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Showing results for "initiative".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852797/psn-pdf
    August 23, 2023 - Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. August 23, 2023 Webster CS, Mahajan R, Weller JM. Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. Br J Anaesth. 2023;131(2):397-406. doi:10…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837664/psn-pdf
    July 13, 2022 - Cognitive and implicit biases in nurses' judgment and decision-making: a scoping review. July 13, 2022 Thirsk LM, Panchuk JT, Stahlke S, et al. Cognitive and implicit biases in nurses' judgment and decision- making: a scoping review. Int J Nurs Stud. 2022;133:104284. doi:10.1016/j.ijnurstu.2022.104284. https://psn…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46879/psn-pdf
    September 24, 2018 - Epidemiology of and risk factors for harmful anti-infective medication errors in a pediatric hospital. September 24, 2018 Modi A, Germain E, Soma V, et al. Epidemiology of and Risk Factors for Harmful Anti-Infective Medication Errors in a Pediatric Hospital. Jt Comm J Qual Patient Saf. 2018;44(10):599-604. doi:10.…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74844/psn-pdf
    February 16, 2022 - Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. February 16, 2022 Peat G, Olaniyan JO, Fylan B, et al. Mapping the resilience performance of community pharmacy to maintain patient safety during the Covid-19 pandemic. Res Social Adm Pharm. 2022;18(9)…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50589/psn-pdf
    October 30, 2019 - Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. October 30, 2019 Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecific Diagnoses of Headache or Back …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60583/psn-pdf
    June 10, 2020 - Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. June 10, 2020 Wee LE, Fua T?P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. Acad Emerg Med. 2020;27(5):379…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46996/psn-pdf
    May 23, 2018 - How to incorporate quality improvement and patient safety projects in your training. May 23, 2018 Siddique SM, Ketwaroo G, Newberry C, et al. How to Incorporate Quality Improvement and Patient Safety Projects in Your Training. Gastroenterology. 2018;154(6):1564-1568. doi:10.1053/j.gastro.2018.03.044. https://psnet…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852451/psn-pdf
    August 16, 2023 - The impact of transition to a digital hospital on medication errors (TIME study). August 16, 2023 Engstrom T, McCourt E, Canning M, et al. The impact of transition to a digital hospital on medication errors (TIME study). NPJ Digit Med. 2023;6(1):133. doi:10.1038/s41746-023-00877-w. https://psnet.ahrq.gov/issue/imp…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44450/psn-pdf
    November 23, 2016 - The wisdom of patients and families: ignore it at our peril. November 23, 2016 Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603- 604. doi:10.1136/bmjqs-2015-004573. https://psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril Narrative elemen…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47989/psn-pdf
    August 14, 2019 - Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. August 14, 2019 Emani S, Sequist TD, Lacson R, et al. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer. Jt Comm J Qual Patient Saf. 2019;45(8):552-557. doi:10.1016/j.jcjq.2019.05.010. https://psnet.ahrq.gov/issue/ambula…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72683/psn-pdf
    January 27, 2021 - Analysis of patient safety risk management call data during the COVID?19 pandemic. January 27, 2021 Wessels R, McCorkle LM. Analysis of patient safety risk management call data during the COVID?19 pandemic. J Healthc Risk Manag. 2021;40(4):30-37. doi:10.1002/jhrm.21457. https://psnet.ahrq.gov/issue/analysis-patien…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45528/psn-pdf
    October 26, 2016 - Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. October 26, 2016 Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. doi:10.1136/bmjopen-2016-011708. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848043/psn-pdf
    April 26, 2023 - Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. April 26, 2023 Løland M, Braut GS, Lichtenberg SM, et al. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. SAGE Open Med. 2023;11:205031212311642. doi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47298/psn-pdf
    September 24, 2018 - Physician engagement in malpractice risk reduction: a UPHS case study. September 24, 2018 Diraviam SP, Sullivan P, Sestito JA, et al. Physician Engagement in Malpractice Risk Reduction: A UPHS Case Study. Jt Comm J Qual Patient Saf. 2018;44(10):605-612. doi:10.1016/j.jcjq.2018.03.009. https://psnet.ahrq.gov/issue/…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838127/psn-pdf
    September 21, 2022 - Opioid dependence and overdose after surgery: rate, risk factors, and reasons. September 21, 2022 Wylie JA, Kong L, Barth RJ. Opioid dependence and overdose after surgery: rate, risk factors, and reasons. Ann Surg. 2022;276(3):e192-e198. doi:10.1097/sla.0000000000005546. https://psnet.ahrq.gov/issue/opioid-depende…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837514/psn-pdf
    June 22, 2022 - Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. June 22, 2022 Buetti N, Marschall J, Drees M, et al. Strategies to prevent central line-associated bloodstream infections in acute-care hospitals: 2022 Update. Infect Control Hosp Epidemiol. 2022;43(5):553-569…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45643/psn-pdf
    November 30, 2016 - Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. November 30, 2016 Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analgesia in a UK paediatric hospita…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60039/psn-pdf
    March 11, 2020 - A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. March 11, 2020 Linnane R, Diedrich J. Milwaukee Journal Sentinel. February 25, 2020. https://psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw- delays Delays in emergency r…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47510/psn-pdf
    June 30, 2019 - Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. June 30, 2019 Guttman O, Keebler JR, Lazzara EH, et al. J Patient Saf Risk Manag. 2019;24:127–133. https://psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47870/psn-pdf
    April 17, 2019 - Saving without compromising: teaching trainees to safely provide high value care. April 17, 2019 Judson TJ, Press MJ, Detsky AS. Saving without compromising: Teaching trainees to safely provide high value care. Healthc (Amst). 2019;7(1):4-6. doi:10.1016/j.hjdsi.2018.05.003. https://psnet.ahrq.gov/issue/saving-with…
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