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Showing results for "initiatives".

2901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40973/psn-pdf
      November 30, 2011 - A clinical nurse specialist intervention to facilitate safe transfer from ICU. November 30, 2011 St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. https://psnet.ahrq.gov/issue/clinical-nurse-spec…

2902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41159/psn-pdf
      September 29, 2017 - A nurse-led approach to developing and implementing a collaborative count policy. September 29, 2017 Norton EK, Micheli AJ, Gedney J, et al. A nurse-led approach to developing and implementing a collaborative count policy. AORN J. 2012;95(2):222-7. doi:10.1016/j.aorn.2011.11.009. https://psnet.ahrq.gov/issue/nurse…

2903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41177/psn-pdf
      February 29, 2012 - A study of innovative patient safety education. February 29, 2012 Smith SD, Henn P, Gaffney R, et al. A study of innovative patient safety education. Clin Teach. 2012;9(1):37-40. doi:10.1111/j.1743-498X.2011.00484.x. https://psnet.ahrq.gov/issue/study-innovative-patient-safety-education This educational interventi…

2904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865819/psn-pdf
      May 08, 2024 - Focus on HARM (Harmonizing Accountability in Reporting and Monitoring). May 8, 2024 National Quality Forum. https://psnet.ahrq.gov/issue/focus-harm-harmonizing-accountability-reporting-and-monitoring Strong incident reporting systems are a foundational component for understanding preventable health care error. Th…

2905. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42330/psn-pdf
      June 12, 2013 - Creating a culture of safety in the emergency department: the value of teamwork training. June 12, 2013 Jones F, Podila P, Powers C. Creating a culture of safety in the emergency department: the value of teamwork training. J Nurs Adm. 2013;43(4):194-200. doi:10.1097/NNA.0b013e31828958cd. https://psnet.ahrq.gov/iss…

2906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44109/psn-pdf
      November 06, 2015 - Safer Clinical Systems. November 6, 2015 London, UK: Health Foundation. https://psnet.ahrq.gov/issue/safer-clinical-systems This Web site highlights the work of a United Kingdom initiative launched in 2008 to apply safety improvement tactics from high-risk industries to care services. The program engages teams to …

2907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48154/psn-pdf
      July 31, 2019 - Learn Not Blame. July 31, 2019 Doctors' Association UK. https://psnet.ahrq.gov/issue/learn-not-blame This website provides information about a National Health Service (NHS) campaign to shift response to errors from blame to an approach that embraces fairness, openness, learning, and patient and health care profes…

2908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42158/psn-pdf
      April 03, 2013 - Long-term effects of a perioperative safety checklist from the viewpoint of personnel. April 3, 2013 Böhmer AB, Kindermann P, Schwanke U, et al. Long-term effects of a perioperative safety checklist from the viewpoint of personnel. Acta Anaesthesiol Scand. 2013;57(2):150-7. doi:10.1111/aas.12020. https://psnet.ahr…

2909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40835/psn-pdf
      October 12, 2011 - Work system design for patient safety: the SEIPS model. October 12, 2011 Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842. https://psnet.ahrq.gov/issue/work-system-design-patient-safety-…

2910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35984/psn-pdf
      January 02, 2017 - The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. January 2, 2017 Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Saf. 2006;32(6):299-308. https://psnet.…

2911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43382/psn-pdf
      September 17, 2014 - Using improvement science methods to increase accuracy of surgical consents. September 17, 2014 Mercurio P, Ellis AS, Schoettker PJ, et al. Using improvement science methods to increase accuracy of surgical consents. AORN J. 2014;100(1):42-53. doi:10.1016/j.aorn.2013.07.023. https://psnet.ahrq.gov/issue/using-impr…

2912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846766/psn-pdf
      March 29, 2023 - The prisoner. March 29, 2023 Kent S. NJ.com. March 12, 2023. https://psnet.ahrq.gov/issue/prisoner Heuristics, uncertainty, and bias are contributors to diagnostic error, overuse, and treatment delay. This story describes the care experience of an adolescent patient whose rare immune system condition was initiall…

2913. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72863/psn-pdf
      March 17, 2021 - 7 ways to prevent medical errors. March 17, 2021 Caceres V. US News World Report. March 1, 2021. https://psnet.ahrq.gov/issue/7-ways-prevent-medical-errors Patients and families have an important role in reducing potential for error and harm. This article highlights a set of tactics for patients to enhan…

2914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37014/psn-pdf
      September 15, 2011 - Medication safety messages for patients via the web portal: the MedCheck intervention. September 15, 2011 Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168. https://psnet.ahrq.gov/issue/medication-s…

2915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42869/psn-pdf
      January 28, 2017 - Exploring Alternatives To Malpractice Litigation. January 28, 2017 Improved safety, eliminating errors top policy agenda. Health Aff (Millwood). 2014;33(1):6-66. https://psnet.ahrq.gov/issue/exploring-alternatives-malpractice-litigation Articles in this special issue cover findings from a federally-funded initiativ…

2916. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49406/psn-pdf
      June 01, 2003 - The Dangerous Detour June 1, 2003 Gibson J, HTaylor D. The Dangerous Detour. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/dangerous-detour The Case Following an overdose of alcohol and Ativan, a 26-year-old woman was admitted to the Medicine service for observation after being placed on a 72-hour hold by…

2917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49532/psn-pdf
      March 15, 2007 - Back to Basics March 1, 2007 Hellman R. Back to Basics. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/back-basics The Case A 48-year-old woman with insulin-dependent diabetes mellitus presents to the emergency department with right upper quadrant pain, fever, and leukocytosis, prompting admission for pres…

2918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72837/psn-pdf
      September 01, 2022 - Project Nurture Engages Pregnant People with Substance Use Disorder, Improves Maternal and Infant Outcomes. Originally published on March 11, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/project-nurture-engages-pregnant-people-substance-use-disorder- improves-maternal-and Summary Project…

2919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33571/psn-pdf
      March 15, 2025 - Reporting Patient Safety Events March 15, 2025 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in th…

2920. Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. | PSNet
      psnet.ahrq.gov/issue/impact-simulation-based-closed-loop-communication-training-medical-errors-pediatric-emergency
      July 22, 2020 - Study Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department. Citation Text: Diaz MCG, Dawson K. Impact of Simulation-Based Closed-Loop Communication Training on Medical Errors in a Pediatric Emergency Department. Am J Med Qual…