-
psnet.ahrq.gov/node/49858/psn-pdf
April 01, 2019 - Some hospitals have incorporated a bidirectional voice communication badge system (8) that employs a
-
psnet.ahrq.gov/sites/default/files/2023-04/failure_to_ensure_patient_safety_leads_to_patient_falls_in_nursing_homes.pdf
January 01, 2023 - , established as a
division of the Risk Management Foundation of the Harvard Medical Institutions
Incorporated … by and used with permission of
The Risk Management Foundation of the Harvard Medical Institutions
Incorporated
-
psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
February 28, 2024 - TeamSTEPPS 2.0 incorporated multiple versions of the TeamSTEPPS materials tailored to healthcare settings … We incorporated a welcome guide specifically for patients and family caregivers to introduce them to … What is the virtual learning component and how is that incorporated into the curriculum?
-
psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
February 28, 2024 - We incorporated a welcome guide specifically for patients and family caregivers to introduce them to … What is the virtual learning component and how is that incorporated into the curriculum? … TeamSTEPPS 2.0 incorporated multiple versions of the TeamSTEPPS materials tailored to healthcare settings
-
psnet.ahrq.gov/issue/understanding-healthcare-workplace-learning-culture-through-safety-and-dignity-narratives-uk
August 06, 2014 - Study
Understanding the healthcare workplace learning culture through safety and dignity narratives: a UK qualitative study of multiple stakeholders' perspectives.
Citation Text:
Sholl S, Scheffler G, Monrouxe L, et al. Understanding the healthcare workplace learning culture through safe…
-
psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
January 11, 2023 - Review
Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement.
Citation Text:
Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…
-
psnet.ahrq.gov/issue/effects-efforts-optimise-morbidity-and-mortality-rounds-serve-contemporary-quality
July 19, 2019 - Review
Effects of efforts to optimise morbidity and mortality rounds to serve contemporary quality improvement and educational goals: a systematic review.
Citation Text:
Smaggus A, Mrkobrada M, Marson A, et al. Effects of efforts to optimise morbidity and mortality rounds to serve contem…
-
psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
January 06, 2018 - Commentary
Classic
Computerized physician order entry: helpful or harmful?
Citation Text:
Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3.
Copy Citation
Format:
Google Scholar …
-
psnet.ahrq.gov/issue/evaluation-causes-and-frequency-medication-errors-during-information-technology-downtime
October 03, 2011 - Study
Evaluation of causes and frequency of medication errors during information technology downtime.
Citation Text:
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication errors during information technology downtime. Am J Health Syst Pharm…
-
psnet.ahrq.gov/issue/pharmacists-perceptions-computerized-prescriber-order-entry-systems
June 29, 2011 - Study
Pharmacists' perceptions of computerized prescriber-order-entry systems.
Citation Text:
Inquilla CC, Szeinbach S, Seoane-Vazquez E, et al. Pharmacists' perceptions of computerized prescriber-order-entry systems. Am J Health Syst Pharm. 2007;64(15):1626-32.
Copy Citation
For…
-
psnet.ahrq.gov/node/50698/psn-pdf
November 27, 2019 - hospital-based substance abuse counselors often provide counseling and resources,
they are often not formally incorporated … ED providers.15 This tool is consistent with fundamentals of patient
safety improvement and can be incorporated
-
psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd
October 01, 2007 - Within Fairview, we have incorporated just culture into our performance improvement initiatives, such
-
psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review
September 26, 2012 - Review
Information transfer and communication in surgery: a systematic review.
Citation Text:
Nagpal K, Vats A, Lamb B, et al. Information transfer and communication in surgery: a systematic review. Ann Surg. 2010;252(2):225-39. doi:10.1097/SLA.0b013e3181e495c2.
Copy Citation
For…
-
psnet.ahrq.gov/issue/role-morbidity-and-mortality-rounds-medical-education-scoping-review
July 03, 2016 - Review
The role of morbidity and mortality rounds in medical education: a scoping review.
Citation Text:
Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234.
…
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.359_slideshow.ppt
October 01, 2015 - transmitted to Hospital Y when requested
When received by Hospital Y, the information would need to be incorporated
-
psnet.ahrq.gov/issue/how-often-are-potential-patient-safety-events-present-admission
January 26, 2022 - Study
Classic
How often are potential patient safety events present on admission?
Citation Text:
Houchens RL, Elixhauser A, Romano PS. How often are potential patient safety events present on admission? Jt Comm J Qual Patient Saf. 2008;34(3):154-63.
Copy Citat…
-
psnet.ahrq.gov/issue/what-every-graduating-resident-needs-know-about-quality-improvement-and-patient-safety
March 29, 2023 - Study
What every graduating resident needs to know about quality improvement and patient safety: a content analysis of 26 sets of ACGME milestones.
Citation Text:
Lane-Fall MB, Davis JJ, Clapp JT, et al. What Every Graduating Resident Needs to Know About Quality Improvement and Patient S…
-
psnet.ahrq.gov/issue/implementation-structured-hospital-wide-morbidity-and-mortality-rounds-model
January 20, 2015 - Study
Implementation of a structured hospital-wide morbidity and mortality rounds model.
Citation Text:
Kwok ESH, Calder LA, Barlow-Krelina E, et al. Implementation of a structured hospital-wide morbidity and mortality rounds model. BMJ Qual Saf. 2017;26(6):439-448. doi:10.1136/bmjqs-201…
-
psnet.ahrq.gov/issue/impact-online-education-intern-behaviour-around-joint-commission-national-patient-safety
September 30, 2012 - Study
Impact of online education on intern behaviour around Joint Commission national patient safety goals: a randomised trial.
Citation Text:
Shaw T, Pernar LI, Peyre S, et al. Impact of online education on intern behaviour around joint commission national patient safety goals: a rand…
-
psnet.ahrq.gov/node/73451/psn-pdf
June 30, 2021 - National Patient Safety Syllabus.
June 30, 2021
Spurgeon P, Cross S. London, UK; Academy of Medical Royal Colleges: May 2021.
https://psnet.ahrq.gov/issue/national-patient-safety-syllabus
Amending curricula to incorporate the increasing scholarship related to patient safety improvement is a
challenge. This st…