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Showing results for "responsibility".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837855/psn-pdf
    August 17, 2022 - Patterns of error in interpretive pathology. August 17, 2022 Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. https://psnet.ahrq.gov/issue/patterns-error-interpretive-pathology Studies have shown diagnostic discordanc…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40958/psn-pdf
    January 19, 2012 - Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers? January 19, 2012 Scott J, Dawson P, Jones D. Do older patients' perceptions of safety highlight barriers that could make their care safer during organisational care transfers? BMJ Qual…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866324/psn-pdf
    July 17, 2024 - Total systems safety supports practitioners in partnering with families to protect patients. July 17, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. https://psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients Patient and family concerns can provide…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39922/psn-pdf
    October 13, 2010 - What’s past is prologue: organizational learning from a serious patient injury. October 13, 2010 Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. https://psnet.ahrq.gov/issue/whats-past-prologue-or…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46522/psn-pdf
    October 29, 2017 - Public reporting of surgical outcomes: surgeons, hospitals, or both? October 29, 2017 Jha AK. Public Reporting of Surgical Outcomes: Surgeons, Hospitals, or Both? JAMA. 2017;318(15):1429- 1430. doi:10.1001/jama.2017.13815. https://psnet.ahrq.gov/issue/public-reporting-surgical-outcomes-surgeons-hospitals-or-both …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50934/psn-pdf
    February 26, 2020 - Career impact of the chief resident in quality and safety training program: an alumni evaluation February 26, 2020 Aboumrad M, Carluzzo KL, Lypson ML, et al. Career impact of the chief resident in quality and safety training program: an alumni evaluation. Acad Med. 2020;95(2). doi:10.1097/acm.0000000000002938. htt…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47771/psn-pdf
    April 24, 2019 - The impact of errors on healthcare professionals in the critical care setting. April 24, 2019 Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. https://psnet.ahrq.gov/issue/impact-err…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44555/psn-pdf
    October 07, 2015 - Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. October 7, 2015 Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 2015;10(9):e0137158. doi:10.1371/j…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43971/psn-pdf
    April 25, 2016 - Why empathy may be the best risk management strategy. April 25, 2016 Hertz BT. Why empathy may be the best risk management strategy. Medical economics. 2015;92(3):40-4. https://psnet.ahrq.gov/issue/why-empathy-may-be-best-risk-management-strategy Communication and response strategies have been shown to improve how …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47424/psn-pdf
    November 21, 2018 - Creating a culture of accountability promotes safe medical care. November 21, 2018 Canadian Medical Protective Association; CMPA. https://psnet.ahrq.gov/issue/creating-culture-accountability-promotes-safe-medical-care Frontline leadership should model just culture behaviors to encourage reporting and discussion of…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837348/psn-pdf
    June 08, 2022 - Does malpractice liability make healthcare safer? Aligning law and policy with evidence. June 8, 2022 Saks MJ, Landsman S. Wake Forest J Law Policy. 2022;12:205-257.   https://psnet.ahrq.gov/issue/does-malpractice-liability-make-healthcare-safer-aligning-law-and-policy- evidence The malpractice liability sys…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47029/psn-pdf
    August 15, 2018 - Peer support in anesthesia: turning war stories into wellness. August 15, 2018 Vinson AE, Randel G. Peer support in anesthesia: turning war stories into wellness. Curr Opin Anaesthesiol. 2018;31(3):382-387. doi:10.1097/ACO.0000000000000591. https://psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-w…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46222/psn-pdf
    June 21, 2017 - Enhanced time out: an improved communication process. June 21, 2017 Nelson PE. Enhanced Time Out: An Improved Communication Process. AORN J. 2017;105(6):564-570. doi:10.1016/j.aorn.2017.03.014. https://psnet.ahrq.gov/issue/enhanced-time-out-improved-communication-process The Universal Protocol requires hospitals t…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72773/psn-pdf
    February 24, 2021 - Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. February 24, 2021 Blake JWC, Giuliano KK. Flow accuracy of IV smart pumps outside of patient rooms during COVID-19. AACN Adv Crit Care. 2020;31(4):357-363. doi:10.4037/aacnacc2020241. https://psnet.ahrq.gov/issue/flow-accuracy-iv-smart-pumps…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50710/psn-pdf
    December 04, 2019 - Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 December 4, 2019 de Lima A, Osman BM, Shapiro FE. Safety in office-based anesthesia. Curr Opin Anaesthesiol. 2019;32(6):749-755. doi:10.1097/aco.0000000000000794. https://psnet.ahrq.gov/issue/safety-office-based-anesthesia-upd…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43937/psn-pdf
    May 05, 2018 - Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices. May 5, 2018 ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1-5. https://psnet.ahrq.gov/issue/getting-closer-bulls-eye-2014-2015-targeted-medication-safety-best-practices Benchmarks tracking a wide spectru…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42607/psn-pdf
    January 09, 2014 - Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis. January 9, 2014 Niven DJ, Bastos JF, Stelfox HT. Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and met…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44738/psn-pdf
    May 21, 2016 - The Habits of an Improver. Thinking About Learning for Improvement in Health Care. May 21, 2016 Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676. https://psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care Committed leadership is essential to enhan…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867748/psn-pdf
    March 12, 2025 - Adverse events involving telehealth in the Veterans Health Administration. March 12, 2025 Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002. https://psnet.ahrq.gov/issue/adverse-even…

  20. Learn From Defects | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/defects.html
    March 01, 2017 - Learn From Defects AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Purpose: To identify the types of systems that contributed to the defect (an event or situation that you do not want to happen again) and to plan the followup steps needed to improve safety Who should use this tool? Senior l…
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