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Showing results for "initiative".

  1. 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…

  2. 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…

  3. 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…

  4. 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:…

  5. 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…

  6. 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…

  7. 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…

  8. 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…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41392/psn-pdf
    July 02, 2014 - Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. July 2, 2014 Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):792-8. doi:10.1097/ACM.0b013e318253c9e…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74032/psn-pdf
    November 03, 2021 - Patient, surgeon, and health care worker safety during the COVID-19 pandemic. November 3, 2021 Hölscher AH. Patient, surgeon, and health care worker safety during the COVID-19 pandemic. Ann Surg. 2021;274(5):681-687. doi:10.1097/sla.0000000000005124. https://psnet.ahrq.gov/issue/patient-surgeon-and-health-care-wor…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44908/psn-pdf
    June 07, 2016 - Speak up! Addressing the paradox plaguing patient- centered care. June 7, 2016 Mazor KM, Smith KM, Fisher K, et al. Speak Up! Addressing the Paradox Plaguing Patient-Centered Care. Ann Intern Med. 2016;164(9):618-9. doi:10.7326/M15-2416. https://psnet.ahrq.gov/issue/speak-addressing-paradox-plaguing-patient-center…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35553/psn-pdf
    July 03, 2013 - Maximizing the Use of State Adverse Event Data to Improve Patient Safety. July 3, 2013 Rosenthal J, Booth M. National Academy for State Health Policy; 2005. https://psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety This report, generated by the National Academy for State Health Po…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39136/psn-pdf
    November 25, 2009 - We may remember but what did we learn? Dealing with errors, crimes and misdemeanours around adverse events in healthcare. November 25, 2009 Fischbacher-Smith D, Fischbacher-Smith M. WE MAY REMEMBER BUT WHAT DID WE LEARN? DEALING WITH ERRORS, CRIMES AND MISDEMEANOURS AROUND ADVERSE EVENTS IN HEALTHCARE. Financial …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44893/psn-pdf
    March 09, 2016 - Improving the governance of patient safety in emergency care: a systematic review of interventions. March 9, 2016 Hesselink G, Berben S, Beune T, et al. Improving the governance of patient safety in emergency care: a systematic review of interventions. BMJ Open. 2016;6(1):e009837. doi:10.1136/bmjopen-2015-009837. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39972/psn-pdf
    January 22, 2017 - Executive/senior leader checklist to improve culture and reduce central line–associated bloodstream infections. January 22, 2017 Goeschel CA, Holzmueller CG, Berenholtz SM, et al. Executive/Senior Leader Checklist to improve culture and reduce central line-associated bloodstream infections. Jt Comm J Qual Patient S…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43596/psn-pdf
    December 19, 2014 - The role of the anesthesiologist in perioperative patient safety. December 19, 2014 Wacker J, Staender S. The role of the anesthesiologist in perioperative patient safety. Curr Opin Anaesthesiol. 2014;27(6):649-656. doi:10.1097/ACO.0000000000000124. https://psnet.ahrq.gov/issue/role-anesthesiologist-perioperative-…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46895/psn-pdf
    March 14, 2018 - Rapid response teams: what's the latest? March 14, 2018 Jackson SA. Rapid response teams: What's the latest? Nursing (Brux). 2017;47(12):34-41. doi:10.1097/01.NURSE.0000526885.10306.21. https://psnet.ahrq.gov/issue/rapid-response-teams-whats-latest Rapid response systems are an established strategy to prevent in-h…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43565/psn-pdf
    March 22, 2016 - The role of failure mode and effects analysis in health care. March 22, 2016 Fibuch E, Ahmed A. The role of failure mode and effects analysis in health care. Physician Exec. 2014;40(4):28-32. https://psnet.ahrq.gov/issue/role-failure-mode-and-effects-analysis-health-care Failure mode and effects analysis (FMEA) h…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43967/psn-pdf
    November 16, 2015 - Equipped: overcoming barriers to change to improve quality of care (theories of change). November 16, 2015 Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013- …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34982/psn-pdf
    July 14, 2010 - Development of the ICU safety reporting system. July 14, 2010 Wu AW, Holzmueller CG, Lubomski LH, et al. J Patient Saf. 2005;1(1):23-32. https://psnet.ahrq.gov/issue/development-icu-safety-reporting-system This AHRQ-funded study describes the development of a Web-based, voluntary, and anonymous reporting system. T…
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