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Showing results for "initiative".

  1. psnet.ahrq.gov/issue/target-focused-medical-emergency-team-training-using-human-patient-simulator-effects
    May 23, 2013 - Study Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. Citation Text: Wallin C-J, Meurling L, Hedman L, et al. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and atti…
  2. psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days
    October 16, 2019 - Study Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Citation Text: Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Hea…
  3. psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures
    May 08, 2017 - Study Improving patient safety governance and systems through learning from successes and failures: qualitative surveys and interviews with international experts. Citation Text: Hibbert PD, Stewart S, Wiles LK, et al. Improving patient safety governance and systems through learning from …
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45672/psn-pdf
    January 01, 2025 - Healthcare Simulation Dictionary, Third Edition. December 10, 2024 Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 2025. AHRQ Publication No. 24-0077. https://psnet.ahrq.gov/issue/healthcare-simulation-di…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836791/psn-pdf
    August 21, 2024 - TeamSTEPPS for Diagnosis Improvement. August 21, 2024 TeamSTEPPS for Diagnosis Improvement. https://psnet.ahrq.gov/issue/teamstepps-diagnosis-improvement The recognition of diagnosis as a team activity is energizing new diagnostic process initiatives. Building on the established TeamSTEPPS® principles, this new Te…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40395/psn-pdf
    May 13, 2021 - Hospital Compare. May 13, 2021 Centers for Medicare & Medicaid Services. https://psnet.ahrq.gov/issue/hospital-compare The Centers for Medicare and Medicaid Services (CMS) provides consumers with publicly available information on the quality of Medicare-certified hospital care through this Web site. The site inclu…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45932/psn-pdf
    May 18, 2017 - Polypharmacy. May 18, 2017 Zagaria MAE, ed. Clin Geriatr Med. 2017;33:153-292. https://psnet.ahrq.gov/issue/polypharmacy Older patients are likely to be prescribed multiple medications, which can increase risks. Articles in this special issue explore polypharmacy in a variety of care settings and provide tactics f…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37188/psn-pdf
    September 19, 2007 - Teaming up to prevent 'crashes': some hospitals give patients the power to get extra help, stat. September 19, 2007 Wang SS. Washington Post. August 31, 2007. https://psnet.ahrq.gov/issue/teaming-prevent-crashes-some-hospitals-give-patients-power-get-extra-help- stat This article discusses the advent of rapid res…
  9. 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…
  10. 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…
  11. 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.…
  12. 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…
  13. 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…
  14. 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…
  15. 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…
  16. 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. …
  17. 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…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34136/psn-pdf
    January 29, 2018 - Institute for Healthcare Improvement. January 29, 2018 53 State Street, 19th Floor, Boston, MA 02109. 617-301-4800, info@ihi.org. https://psnet.ahrq.gov/issue/institute-healthcare-improvement The Institute for Healthcare Improvement (IHI) is a not-for-profit organization promoting health improvement by advancing t…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845346/psn-pdf
    March 01, 2023 - The relationship between safety climate and safety performance: a review. March 1, 2023 Syed-Yahya SNN, Idris MA, Noblet AJ. The relationship between safety climate and safety performance: a review. J Safety Res. 2022;83:105-118. doi:10.1016/j.jsr.2022.08.008. https://psnet.ahrq.gov/issue/relationship-between-safe…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35319/psn-pdf
    September 14, 2005 - Perceived impact of duty hours limits on the fragmentation of patient care: results from an academic health center. September 14, 2005 Keating RJ; LaRusso NF; Kolars JC. https://psnet.ahrq.gov/issue/perceived-impact-duty-hours-limits-fragmentation-patient-care-results- academic-health-center The authors surveyed…

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