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Total Results: 2,105 records

Showing results for "includes".

81. Diagnostic Errors in the Emergency Department: A Systematic Review. | PSNet
    psnet.ahrq.gov/issue/diagnostic-errors-emergency-department-systematic-review
    October 27, 2021 - The report was updated August 14, 2023, and now includes addendum, errata, and updated author conflict

82. TeamSTEPPS Core Curriculum. | PSNet
    psnet.ahrq.gov/issue/teamstepps-core-curriculum
    August 01, 2012 - The course includes updated evidence reviews, trainer guidance, measurement tools, a pocket guide quick

83. Toolkit for Reducing CAUTI in Hospitals. | PSNet
    psnet.ahrq.gov/issue/toolkit-reducing-cauti-hospitals
    June 21, 2016 - The toolkit includes modules that focus on implementation, sustainability , and resources to help hospitals

84. Rx for errors: speed, high volume can trigger mistakes. | PSNet
    psnet.ahrq.gov/issue/rx-errors-speed-high-volume-can-trigger-mistakes
    September 24, 2017 - uncovers the factors involved in pharmacy errors, relates stories of patients harmed by such errors, and includes

85. Alliance for Innovation on Maternal Health. | PSNet
    psnet.ahrq.gov/issue/alliance-innovation-maternal-health
    July 26, 2017 - The site, maintained by the American College of Obstetricians and Gynecologists, includes collections

86. Strategies for Creating, Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. | PSNet
    psnet.ahrq.gov/issue/strategies-creating-sustaining-and-improving-culture-safety-health-care-second-edition
    May 20, 2015 - The material includes discussions on the role of leadership , professionalism , and high reliability

87. Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. | PSNet
    psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events
    August 01, 2012 - It includes a checklist to gauge readiness for implementation, measurement strategies , and recommendations

88. Sentinel Event Data Summary. | PSNet
    psnet.ahrq.gov/issue/sentinel-event-statistics-1995-2019
    February 28, 2018 - This website provides sentinel event data reported to The Joint Commission, which includes information

89. Forgive and Remember: Managing Medical Failure. 2nd ed. | PSNet
    psnet.ahrq.gov/issue/forgive-and-remember-managing-medical-failure-2nd-ed
    March 27, 2005 - This edition, published more than two decades after Forgive and Remember was first published, includes

90. Adverse effects of the Medicare PSI-90 hospital penalty system on revenue-neutral hospital-acquired conditions. | PSNet
    psnet.ahrq.gov/issue/adverse-effects-medicare-psi-90-hospital-penalty-system-revenue-neutral-hospital-acquired
    October 30, 2024 - The program measures HAC rates by a composite Patient Safety Indicator (PSI90), which includes 10 specific

91. Medication safety issue brief. Bar code implementation strategies. | PSNet
    psnet.ahrq.gov/issue/medication-safety-issue-brief-bar-code-implementation-strategies
    June 17, 2014 - This brief addresses the role of bar coding in medication safety and includes three case studies of implementation

92. Patient and Family Engagement in Primary Care: Case Studies. | PSNet
    psnet.ahrq.gov/issue/patient-and-family-engagement-primary-care-case-studies
    November 01, 2016 - This guide includes case studies that explore how Open Notes , team-based care delivery, and patient

93. Medication Safety Officer's Handbook. | PSNet
    psnet.ahrq.gov/issue/medication-safety-officers-handbook
    September 01, 2018 - The publication also includes checklists and other tools to enhance medication safety.

94. Association of primary care clinic appointment time with opioid prescribing. | PSNet
    psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing
    September 01, 2021 - The root causes of the opioid epidemic are complex, but inappropriate prescribing of opioids (which includes

95. The Veterans Affairs root cause analysis system in action. | PSNet
    psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
    June 22, 2022 - Discussion includes background into VA patient safety programs and the role NCPS plays in providing the

96. COVID-19: patient safety and quality improvement skills to deploy during the surge. | PSNet
    psnet.ahrq.gov/issue/covid-19-patient-safety-and-quality-improvement-skills-deploy-during-surge
    March 23, 2022 - It includes (1) strengthening the system and environment, (2) supporting patient, family and community

97. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. | PSNet
    psnet.ahrq.gov/issue/overriding-drug-drug-interaction-alerts-clinical-decision-support-systems-scoping-review
    April 06, 2022 - This scoping review includes 34 studies from the United States and international settings and identified

98. The neglected barrier to medication use: a systematic review of difficulties associated with opening medication packaging. | PSNet
    psnet.ahrq.gov/issue/neglected-barrier-medication-use-systematic-review-difficulties-associated-opening-medication
    February 16, 2022 - This review includes 12 studies where participants were observed opening a variety of medication packages

99. Handoffs and transitions of care: a systematic review, meta-analysis, and practice management guideline from the Eastern Association for the Surgery of Trauma. | PSNet
    psnet.ahrq.gov/issue/handoffs-and-transitions-care-systematic-review-meta-analysis-and-practice-management
    September 23, 2020 - This review analyzed research on standardized handoffs in acute care surgery, which includes trauma

100. Responding to Patient Safety Events | PSNet
     psnet.ahrq.gov/primer/responding-patient-safety-events
     October 18, 2023 - Such communication includes key facts, results of the root cause analysis and other investigations into … highlights that disclosure is an ongoing process that starts with an initial conversation after an event and includes … Patients and families report that the content of disclosure that matters most to them includes an explanation