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Showing results for "managing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38731/psn-pdf
    April 30, 2014 - Preventable morbidity at a mature trauma center. April 30, 2014 Teixeira PGR, Inaba K, Salim A, et al. Arch Surg. 2009;144(6):536-541. https://psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center Patient safety in trauma poses unique challenges given the acuity of the patients and the need for rapid ass…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74035/psn-pdf
    January 01, 2022 - Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. November 3, 2021 O’Dowd E, Lydon S, Lambe KA, et al. Identifying hot spots for harm and blind spots across the care pathway from patient complaints about general practice. Fam Pract. 2022;39(4):57…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61004/psn-pdf
    October 07, 2020 - National Nursing Home COVID Action Network. October 7, 2020 Rockville, MD: Agency for Healthcare Research and Quality; September 2020. https://psnet.ahrq.gov/issue/national-nursing-home-covid-action-network Nursing home residents are especially vulnerable to COVID-19 due to their age, and communal living condition…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38470/psn-pdf
    March 11, 2009 - Quality and strength of patient safety climate on medical–surgical units. March 11, 2009 Hughes LC, Chang YK, Mark BA. Quality and strength of patient safety climate on medical-surgical units. Health Care Manag Rev. 2009;34(1):19-28. doi:10.1097/01.HMR.0000342976.07179.3a. https://psnet.ahrq.gov/issue/quality-and-…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44203/psn-pdf
    August 04, 2015 - Variability in antibiotic use across nursing homes and the risk of antibiotic-related adverse outcomes for individual residents. August 4, 2015 Daneman N, Bronskill SE, Gruneir A, et al. Variability in Antibiotic Use Across Nursing Homes and the Risk of Antibiotic-Related Adverse Outcomes for Individual Residents.…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44158/psn-pdf
    September 30, 2015 - Meaningful Use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. September 30, 2015 Powers C, Gabriel MH, Encinosa W, et al. Meaningful use stage 2 e-prescribing threshold and adverse drug events in the Medicare Part D population with diabetes. J Am Med Inform…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73676/psn-pdf
    September 08, 2021 - Organizational readiness to change as a leverage point for improving safety: a national nursing home survey. September 8, 2021 Quach ED, Kazis LE, Zhao S, et al. Organizational readiness to change as a leverage point for improving safety: a national nursing home survey. BMC Health Serv Res. 2021;21(1):842. doi:10.1…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73161/psn-pdf
    April 21, 2021 - The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment with new oral anticancer agents. April 21, 2021 Dürr P, Schlichtig K, Kelz C, et al. The randomized AMBORA trial: impact of pharmacological/pharmaceutical care on medicati…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867752/psn-pdf
    March 12, 2025 - Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. March 12, 2025 Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Int J Qual Health Care. 2025;…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39358/psn-pdf
    October 13, 2010 - Hospital safety climate and safety outcomes: is there a relationship in the VA? October 13, 2010 Rosen AK, Singer SJ, Zhao S, et al. Hospital safety climate and safety outcomes: is there a relationship in the VA? Med Care Res Rev. 2010;67(5):590-608. doi:10.1177/1077558709356703. https://psnet.ahrq.gov/issue/hospi…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764390/psn-pdf
    March 02, 2022 - Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. March 2, 2022 Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Health Care. 2022;31(4):231-241. doi:10.…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837210/psn-pdf
    May 25, 2022 - A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians. May 25, 2022 Rotenstein LS, Melnick ER, Sinsky CA. A learning health system agenda for organizational approaches to enhancing occupational well-being among clinicians. JAMA. 2022;327(21):2079-2080. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60319/psn-pdf
    May 13, 2020 - Predictors of nursing home nurses' willingness to report medication near-misses. May 13, 2020 Farag A, Vogelsmeier A, Knox K, et al. Predictors of nursing home nurses' willingness to report medication near-misses. J Gerontol Nurs. 2020;46(4):21-30. doi:10.3928/00989134-20200303-03. https://psnet.ahrq.gov/issue/pre…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45447/psn-pdf
    January 01, 2018 - Targeted implementation of the Comprehensive Unit- Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. December 19, 2017 Richter J, McAlearney AS. Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of sa…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837975/psn-pdf
    August 31, 2022 - Analyzing and discussing human factors affecting surgical patient safety using innovative technology: creating a safer operating culture. August 31, 2022 van Dalen ASHM, Jung JJ, Nieveen van Dijkum EJM, et al. Analyzing and discussing human factors affecting surgical patient safety using innovative technology: cre…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61066/psn-pdf
    October 28, 2020 - Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. October 28, 2020 Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(4)…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45023/psn-pdf
    April 17, 2018 - Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. April 17, 2018 Graban M. Boca Raton, FL: Productivity Press; 2016. ISBN: 9781498743259. https://psnet.ahrq.gov/issue/lean-hospitals-improving-quality-patient-safety-and-employee-engagement- third-edition Lean methodology fo…

  18. Spotlight: Mistaken Attribution, Diagnostic Misstep | PSNet

    psnet.ahrq.gov/web-mm/spotlight-mistaken-attribution-diagnostic-misstep
    July 01, 2011 - SPOTLIGHT CASE Spotlight: Mistaken Attribution, Diagnostic Misstep Citation Text: Kreider TR, Young JQ. Spotlight: Mistaken Attribution, Diagnostic Misstep. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citat…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60858/psn-pdf
    August 26, 2020 - When the Meds Don’t Reach the Bed August 26, 2020 Molla M, Le K, Mendoza P. When the Meds Don’t Reach the Bed. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed The Case A 69-year-old man with cognitive impairment and marginal housing was admitted for acute exacerbation of chronic obs…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33858/psn-pdf
    May 01, 2018 - In Conversation With… John Halamka, MD, MS May 1, 2018 In Conversation With… John Halamka, MD, MS. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-john-halamka-md-ms Editor's note: Dr. Halamka is the International Healthcare Innovation Professor at Harvard Medical School, Chief Information …
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