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Showing results for "initiative".

3941. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851652/psn-pdf
      July 26, 2023 - Breast cancer missed at screening; hindsight or mistakes? July 26, 2023 Hovda T, Larsen M, Romundstad L, et al. Breast cancer missed at screening; hindsight or mistakes? Eur J Radiol. 2023;165:110913. doi:10.1016/j.ejrad.2023.110913. https://psnet.ahrq.gov/issue/breast-cancer-missed-screening-hindsight-or-mistakes…

3942. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46324/psn-pdf
      August 09, 2017 - IHI Framework for Improving Joy in Work. August 9, 2017 Perlo J, Balik B, Swensen S, et al. Cambridge, MA: Institute for Healthcare Improvement; 2017. https://psnet.ahrq.gov/issue/ihi-framework-improving-joy-work Leadership has a responsibility to establish a culture that fosters staff and clinician well-being as a…

3943. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74871/psn-pdf
      October 01, 2023 - AHRQ Safety Program for MRSA Prevention. February 14, 2023 Rockville, MD: Agency for Healthcare Research and Quality. April 2022 – October 2023. https://psnet.ahrq.gov/issue/ahrq-safety-program-mrsa-prevention Methicillin-resistant Staphylococcus aureus (MRSA) infections are a persistent challenge in hospitals. Thi…

3944. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44856/psn-pdf
      September 29, 2017 - Antibiotic Stewardship in Acute Care: A Practical Playbook. September 29, 2017 National Quality Partners. Washington, DC: National Quality Forum; 2016. https://psnet.ahrq.gov/issue/antibiotic-stewardship-acute-care-practical-playbook Antimicrobial stewardship has been promoted as a strategy to improve patient safe…

3945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44538/psn-pdf
      October 21, 2015 - Timing of the diagnosis of attention-deficit/hyperactivity disorder and autism spectrum disorder. October 21, 2015 Miodovnik A, Harstad E, Sideridis G, et al. Timing of the Diagnosis of Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder. Pediatrics. 2015;136(4):e830-7. doi:10.1542/peds.2015-1502.…

3946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43602/psn-pdf
      October 15, 2014 - Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Commission's standardized methodology. October 15, 2014 Vioque SM, Kim PK, McMaster J, et al. Classifying errors in preventable and potentially preventable trauma deaths: a 9-year review using the Joint Com…

3947. WebM&M: Case Studies | PSNet
      psnet.ahrq.gov/webmm-case-studies
      March 25, 2025 - WebM&M: Case Studies WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…

3948. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60722/psn-pdf
      February 06, 2023 - Coronavirus Disease 2019 (COVID-19) and Diagnostic Error January 11, 2022 Desai AN, Romano PS. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error Originally published July 30, 2020. Updated January …

3949. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61029/psn-pdf
      October 14, 2020 - A doctor gave me an inept diagnosis for a neurological problem. I should know: I’m a neurologist. October 14, 2020 Horowitz SH. Washington Post. October 4, 2020. https://psnet.ahrq.gov/issue/doctor-gave-me-inept-diagnosis-neurological-problem-i-should-know-im- neurologist The harm of misdiagnosis can be exte…

3950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845300/psn-pdf
      March 01, 2023 - The impact of medication reconciliation and review in patients using oral chemotherapy. March 1, 2023 Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.1177/10781552211066959. https://psnet…

3951. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46972/psn-pdf
      March 28, 2018 - SOPS Health Information Technology Patient Safety Supplemental Item Set for the Hospital Survey. March 28, 2018 Rockville, MD: Agency for Healthcare Research and Quality; March 2018. https://psnet.ahrq.gov/issue/sops-health-information-technology-patient-safety-supplemental-item-set- hospital-survey Organizationa…

3952. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72570/psn-pdf
      January 01, 2021 - Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. December 16, 2020 Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. Int J Qual …

3953. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40049/psn-pdf
      April 12, 2011 - Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS. April 12, 2011 Hickner J, Zafar A, Kuo GM, et al. Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System--MEADERS. Ann Fam Med. 2010;8(6):517-25. doi:10.1370/…

3954. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46965/psn-pdf
      March 28, 2018 - The other opioid crisis: hospital shortages lead to patient pain, medical errors. March 28, 2018 Bartolone P. Kaiser Health News. March 16, 2018. https://psnet.ahrq.gov/issue/other-opioid-crisis-hospital-shortages-lead-patient-pain-medical-errors Drug shortages may require clinicians, pharmacists, and hospitals to…

3955. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41756/psn-pdf
      October 10, 2012 - Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety culture and implementation of patient safety measures in dental practice. October 10, 2012 Yamalik N, Pérez BP. Patient safety and dentistry: what do we need to know? Fundamentals of patient safety, the safety cultur…

3956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47897/psn-pdf
      January 01, 2021 - What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organizational factors in hospitals implementing TeamSTEPPS. June 5, 2019 Baloh J, Zhu X, Ward MM. What influences sustainment and nonsustainment of facilitation activities in implementation? Analysis of organ…

3957. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841760/psn-pdf
      December 21, 2022 - Pursuit of "endpoint diagnoses" as a cognitive forcing strategy to avoid premature diagnostic closure. December 21, 2022 Kaplan HM, Birnbaum JF, Kulkarni PA. Pursuit of “endpoint diagnoses” as a cognitive forcing strategy to avoid premature diagnostic closure. Diagnosis (Berl). 2022;9(4):421-429. doi:10.1515/dx-202…

3958. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45142/psn-pdf
      November 18, 2016 - Explanation and elaboration of the SQUIRE (Standards for Quality Improvement Reporting Excellence) Guidelines, V.2.0: examples of SQUIRE elements in the healthcare improvement literature. November 18, 2016 Goodman D, Ogrinc G, Davies L, et al. Explanation and elaboration of the SQUIRE (Standards for Quality Impro…

3959. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43188/psn-pdf
      May 21, 2014 - Training induces cognitive bias: the case of a simulation- based emergency airway curriculum. May 21, 2014 Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.1097/SIH.0b013e3182a90304. https:/…

3960. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44051/psn-pdf
      August 02, 2015 - Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pulse oximetry in a resource-limited setting: two-year update from Moldova. August 2, 2015 Kim RY, Kwakye G, Kwok AC, et al. Sustainability and long-term effectiveness of the WHO surgical safety checklist combined with pu…