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Showing results for "initiative".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49698/psn-pdf
    December 01, 2013 - SNFs: Opening the Black Box December 1, 2013 Ouslander JG, Bonner A. SNFs: Opening the Black Box. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/snfs-opening-black-box The Case An 88-year-old woman was admitted to a skilled nursing facility (SNF) after a lengthy hospitalization for a small bowel obstructio…

  2. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet

    psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
    December 14, 2022 - Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax Citation Text: Carlile N, El-Chemaly S, Schiff G. Coming up for Err – Missed Diagnosis in a Patient with Recurrent Pneumothorax. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …

  3. Missed Appendicitis | PSNet

    psnet.ahrq.gov/web-mm/missed-appendicitis
    March 13, 2013 - SPOTLIGHT CASE Missed Appendicitis Citation Text: Adams JG. Missed Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

  4. Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
    January 01, 2021 - Microsoft PowerPoint - FINAL Feb 2021 Spotlight_Delay in Appropriate DX.pptx - Read-Only Spotlight Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism Source and Credits • This presentation is based on the February 2021 AHRQ WebM&M Spotlight Case o See the full article at ht…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39721/psn-pdf
    September 20, 2011 - Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. September 20, 2011 DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. JAMA. 2010;304(2):187-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46851/psn-pdf
    January 23, 2019 - To care is human—collectively confronting the clinician- burnout crisis. January 23, 2019 Dzau VJ, Kirch DG, Nasca TJ. To Care Is Human — Collectively Confronting the Clinician-Burnout Crisis. New Engl J Med. 2018;378(4):312-314. doi:10.1056/nejmp1715127. https://psnet.ahrq.gov/issue/care-human-collectively-confro…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45116/psn-pdf
    February 15, 2017 - Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. February 15, 2017 de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events inconsistently improved by the World Health Organization surgical s…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40675/psn-pdf
    November 28, 2016 - Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: the "100 patient stories" qualitative study. November 28, 2016 Iedema R, Allen S, Britton K, et al. Patients' and family members' views on how clinicians enact and how they should enact incident disclosure: t…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45380/psn-pdf
    November 11, 2016 - Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students. November 11, 2016 Kow AWC, Ang BLS, Chong CS, et al. Innovative Patient Safety Curriculum Using iPAD Game (PASSED) Improved Patient Safety Concepts in Undergraduate Medical Students. Wo…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42895/psn-pdf
    December 18, 2014 - National trends in patient safety for four common conditions, 2005–2011. December 18, 2014 Wang Y, Eldridge N, Metersky M, et al. National trends in patient safety for four common conditions, 2005- 2011. N Engl J Med. 2014;370(4):341-51. doi:10.1056/NEJMsa1300991. https://psnet.ahrq.gov/issue/national-trends-patie…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74853/psn-pdf
    February 24, 2022 - The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. February 24, 2022 Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Care Deliv. 2022;3(2):e1-e20. doi…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38229/psn-pdf
    November 18, 2016 - SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. November 18, 2016 Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensu…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46323/psn-pdf
    October 29, 2017 - Use of unit-based interventions to improve the quality of care for hospitalized medical patients: a national survey. October 29, 2017 O'Leary KJ, Johnson J, Manojlovich M, et al. Use of Unit-Based Interventions to Improve the Quality of Care for Hospitalized Medical Patients: A National Survey. Jt Comm J Qual Patie…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44959/psn-pdf
    March 09, 2016 - Patient, physician, medical assistant, and office visit factors associated with medication list agreement. March 9, 2016 Reedy AB, Yeh JY, Nowacki AS, et al. Patient, Physician, Medical Assistant, and Office Visit Factors Associated With Medication List Agreement. J Patient Saf. 2016;12(1):18-24. doi:10.1097/PTS.0…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44711/psn-pdf
    September 21, 2016 - The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events. September 21, 2016 White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using Nonmedical Personnel to Capture Less Serious Safety Events. Jt Comm J Qual Patien…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37908/psn-pdf
    June 10, 2010 - Incidence and characteristics of potential and actual retained foreign object events in surgical patients. June 10, 2010 Cima RR, Kollengode A, Garnatz J, et al. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. J Am Coll Surg. 2008;207(1):80-7. doi:10.1016/…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44506/psn-pdf
    October 21, 2015 - A prospective controlled trial of an electronic hand hygiene reminder system. October 21, 2015 Ellison RT, Barysauskas CM, Rundensteiner EA, et al. A Prospective Controlled Trial of an Electronic Hand Hygiene Reminder System. Open Forum Infect Dis. 2015;2(4):ofv121. doi:10.1093/ofid/ofv121. https://psnet.ahrq.gov/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42118/psn-pdf
    March 20, 2013 - Simulation exercises as a patient safety strategy: a systematic review. March 20, 2013 Schmidt E, Goldhaber-Fiebert SN, Ho LA, et al. Simulation exercises as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):426-32. doi:10.7326/0003-4819-158-5-201303051- 00010. https://psnet.ahrq.go…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40534/psn-pdf
    March 23, 2012 - Association between waiting times and short term mortality and hospital admission after departure from emergency department: population based cohort study from Ontario, Canada. March 23, 2012 Guttmann A, Schull MJ, Vermeulen MJ, et al. Association between waiting times and short term mortality and hospital admiss…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44112/psn-pdf
    November 03, 2015 - Unexpected death within 72 hours of emergency department visit: were those deaths preventable? November 3, 2015 Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s13054-015-0877-x. https://psnet…
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