-
psnet.ahrq.gov/web-mm/too-tight-control
March 20, 2013 - Protocols for tighter glucose control must incorporate adequate monitoring frequency to avoid hypoglycemia … efforts that focus on increasing use of medications and "tight control" of physiologic parameters must incorporate
-
psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
June 23, 2021 - Book/Report
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed.
Citation Text:
Edgeware: Insights from Complexity Science for Health Care Leaders. Second ed. Zimmerman B, Lindberg C, Plsek P. Irving, TX: VHA Incorporated; 2008. ISBN: 9780966782806
Copy Citati…
-
psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
February 26, 2025 - The project can be implemented with existing discharge planning or nursing staff who can incorporate … The project can be implemented with existing discharge planning or nursing staff who can incorporate
-
psnet.ahrq.gov/node/73063/psn-pdf
March 24, 2021 - Clinical data sharing improves quality measurement and
patient safety.
March 24, 2021
D’Amore JD, McCrary LK, Denson J, et al. Clinical data sharing improves quality measurement and patient
safety. J Am Med Inform Assoc. 2021;28(7):1534-1542. doi:10.1093/jamia/ocab039.
https://psnet.ahrq.gov/issue/clinical-data-sh…
-
psnet.ahrq.gov/issue/learning-diagnostic-errors-improve-patient-safety-when-gps-work-or-alongside-emergency
December 15, 2021 - Study
Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis.
Citation Text:
Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors …
-
psnet.ahrq.gov/issue/does-incorporating-medications-surveyors-interpretive-guidelines-reduce-use-potentially
December 15, 2011 - Study
Does incorporating medications in the surveyors' interpretive guidelines reduce the use of potentially inappropriate medications in nursing homes?
Citation Text:
Lapane KL, Hughes CM, Quilliam BJ. Does Incorporating Medications in the Surveyors' Interpretive Guidelines Reduce the…
-
psnet.ahrq.gov/node/866622/psn-pdf
August 28, 2024 - Sarah Mossburg: Where did you begin when you first started to incorporate Safety-II? … For us, it’s not just about event management; it’s about how we can incorporate Safety-II principles
-
psnet.ahrq.gov/issue/leveraging-redesigned-morbidity-and-mortality-conference-incorporates-clinical-and
April 24, 2018 - Commentary
Leveraging a redesigned morbidity and mortality conference that incorporates the clinical and educational missions of improving quality and patient safety.
Citation Text:
Tad-Y DB, Pierce RG, Pell JM, et al. Leveraging a Redesigned Morbidity and Mortality Conference That Incor…
-
psnet.ahrq.gov/node/45506/psn-pdf
November 30, 2016 - Is an indication-based prescribing system in our future?
November 30, 2016
ISMP Medication Safety Alert! Acute Care Edition. November 17, 2016;21:1-5.
https://psnet.ahrq.gov/issue/indication-based-prescribing-system-our-future
Health information technology has enhanced prescribers' ability to document the purpose o…
-
psnet.ahrq.gov/node/865532/psn-pdf
April 10, 2024 - Let us to the TWISST; Plan, Simulate, Study and Act.
April 10, 2024
Colman N, Hebbar KB. Let us to the TWISST; Plan, Simulate, Study and Act. Pediatr Qual Saf.
2023;8(4):e664. doi:10.1097/pq9.0000000000000664.
https://psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
In situ simulation can identi…
-
psnet.ahrq.gov/node/74230/psn-pdf
January 12, 2022 - Learning from diagnostic errors to improve patient safety
when GPs work in or alongside emergency departments:
incorporating realist methodology into patient safety
incident report analysis.
January 12, 2022
Cooper A, Carson-Stevens A, Cooke M, et al. Learning from diagnostic errors to improve patient safety
when…
-
psnet.ahrq.gov/node/857061/psn-pdf
November 27, 2023 - That leads me almost directly into my next question, which is how the
Essentials incorporate safety … I would be curious to hear you
talk about how practice partners could engage academics and incorporate
-
psnet.ahrq.gov/node/865296/psn-pdf
March 27, 2024 - An implementation resource that healthcare organizations can use to incorporate NPSGs into their daily
-
psnet.ahrq.gov/primer/patient-engagement-and-safety
August 30, 2023 - Early studies have leveraged information technology to incorporate patients in medication reconciliation
-
psnet.ahrq.gov/node/33586/psn-pdf
December 15, 2024 - For
example, incorporate renal function test results into the alert system so that alerts for nephrotoxic
-
psnet.ahrq.gov/node/49480/psn-pdf
May 01, 2005 - We believe that any attempt to determine cause and effect (preventability) must
incorporate these factors … Do diagnostic plans incorporate the risk/benefit of finding one
diagnosis rather than another?
-
psnet.ahrq.gov/node/36902/psn-pdf
June 09, 2010 - Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety
and quality.
June 9, 2010
Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using
Formula 1 pit-stop and aviation models to improve safety and quality. Paediatr …
-
psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - EHR systems should incorporate easily seen indicators and notifications when hemolysis is
detected. … awareness of long QT syndrome:
Similar to alerts for patient allergies or device implants, EHRs should incorporate
-
psnet.ahrq.gov/node/33616/psn-pdf
August 01, 2005 - Payment
reforms must incorporate the reality that decreasing hospital length of stay and technology
-
psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - safety-i-safety-ii-and-burnout-how-complexity-science-can-help-clinician-wellness
https://psnet.ahrq.gov//#_edn4
also important to incorporate