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Showing results for "initiative".

3641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42158/psn-pdf
      April 03, 2013 - Long-term effects of a perioperative safety checklist from the viewpoint of personnel. April 3, 2013 Böhmer AB, Kindermann P, Schwanke U, et al. Long-term effects of a perioperative safety checklist from the viewpoint of personnel. Acta Anaesthesiol Scand. 2013;57(2):150-7. doi:10.1111/aas.12020. https://psnet.ahr…

3642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40108/psn-pdf
      July 28, 2013 - Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III). July 28, 2013 Berns SD, ed. White Plains, NY: March of Dimes; December 2010. https://psnet.ahrq.gov/issue/toward-improving-outcome-pregnancy-enhancing-perinatal-health-through- qua…

3643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35984/psn-pdf
      January 02, 2017 - The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. January 2, 2017 Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Saf. 2006;32(6):299-308. https://psnet.…

3644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846766/psn-pdf
      March 29, 2023 - The prisoner. March 29, 2023 Kent S. NJ.com. March 12, 2023. https://psnet.ahrq.gov/issue/prisoner Heuristics, uncertainty, and bias are contributors to diagnostic error, overuse, and treatment delay. This story describes the care experience of an adolescent patient whose rare immune system condition was initiall…

3645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47280/psn-pdf
      October 15, 2018 - Master of Healthcare Quality and Safety. October 15, 2018 Harvard Medical School. https://psnet.ahrq.gov/issue/master-healthcare-quality-and-safety This one-year degree program will train clinicians and health care executives to lead safety and quality improvement initiatives. Participants will learn how to develo…

3646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72863/psn-pdf
      March 17, 2021 - 7 ways to prevent medical errors. March 17, 2021 Caceres V. US News World Report. March 1, 2021. https://psnet.ahrq.gov/issue/7-ways-prevent-medical-errors Patients and families have an important role in reducing potential for error and harm. This article highlights a set of tactics for patients to enhan…

3647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74246/psn-pdf
      January 12, 2022 - Patient Safety. January 12, 2022 Dean J, Subbe C, eds. Future Healthc J. 2021;8(3):e559-e618. https://psnet.ahrq.gov/issue/patient-safety-23 Full realization of the patient voice as a resource for safety is challenging. This special section provides global perspectives examining cultural, organizational, and syste…

3648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39742/psn-pdf
      August 09, 2013 - Patient Safety, 2nd edition. August 9, 2013 doi:10.1002/9781444323856. https://psnet.ahrq.gov/issue/patient-safety-2nd-edition Dr. Charles Vincent, a psychologist by training, is unquestionably one of the founders of the modern patient safety movement and continues to publish groundbreaking research in the field. …

3649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45306/psn-pdf
      August 17, 2016 - Indiana Patient Safety Center. August 17, 2016 Indiana Hospital Association; IHA. https://psnet.ahrq.gov/issue/indiana-patient-safety-center Launched in 2006, the Indiana Patient Safety Center (IPSC) is dedicated to promoting safety culture and reliable systems of care in the state. This website provides resources…

3650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49406/psn-pdf
      June 01, 2003 - The Dangerous Detour June 1, 2003 Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dangerous-detour The Case Following an overdose of alcohol and Ativan, a 26-year-old woman was admitted to the Medicine service for observation after being placed on a 72-hour hold by…

3651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49532/psn-pdf
      March 15, 2007 - Back to Basics March 1, 2007 Hellman R. Back to Basics. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/back-basics The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…

3652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33571/psn-pdf
      March 15, 2025 - Reporting Patient Safety Events March 15, 2025 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in th…

3653. Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. | PSNet
      psnet.ahrq.gov/issue/role-knowledge-and-reasoning-processes-predictors-resident-physicians-susceptibility
      March 18, 2020 - Study Role of knowledge and reasoning processes as predictors of resident physicians' susceptibility to anchoring bias in diagnostic reasoning: a randomised controlled experiment. Citation Text: Mamede S, Zandbergen A, de Carvalho-Filho MA, et al. Role of knowledge and reasoning processe…

3654. Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. | PSNet
      psnet.ahrq.gov/issue/vital-signs-pregnancy-related-deaths-united-states-2011-2015-and-strategies-prevention-13
      September 06, 2023 - Study Classic Vital signs: pregnancy-related deaths, United States, 2011-2015, and strategies for prevention, 13 states, 2013-2017. Citation Text: Petersen EE, Davis NL, Goodman D, et al. Vital Signs: Pregnancy-Related Deaths, United States, 2011-2015, and Strat…

3655. A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." | PSNet
      psnet.ahrq.gov/issue/qualitative-evaluation-barriers-and-facilitators-toward-implementation-who-surgical-safety
      January 19, 2016 - Study Classic A qualitative evaluation of the barriers and facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons from the "Surgical Checklist Implementation Project." Citation Text: Russ SJ, Sevdalis N, Moor…

3656. Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. | PSNet
      psnet.ahrq.gov/issue/combined-impact-medicares-hospital-pay-performance-programs-quality-and-safety-outcomes-mixed
      December 08, 2021 - Study Combined impact of Medicare's hospital pay for performance programs on quality and safety outcomes is mixed. Citation Text: Waters TM, Burns N, Kaplan CM, et al. Combined impact of Medicare’s hospital pay for performance programs on quality and safety outcomes is mixed. BMC Health …

3657. Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/computerized-provider-order-entry-implementation-no-association-increased-mortality-rates
      November 16, 2022 - Study Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. Citation Text: Del Beccaro MA, Jeffries HE, Eisenberg MA, et al. Computerized provider order entry implementation: no association with increased mortality ra…

3658. Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations. | PSNet
      psnet.ahrq.gov/issue/purchase-prescription-medicines-social-media-survey-based-study-prevalence-risk-perceptions
      May 19, 2021 - Study Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions, and motivations. Citation Text: Moureaud C, Hertig JB, Dong Y, et al. Purchase of prescription medicines via social media: a survey-based study of prevalence, risk perceptions…

3659. Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. | PSNet
      psnet.ahrq.gov/issue/ranking-hospitals-based-preventable-hospital-death-rates-systematic-review-implications-both
      April 22, 2017 - Review Ranking hospitals based on preventable hospital death rates: a systematic review with implications for both direct measurement and indirect measurement through standardized mortality rates. Citation Text: Manaseki-Holland S, Lilford RJ, Te AP, et al. Ranking Hospitals Based on Pre…

3660. Outside case review of surgical pathology for referred patients: the impact on patient care. | PSNet
      psnet.ahrq.gov/issue/outside-case-review-surgical-pathology-referred-patients-impact-patient-care
      July 13, 2016 - Study Outside case review of surgical pathology for referred patients: the impact on patient care. Citation Text: Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. …