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Showing results for "institutions".

  1. What can we learn from coroners’ reports on preventable deaths? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
    October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  2. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. | PSNet

    psnet.ahrq.gov/issue/patient-safety-culture-factors-influence-clinician-involvement-patient-safety-behaviours
    April 16, 2014 - Study Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Citation Text: Wakefield JG, McLaws M-L, Whitby M, et al. Patient safety culture: factors that influence clinician involvement in patient safety behaviours. Qual Saf Health Care. 20…

  3. Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. | PSNet

    psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
    July 02, 2019 - Study Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. Citation Text: Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code …

  4. Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet

    psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
    January 30, 2019 - Commentary Classic Risk mitigation in large scale systems: lessons from high reliability organizations. Citation Text: Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…

  5. ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet

    psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
    November 10, 2010 - Commentary ReCASTing the RCA: an improved model for performing root cause analyses. Citation Text: Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…

  6. Patient safety curriculum for surgical residency programs: results of a national consensus conference. | PSNet

    psnet.ahrq.gov/issue/patient-safety-curriculum-surgical-residency-programs-results-national-consensus-conference
    September 16, 2009 - Commentary Patient safety curriculum for surgical residency programs: results of a national consensus conference. Citation Text: Sachdeva AK, Philibert I, Leach DC, et al. Patient safety curriculum for surgical residency programs: results of a national consensus conference. Surgery. 20…

  7. INSTRUCTIONS: Project Charter (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/d2-projectcharter.pdf
    December 23, 2009 - INSTRUCTIONS: Project Charter AHRQ Quality Indicators Toolkit INSTRUCTIONS Project Charter What is this tool? The purpose of the project charter is to describe the performance improvement rationale, goals, barriers, and anticipated resources to which the team will commit. Who are the target audiences? St…

  8. Changing the patient safety mindset: can safety cases help? | PSNet

    psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help
    July 14, 2021 - Commentary Changing the patient safety mindset: can safety cases help? Citation Text: Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652. Copy Citation Format: DOI Google Scholar BibT…

  9. Incident reporting in one UK accident and emergency department. | PSNet

    psnet.ahrq.gov/issue/incident-reporting-one-uk-accident-and-emergency-department
    December 12, 2012 - Study Incident reporting in one UK accident and emergency department. Citation Text: Tighe CM, Woloshynowych M, Brown R, et al. Incident reporting in one UK accident and emergency department. Accid Emerg Nurs. 2006;14(1):27-37. Copy Citation Format: Google Scholar PubMed …

  10. Medical emergency teams: a strategy for improving patient care and nursing work environments. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-teams-strategy-improving-patient-care-and-nursing-work-environments
    March 24, 2011 - Study Medical emergency teams: a strategy for improving patient care and nursing work environments. Citation Text: Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care and nursing work environments. J Adv Nurs. 2006;55(2):180-7. Copy C…

  11. Why do interns make prescribing errors? A qualitative study. | PSNet

    psnet.ahrq.gov/issue/why-do-interns-make-prescribing-errors-qualitative-study
    December 16, 2009 - Study Why do interns make prescribing errors? A qualitative study. Citation Text: Coombes ID, Stowasser DA, Coombes JA, et al. Why do interns make prescribing errors? A qualitative study. Med J Aust. 2008;188(2):89-94. Copy Citation Format: Google Scholar PubMed BibTeX En…

  12. Implementing patient safety initiatives in rural hospitals. | PSNet

    psnet.ahrq.gov/issue/implementing-patient-safety-initiatives-rural-hospitals
    September 27, 2010 - Commentary Implementing patient safety initiatives in rural hospitals. Citation Text: Klingner J, Moscovice I, Tupper JB, et al. Implementing Patient Safety Initiatives in Rural Hospitals. J Rural Health. 2009;25(4):352-357. doi:10.1111/j.1748-0361.2009.00243.x. Copy Citation For…

  13. The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. | PSNet

    psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
    April 11, 2011 - Study The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. Citation Text: Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…

  14. Variation in medication information for elderly patients during initial interventions by emergency department physicians. | PSNet

    psnet.ahrq.gov/issue/variation-medication-information-elderly-patients-during-initial-interventions-emergency
    October 20, 2021 - Study Variation in medication information for elderly patients during initial interventions by emergency department physicians. Citation Text: Cohen V, Jellinek SP, Likourezos A, et al. Variation in medication information for elderly patients during initial interventions by emergency d…

  15. Communication in critical care environments: mobile telephones improve patient care. | PSNet

    psnet.ahrq.gov/issue/communication-critical-care-environments-mobile-telephones-improve-patient-care
    June 27, 2018 - Study Communication in critical care environments: mobile telephones improve patient care. Citation Text: Soto RG, Chu LF, Goldman JM, et al. Communication in critical care environments: mobile telephones improve patient care. Anesth Analg. 2006;102(2):535-41. Copy Citation Format:…

  16. Teaching medical error disclosure to residents using patient-centered simulation training. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training
    October 19, 2022 - Study Teaching medical error disclosure to residents using patient-centered simulation training. Citation Text: Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.000…

  17. Reversing the rise in maternal mortality. | PSNet

    psnet.ahrq.gov/issue/reversing-rise-maternal-mortality
    January 18, 2017 - Commentary Reversing the rise in maternal mortality. Citation Text: Kozhimannil KB. Reversing The Rise In Maternal Mortality. Health Aff (Millwood). 2018;37(11):1901-1904. doi:10.1377/hlthaff.2018.1013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  18. Making the business case for quality and safety. | PSNet

    psnet.ahrq.gov/issue/making-business-case-quality-and-safety
    January 19, 2022 - Commentary Making the business case for quality and safety. Citation Text: Shah RK, Reinhart R, Cronin J. Making the business case for quality and safety. Otolaryngol Clin North Am. 2022;55(1):105-113. doi:10.1016/j.otc.2021.07.008. Copy Citation Format: DOI Google Scholar …

  19. Implementation of patient centeredness to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
    June 24, 2010 - Commentary Implementation of patient centeredness to enhance patient safety. Citation Text: Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual. 2006;21(1):15-19. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

  20. Getting doctors to clean their hands: lead the followers. | PSNet

    psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
    June 12, 2013 - Study Getting doctors to clean their hands: lead the followers. Citation Text: Haessler S, Bhagavan A, Kleppel R, et al. Getting doctors to clean their hands: lead the followers. BMJ Qual Saf. 2012;21(6):499-502. doi:10.1136/bmjqs-2011-000396. Copy Citation Format: DOI Go…
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