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Showing results for "innovative".

  1. The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. | PSNet

    psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-stoelting-conference-2019-perioperative-deterioration
    October 19, 2022 - Meeting/Conference Proceedings The Anesthesia Patient Safety Foundation Stoelting Conference 2019: perioperative deterioration--early recognition, rapid intervention, and the end of failure-to-rescue. Citation Text: Lin D, Peden CJ, Langness SM, et al. The Anesthesia Patient Safety Found…

  2. A framework for the analysis of communication errors in health care. | PSNet

    psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
    October 21, 2020 - Commentary A framework for the analysis of communication errors in health care. Citation Text: Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303. Copy Citat…

  3. Improving Safety in Postoperative Handoff Communication with Telemedicine and Machine Learning | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-stories/improving-safety-postoperative-handoff-communication-telemedicine
    January 01, 2023 - Improving Safety in Postoperative Handoff Communication with Telemedicine and Machine Learning Theme: Optimizing Care Delivery for Clinicians Subtheme: Using Digital Healthcare Tools to Improve Patient Safety Implementing a postoperative handoff intervention augmented with telemedicine an…

  4. Role of artificial intelligence in patient safety outcomes: systematic literature review. | PSNet

    psnet.ahrq.gov/issue/role-artificial-intelligence-patient-safety-outcomes-systematic-literature-review
    September 20, 2011 - Review Role of artificial intelligence in patient safety outcomes: systematic literature review. Citation Text: Choudhury A, Asan O. Role of artificial intelligence in patient safety outcomes: systematic literature review. JMIR Med Inform. 2020;8(7):e18599. doi:10.2196/18599. Copy Cita…

  5. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. | PSNet

    psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
    March 14, 2022 - Commentary Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Citation Text: Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…

  6. The effect of the fit between organizational culture and structure on medication errors in medical group practices. | PSNet

    psnet.ahrq.gov/issue/effect-fit-between-organizational-culture-and-structure-medication-errors-medical-group
    June 30, 2009 - Study The effect of the fit between organizational culture and structure on medication errors in medical group practices. Citation Text: Kaissi A, Kralewski J, Dowd B, et al. The effect of the fit between organizational culture and structure on medication errors in medical group practi…

  7. Artificial intelligence in health care: accountability and safety. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-health-care-accountability-and-safety
    December 20, 2023 - Commentary Classic Artificial intelligence in health care: accountability and safety. Citation Text: Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.2…

  8. An invisible disability: communication, patient safety and dual sensory impairment in older persons. | PSNet

    psnet.ahrq.gov/issue/invisible-disability-communication-patient-safety-and-dual-sensory-impairment-older-persons
    July 01, 2019 - Commentary An invisible disability: communication, patient safety and dual sensory impairment in older persons. Citation Text: Dunsmore ME, Watharow A, Schneider J. An invisible disability: communication, patient safety and dual sensory impairment in older persons. J Adv Nurs. 2024;Epub …

  9. Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives. | PSNet

    psnet.ahrq.gov/issue/balancing-patient-centered-and-safe-pain-care-nonsurgical-inpatients-clinical-and-managerial
    March 12, 2025 - Study Balancing patient-centered and safe pain care for nonsurgical inpatients: clinical and managerial perspectives. Citation Text: Mazurenko O, Andraka-Christou BT, Bair MJ, et al. Balancing Patient-Centered and Safe Pain Care for Nonsurgical Inpatients: Clinical and Managerial Perspec…

  10. Improving standardization of paging communication using quality improvement methodology. | PSNet

    psnet.ahrq.gov/issue/improving-standardization-paging-communication-using-quality-improvement-methodology
    September 23, 2020 - Study Improving standardization of paging communication using quality improvement methodology. Citation Text: Weigert RM, Schmitz AH, Soung PJ, et al. Improving Standardization of Paging Communication Using Quality Improvement Methodology. Pediatrics. 2019;143(4). doi:10.1542/peds.2018-1…

  11. Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. | PSNet

    psnet.ahrq.gov/issue/michigan-health-hospital-association-keystone-obstetrics-statewide-collaborative-perinatal
    February 10, 2015 - Study Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan. Citation Text: Simpson KR, Knox GE, Martin M, et al. Michigan Health & Hospital Association Keystone Obstetrics: A Statewide Collaborative for Perinatal…

  12. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. | PSNet

    psnet.ahrq.gov/issue/identifying-and-mapping-measures-medication-safety-during-transfer-care-digital-era-scoping
    July 24, 2024 - Review Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literature review. Citation Text: Leon C, Hogan H, Jani YH. Identifying and mapping measures of medication safety during transfer of care in a digital era: a scoping literatur…

  13. Patient Safety Awareness Week 2024 | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/news-events/psaw-2024/index.html
    March 01, 2024 - Patient Safety Awareness Week 2024 As we celebrate Patient Safety Awareness Week 2024, the Agency for Healthcare Research and Quality (AHRQ) also marks its 35th anniversary. This milestone, under the banner "Today's Research, Tomorrow's Healthcare," highlights our dedication to transforming healthcare through…

  14. The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. | PSNet

    psnet.ahrq.gov/issue/necessary-leadership-skillsets-high-reliability-organization-framework-adoption-within-acute
    March 23, 2022 - Study The necessary leadership skillsets for the high-reliability organization framework adoption within acute healthcare organizations. Citation Text: Logan‐Athmer AL. The necessary leadership skillsets for the high‐reliability organization framework adoption within acute healthcare org…

  15. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety
    October 14, 2009 - Study Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Citation Text: Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010…

  16. Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes-and-near-mistakes-using-root-cause-analysis-risk-management-tool
    June 19, 2024 - Commentary Learning from mistakes and near mistakes: using root cause analysis as a risk management tool. Citation Text: Cerniglia-Lowensen J. Learning From Mistakes and Near Mistakes: Using Root Cause Analysis as a Risk Management Tool. J Radiol Nurs. 2015;34(1). doi:10.1016/j.jradnu.20…

  17. Using a computerized sign-out system to improve physician–nurse communication. | PSNet

    psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication
    September 28, 2016 - Study Using a computerized sign-out system to improve physician–nurse communication. Citation Text: Sidlow R, Katz-Sidlow RJ. Using a computerized sign-out system to improve physician-nurse communication. Jt Comm J Qual Patient Saf. 2006;32(1):32-36. Copy Citation Format: …

  18. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/listening-and-question-asking-behaviors-resident-and-nurse-handoff-conversations-prospective
    June 27, 2018 - Study Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study. Citation Text: Kannampallil TG, Abraham J. Listening and question-asking behaviors in resident and nurse handoff conversations: a prospective observational study.…

  19. Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare. | PSNet

    psnet.ahrq.gov/issue/action-research-simulation-team-communication-and-bringing-tacit-voice-society-simulation
    April 16, 2019 - Study Action research, simulation, team communication, and bringing the tacit into voice. Society for Simulation in Healthcare. Citation Text: Forsythe L. Action research, simulation, team communication, and bringing the tacit into voice society for simulation in healthcare. Simul Heal…

  20. Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. | PSNet

    psnet.ahrq.gov/issue/rework-and-workarounds-nurse-medication-administration-process-implications-work-processes
    July 31, 2008 - Study Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Citation Text: Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes…
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