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Showing results for "informed".

4921. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.290_slideshow.ppt
      February 01, 2013 - Spotlight Case July 2008 Spotlight Case Delay in Treatment: Failure to Contact Patient Leads to Significant Complications * * Source and Credits This presentation is based on the February 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: …

4922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49671/psn-pdf
      November 01, 2012 - Electrocardiogram Results: ***READ ME*** November 1, 2012 Alpert JS. Electrocardiogram Results: ***READ ME***. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/electrocardiogram-results-read-me The Case A 63-year-old woman with labile hypertension presented to the emergency department (ED) with new onset che…

4923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50858/psn-pdf
      January 31, 2020 - Artificial Intelligence and Diagnostic Errors January 31, 2020 Hall KK, Fitall E. Artificial Intelligence and Diagnostic Errors. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors Definition of Artificial Intelligence The definition of artificial intelligence (…

4924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33852/psn-pdf
      January 01, 2017 - Patient Engagement in Safety January 1, 2017 Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/patient-engagement-safety Annual Perspective 2017 Background In the past 2 decades, patient engagement in safety has evolved from obscurity to maturity. The Ins…

4925. Readmissions and Adverse Events After Discharge | PSNet
      psnet.ahrq.gov/primer/readmissions-and-adverse-events-after-discharge
      April 27, 2022 - Readmissions and Adverse Events After Discharge Citation Text: Readmissions and Adverse Events After Discharge. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3…

4926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39380/psn-pdf
      August 29, 2021 - ASHP guidelines on the safe use of automated dispensing devices. August 29, 2021 Cello R, Conley M, Cooley TW, et al. ASHP Guidelines on the Safe Use of Automated Dispensing Cabinets. Am J Health Syst Pharm. 2021;79(1):e71-e82. doi:10.1093/ajhp/zxab325. https://psnet.ahrq.gov/issue/ashp-guidelines-safe-use-automat…

4927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35318/psn-pdf
      September 20, 2024 - AHRQ Quality Indicators. September 20, 2024 Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/ahrq-quality-indicators The Agency for Healthcare Research and Quality (AHRQ) Quality Indicators (QIs) represent quality measures that make use of a hospital's available administrative data to inform…

4928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866569/psn-pdf
      September 01, 2024 - Guidelines in Practice. September 1, 2024 Guidelines in Practice. AORN J. 2020-2024. https://psnet.ahrq.gov/issue/guidelines-practice Awareness and consistent application of professional guidance can support safe, effective care delivery. This collection of articles presents short introductions to a range of guide…

4929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35203/psn-pdf
      December 14, 2010 - Practice Advisory on Intraoperative Awareness and Brain Function Monitoring. December 14, 2010 Awareness AS of ATF on I. Practice advisory for intraoperative awareness and brain function monitoring: a report by the american society of anesthesiologists task force on intraoperative awareness. Anesthesiology. 2006;1…

4930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36065/psn-pdf
      May 27, 2011 - Passing the "Yo' Mama" test. May 27, 2011 Blair R. Passing the "Yo' Mama" test. Atlanta healthcare organization follows the beat of a different drummer in achieving 100 percent CPOE adoption. Health Manag Technol. 2006;27(6):14, 16, 18. https://psnet.ahrq.gov/issue/passing-yo-mama-test This article discusses how a…

4931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42691/psn-pdf
      October 23, 2013 - Patient Safety Investigation report into services at University Hospital Galway (UHG) and as reflected in the care provided to Savita Halappanavar. October 23, 2013 Dublin, Ireland: Health Information and Quality Authority; October 2013. https://psnet.ahrq.gov/issue/patient-safety-investigation-report-services-uni…

4932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36977/psn-pdf
      February 15, 2011 - Cost-effective enhancement of claims data to improve comparisons of patient safety. February 15, 2011 Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.01413.fb. https://psnet.ahrq.gov/…

4933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837708/psn-pdf
      July 20, 2022 - Without question. July 20, 2022 Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361. https://psnet.ahrq.gov/issue/without-question Diagnostic errors caused by premature closure and anchoring bias occur when clinicians rely on initial diagnosis despite receiving subsequent …

4934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45840/psn-pdf
      February 08, 2017 - Implementation of the safety huddle. February 8, 2017 Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80- 82. https://psnet.ahrq.gov/issue/implementation-safety-huddle The safety huddle is becoming common within health care practice as a way to inform clinician…

4935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46788/psn-pdf
      April 11, 2018 - Preventing newborn falls and drops. April 11, 2018 Quick Safety. March 27, 2018;(40):1-2. https://psnet.ahrq.gov/issue/preventing-newborn-falls-and-drops Falls are a common patient safety concern for adults but are rarely discussed as a threat to newborn safety. This newsletter article provides a definition for a …

4936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44583/psn-pdf
      February 17, 2016 - Root Cause Analysis Playbook. February 17, 2016 Chicago, IL: American Society for Healthcare Risk Management; 2015. https://psnet.ahrq.gov/issue/root-cause-analysis-playbook Risk management has recently focused on organization-wide improvement in patient safety. This publication discusses root cause analysis metho…

4937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37559/psn-pdf
      March 31, 2025 - John M. Eisenberg Patient Safety and Quality Award. February 4, 2025 Joint Commission, National Quality Forum. https://psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-and-quality-award The Eisenberg Award honors individuals and organizations who have made key contributions to patient safety and quality improv…

4938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45287/psn-pdf
      August 03, 2016 - Mistakes We Make in Dialysis. August 3, 2016 Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328. https://psnet.ahrq.gov/issue/mistakes-we-make-dialysis Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles in this special issue explore common renal …

4939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41543/psn-pdf
      January 18, 2013 - Research on nursing handoffs for medical and surgical settings: an integrative review. January 18, 2013 Staggers N, Blaz JW. Research on nursing handoffs for medical and surgical settings: an integrative review. J Adv Nurs. 2013;69(2):247-62. doi:10.1111/j.1365-2648.2012.06087.x. https://psnet.ahrq.gov/issue/resea…

4940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37318/psn-pdf
      January 04, 2012 - The meaning of justice in safety incident reporting. January 4, 2012 Weiner BJ, Hobgood C, Lewis MA. The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. https://psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting This article describes how the principles of just culture …