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Showing results for "standards".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36234/psn-pdf
    October 21, 2010 - Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009. October 21, 2010 World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2009. https://psnet.ahrq.gov/issue/conceptual-framework-international-classification-pat…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43003/psn-pdf
    March 05, 2014 - Learning from every death. March 5, 2014 Huddleston JM, Diedrich DA, Kinsey GC, et al. Learning from every death. J Patient Saf. 2014;10(1):6-12. doi:10.1097/PTS.0000000000000053. https://psnet.ahrq.gov/issue/learning-every-death This commentary describes how design and implementation of an institutional mortality…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41234/psn-pdf
    July 02, 2014 - The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care. July 2, 2014 Wohlauer M, Arora V, Horwitz LI, et al. The patient handoff: a comprehensive curricular blueprint for resident education to improve continuity of care. Acad Med. 2012;87(4):411-8. doi:10.109…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44875/psn-pdf
    March 02, 2016 - "Teach-back" from a patient's perspective. March 2, 2016 Miller S, Lattanzio M, Cohen S. "Teach-back" from a patient's perspective. Nursing (Brux). 2016;46(2):63-4. doi:10.1097/01.NURSE.0000476249.18503.f5. https://psnet.ahrq.gov/issue/teach-back-patients-perspective The teach-back method, having patients repeat i…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33979/psn-pdf
    April 06, 2011 - Using standardised patients in an objective structured clinical examination as a patient safety tool. April 6, 2011 Battles JB, Wilkinson SL, Lee SJ. Using standardised patients in an objective structured clinical examination as a patient safety tool. Qual Saf Health Care. 2004;13 Suppl 1:i46-50. https://psnet.ahr…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42777/psn-pdf
    December 11, 2013 - Risk of medication safety incidents with antibiotic use measured by defined daily doses. December 11, 2013 Hamad A, Cavell G, Wade P, et al. Risk of medication safety incidents with antibiotic use measured by defined daily doses. Int J Clin Pharm. 2013;35(5):772-9. doi:10.1007/s11096-013-9805-9. https://psnet.ahrq…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36560/psn-pdf
    May 27, 2011 - Focus on Computerized Provider Order Entry. May 27, 2011 J Am Med Inform Assoc. 2007 Jan-Feb;14(1):25-75 https://psnet.ahrq.gov/issue/focus-computerized-provider-order-entry This special section on computerized provider order entry (CPOE) contains six articles on topics such as evaluating CPOE systems and interfac…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37977/psn-pdf
    August 13, 2008 - Do HSMRs really measure patient safety?  August 13, 2008 Leatt P; Wen E; Sandoval C; Zelmer J; Webster G; Jarman B; McKinley J; Gibson D; Ardal S; Zahn C; Baker M; MacNaughton J; Flemming C; Bell R; Figler S; Brien SE; Ghali WA; Sheps SB; Penfold RB; Dean S; Flemons W; Moffatt M. https://psnet.ahrq.gov/issue/do-hs…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43185/psn-pdf
    May 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45311/psn-pdf
    May 20, 2019 - The Joint Commission Big Book of Checklists. 2nd Edition. May 20, 2019 Oakbrook Terrance, IL: Joint Commission; 2018. ISBN: 9781635850598. https://psnet.ahrq.gov/issue/joint-commission-big-book-checklists-2nd-edition Checklists are a widely accepted strategy to improve communication and standardize processes to su…

  11. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis
    October 28, 2020 - SPOTLIGHT CASE Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis Citation Text: Kuye I, Rhee C. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49843/psn-pdf
    October 01, 2018 - Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis October 1, 2018 Kuye I, Rhee C. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis Case Objectives Realize the im…

  13. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/73848
    July 01, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Maternal Safety Curated Library Foundations Maternal Safety Marla Shauer, PhD(c), MSN, CNM; Amy Nichols, EdD, RN, CNS, CHSE, ANEF; Audrey Lyndon, RN, PhD, FAAN | January, 31 2024 Pregnancy, childbirth, and the postpartum year present a comp…

  14. The Perils of Cross Coverage | PSNet

    psnet.ahrq.gov/web-mm/perils-cross-coverage
    September 22, 2010 - SPOTLIGHT CASE The Perils of Cross Coverage Citation Text: Farnan JM, Arora V. The Perils of Cross Coverage. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX En…

  15. Safety of the Manchester Triage System to detect critically ill children at the emergency department. | PSNet

    psnet.ahrq.gov/issue/safety-manchester-triage-system-detect-critically-ill-children-emergency-department
    October 18, 2023 - Study Safety of the Manchester Triage System to detect critically ill children at the emergency department. Citation Text: Zachariasse JM, Kuiper JW, de Hoog M, et al. Safety of the Manchester Triage System to Detect Critically Ill Children at the Emergency Department. J Pediatr. 2016;17…

  16. Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. | PSNet

    psnet.ahrq.gov/issue/rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
    December 08, 2021 - Study Rate of sepsis hospitalizations after misdiagnosis in adult emergency department patients: a look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology in an integrated health system. Citation Text: Horberg MA, Nassery …

  17. Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. | PSNet

    psnet.ahrq.gov/issue/antecedent-treat-and-release-diagnoses-prior-sepsis-hospitalization-among-adult-emergency
    May 12, 2021 - Study Antecedent treat-and-release diagnoses prior to sepsis hospitalization among adult emergency department patients: a look-back analysis employing insurance claims data using Symptom-Disease Pair Analysis of Diagnostic Error (SPADE) methodology. Citation Text: Nassery N, Horberg MA, …

  18. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. | PSNet

    psnet.ahrq.gov/issue/feasibility-patient-reported-diagnostic-errors-following-emergency-department-discharge-pilot
    August 19, 2020 - Study Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study. Citation Text: Gleason KT, Peterson SM, Dennison Himmelfarb CR, et al. Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot stud…

  19. Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. | PSNet

    psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
    August 18, 2021 - Study Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs leadership, policymaker, research and stakeholder partnership. Citation Text: Elwy R, Bokhour BG, Maguire EM, et al. Improving healthcare systems' disclosures of large-scale ad…

  20. Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-increased-inpatient-attending-physician-supervision-medical-errors-patient-safety-and
    December 07, 2011 - Study Emerging Classic Effect of increased inpatient attending physician supervision on medical errors, patient safety, and resident education: a randomized clinical trial. Citation Text: Finn KM, Metlay JP, Chang Y, et al. Effect of Increased Inpatient Attendin…
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