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Showing results for "initiatives".

2841. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41409/psn-pdf
      November 26, 2014 - Do first opinions affect second opinions? November 26, 2014 Vashitz G, Pliskin JS, Parmet Y, et al. Do First Opinions Affect Second Opinions? J Gen Intern Med. 2012;27(10). doi:10.1007/s11606-012-2056-y. https://psnet.ahrq.gov/issue/do-first-opinions-affect-second-opinions This study found some evidence that the r…

2842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46397/psn-pdf
      August 30, 2017 - Making Dialysis Safer for Patients Coalition. August 30, 2017 Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/making-dialysis-safer-patients-coalition Dialysis is a common procedure that carries risks if not performed correctly. This initiative represents a collective effort that aims to d…

2843. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38931/psn-pdf
      April 18, 2011 - Patient safety in intensive care medicine: the Declaration of Vienna. April 18, 2011 Moreno RP, Rhodes A, Donchin Y. Patient safety in intensive care medicine: the Declaration of Vienna. Intensive Care Med. 2009;35(10). doi:10.1007/s00134-009-1621-2. https://psnet.ahrq.gov/issue/patient-safety-intensive-care-medic…

2844. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37099/psn-pdf
      October 04, 2011 - Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. October 4, 2011 Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33. https://psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskelet…

2845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38253/psn-pdf
      December 17, 2008 - Medical emergency team implementation: experiences of a mentor hospital. December 17, 2008 Jamieson E, Ferrell C, Rutledge DN. Medical emergency team implementation: experiences of a mentor hospital. Medsurg Nurs. 2008;17(5):312-6, 323. https://psnet.ahrq.gov/issue/medical-emergency-team-implementation-experiences…

2846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36119/psn-pdf
      January 05, 2017 - A leadership framework for culture change in health care. January 5, 2017 Rose JS, Thomas CS, Tersigni AR, et al. A leadership framework for culture change in health care. Jt Comm J Qual Patient Saf. 2006;32(8):433-42. https://psnet.ahrq.gov/issue/leadership-framework-culture-change-health-care The authors describ…

2847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34595/psn-pdf
      January 04, 2017 - Mary Lanning Memorial Hospital: communication is key. January 4, 2017 Lindblad B, Chilcott J, Rolls L. Mary Lanning Memorial Hospital: communication is key. Joint Commission journal on quality and safety. 2004;30(10):551-8. https://psnet.ahrq.gov/issue/mary-lanning-memorial-hospital-communication-key This rural ho…

2848. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41275/psn-pdf
      April 04, 2012 - Medication reconciliation campaign in a clinic for homeless patients. April 4, 2012 Moczygemba LR, Gatewood SBS, Kennedy AK, et al. Medication reconciliation campaign in a clinic for homeless patients. Am J Health Syst Pharm. 2012;69(7):558, 560-2. doi:10.2146/ajhp110334. https://psnet.ahrq.gov/issue/medication-re…

2849. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42107/psn-pdf
      January 01, 2015 - Creating a culture of safety by using checklists. March 13, 2013 Huang LC, Kim R, Berry WR. Creating a culture of safety by using checklists. AORN J. 2013;97(3):365-8. doi:10.1016/j.aorn.2012.12.019. https://psnet.ahrq.gov/issue/creating-culture-safety-using-checklists This commentary reveals how implementing peri…

2850. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42385/psn-pdf
      June 26, 2013 - Identifying and addressing preventable process errors in trauma care. June 26, 2013 Pucher PH, Aggarwal R, Twaij A, et al. Identifying and addressing preventable process errors in trauma care. World J Surg. 2013;37(4):752-8. doi:10.1007/s00268-013-1917-9. https://psnet.ahrq.gov/issue/identifying-and-addressing-pre…

2851. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41673/psn-pdf
      September 12, 2012 - A root cause analysis project in a medication safety course. September 12, 2012 Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116. https://psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course This commentary descri…

2852. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36452/psn-pdf
      December 22, 2010 - Transfer of accountability: transforming shift handover to enhance patient safety. December 22, 2010 Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79. https://psnet.ahrq.gov/issue/transfer-accountability-t…

2853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37173/psn-pdf
      January 02, 2017 - Eliminating adverse drug events at Ascension Health. January 2, 2017 Butler K, Mollo P, Gale JL, et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(9):527-36. https://psnet.ahrq.gov/issue/eliminating-adverse-drug-events-ascension-health The authors describe an initiativ…

2854. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867769/psn-pdf
      March 12, 2025 - Lessons from Event Reports. March 12, 2025 Lessons from Event Reports. Patient Safety Authority. https://psnet.ahrq.gov/issue/lessons-event-reports Small successes can inform and motivate actions leading to sustainable, evidence-based change. This searchable collection of projects initiated in response to event re…

2855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35557/psn-pdf
      June 08, 2010 - Building and sustaining a systemwide culture of safety. June 8, 2010 Yates GR, Bernd DL, Sayles SM, et al. Building and sustaining a systemwide culture of safety. Jt Comm J Qual Patient Saf. 2005;31(12):684-689. https://psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety The authors describe the…

2856. Patient Safety in Home Dialysis | PSNet
      psnet.ahrq.gov/perspective/patient-safety-home-dialysis
      April 28, 2021 - to the patient’s unique needs; and should continue until the patient can demonstrate competency. 9  Initiatives

2857. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43055/psn-pdf
      May 01, 2017 - AHRQ's Safety Program for Ambulatory Surgery. May 1, 2017 Health Research & Educational Trust. Rockville, MD: Agency for Healthcare Research and Quality; May 2017. AHRQ Publication No. 16(17)-0019-1-EF. https://psnet.ahrq.gov/issue/ahrqs-safety-program-ambulatory-surgery This report provides information about a na…

2858. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42493/psn-pdf
      August 14, 2013 - Partnering to prevent falls: using a multimodal multidisciplinary team. August 14, 2013 Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. https://psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-m…

2859. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36908/psn-pdf
      January 05, 2017 - Benefits of a rapid response system at a community hospital. January 5, 2017 Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7. https://psnet.ahrq.gov/issue/benefits-rapid-response-system…

2860. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50787/psn-pdf
      January 08, 2020 - Q3 Health Innovation Partners. January 8, 2020 New Jersey Hospital Association, the Ohio Hospital Association and The Hospital and Healthsystem Association of Pennsylvania. https://psnet.ahrq.gov/issue/q3-health-innovation-partners Local efforts that draw from the experience of its leaders serve an important role …