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Showing results for "provider".

9621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44493/psn-pdf
      September 19, 2016 - Interventions in health organisations to reduce the impact of adverse events in second and third victims. September 19, 2016 Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Serv Res. 2015;15:341. doi:10.1186/…

9622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848082/psn-pdf
      April 26, 2023 - Adopting high reliability organization principles to lead a large scale clinical transformation. April 26, 2023 Pozzobon LD, Lam J, Chimonides E, et al. Adopting high reliability organization principles to lead a large scale clinical transformation. Healthc Manage Forum. 2023;36(4):241-245. doi:10.1177/08404704231…

9623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60261/psn-pdf
      April 22, 2020 - Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23- 27, 2020. April 22, 2020 Washington DC: Office of the Inspector General; April 3, 2020. Report no. OEI-06-20-00300. https://psnet.ahrq.gov/issue/hospital-experiences-responding-covid-19-pandemic-results-national-…

9624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35251/psn-pdf
      April 06, 2011 - Promoting health care safety through training high reliability teams. April 6, 2011 Wilson KA. Promoting health care safety through training high reliability teams. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010090. https://psnet.ahrq.gov/issue/promoting-health-care-safety-through-trainin…

9625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843321/psn-pdf
      February 01, 2023 - Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. February 1, 2023 ISMP Medication Safety Alert! Acute care edition. January 12, 2023;28(1):1-4. https://psnet.ahrq.gov/issue/latent-and-active-failures-perfectly-align-allow-preventable-adverse-event- reach-patient …

9626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44903/psn-pdf
      September 27, 2016 - What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. September 27, 2016 Allard J, Bleakley A. What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down gov…

9627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/845656/psn-pdf
      March 08, 2023 - Improving clinician well-being and patient safety through human-centered design. March 8, 2023 Benishek LE, Kachalia A, Daugherty Biddison L. Improving clinician well-being and patient safety through human-centered design. JAMA. 2023;329(14):1149-1150. doi:10.1001/jama.2023.2157. https://psnet.ahrq.gov/issue/impro…

9628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38009/psn-pdf
      August 27, 2008 - Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. August 27, 2008 Pukk-Härenstam K, Ask J, Brommels M, et al. Analysis of 23 364 patient-generated, physician-reviewed malpractice claims from a non…

9629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46086/psn-pdf
      August 30, 2017 - Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. August 30, 2017 Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 9781119151678. https://psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second- edition The Cr…

9630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43093/psn-pdf
      August 12, 2014 - Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. August 12, 2014 Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data…

9631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44466/psn-pdf
      September 16, 2015 - Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. September 16, 2015 Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a re…

9632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43715/psn-pdf
      November 26, 2014 - An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. November 26, 2014 Moyer VA, Papile L-A, Eichenwald E, et al. An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study. BMJ Qual Saf. 2014;23(12):e3. https://psnet.ahrq.gov/issue/inter…

9633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44877/psn-pdf
      April 27, 2016 - Actions Needed to Help Ensure Appropriate Medication Continuation and Prescribing Practices. April 27, 2016 Washington, DC: United States Government Accountability Office; January 5, 2016. Publication GAO-16- 158. https://psnet.ahrq.gov/issue/actions-needed-help-ensure-appropriate-medication-continuation-and- pre…

9634. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47975/psn-pdf
      May 29, 2019 - Surgical Innovation, New Techniques and Technologies: A Guide to Good Practice. May 29, 2019 London, UK: Royal College of Surgeons of England; 2019. https://psnet.ahrq.gov/issue/surgical-innovation-new-techniques-and-technologies-guide-good-practice Introducing innovations in practice involves taking calculated ri…

9635. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72602/psn-pdf
      December 23, 2020 - Patient safety in chiropractic teaching programs: a mixed methods study. December 23, 2020 Pohlman KA, Salsbury SA, Funabashi M, et al. Patient safety in chiropractic teaching programs: a mixed methods study. Chiropr Man Therap. 2020;28(1):50. doi:10.1186/s12998-020-00339-0. https://psnet.ahrq.gov/issue/patient-sa…

9636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43175/psn-pdf
      December 12, 2014 - Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. December 12, 2014 Ryan R, Santesso N, Lowe D, et al. Interventions to improve safe and effective medicines use by consumers: an overview of systematic reviews. Cochrane Database Syst Rev. 2014;(4):CD007768. d…

9637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34807/psn-pdf
      January 01, 2019 - The Quality in Australian Health Care Study. November 18, 2015 Wilson RML, Runciman WB, Gibberd RW, et al. The Quality in Australian Health Care Study. Med J Aust. 2019;163(9):458-471. doi:10.5694/j.1326-5377.1995.tb124691.x. https://psnet.ahrq.gov/issue/quality-australian-health-care-study In order to estimate pa…

9638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844774/psn-pdf
      September 11, 2019 - Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. September 11, 2019 Lightner NJ, Kalra J, eds. Cham, Switzerland: Springer Nature; 2019. ISBN: 9783030204501. https://psnet.ahrq.gov/issue/advances-human-factors-and-ergonomics-healthcare-and-medical-devices Human-centered processes, techno…

9639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43423/psn-pdf
      August 12, 2014 - Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. August 12, 2014 Jones A, Kelly D. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. BMJ Qual Saf. 2014;23(9):709-13. doi:10.1136/bmjqs-2013-002718. https://psnet.a…

9640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45845/psn-pdf
      December 19, 2017 - You can't blame the wreck on the train. December 19, 2017 Potts JR. You can't blame the wreck on the train. Am J Surg. 2017;214(5):974-978. doi:10.1016/j.amjsurg.2016.11.046. https://psnet.ahrq.gov/issue/you-cant-blame-wreck-train Insufficient supervision can limit resident education, which may increase risks to p…