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Showing results for "initiative".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41132/psn-pdf
    March 13, 2012 - Spreading a medication administration intervention organizationwide in six hospitals. March 13, 2012 Kliger J, Singer SJ, Hoffman F, et al. Spreading a medication administration intervention organizationwide in six hospitals. Jt Comm J Qual Patient Saf. 2012;38(2):51-60. https://psnet.ahrq.gov/issue/spreading-medi…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41814/psn-pdf
    March 04, 2015 - Autopsy as a quality control measure for radiology, and vice versa. March 4, 2015 Murken DR, Ding M, Branstetter BF, et al. Autopsy as a quality control measure for radiology, and vice versa. AJR Am J Roentgenol. 2012;199(2):394-401. doi:10.2214/AJR.11.8386. https://psnet.ahrq.gov/issue/autopsy-quality-control-mea…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44930/psn-pdf
    June 01, 2016 - How well is quality improvement described in the perioperative care literature? A systematic review. June 1, 2016 Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2016;42(5):196-206. https://psnet.ahr…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35451/psn-pdf
    January 05, 2017 - Closing the loop: follow-up and feedback in a patient safety program. January 5, 2017 Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. https://psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-pati…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37487/psn-pdf
    May 26, 2011 - Predicting computerized physician order entry system adoption in US hospitals: can the federal mandate be met? May 26, 2011 Ford EW, McAlearney AS, Phillips MT, et al. Predicting computerized physician order entry system adoption in US hospitals: Can the federal mandate be met? Int J Med Inform. 2007;77(8). doi:1…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45014/psn-pdf
    July 18, 2016 - Improving patient safety through simulation training in anesthesiology: where are we? July 18, 2016 Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523. https://psnet.ahrq.gov/issue/impro…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74705/psn-pdf
    January 26, 2022 - 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. January 26, 2022 St.Pierre M, Grawe P, Bergström J, et al. 20 years after To Err Is Human: a bibliometric analysis of ‘the IOM report’s’ impact on research on patient safety. Safety Sci. 2021;147:1055…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836821/psn-pdf
    March 30, 2022 - Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook breast cancer in mamograms when prior diagnostic information is available. March 30, 2022 Branch F, Santana I, Hegdé J. Biasing influence of 'mental shortcuts' on diagnostic decision-making: radiologists can overlook …
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36834/psn-pdf
    August 26, 2011 - Healthcare climate: a framework for measuring and improving patient safety. August 26, 2011 Zohar D, Livne Y, Tenne-Gazit O, et al. Healthcare climate: a framework for measuring and improving patient safety. Crit Care Med. 2007;35(5):1312-7. https://psnet.ahrq.gov/issue/healthcare-climate-framework-measuring-and-i…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865723/psn-pdf
    June 18, 2024 - Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. June 18, 2024 Agency for Healthcare Research and Quality. May 23, 2024. https://psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences- state-hospital An unders…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848813/psn-pdf
    May 10, 2023 - Blood and blood products transfusion errors: what can we do to improve patient safety. May 10, 2023 Brown C, Brown M. Blood and blood products transfusion errors: what can we do to improve patient safety? Br J Nurs. 2023;32(7):326-332. doi:10.12968/bjon.2023.32.7.326. https://psnet.ahrq.gov/issue/blood-and-blood-p…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73655/psn-pdf
    September 01, 2021 - Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units. September 1, 2021 Anderson E, Mohr DC, Regenbogen I, et al. Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric unit…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44948/psn-pdf
    February 14, 2017 - Safer Healthcare: Strategies for the Real World. February 14, 2017 Vincent C, Amalberti R. New York, NY: SpringerOpen; 2016 https://psnet.ahrq.gov/issue/safer-healthcare-strategies-real-world Written by two leaders in the patient safety field, Charles Vincent and Rene Amalberti, this book is available for free dow…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36280/psn-pdf
    May 27, 2011 - Types of unintended consequences related to computerized provider order entry. May 27, 2011 Campbell EM, Sittig DF, Ash JS, et al. Types of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2006;13(5):547-56. https://psnet.ahrq.gov/issue/types-unintended-consequences-rela…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836998/psn-pdf
    April 27, 2022 - How will state medical boards handle cases involving disclosure and apology for medical errors? April 27, 2022 Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160435211070096. https://psnet.ahrq.…
  16. psnet.ahrq.gov/web-mm/delayed-sepsis-management-due-ambiguous-allergy
    January 13, 2021 - Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative
  17. psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
    January 01, 2014 - Antimicrobial resistance prevention initiative--an update: proceedings of an expert panel on resistance
  18. psnet.ahrq.gov/web-mm/hidden-heparins-hit-happens
    March 27, 2024 - SPOTLIGHT CASE Hidden Heparins: HIT Happens Citation Text: Fogarty PF. Hidden Heparins: HIT Happens. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3…
  19. psnet.ahrq.gov/web-mm/inpatient-stroke-management-adolescent-type-1-diabetes-and-home-insulin-pump
    February 01, 2023 - February 1, 2023 An initiative to reduce insulin-related adverse drug events in
  20. psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
    October 30, 2024 - Clinics credits Children’s Hospital Colorado’s success as the motivation for implementing a similar initiative

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