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Showing results for "initiatives".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854637/psn-pdf
    October 18, 2023 - A scoping review of clinical handover mnemonic devices. October 18, 2023 Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. https://psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices Cogniti…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34935/psn-pdf
    June 23, 2009 - Improving patient care. The cognitive psychology of missed diagnoses. June 23, 2009 Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142(2):115-120. https://psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses This case study de…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836761/psn-pdf
    March 16, 2022 - Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. March 16, 2022 Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2):221-224. doi:10.1016/j.mayocp.2021.1…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34927/psn-pdf
    June 23, 2009 - Health Care Quality and Disparities: Lessons from the First National Reports. June 23, 2009 Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports Highlights from AHRQ's two inaugural reports, the 2003 National …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47708/psn-pdf
    February 13, 2019 - The role of purple pens in learning to prescribe. February 13, 2019 Kinston R, McCarville N, Hassell A. The role of purple pens in learning to prescribe. Clin Teach. 2019;16(6):598-603. doi:10.1111/tct.12991. https://psnet.ahrq.gov/issue/role-purple-pens-learning-prescribe Interventions utilizing color as visual c…

  6. Community Health Care Association of New York State Recruitment Outreach Script | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/projects/urinary/resources/outreach-script-healthy-hearts.html
    March 01, 2021 - Back to MUI Resources Community Health Care Association of New York State Recruitment Outreach Script Resource Document available on the AHRQ website (PDF, 169 KB). Summary This resource is an example of a recruitment phone call script for conversations with a CMO, CEO or QI …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47067/psn-pdf
    May 16, 2018 - Senior staff safety rounds: a commitment to ensure safety is the top priority. May 16, 2018 O'Connell RT, Ivy ME. NEJM Catalyst. May 1, 2018. https://psnet.ahrq.gov/issue/senior-staff-safety-rounds-commitment-ensure-safety-top-priority Leadership participation at the front lines can drive safety improvement work. …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47767/psn-pdf
    June 12, 2019 - Gaps in ambulatory patient safety for immunosuppressive specialty medications. June 12, 2019 Patterson S, Schmajuk G, Evans M, et al. Gaps in Ambulatory Patient Safety for Immunosuppressive Specialty Medications. Jt Comm J Qual Patient Saf. 2019;45(5):348-357. doi:10.1016/j.jcjq.2018.12.003. https://psnet.ahrq.gov…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74703/psn-pdf
    January 26, 2022 - Research to improve diagnosis: time to study the real world. January 26, 2022 Ranji SR, Thomas EJ. Research to improve diagnosis: time to study the real world. BMJ Qual Saf. 2022;31(4):255-258. doi:10.1136/bmjqs-2021-014071. https://psnet.ahrq.gov/issue/research-improve-diagnosis-time-study-real-world Diagnostic …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44871/psn-pdf
    April 22, 2016 - Making checklists work: South Carolina's statewide experiment. April 22, 2016 Rice S. MAKING CHECKLISTS WORK. Modern healthcare. 2016;46(4):14-6. https://psnet.ahrq.gov/issue/making-checklists-work-south-carolinas-statewide-experiment Although checklist implementation as a safety strategy has achieved some success…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45567/psn-pdf
    October 12, 2016 - Insulin Pens Devices. October 12, 2016 Am J Health Syst Pharm. 2016;73(19 suppl 5);s1-s47. https://psnet.ahrq.gov/issue/insulin-pens-devices As a high-alert medication, insulin has the potential to result in serious patient harm if administered incorrectly. Articles in this special issue discuss recommendations de…

  12. 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.…

  13. 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 …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74014/psn-pdf
    October 27, 2021 - Adopting system models for multiple incident analysis: utility and usability. October 27, 2021 Wheway JL, Jun GT. Adopting systems models for multiple incident analysis: utility and usability. Int J Qual Health Care. 2021;33(4):mzab135. doi:10.1093/intqhc/mzab135. https://psnet.ahrq.gov/issue/adopting-system-model…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39230/psn-pdf
    January 13, 2010 - Common formats allow uniform collection and reporting of patient safety data by patient safety organizations. January 13, 2010 Clancy CM. Common Formats Allow Uniform Collection and Reporting of Patient Safety Data by Patient Safety Organizations. Am J Med Qual. 2009;25(1):73-75. doi:10.1177/1062860609352438. http…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39789/psn-pdf
    August 25, 2010 - Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. August 25, 2010 Sawyer M, Weeks K, Goeschel CA, et al. Using evidence, rigorous measurement, and collaboration to eliminate central catheter-associated bloodstream infections. Crit Care Med. 201…

  17. 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…

  18. 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…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844552/psn-pdf
    February 15, 2023 - Home medical device safety tops ECRI'S list of healthcare technology. February 15, 2023 Wicklund E. HealthLeaders. January 19, 2023. https://psnet.ahrq.gov/issue/home-medical-device-safety-tops-ecris-list-healthcare-technology Technologies both advance and challenge care safety. This article summarizes an annual a…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866437/psn-pdf
    August 07, 2024 - Wake Up Safe in the USA & international patient safety. August 7, 2024 Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920. https://psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety Patient safety organizati…
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