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psnet.ahrq.gov/issue/surgical-ward-round-quality-and-impact-variable-patient-outcomes
June 17, 2015 - Study
Surgical ward round quality and impact on variable patient outcomes.
Citation Text:
Pucher PH, Aggarwal R, Darzi A. Surgical ward round quality and impact on variable patient outcomes. Ann Surg. 2014;259(2):222-6. doi:10.1097/SLA.0000000000000376.
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psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
November 18, 2015 - Book/Report
Impact of the Care Quality Commission on Provider Performance: Room for Improvement?
Citation Text:
Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…
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psnet.ahrq.gov/issue/workplace-empowerment-and-magnet-hospital-characteristics-predictors-patient-safety-climate
July 21, 2010 - Study
Workplace empowerment and magnet hospital characteristics as predictors of patient safety climate.
Citation Text:
Armstrong K, Laschinger H, Wong C. Workplace empowerment and magnet hospital characteristics as predictors of patient safety climate. J Nurs Care Qua. 2009;24(1):55-62.…
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psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2007
April 24, 2007 - Book/Report
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2007.
Citation Text:
Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2007. Oakbrook Terrace, IL: Joint Commission; 2007.
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psnet.ahrq.gov/issue/multifaceted-program-improving-quality-care-intensive-care-units-iatroref-study
April 12, 2011 - Study
A multifaceted program for improving quality of care in intensive care units: IATROREF study.
Citation Text:
Garrouste-Orgeas M, Soufir L, Tabah A, et al. A multifaceted program for improving quality of care in intensive care units: IATROREF study. Crit Care Med. 2012;40(2):468-7…
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psnet.ahrq.gov/issue/nursing-2006-patient-safety-survey-report
March 01, 2023 - Study
Nursing 2006 Patient-safety survey report.
Citation Text:
Manno M, Hogan P, Heberlein V, et al. Nursing 2006. Patient-safety survey report. Nursing (Brux). 2006;36(5):54-64.
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psnet.ahrq.gov/issue/care-transitions-outpatient-surgery-preoperative-process-facilitators-and-obstacles
December 31, 2014 - Study
Care transitions in the outpatient surgery preoperative process: facilitators and obstacles to information flow and their consequences.
Citation Text:
Schultz K, Carayon P, Hundt AS, et al. Care transitions in the outpatient surgery preoperative process: facilitators and obstacl…
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psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - States.( 14 ) Various state-based agencies, the Healthcare Facilities Accreditation Program, and other organizations
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psnet.ahrq.gov/node/49802/psn-pdf
August 01, 2017 - Geneva, Switzerland: World Health
Organization; 2009.
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psnet.ahrq.gov/node/73398/psn-pdf
June 30, 2021 - WHO [World
Health Organization] and CDC [Centers for Disease Control and Prevention] documents had mentioned … AJ: Overall, I think healthcare organizations need motivation to start thinking about that because if
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psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
February 01, 2006 - From the standpoint of the organization, though, you must look at this erring nurse, pharmacist, physician … The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) now requires that patients
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - to ineffective transitions of patient care, and these root causes often differ from one healthcare organization … Healthcare providers can also attend training on cultural competence and cultural humility through an organization … How Can Organizations, Communities, and Individuals Improve Health.” 2021, Centers for Disease Control
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psnet.ahrq.gov/node/33628/psn-pdf
February 01, 2006 - From
the standpoint of the organization, though, you must look at this erring nurse, pharmacist, physician
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psnet.ahrq.gov/node/865376/psn-pdf
March 27, 2024 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a
Patient Admitted for Leg Fractures
March 27, 2024
Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet
[internet]. 2024.
https://psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admi…
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psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx
Spotlight
Delayed Diagnosis and Treatment of Systemic Lupus
Erythematosus with a Psychiatric Presentation
Source and Credits
• This presentation is based on the March 2024 AHRQ WebM&M
Spotlight Case
o See the full …
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psnet.ahrq.gov/web-mm/postdischarge-follow-phone-call
May 19, 2021 - Hospitals and health care organizations therefore have considerable incentives to improve transitions
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psnet.ahrq.gov/periodic-issue/periodic-issue-293
May 26, 2021 - tool (PE for PS) for healthcare managers to assess patient engagement for patient safety in healthcare organizations … The tool contains four sections: (1) describing the healthcare organization; (2) gathering general information
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psnet.ahrq.gov/periodic-issue/periodic-issue-281
March 15, 2021 - to improve patient safety across four areas: (1) prioritizing critical processes, (2) improving the organization … healthcare leadership should explore when determining the implementation of machine learning in their organizations
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psnet.ahrq.gov/periodic-issue/periodic-issue-286
April 28, 2021 - Even though all study participants agreed that organizations should offer support programs to second … victims themselves in order to identify barriers and facilitators, such as safety culture, to the use of organization
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psnet.ahrq.gov/periodic-issue/periodic-issue-403
August 30, 2023 - This guideline provides recommendations centered on elements of communication, the organization, the … Unnoticed drug diversion can result in harm to patients, clinicians, and organizations.