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Total Results: 7,327 records

Showing results for "initiatives".

2321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33699/psn-pdf
      August 01, 2010 - priorities for their institutions.(3) In this report, we highlight the issues relevant to patient safety initiatives

2322. Improving Patient Safety and Team Communication through Daily Huddles | PSNet
      psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
      December 15, 2024 - The huddle leader provides updates on recent or upcoming relevant patient safety announcements and initiatives

2323. Individual Clinician Performance Issues | PSNet
      psnet.ahrq.gov/primer/individual-clinician-performance-issues
      March 15, 2025 - The trend to align quality improvement initiatives and individual certification requirements so that

2324. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73510/psn-pdf
      July 21, 2021 - Stroke hospitalization after misdiagnosis of "benign dizziness" is lower in specialty care than general practice: a population-based cohort analysis of missed stroke using SPADE methods. July 21, 2021 Chang T-P, Bery AK, Wang Z, et al. Stroke hospitalization after misdiagnosis of “benign dizziness” is lower in sp…

2325. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48100/psn-pdf
      July 24, 2019 - The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. July 24, 2019 Soffin EM, Lee BH, Kumar KK, et al. The prescription opioid crisis: role of the anaesthesiologist in reducing opioid use and misuse. Br J Anaesth. 2019;122(6):e198-e208. doi:10.1016/j.bja.2018.11.019. htt…

2326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45252/psn-pdf
      September 04, 2016 - Pediatric airway management and prehospital patient safety: results of a national Delphi survey by the Children's Safety Initiative-Emergency Medical Services for Children. September 4, 2016 Hansen M, Meckler G, O?Brien K, et al. Pediatric Airway Management and Prehospital Patient Safety: Results of a National De…

2327. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837429/psn-pdf
      January 01, 2022 - Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. January 1, 2022 Li L, Foer D, Hallisey RK, et al. Improving allergy documentation: a retrospective electronic health record system-wide patient safety initiative. J Patient Saf. 2022;18(1):e108-e114. d…

2328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45355/psn-pdf
      September 28, 2016 - Getting it right for patient safety: specimen collection process improvement from operating room to pathology. September 28, 2016 D'Angelo R, Mejabi O. Getting It Right for Patient Safety: Specimen Collection Process Improvement From Operating Room to Pathology. Am J Clin Pathol. 2016;146(1):8-17. doi:10.1093/ajcp/…

2329. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851647/psn-pdf
      July 26, 2023 - Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. July 26, 2023 Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Care. 2023;32(3):177-188. doi:10.109…

2330. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854375/psn-pdf
      October 11, 2023 - Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory patients initiating direct oral anticoagulants. October 11, 2023 Kapoor A, Patel P, Mbusa D, et al. Multicomponent pharmacist intervention did not reduce clinically important medication errors for ambulatory…

2331. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43329/psn-pdf
      July 09, 2014 - Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone call: a quality-improvement initiative to improve patient safety. July 9, 2014 Bucaro PJ, Black E. Facilitating a safe transition from the pediatric emergency department to home with a post-discharge phone ca…

2332. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49429/psn-pdf
      January 01, 2004 - Ruptured Heterotopic Pregnancy January 1, 2004 Cedars MI. Ruptured Heterotopic Pregnancy. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy The Case A 43-year-old woman, gravida 3 para 2, presented at 16 weeks' gestational age with abdominal pain. Her current pregnancy was the r…

2333. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
      January 01, 2024 - Spotlight Spotlight Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary …

2334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49787/psn-pdf
      March 01, 2017 - Diagnosing a Missed Diagnosis March 1, 2017 Reilly JB, Webster C. Diagnosing a Missed Diagnosis. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis The Case A 57-year old woman was admitted to the hospital with cough, slurred speech, confusion, and disorientation. She was taking mod…

2335. A Real Heartache | PSNet
      psnet.ahrq.gov/web-mm/real-heartache
      October 01, 2018 - A Real Heartache Citation Text: Polevoi SK. A Real Heartache. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2336. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. | PSNet
      psnet.ahrq.gov/issue/radiologist-initiated-double-reading-abdominal-ct-retrospective-analysis-clinical-importance
      September 01, 2016 - Study Radiologist-initiated double reading of abdominal CT: retrospective analysis of the clinical importance of changes to radiology reports. Citation Text: Lauritzen PM, Andersen JG, Stokke MV, et al. Radiologist-initiated double reading of abdominal CT: retrospective analysis of the c…

2337. Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. | PSNet
      psnet.ahrq.gov/issue/initial-clinical-evaluation-handheld-device-detecting-retained-surgical-gauze-sponges-using
      August 18, 2010 - Study Initial clinical evaluation of a handheld device for detecting retained surgical gauze sponges using radiofrequency identification technology. Citation Text: Macario A, Morris D, Morris S. Initial clinical evaluation of a handheld device for detecting retained surgical gauze spon…

2338. A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-initiative-reduce-safety-events-among-adolescents-hospitalized-after
      July 22, 2020 - Study A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt. Citation Text: Noelck M, Velazquez-Campbell M, Austin JP. A Quality Improvement Initiative to Reduce Safety Events Among Adolescents Hospitalized After a Suicide Attempt…

2339. Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. | PSNet
      psnet.ahrq.gov/issue/distraction-operating-room-narrative-review-environmental-and-self-initiated-distractions-and
      August 28, 2024 - Review Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. Citation Text: Gui JL, Nemergut EC, Forkin KT. Distraction in the operating room: a narrative review of environmental and self-initiated…

2340. An initiative to improve the management of clinically significant test results in a large health care network. | PSNet
      psnet.ahrq.gov/issue/initiative-improve-management-clinically-significant-test-results-large-health-care-network
      November 26, 2014 - Study An initiative to improve the management of clinically significant test results in a large health care network. Citation Text: Roy CL, Rothschild JM, Dighe AS, et al. An initiative to improve the management of clinically significant test results in a large health care network. Jt …