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Showing results for "managing".

4221. What prevents incident disclosure, and what can be done to promote it? | PSNet
      psnet.ahrq.gov/issue/what-prevents-incident-disclosure-and-what-can-be-done-promote-it
      February 20, 2012 - Study What prevents incident disclosure, and what can be done to promote it? Citation Text: Iedema R, Allen S, Sorensen R, et al. What prevents incident disclosure, and what can be done to promote it? Jt Comm J Qual Patient Saf. 2011;37(9):409-417. Copy Citation Format: G…

4222. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism | PSNet
      psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
      December 31, 2024 - timely communication and verification of information to maximize patient safety Develop an approach to managing

4223. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet
      psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
      August 01, 2012 - or soft tissue infection, but feeding access is still required, the tube can sometimes be used while managing

4224. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33604/psn-pdf
      December 15, 2024 - Pharmacist's Role in Medication Safety December 15, 2024 The Pharmacist's Role in Medication Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…

4225. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33644/psn-pdf
      December 01, 2006 - Establishing a Safety Culture: Thinking Small December 1, 2006 Hoff TJ. Establishing a Safety Culture: Thinking Small. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small Perspective Safety cultures are the holy grail in any risky industry. Like all holy grails, th…

4226. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866395/psn-pdf
      July 23, 2024 - Rescue Improvement Conference Innovation Summary July 23, 2024 https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary Summary The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure to rescue with a particular focus on communication and com…

4227. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - In Conversation with...Sir Liam Donaldson, MD, MSc May 1, 2007  Also Read an Essay Citation Text: In Conversation with..Sir Liam Donaldson, MD, MSc. PSNet [internet]. 2007.In Conversation with...Sir Liam Donaldson, MD, MSc. PSNet [internet]. Rockville (MD): Agency…

4228. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73090/psn-pdf
      March 31, 2021 - Learning from safety incidents in high reliability organizations: a systematic review of learning tools that could be adapted and used in healthcare. March 31, 2021 Serou N, Sahota LM, Husband AK, et al. Learning from safety incidents in high-reliability organizations: a systematic review of learning tools that co…

4229. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/764401/psn-pdf
      March 02, 2022 - Promoting patient and nurse safety: testing a behavioural health intervention in a learning healthcare system: results of the DEMEANOR pragmatic, cluster, cross-over trial. March 2, 2022 Hasselblad M, Morrison J, Kleinpell R, et al. Promoting patient and nurse safety: testing a behavioural health intervention in …

4230. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838247/psn-pdf
      October 05, 2022 - Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. October 5, 2022 Martins MS, Lourenção DC de A, Pimentel RR da S, et al. Recommendations for the safety of hospitalised patients in the context of the COVID-19 pandemic: a scoping review. BMJ Open. 202…

4231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46303/psn-pdf
      November 21, 2017 - How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. November 21, 2017 Jones L, Pomeroy L, Robert G, et al. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. BMJ Qual Saf. 2017;26(12):978-986. doi:10.1…

4232. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867230/psn-pdf
      December 04, 2024 - Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergency care of children. December 4, 2024 Packendorff N, Magnusson C, Axelsson C, et al. Adaption of a trigger tool to identify harmful incidents, no harm incidents, and near misses in prehospital emergen…

4233. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837640/psn-pdf
      July 06, 2022 - Identifying and reconciling patients' allergy information within the electronic health record. July 6, 2022 Vallamkonda S, Ortega CA, Lo YC, et al. Identifying and reconciling patients' allergy information within the electronic health record. Stud Health Technol Inform. 2022;290:120-124. doi:10.3233/shti220044. ht…

4234. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72682/psn-pdf
      January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan. January 27, 2021 Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effe…

4235. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50804/psn-pdf
      January 15, 2020 - The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. January 15, 2020 Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's Anesthesia Information Management…

4236. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60027/psn-pdf
      January 01, 2021 - Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. March 11, 2020 Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high reliability journey at a special hospital f…

4237. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39716/psn-pdf
      August 09, 2013 - Patient handovers within the hospital: translating knowledge from motor racing to healthcare. August 9, 2013 Catchpole K, Sellers R, Goldman A, et al. Patient handovers within the hospital: translating knowledge from motor racing to healthcare. Qual Saf Health Care. 2010;19(4):318-22. doi:10.1136/qshc.2009.026542. …

4238. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36222/psn-pdf
      March 10, 2011 - Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controlled trial. March 10, 2011 McGregor JC, Weekes E, Forrest GN, et al. Impact of a computerized clinical decision support system on reducing inappropriate antimicrobial use: a randomized controll…

4239. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40102/psn-pdf
      July 05, 2013 - Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. July 5, 2013 Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J Hosp Med. 2011;6(2):68-72. doi:10.1002/…

4240. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860729/psn-pdf
      January 17, 2024 - From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education. January 17, 2024 Shoemaker MJ, Collins SM. From the flight deck to the bedside: core aviation concepts applied to acute care physical therapist practice and education. Phys Ther. 2023;103(12…