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Total Results: 7,319 records

Showing results for "initiative".

3821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45514/psn-pdf
      November 02, 2016 - Building a culture of safety in ophthalmology. November 2, 2016 Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology Efforts to reduce m…

3822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41559/psn-pdf
      August 01, 2012 - Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.' August 1, 2012 Iedema R, Ball C, Daly B, et al. Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO'. BMJ Qual Saf. 2012;21(8):627-33. doi:10.1136/bmjqs-2011-000766. https://psnet.ahr…

3823. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74114/psn-pdf
      November 24, 2021 - Addressing health care disparities by improving quality and safety. November 24, 2021 Sentinel Event Alert. Nov 10 2021;(64):1-7. https://psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety Health care disparities are emerging as a core patient safety issue. This alert introduces s…

3824. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45642/psn-pdf
      November 09, 2016 - Rethinking medical ward quality. November 9, 2016 Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417. https://psnet.ahrq.gov/issue/rethinking-medical-ward-quality Patient safety research and commentary often focus on specialized care processes rathe…

3825. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46244/psn-pdf
      June 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established …

3826. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46401/psn-pdf
      September 13, 2017 - Understanding middle managers' influence in implementing patient safety culture. September 13, 2017 Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. https://psnet.ahrq.gov/issue/understanding-mid…

3827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836784/psn-pdf
      March 23, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports. March 23, 2022 Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/jhrm.21498. https://psnet.ahrq.gov/iss…

3828. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/839824/psn-pdf
      November 09, 2022 - Improving diagnostic decision support through deliberate reflection: a proposal. November 9, 2022 Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. https://psnet.ahrq.gov/issue/improving-diagnostic-de…

3829. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42860/psn-pdf
      March 20, 2014 - Eight critical factors in creating and implementing a successful simulation program. March 20, 2014 Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. https://psnet.ahrq.gov/issue/eight-critica…

3830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73189/psn-pdf
      April 28, 2021 - Time out! Rethinking surgical safety: more than just a checklist. April 28, 2021 Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600. https://psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist Check…

3831. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46963/psn-pdf
      April 18, 2018 - A Just Culture Guide. April 18, 2018 NHS Improvement. London, UK: National Health Service; March 15, 2018. https://psnet.ahrq.gov/issue/just-culture-guide Although focusing on system failure has been highlighted as key to improving patient safety, individual behaviors must also be recognized as contributors to ris…

3832. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35574/psn-pdf
      June 17, 2010 - What do we know about financial returns on investments in patient safety? A literature review. June 17, 2010 Schmidek JM, Weeks WB. What do we know about financial returns on investments in patient safety? A literature review. Jt Comm J Qual Patient Saf. 2005;31(12):690-699. https://psnet.ahrq.gov/issue/what-do-we…

3833. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60801/psn-pdf
      August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the spring. August 12, 2020 Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354. https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-g…

3834. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46106/psn-pdf
      August 15, 2018 - Assumptions of quality medicine: the role of uncertainty. August 15, 2018 Scott-Wittenborn N, Schneider JS. Assumptions of Quality Medicine: The Role of Uncertainty. JAMA Otolaryngol Head Neck Surg. 2017;143(8):753-754. doi:10.1001/jamaoto.2017.0257. https://psnet.ahrq.gov/issue/assumptions-quality-medicine-role-un…

3835. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39156/psn-pdf
      April 17, 2011 - Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. April 17, 2011 Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary health care teams: using simulation des…

3836. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43014/psn-pdf
      March 12, 2014 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. March 12, 2014 Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. J Patient Saf. 2014;10(1):45-51. …

3837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43622/psn-pdf
      December 19, 2014 - Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. December 19, 2014 Petrik EW, Ho D, Elahi M, et al. Checklist usage decreases critical task omissions when training residents to separate from simulated cardiopulmonary bypass. J Cardiothorac…

3838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47597/psn-pdf
      August 07, 2019 - Intentional rounding—an integrative literature review. August 7, 2019 Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review This review exam…

3839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44660/psn-pdf
      December 02, 2015 - The SQUIRE Guidelines: an evaluation from the field, 5 years post release. December 2, 2015 Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116. https://psnet.ahrq.gov/issue/squire-guidel…

3840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50761/psn-pdf
      December 18, 2019 - ‘Largest maternity scandal in NHS history’: Dozens of mothers and babies died on wards of hospital trust, leaked report reveals December 18, 2019 Lintern S. The Independent. November 18, 2019. https://psnet.ahrq.gov/issue/largest-maternity-scandal-nhs-history-dozens-mothers-and-babies-died-wards- hospital-trust …