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Showing results for "initiative".

  1. Improving the accuracy of patient identification in the medication-use process. | PSNet

    psnet.ahrq.gov/issue/improving-accuracy-patient-identification-medication-use-process
    May 09, 2014 - Commentary Improving the accuracy of patient identification in the medication-use process. Citation Text: Trapskin PJ, White L, Armitstead JA. Improving the accuracy of patient identification in the medication-use process. Am J Health Syst Pharm. 2006;63(3):218, 220-2. Copy Citation …

  2. The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety. | PSNet

    psnet.ahrq.gov/issue/faces-errors-case-based-approach-educating-providers-policy-makers-and-public-about-patient
    March 13, 2013 - Commentary The faces of errors: a case-based approach to educating providers, policy makers, and the public about patient safety. Citation Text: Wachter R, Shojania KG. The faces of errors: a case-based approach to educating providers, policymakers, and the public about patient safety. J…

  3. Informatics confronts drug–drug interactions. | PSNet

    psnet.ahrq.gov/issue/informatics-confronts-drug-drug-interactions
    February 18, 2011 - Review Informatics confronts drug–drug interactions. Citation Text: Percha B, Altman RB. Informatics confronts drug-drug interactions. Trends Pharmacol Sci. 2013;34(3):178-84. doi:10.1016/j.tips.2013.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  4. Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care
    April 06, 2011 - Commentary Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. Citation Text: Madsen P, Desai V, Roberts K, et al. Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care Unit. Organizati…

  5. Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-quarter-medicare-patients-experienced-harm-october-2018
    February 01, 2023 - Book/Report Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Citation Text: Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018. Grimm CA. Washington DC: Office of the Inspector General; May 2022. Repor…

  6. National Healthcare Quality and Disparities Report Chartbook on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/national-healthcare-quality-and-disparities-report-chartbook-patient-safety-0
    May 02, 2017 - Book/Report National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Citation Text: National Healthcare Quality and Disparities Report Chartbook on Patient Safety. Rockville, MD: Agency for Healthcare Research and Quality; March 2024. AHRQ Pub. No. 23-0046. Cop…

  7. Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. | PSNet

    psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
    July 14, 2010 - Study Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Citation Text: Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Akins RB, Cole BR. J Patient …

  8. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. | PSNet

    psnet.ahrq.gov/issue/ambulatory-medication-errors-and-adverse-events-involved-medicine-related-malpractice-cases
    November 18, 2016 - Study Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. Citation Text: Boisvert S, Nelson M, Ross J. Ambulatory medication errors and adverse events involved in medicine-related malpractice cases from 2011 to 2021. J Patient…

  9. Applying human-centered design thinking to enhance safety in the OR. | PSNet

    psnet.ahrq.gov/issue/applying-human-centered-design-thinking-enhance-safety-or
    May 25, 2016 - Commentary Applying human-centered design thinking to enhance safety in the OR. Citation Text: Criscitelli T, Goodwin W. Applying Human-Centered Design Thinking to Enhance Safety in the OR. AORN J. 2017;105(4):408-412. doi:10.1016/j.aorn.2017.02.004. Copy Citation Format: D…

  10. Support methods for healthcare professionals who are second victims: an integrative review. | PSNet

    psnet.ahrq.gov/issue/support-methods-healthcare-professionals-who-are-second-victims-integrative-review
    April 27, 2022 - Review Support methods for healthcare professionals who are second victims: an integrative review. Citation Text: Support methods for healthcare professionals who are second victims: an integrative review. Neft MW, Sekula K, Zoucha R, et al. AANA J. 2022;90(3):189-196.  Copy Cit…

  11. Clinical reasoning as a core competency. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-core-competency
    August 20, 2018 - Commentary Clinical reasoning as a core competency. Citation Text: Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med. 2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

  12. A recurring call to action: every healthcare organization needs a medication safety officer! | PSNet

    psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-officer
    March 03, 2021 - Newspaper/Magazine Article A recurring call to action: every healthcare organization needs a medication safety officer! Citation Text: A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…

  13. The debrief imperative: building teaming competencies and team effectiveness. | PSNet

    psnet.ahrq.gov/issue/debrief-imperative-building-teaming-competencies-and-team-effectiveness
    December 16, 2020 - Commentary The debrief imperative: building teaming competencies and team effectiveness. Citation Text: Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. Copy Citati…

  14. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet

    psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
    October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

  15. Building cultures of high reliability: lessons from the high reliability organization paradigm. | PSNet

    psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
    September 05, 2018 - Review Building cultures of high reliability: lessons from the high reliability organization paradigm. Citation Text: Sutcliffe KM. Building cultures of high reliability: lessons from the high reliability organization paradigm. Anesthesiol Clin. 2023;41(4):707-717. doi:10.1016/j.anclin.2…

  16. Integrating human factors research and surgery: a review. | PSNet

    psnet.ahrq.gov/issue/integrating-human-factors-research-and-surgery-review
    August 02, 2015 - Review Integrating human factors research and surgery: a review. Citation Text: Shouhed D, Gewertz BL, Wiegmann D, et al. Integrating human factors research and surgery: a review. Arch Surg. 2012;147(12):1141-1146. doi:10.1001/jamasurg.2013.596. Copy Citation Format: DOI Go…

  17. Prevent errors during emergency use of hypertonic sodium chloride solutions. | PSNet

    psnet.ahrq.gov/issue/prevent-errors-during-emergency-use-hypertonic-sodium-chloride-solutions
    March 10, 2021 - Newspaper/Magazine Article Prevent errors during emergency use of hypertonic sodium chloride solutions. Citation Text: Prevent errors during emergency use of hypertonic sodium chloride solutions. ISMP Medication Safety Alert! Acute care edition. November 4, 2021;26(22); 1-4. Copy Citat…

  18. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/patient-safety-perioperative-medication-through-lens-digital-health-and-artificial
    September 02, 2020 - Commentary Patient safety of perioperative medication through the lens of digital health and artificial intelligence. Citation Text: Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.219…

  19. A learning health care system using computer-aided diagnosis. | PSNet

    psnet.ahrq.gov/issue/learning-health-care-system-using-computer-aided-diagnosis
    May 08, 2017 - Commentary A learning health care system using computer-aided diagnosis. Citation Text: Cahan A, Cimino JJ. A Learning Health Care System Using Computer-Aided Diagnosis. J Med Internet Res. 2017;19(3):e54. doi:10.2196/jmir.6663. Copy Citation Format: DOI Google Scholar PubM…

  20. Risks related to patient bed safety. | PSNet

    psnet.ahrq.gov/issue/risks-related-patient-bed-safety
    July 19, 2023 - Commentary Risks related to patient bed safety. Citation Text: Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…
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