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Total Results: 5,153 records

Showing results for "institutions".

  1. Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. | PSNet

    psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
    March 13, 2013 - Commentary Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. Citation Text: Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 201…

  2. Strategies for learning from failure. | PSNet

    psnet.ahrq.gov/issue/strategies-learning-failure
    September 25, 2024 - Commentary Classic Strategies for learning from failure. Citation Text: Edmondson A. Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  3. The need for closed-loop systems for management of abnormal test results. | PSNet

    psnet.ahrq.gov/issue/need-closed-loop-systems-management-abnormal-test-results
    May 20, 2019 - Study The need for closed-loop systems for management of abnormal test results. Citation Text: Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. Copy Citation …

  4. Medicaid markets and pediatric patient safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/medicaid-markets-and-pediatric-patient-safety-hospitals
    August 02, 2012 - Study Medicaid markets and pediatric patient safety in hospitals. Citation Text: Smith RB, Cheung R, Owens P, et al. Medicaid markets and pediatric patient safety in hospitals. Health Serv Res. 2007;42(5):1981-98. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

  5. Improving the quality of health care: who will lead? | PSNet

    psnet.ahrq.gov/issue/improving-quality-health-care-who-will-lead
    June 14, 2011 - Commentary Classic Improving the quality of health care: who will lead? Citation Text: Becher EC, Chassin MR. Improving the quality of health care: who will lead? Health Aff (Millwood). 2001;20(5):164-79. Copy Citation Format: Google Scholar PubM…

  6. Improving team members' attention during the OR briefing or time out. | PSNet

    psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
    November 10, 2021 - Study Improving team members' attention during the OR briefing or time out. Citation Text: Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144. Copy Citation Format: DOI Google Scholar …

  7. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. | PSNet

    psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safety-challenge-2005-2006
    November 13, 2024 - Commentary 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Citation Text: Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Int J Infect Dis. 2006;10(6):419-24. Copy Citation Format: …

  8. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. | PSNet

    psnet.ahrq.gov/issue/miscount-incidents-novel-approach-exploring-risk-factors-unintentionally-retained-surgical
    June 11, 2014 - Study Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Citation Text: Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm…

  9. Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. | PSNet

    psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational
    November 12, 2014 - Study Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. Citation Text: Starmer AJ, O'Toole JK, Rosenbluth G, et al. Development, implementation, and dissemination of the I-PASS handoff curric…

  10. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. | PSNet

    psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources
    November 16, 2022 - Commentary I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/me…

  11. Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS. | PSNet

    psnet.ahrq.gov/issue/implementation-adoption-and-scaling-workgroup-landscape-assessment-use-artificial
    December 01, 2017 - Book/Report Implementation, Adoption, and Scaling Workgroup: Landscape Assessment on the Use of Artificial Intelligence to Scale PC CDS. Citation Text: Kawamoto K, Greysen SR, Heaney-Huls K, et al. Implementation, Adoption, And Scaling Workgroup: Landscape Assessment On The Use Of Artifi…

  12. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. | PSNet

    psnet.ahrq.gov/issue/organisational-readiness-exploring-preconditions-success-organisation-wide-patient-safety
    February 01, 2011 - Study Organisational readiness: exploring the preconditions for success in organisation-wide patient safety improvement programmes. Citation Text: Burnett S, Benn J, Pinto A, et al. Organisational readiness: exploring the preconditions for success in organisation-wide patient safety im…

  13. Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. | PSNet

    psnet.ahrq.gov/issue/surviving-sepsis-campaign-international-guidelines-management-sepsis-and-septic-shock-2021
    September 25, 2013 - Clinical Guideline Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2021. Citation Text: Evans L, Rhodes A, Alhazzani W, et al. Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock 2021. Crit Care Med.…

  14. Improving maternal safety at scale with the mentor model of collaborative improvement. | PSNet

    psnet.ahrq.gov/issue/improving-maternal-safety-scale-mentor-model-collaborative-improvement
    March 31, 2021 - Study Improving maternal safety at scale with the mentor model of collaborative improvement. Citation Text: Main EK, Dhurjati R, Cape V, et al. Improving Maternal Safety at Scale with the Mentor Model of Collaborative Improvement. Jt Comm J Qual Patient Saf. 2018;44(5):250-259. doi:10.10…

  15. 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…

  16. The wrong patient. | PSNet

    psnet.ahrq.gov/issue/wrong-patient
    December 23, 2008 - Commentary Classic The wrong patient. Citation Text: Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Improving Diagnosis in Health Care. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-health-care
    September 12, 2018 - Book/Report Classic Improving Diagnosis in Health Care. Citation Text: Improving Diagnosis in Health Care. Committee on Diagnostic Error in Health Care, National Academies of Science, Engineering, and Medicine. Washington, DC: National Academies Press; 2015. ISB…

  18. The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. | PSNet

    psnet.ahrq.gov/issue/transform-patient-safety-project-microsystem-approach-improving-outcomes-inpatient-units
    February 10, 2012 - Study The TRANSFORM patient safety project: a microsystem approach to improving outcomes on inpatient units. Citation Text: Braddock CH, Szaflarski N, Forsey L, et al. The TRANSFORM Patient Safety Project: a microsystem approach to improving outcomes on inpatient units. J Gen Intern Med.…

  19. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-estimates-ahrq-patient-safety-indicators
    April 03, 2005 - Study Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Citation Text: Coffey RM, Andrews RM, Moy E. Racial, ethnic, and socioeconomic disparities in estimates of AHRQ patient safety indicators. Med Care. 2005;43(3 Suppl):I48-I57. Copy Cita…

  20. Preventing medication errors in transitions of care: a patient case approach. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-transitions-care-patient-case-approach
    October 17, 2012 - Review Preventing medication errors in transitions of care: a patient case approach. Citation Text: Johnson A, Guirguis E, Grace Y. Preventing medication errors in transitions of care: A patient case approach. J Am Pharm Assoc (2003). 2015;55(2):e264-276. doi:10.1331/JAPhA.2015.15509. …
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