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Showing results for "initiative".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46714/psn-pdf
    January 10, 2018 - A system-based approach to managing patient safety in ambulatory care (and beyond). January 10, 2018 Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017. https://psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond Systems-based improvements are ke…

  2. Exhibit 5.9. Lean Team Training at Heights Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-9.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.9. Lean Team Training at Heights Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2.…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45614/psn-pdf
    November 29, 2016 - More than half a million heart surgery patients at risk of a dangerous infection. November 29, 2016 Sun LH. https://psnet.ahrq.gov/issue/more-half-million-heart-surgery-patients-risk-dangerous-infection Medical devices can contribute to the spread of health care–associated infections. This news article discusses …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45514/psn-pdf
    November 02, 2016 - Building a culture of safety in ophthalmology. November 2, 2016 Custer PL, Fitzgerald ME, Herman DC, et al. Building a Culture of Safety in Ophthalmology. Ophthalmology. 2016;123(9 Suppl):S40-5. doi:10.1016/j.ophtha.2016.06.019. https://psnet.ahrq.gov/issue/building-culture-safety-ophthalmology Efforts to reduce m…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41559/psn-pdf
    August 01, 2012 - Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO.' August 1, 2012 Iedema R, Ball C, Daly B, et al. Design and trial of a new ambulance-to-emergency department handover protocol: 'IMIST-AMBO'. BMJ Qual Saf. 2012;21(8):627-33. doi:10.1136/bmjqs-2011-000766. https://psnet.ahr…

  6. Exhibit 6.3. Characteristics of Lakeview Healthcare (All Hospitals) | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit6-3.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 6.3. Characteristics of Lakeview Healthcare (All Hospitals) Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Heal…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74114/psn-pdf
    November 24, 2021 - Addressing health care disparities by improving quality and safety. November 24, 2021 Sentinel Event Alert. Nov 10 2021;(64):1-7. https://psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety Health care disparities are emerging as a core patient safety issue. This alert introduces s…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45642/psn-pdf
    November 09, 2016 - Rethinking medical ward quality. November 9, 2016 Pannick S, Wachter R, Vincent CA, et al. Rethinking medical ward quality. BMJ. 2016;355:i5417. doi:10.1136/bmj.i5417. https://psnet.ahrq.gov/issue/rethinking-medical-ward-quality Patient safety research and commentary often focus on specialized care processes rathe…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46244/psn-pdf
    June 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46401/psn-pdf
    September 13, 2017 - Understanding middle managers' influence in implementing patient safety culture. September 13, 2017 Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. https://psnet.ahrq.gov/issue/understanding-mid…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836784/psn-pdf
    March 23, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports. March 23, 2022 Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/jhrm.21498. https://psnet.ahrq.gov/iss…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/839824/psn-pdf
    November 09, 2022 - Improving diagnostic decision support through deliberate reflection: a proposal. November 9, 2022 Schmidt HG, Mamede S. Improving diagnostic decision support through deliberate reflection: a proposal. Diagnosis (Berl). 2023;10(1):38-42. doi:10.1515/dx-2022-0062. https://psnet.ahrq.gov/issue/improving-diagnostic-de…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42860/psn-pdf
    March 20, 2014 - Eight critical factors in creating and implementing a successful simulation program. March 20, 2014 Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. https://psnet.ahrq.gov/issue/eight-critica…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73189/psn-pdf
    April 28, 2021 - Time out! Rethinking surgical safety: more than just a checklist. April 28, 2021 Weinger MB. Time out! Rethinking surgical safety: more than just a checklist. BMJ Qual Saf. 2021;30(8):613-617. doi:10.1136/bmjqs-2020-012600. https://psnet.ahrq.gov/issue/time-out-rethinking-surgical-safety-more-just-checklist Check…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46963/psn-pdf
    April 18, 2018 - A Just Culture Guide. April 18, 2018 NHS Improvement. London, UK: National Health Service; March 15, 2018. https://psnet.ahrq.gov/issue/just-culture-guide Although focusing on system failure has been highlighted as key to improving patient safety, individual behaviors must also be recognized as contributors to ris…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35574/psn-pdf
    June 17, 2010 - What do we know about financial returns on investments in patient safety? A literature review. June 17, 2010 Schmidek JM, Weeks WB. What do we know about financial returns on investments in patient safety? A literature review. Jt Comm J Qual Patient Saf. 2005;31(12):690-699. https://psnet.ahrq.gov/issue/what-do-we…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60801/psn-pdf
    August 12, 2020 - Targeting zero harm: a stretch goal that risks breaking the spring. August 12, 2020 Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354. https://psnet.ahrq.gov/issue/targeting-zero-harm-stretch-g…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46106/psn-pdf
    August 15, 2018 - Assumptions of quality medicine: the role of uncertainty. August 15, 2018 Scott-Wittenborn N, Schneider JS. Assumptions of Quality Medicine: The Role of Uncertainty. JAMA Otolaryngol Head Neck Surg. 2017;143(8):753-754. doi:10.1001/jamaoto.2017.0257. https://psnet.ahrq.gov/issue/assumptions-quality-medicine-role-un…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39156/psn-pdf
    April 17, 2011 - Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. April 17, 2011 Hamman WR, Beaudin-Seiler BM, Beaubien JM. Understanding interdisciplinary health care teams: using simulation des…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43014/psn-pdf
    March 12, 2014 - Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. March 12, 2014 Perez B, Knych SA, Weaver SJ, et al. Understanding the barriers to physician error reporting and disclosure: a systemic approach to a systemic problem. J Patient Saf. 2014;10(1):45-51. …
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