-universal-protocol-bedside-procedures
A quality improvement process that included
-
psnet.ahrq.gov/node/42958/psn-pdf
May 29, 2014 - Interventions described included teamwork training, checklists, and safety culture.
-
psnet.ahrq.gov/node/36976/psn-pdf
June 15, 2011 - evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
The investigators describe an incident reporting intervention that included
-
psnet.ahrq.gov/node/41896/psn-pdf
December 12, 2012 - These included patient identification errors and
failure to heed computerized warnings.
-
psnet.ahrq.gov/node/41645/psn-pdf
September 12, 2012 - safety-culture-transformation-its-effects-childrens-hospital
A comprehensive approach to improving patient safety at a children's hospital, which included
-
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/39333/psn-pdf
May 04, 2010 - The patterns discovered included inappropriate responses
to objective characteristics of immigrant patients
-
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/46026/psn-pdf
May 03, 2017 - Recommended safety improvement strategies included plan-do-study-act cycles,
change management, and
-
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/38641/psn-pdf
September 02, 2009 - These included excessive and confusing drug alerts and unreimbursed costs.
-
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/42205/psn-pdf
April 24, 2013 - errors documented after introduction of a comprehensive
electronic medication management system (that included
-
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/43171/psn-pdf
May 14, 2014 - These included errors of complacency, insufficient knowledge, and poor communication.