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Showing results for "managing".

6861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35438/psn-pdf
      September 15, 2009 - Patient safety: what is really at issue? September 15, 2009 Bagian JP. Patient safety: what is really at issue? Front Health Serv Manage. 2005;22(1):3-16. https://psnet.ahrq.gov/issue/patient-safety-what-really-issue Dr. Bagian, director of the National Center for Patient Safety (NCPS), reviews elements of a succes…

6862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36651/psn-pdf
      January 05, 2017 - Conscious sedation on a general ward: the MET and clinical governance. January 5, 2017 Warrillow S, Bellomo R, Jones D. Conscious sedation on a general ward: the MET and clinical governance. Jt Comm J Qual Patient Saf. 2007;33(2):112-7, 61. https://psnet.ahrq.gov/issue/conscious-sedation-general-ward-met-and-clini…

6863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47472/psn-pdf
      October 24, 2018 - Patient Safety Certificate Course. October 24, 2018 American Board of Quality Assurance and Utilization Review Physicians; ABQAURP. https://psnet.ahrq.gov/issue/patient-safety-certificate-course This online course offers three modules designed to build awareness of key patient safety topics, including how to ident…

6864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38002/psn-pdf
      August 20, 2008 - Communicative competence of international nurses and patient safety and quality of care. August 20, 2008 Xu Y. Communicative Competence of International Nurses and Patient Safety and Quality of Care. Home Health Care Manag Pract. 2008;20(5). doi:10.1177/1084822308316162. https://psnet.ahrq.gov/issue/communicative-…

6865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36971/psn-pdf
      September 12, 2011 - Hospital patient safety: characteristics of best-performing hospitals. September 12, 2011 Longo DR, Hewett JE, Ge B, et al. Hospital patient safety: characteristics of best-performing hospitals. J Healthc Manag. 2007;52(3):188-204; discussion 204-5. https://psnet.ahrq.gov/issue/hospital-patient-safety-characterist…

6866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36966/psn-pdf
      June 20, 2007 - Second Annual Nursing Leadership Congress: "Building the Foundation for a Culture of Safety" conference proceedings. June 20, 2007 J Patient Saf. 2007;3(2):67-106. https://psnet.ahrq.gov/issue/second-annual-nursing-leadership-congress-building-foundation-culture-safety- conference The authors summarize sessions …

6867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37428/psn-pdf
      March 28, 2012 - A team training program using human factors to enhance patient safety. March 28, 2012 Marshall DA, Manus DA. A Team Training Program Using Human Factors to Enhance Patient Safety. AORN J. 2007;86(6). doi:10.1016/j.aorn.2007.11.026. https://psnet.ahrq.gov/issue/team-training-program-using-human-factors-enhance-pati…

6868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37476/psn-pdf
      September 29, 2017 - Work-arounds in health care settings: literature review and research agenda. September 29, 2017 Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304495.95522.ca. https://psnet.ah…

6869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36037/psn-pdf
      June 25, 2009 - Preventable deaths in patients admitted from emergency department. June 25, 2009 Lu T-C, Tsai C-L, Lee C-C, et al. Preventable deaths in patients admitted from emergency department. Emerg Med J. 2006;23(6):452-5. https://psnet.ahrq.gov/issue/preventable-deaths-patients-admitted-emergency-department The authors re…

6870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42075/psn-pdf
      February 27, 2020 - ASHP statement on the role of the medication safety leader. February 27, 2020 ASHP Statement on the Role of the Medication Safety Leader. Am J Health-Syst Pharm. 2020;77(4):308- 312. doi:10.1093/ajhp/zxz292. https://psnet.ahrq.gov/issue/ashp-statement-role-medication-safety-leader This piece highlights the value …

6871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40460/psn-pdf
      April 30, 2024 - Patient Safety Authority Annual Reports. April 30, 2024 Pennsylvania Patient Safety Authority. Harrisburg, PA: Patient Safety Authority; April 2024. https://psnet.ahrq.gov/issue/patient-safety-authority-annual-reports This report summarizes patient safety improvement work in the state of Pennsylvania. It reviews th…

6872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41711/psn-pdf
      September 26, 2012 - Beyond FMEA: the structured what-if technique (SWIFT). September 26, 2012 Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. https://psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards This commentary…

6873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37013/psn-pdf
      July 14, 2010 - Engagement of leadership in quality improvement initiatives: executive quality improvement survey results. July 14, 2010 Vaughn T, Koepke M, Kroch E, et al. J Patient Saf. 2006;2(1):2-9. https://psnet.ahrq.gov/issue/engagement-leadership-quality-improvement-initiatives-executive-quality- improvement-survey The in…

6874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49800/psn-pdf
      July 01, 2017 - The Hidden Harms of Hand Sanitizer July 1, 2017 Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer The Case A 57-year-old woman with a history of alcohol abuse and severe depression was admitted to the hospital for community-acquired pn…

6875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49418/psn-pdf
      October 01, 2003 - Charcoal Lavage of the Lungs October 1, 2003 Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs The Case A 47-year-old man presented to an emergency department (ED) with altered mental status, and was believed to have a probable overdose. He receiv…

6876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49603/psn-pdf
      June 01, 2010 - Fatal Error in Neonate: Does "Just Culture" Provide an Answer? June 1, 2010 Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer Case Objectives Describe the just culture approach to in…

6877. Adverse Events, Near Misses, and Errors | PSNet
      psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
      March 30, 2022 - Adverse Events, Near Misses, and Errors Citation Text: Adverse Events, Near Misses, and Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

6878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33777/psn-pdf
      January 01, 2015 - Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care January 1, 2015 Plsek PE. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually…

6879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36172/psn-pdf
      August 09, 2006 - The Patient Safety Group. August 9, 2006 https://psnet.ahrq.gov/issue/patient-safety-group Development of The Patient Safety Group was motivated by the death of a young girl named Josie King. The King family responded to their personal experience from medical errors by making a commitment to improve and advance sa…

6880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34114/psn-pdf
      September 20, 2023 - Speak Up Initiative. September 20, 2023 Joint Commission. https://psnet.ahrq.gov/issue/speak-initiative The Speak Up campaign provides sets of materials to enable patients and families to engage in making their health care experiences as safe as possible. Topics covered include safe surgery, pain management, medi…