Results

Total Results: 5,153 records

Showing results for "institution".

1761. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41819/psn-pdf
      November 07, 2012 - Order from Chaos: Accelerating Care Integration. November 7, 2012 Boston, MA: Lucian Leape Institute at the National Patient Safety Foundation; October 2012. https://psnet.ahrq.gov/issue/order-chaos-accelerating-care-integration This report discusses the need for improved coordination and integration in patient car…

1762. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35699/psn-pdf
      November 18, 2011 - Improving the Reliability of Health Care. November 18, 2011 Nolan T, Resar R, Haraden C, et al. Boston, MA: Institute for Healthcare Improvement; 2004. https://psnet.ahrq.gov/issue/improving-reliability-health-care This report shares a three-step model for applying reliability principles to health care. The element…

1763. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40375/psn-pdf
      August 08, 2014 - Coordination Between Emergency and Primary Care Physicians. August 8, 2014 Carrier E, Yee T, Holtzwart RA. Washington, DC: National Institute for Health Care Reform; 2011. NIHCR Research Brief No. 3. https://psnet.ahrq.gov/issue/coordination-between-emergency-and-primary-care-physicians This report analyzes commu…

1764. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41783/psn-pdf
      October 24, 2012 - How-to Guide: Prevent Obstetrical Adverse Events. October 24, 2012 Cambridge, MA: Institute for Healthcare Improvement; 2012. https://psnet.ahrq.gov/issue/how-guide-prevent-obstetrical-adverse-events This guide highlights strategies to enhance the use of care bundles to prevent errors in obstetric care. https://ps…

1765. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42440/psn-pdf
      July 24, 2013 - ISMP Long-Term Care Advise-ERR. July 24, 2013 Horsham, PA; Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-long-term-care-advise-err This newsletter focuses on medication safety concerns that administrators, nurses, and other health care workers may encounter while providing long-term ca…

1766. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41581/psn-pdf
      August 08, 2012 - How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations. August 8, 2012 Cambridge, MA: Institute for Healthcare Improvement; June 2012. https://psnet.ahrq.gov/issue/how-guides-improving-transitions-hospital-reduce-avoidable-rehospitalizations This series, developed in conjunct…

1767. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40669/psn-pdf
      August 27, 2013 - STate Action on Avoidable Rehospitalizations. August 27, 2013 Institute for Healthcare Improvement. 2009 -2013. https://psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations This Web site supports an initiative to reduce avoidable rehospitalizations by improving transitions in care and communication betwe…

1768. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36479/psn-pdf
      February 06, 2008 - Oral Dosage Forms that Should Not Be Crushed. February 6, 2008 Mitchell JF; Institute for Safe Medications Practices; ISMP. https://psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed To ensure that certain medications are used safely, this updated list includes oral medications that should not be crushed…

1769. A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. | PSNet
      psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
      September 28, 2010 - Study A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. Citation Text: Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …

1770. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. | PSNet
      psnet.ahrq.gov/issue/successful-implementation-unit-based-quality-nurse-reduce-central-line-associated-bloodstream
      September 23, 2020 - Study Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Citation Text: Thom KA, Li S, Custer M, et al. Successful implementation of a unit-based quality nurse to reduce central line-associated bloodstream infections. Am J …

1771. The long road to patient safety: a status report on patient safety systems. | PSNet
      psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
      October 04, 2011 - Study Classic The long road to patient safety: a status report on patient safety systems. Citation Text: Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. Copy Citation …

1772. The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States. | PSNet
      psnet.ahrq.gov/issue/impact-covid-19-pandemic-emergency-department-visits-and-patient-safety-united-states
      July 14, 2021 - Study The impact of the COVID-19 pandemic on Emergency Department visits and patient safety in the United States. Citation Text: Boserup B, McKenney M, Elkbuli A. The impact of the COVID-19 pandemic on emergency department visits and patient safety in the United States. Am J Emerg Med. 2…

1773. Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet
      psnet.ahrq.gov/issue/establishing-international-baseline-medication-safety-oncology-findings-2012-ismp
      May 14, 2009 - Study Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology. Citation Text: Greenall J, Shastay A, Vaida AJ, et al. Establishing an international baseline for medication safety in…

1774. Suffering in silence: a qualitative study of second victims of adverse events. | PSNet
      psnet.ahrq.gov/issue/suffering-silence-qualitative-study-second-victims-adverse-events
      February 03, 2021 - Study Suffering in silence: a qualitative study of second victims of adverse events. Citation Text: Ullström S, Sachs MA, Hansson J, et al. Suffering in silence: a qualitative study of second victims of adverse events. BMJ Qual Saf. 2014;23(4):325-331. doi:10.1136/bmjqs-2013-002035. Co…

1775. Developing and implementing a standardized process for Global Trigger Tool application across a large health system. | PSNet
      psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
      July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …

1776. Systematic root cause analysis of adverse drug events in a tertiary referral hospital. | PSNet
      psnet.ahrq.gov/issue/systematic-root-cause-analysis-adverse-drug-events-tertiary-referral-hospital
      November 16, 2022 - Study Classic Systematic root cause analysis of adverse drug events in a tertiary referral hospital. Citation Text: Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv…

1777. Interventions employed to improve intrahospital handover: a systematic review. | PSNet
      psnet.ahrq.gov/issue/interventions-employed-improve-intrahospital-handover-systematic-review
      January 20, 2015 - Review Interventions employed to improve intrahospital handover: a systematic review. Citation Text: Robertson ER, Morgan L, Bird S, et al. Interventions employed to improve intrahospital handover: a systematic review. BMJ Qual Saf. 2014;23(7):600-7. doi:10.1136/bmjqs-2013-002309. Copy…

1778. Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. | PSNet
      psnet.ahrq.gov/issue/problems-care-and-avoidability-death-after-discharge-intensive-care-multi-centre
      March 23, 2022 - Study Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study. Citation Text: Vollam S, Gustafson O, Young JD, et al. Problems in care and avoidability of death after discharge from intensive care: a multi-cent…

1779. Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. | PSNet
      psnet.ahrq.gov/issue/improving-health-care-quality-and-patient-safety-through-peer-peer-assessment-demonstration
      March 14, 2018 - Study Improving health care quality and patient safety through peer-to-peer assessment: demonstration project in two academic medical centers. Citation Text: Mort E, Bruckel J, Donelan K, et al. Improving Health Care Quality and Patient Safety Through Peer-to-Peer Assessment: Demonstrati…

1780. Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. | PSNet
      psnet.ahrq.gov/issue/hospital-characteristics-associated-penalties-centers-medicare-medicaid-services-hospital
      November 18, 2016 - Study Hospital characteristics associated with penalties in the Centers for Medicare & Medicaid Services Hospital-Acquired Condition Reduction Program. Citation Text: Rajaram R, Chung JW, Kinnier C, et al. Hospital Characteristics Associated With Penalties in the Centers for Medicare & M…