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Showing results for "initiative".

3861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47615/psn-pdf
      January 30, 2019 - A Crisis in Health Care: A Call to Action on Physician Burnout. January 30, 2019 Jha AK, Iliff AR, Chaoui AA, et al. Waltham, MA: Massachusetts Medical Society, Massachusetts Health and Hospital Association, Harvard T.H. Chan School of Public Health, and Harvard Global Health Institute; 2019. https://psnet.ahrq.g…

3862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46478/psn-pdf
      March 27, 2018 - Promote a culture of safety with good catch reports. March 27, 2018 Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports Near misses or good catches present organizations with learning opportunities. Using data compariso…

3863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43979/psn-pdf
      April 29, 2015 - The Report of the Morecambe Bay Investigation. April 29, 2015 Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306. https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation Sharing information about large-scale investigations into failures can provide insights on factors that contribute to…

3864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45046/psn-pdf
      July 05, 2016 - Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. July 5, 2016 Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1186/s13054-016-1266-9. https://psne…

3865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846159/psn-pdf
      March 15, 2023 - Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS. March 15, 2023 Sutton E, Martin G, Eborall H, et al. Undertaking risk and relational work to manage vulnerability: acute medical patients’ involvement in patient safety in the NHS. Soc Sc…

3866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44785/psn-pdf
      January 27, 2016 - Reducing Adverse Drug Events Related to Opioids Implementation Guide. January 27, 2016 Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide Opioids are high-risk medication…

3867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72499/psn-pdf
      November 25, 2020 - Transformational improvement in quality care and health systems: the next decade. November 25, 2020 Braithwaite J, Vincent CA, Garcia-Elorrio E, et al. Transformational improvement in quality care and health systems: the next decade. BMC Med. 2020;18(1):340. doi:10.1186/s12916-020-01739-y. https://psnet.ahrq.gov/i…

3868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43685/psn-pdf
      April 15, 2016 - Higher rates of misdiagnosis in pediatric patients versus adults hospitalized with imported malaria. April 15, 2016 Goldman-Yassen AE, Mony VK, Arguin PM, et al. Higher Rates of Misdiagnosis in Pediatric Patients Versus Adults Hospitalized With Imported Malaria. Pediatr Emerg Care. 2016;32(4):227-231. doi:10.1097/…

3869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46776/psn-pdf
      February 28, 2018 - Older adults' awareness of deprescribing: a population- based survey. February 28, 2018 Turner JP, Tannenbaum C. Older adults' awareness of deprescribing: a population-based survey. J Am Geriatr Soc. 2017;65(12):2691-2696. doi:10.1111/jgs.15079. https://psnet.ahrq.gov/issue/older-adults-awareness-deprescribing-pop…

3870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45297/psn-pdf
      July 13, 2016 - Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. July 13, 2016 Elmore JG, Tosteson AN, Pepe MS, et al. Evaluation of 12 strategies for obtaining second opinions to improve interpretation of breast histopathology: simulation study. BMJ. …

3871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47061/psn-pdf
      July 25, 2018 - Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm. July 25, 2018 Hutchinson M, Jackson D, Wilson S. Technical rationality and the decentring of patients and care delivery: A critique of 'unavoidable' in the context of patient harm. Nu…

3872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34594/psn-pdf
      January 04, 2017 - John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. January 4, 2017 Eikel C, Delbanco S. John M. Eisenberg Patient Safety Awards. The Leapfrog Group for Patient Safety: rewarding higher standards. Jt Comm J Qual Saf. 2003;29(12):634-9. https://psnet.ahrq.gov/…

3873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837744/psn-pdf
      July 27, 2022 - Medication orders with future start dates: how far away is too far? July 27, 2022 ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. https://psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far Human errors that occur while interacting with electronic health recor…

3874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46360/psn-pdf
      October 25, 2017 - Creating a culture of caregiver support. October 25, 2017 Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospital Psychiatry. 2016;43. doi:10.1016/j.genhosppsych.2…

3875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43045/psn-pdf
      August 02, 2015 - A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. August 2, 2015 Alam M, Lee A, Ibrahimi OA, et al. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a…

3876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37794/psn-pdf
      February 15, 2011 - Using staff perceptions on patient safety as a tool for improving safety culture in a pediatric hospital system. February 15, 2011 Edwards PJ, Scott T, Richardson P, et al. Using Staff Perceptions on Patient Safety as a Tool for Improving Safety Culture in a Pediatric Hospital System. J Patient Saf. 2009;4(2). doi:…

3877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47801/psn-pdf
      May 11, 2019 - Opioid prescribing trends and the physician’s role in responding to the public health crisis. May 11, 2019 Adams JM, Giroir BP. Opioid Prescribing Trends and the Physician's Role in Responding to the Public Health Crisis. JAMA Intern Med. 2019;179(4):476-478. doi:10.1001/jamainternmed.2018.7934. https://psnet.ahrq…

3878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74042/psn-pdf
      November 03, 2021 - An Investigation into the Death of Baby J at University Hospitals Bristol and Weston NHS Foundation Trust. November 3, 2021 Manchester, UK: Parliamentary and Health Service Ombudsman; October 2021. https://psnet.ahrq.gov/issue/investigation-death-baby-j-university-hospitals-bristol-and-weston-nhs- foundation-trust…

3879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44440/psn-pdf
      August 26, 2015 - Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. August 26, 2015 Hunter CA, Kirson NY, Desai U, et al. Medical costs of Alzheimer's disease misdiagnosis among US Medicare beneficiaries. Alzheimers Dement. 2015;11(8):887-95. doi:10.1016/j.jalz.2015.06.1889. https://psnet.ahrq.gov/i…

3880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44918/psn-pdf
      April 13, 2016 - National Reporting and Learning System Research and Development. April 13, 2016 Mayer E, Flott K, Callahan R, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. https://psnet.ahrq.gov/issue/national-reporting-and-learning-system-research-and-development Incident reporting has a…