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Showing results for "provider".

9401. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45070/psn-pdf
      October 03, 2017 - When There's Harm in the Hospital: Can Transparency Replace "Deny and Defend"? October 3, 2017 National Health Policy Forum. Washington, DC: George Washington University. March 11, 2016. https://psnet.ahrq.gov/issue/when-theres-harm-hospital-can-transparency-replace-deny-and-defend This report provides the insight…

9402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850343/psn-pdf
      December 12, 2023 - Challenge Competition: Impact of Patient Safety Tools. December 12, 2023 Rockville, MD: Agency for Healthcare Research and Quality; 2023. https://psnet.ahrq.gov/issue/challenge-competition-impact-patient-safety-tools The Agency for Healthcare Research and Quality (AHRQ) offers many practical tools and resource…

9403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44014/psn-pdf
      March 20, 2019 - Patient Centered Medical Home Resource Center: Quality and Safety. March 20, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/patient-centered-medical-home-resource-center-quality-and-safety The Patient Centered Medical Home (PCMH) concept reorganizes primary care services to ensure th…

9404. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35286/psn-pdf
      February 24, 2011 - Outpatient prescribing errors and the impact of computerized prescribing. February 24, 2011 Gandhi TK, Weingart SN, Seger AC, et al. Outpatient prescribing errors and the impact of computerized prescribing. J Gen Intern Med. 2005;20(9):837-841. doi:10.1111/j.1525-1497.2005.0194.x. https://psnet.ahrq.gov/issue/outp…

9405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74057/psn-pdf
      November 10, 2021 - Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. November 10, 2021 Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. Patient Educ …

9406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837847/psn-pdf
      August 17, 2022 - Defining and studying errors in surgical care: a systematic review. August 17, 2022 Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. https://psnet.ahrq.gov/issue/defining-and-studying-err…

9407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837747/psn-pdf
      July 27, 2022 - Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. July 27, 2022 Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication No. 22- 0038. https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events Diagno…

9408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73680/psn-pdf
      January 01, 2022 - Interventions targeted at reducing diagnostic error: systematic review. September 8, 2021 Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704. https://psnet.ahrq.gov/issue/interventions-targeted-redu…

9409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43515/psn-pdf
      July 03, 2016 - Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. July 3, 2016 Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical educ…

9410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47324/psn-pdf
      November 07, 2018 - Engaging patients to improve quality of care: a systematic review. November 7, 2018 Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z. https://psnet.ahrq.gov/issue/engaging-patients-improve-quality-ca…

9411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39407/psn-pdf
      March 31, 2010 - What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. March 31, 2010 Parker A, Rubinfeld IS, Azuh O, et al. What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution. Am J Surg. 2010;199(3):…

9412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40205/psn-pdf
      April 14, 2011 - Patient safety in out-of-hours primary care: a review of patient records. April 14, 2011 Smits M, Huibers L, Kerssemeijer B, et al. Patient safety in out-of-hours primary care: a review of patient records. BMC Health Serv Res. 2010;10:335. doi:10.1186/1472-6963-10-335. https://psnet.ahrq.gov/issue/patient-safety-o…

9413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854834/psn-pdf
      January 01, 2024 - Bringing the equity lens to patient safety event reporting. October 25, 2023 Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. https://psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-e…

9414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35809/psn-pdf
      February 25, 2015 - Stories from the sharp end: case studies in safety improvement. February 25, 2015 McCarthy D; Blumenthal D. Milbank Q. 2006;84(1):165-200 https://psnet.ahrq.gov/issue/stories-sharp-end-case-studies-safety-improvement This study shares the efforts of six different health care organizations in implementing intervent…

9415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34731/psn-pdf
      July 08, 2016 - Crossing the Quality Chasm: A New Health System for the 21st Century. July 8, 2016 Committee on Quality of Health Care in America, Institute of Medicine. Washington DC: National Academies Press; 2001. ISBN: 9780309072809. https://psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century Following…

9416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867449/psn-pdf
      March 13, 2025 - Medication Related Harm. March 13, 2025 Medication Related Harm. Health Services Safety Investigations Body. 2024-2025 https://psnet.ahrq.gov/issue/medication-related-harm Omitted or delayed medication therapy can contribute to patient discomfort, stress, and harm. This series of reports, to be developed over 2024…

9417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46927/psn-pdf
      April 04, 2018 - Clinician Well-Being Knowledge Hub. April 4, 2018 Washington, DC: National Academy of Medicine. https://psnet.ahrq.gov/issue/clinician-well-being-knowledge-hub Clinician burnout can detract from individual wellness, patient safety, and organizational health. This website serves as a companion to a collaborative ef…

9418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38938/psn-pdf
      July 26, 2023 - ISMP's List of Confused Drug Names. July 26, 2023 Horsham, PA; Institute for Safe Medication Practices: July 2023. https://psnet.ahrq.gov/issue/ismps-list-confused-drug-names Drawing on information gathered from the ISMP Medication Errors Reporting Program, this fact sheet provides a comprehensive list of commonly…

9419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837038/psn-pdf
      May 04, 2022 - Mind the Implementation Gap. The Persistence of Avoidable Harm in the NHS. May 4, 2022 London UK: Patient Safety Learning: 2022. https://psnet.ahrq.gov/issue/mind-implementation-gap-persistence-avoidable-harm-nhs Unsafe care affects a wide range of individuals and organizations physically, emotionally, and financi…

9420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74048/psn-pdf
      November 10, 2021 - Causes of use errors in ventilation devices--systematic review. November 10, 2021 Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544. https://psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-s…