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Showing results for "objectives".

  1. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. | PSNet

    psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum
    January 03, 2017 - Study Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. Citation Text: Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for…

  2. Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. | PSNet

    psnet.ahrq.gov/issue/integrating-patient-safety-health-professionals-curricula-qualitative-study-medical-nursing
    February 14, 2015 - Study Integrating patient safety into health professionals' curricula: a qualitative study of medical, nursing and pharmacy faculty perspectives. Citation Text: Tregunno D, Ginsburg LR, Clarke B, et al. Integrating patient safety into health professionals' curricula: a qualitative study…

  3. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. | PSNet

    psnet.ahrq.gov/issue/risk-factors-and-outcomes-foreign-body-left-during-procedure-analysis-413-incidents-after
    December 04, 2016 - Study Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after 1,946,831 operations in children. Citation Text: Camp M, Chang DC, Zhang Y, et al. Risk factors and outcomes for foreign body left during a procedure: analysis of 413 incidents after…

  4. Managing the prevention of retained surgical instruments: what is the value of counting? | PSNet

    psnet.ahrq.gov/issue/managing-prevention-retained-surgical-instruments-what-value-counting
    September 25, 2008 - Study Classic Managing the prevention of retained surgical instruments: what is the value of counting? Citation Text: Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. …

  5. Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. | PSNet

    psnet.ahrq.gov/issue/potential-unintended-consequences-due-medicares-no-pay-errors-rule-randomized-controlled
    July 02, 2014 - Study Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents. Citation Text: Mookherjee S, Vidyarthi AR, Ranji SR, et al. Potential Unintended Consequences Due to Medica…

  6. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet

    psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
    September 25, 2011 - Study Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Citation Text: Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…

  7. How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. | PSNet

    psnet.ahrq.gov/issue/how-best-measure-surgical-quality-comparison-agency-healthcare-research-and-quality-patient
    December 21, 2014 - Study How best to measure surgical quality? Comparison of the Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) and the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) postoperative adverse events at a single institution. …

  8. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/self-reported-patient-safety-competence-among-canadian-medical-students-and-postgraduate
    December 04, 2015 - Study Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional survey. Citation Text: Doyle P, VanDenKerkhof E, Edge DS, et al. Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39801/psn-pdf
    December 21, 2014 - Gossypiboma: tales of lost sponges and lessons learned. December 21, 2014 McIntyre LK. Gossypiboma. Archives of Surgery. 2010;145(8). doi:10.1001/archsurg.2010.152. https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned This study describes successful efforts to reduce retained surgical spo…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47299/psn-pdf
    March 20, 2019 - Unintentionally retained guidewires: a descriptive study of 73 sentinel events. March 20, 2019 Steelman VM, Thenuwara K, Shaw C, et al. Unintentionally Retained Guidewires: A Descriptive Study of 73 Sentinel Events. Jt Comm J Qual Saf. 2019;45(2):81-90. doi:10.1016/j.jcjq.2018.08.003. https://psnet.ahrq.gov/issue/…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73396/psn-pdf
    June 16, 2021 - The impact of the built environment on patient falls in hospital rooms: an integrative review. June 16, 2021 Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi:10.1097/pts.0000000000000613. http…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40814/psn-pdf
    September 28, 2011 - Retained surgical items and minimally invasive surgery. September 28, 2011 Gibbs VC. Retained surgical items and minimally invasive surgery. World J Surg. 2011;35(7):1532-9. doi:10.1007/s00268-011-1060-4. https://psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery This commentary discusses …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38985/psn-pdf
    September 30, 2009 - Nurses' role in detecting deterioration in ward patients: systematic literature review. September 30, 2009 Odell M; Victor C; Oliver D. https://psnet.ahrq.gov/issue/nurses-role-detecting-deterioration-ward-patients-systematic-literature-review This systematic review indicates that nurses use their clinical judgmen…

  14. Dependence vs. Pain | PSNet

    psnet.ahrq.gov/web-mm/dependence-vs-pain
    October 30, 2019 - Case Objectives Define opioid dependence and opioid withdrawal syndrome. … PubMedId RIS Download Citation Submit Your Case Sections Case Objectives

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37058/psn-pdf
    September 29, 2011 - Preventable errors in the operating room: retained foreign bodies after surgery--part I. September 29, 2011 Gibbs VC, Coakley FD, Reines D. Preventable errors in the operating room: retained foreign bodies after surgery--Part I. Curr Probl Surg. 2007;44(5):281-337. https://psnet.ahrq.gov/issue/preventable-errors-o…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37436/psn-pdf
    January 01, 2013 - Ventilator-associated pneumonia—the wrong quality measure for benchmarking. February 28, 2011 Klompas M, Platt R. Ventilator-associated pneumonia—the wrong quality measure for benchmarking. Ann Intern Med. 2013;147(11):803-805. doi:10.7326/0003-4819-147-11-200712040-00013. https://psnet.ahrq.gov/issue/ventilator-a…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61070/psn-pdf
    October 28, 2020 - Using radiofrequency technology to prevent retained sponges and improve patient outcomes. October 28, 2020 Primiano M, Sparks D, Murphy J, et al. Using radiofrequency technology to prevent retained sponges and improve patient outcomes. AORN J. 2020;112(4):345-352. doi:10.1002/aorn.13171. https://psnet.ahrq.gov/iss…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41144/psn-pdf
    February 15, 2012 - Implementing AORN recommended practices for prevention of retained surgical items. February 15, 2012 Goldberg JL, Feldman DL. Implementing AORN recommended practices for prevention of retained surgical items. AORN J. 2012;95(2):205-16; quiz 217-9. doi:10.1016/j.aorn.2011.11.010. https://psnet.ahrq.gov/issue/implem…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36604/psn-pdf
    June 04, 2024 - Adverse Health Events in Minnesota: Annual Reports. June 4, 2024 St Paul, MN: Minnesota Department of Health. https://psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report The National Quality Forum has defined 29 never events—patient safety problems that should never occur, such as wrong-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37064/psn-pdf
    October 03, 2011 - Crisis resource management: evaluating outcomes of a multidisciplinary team. October 3, 2011 Jankouskas T, Bush MC, Murray B, et al. Crisis resource management: evaluating outcomes of a multidisciplinary team. Simul Healthc. 2007;2(2):96-101. doi:10.1097/SIH.0b013e31805d8b0d. https://psnet.ahrq.gov/issue/crisis-re…
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