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Showing results for "standards".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41425/psn-pdf
    June 19, 2012 - Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? June 19, 2012 Higginson J, Walters R, Fulop NJ. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? BMJ Qual Saf. 2012;21(7):576-585. doi:10.1136/bmjqs-2011-00060…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42248/psn-pdf
    June 12, 2013 - Measuring handoff quality in labor and delivery: development, validation, and application of the Coordination of Handoff Effectiveness Questionnaire (CHEQ). June 12, 2013 Block M, Ehrenworth JF, Cuce VM, et al. Measuring handoff quality in labor and delivery: development, validation, and application of the Coordi…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39974/psn-pdf
    June 27, 2011 - How are medication errors defined? A systematic literature review of definitions and characteristics. June 27, 2011 Lisby M, Nielsen LP, Brock B, et al. How are medication errors defined? A systematic literature review of definitions and characteristics. International Journal for Quality in Health Care. 2010;22(6).…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45986/psn-pdf
    March 29, 2017 - Pediatric prehospital medication dosing errors: a national survey of paramedics. March 29, 2017 Hoyle JD, Crowe RP, Bentley MA, et al. Pediatric prehospital medication dosing errors: a national survey of paramedics. Prehosp Emerg Care. 2017;21(2):185-191. doi:10.1080/10903127.2016.1227001. https://psnet.ahrq.gov/i…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45981/psn-pdf
    June 21, 2017 - State sepsis mandates—a new era for regulation of hospital quality. June 21, 2017 Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928. https://psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38907/psn-pdf
    January 03, 2017 - Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. January 3, 2017 Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient Saf. 2009;35(9):439-448. https…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43781/psn-pdf
    March 14, 2016 - Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study. March 14, 2016 McLennan SR, Diebold M, Rich LE, et al. Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. Int J Nurs Stud. 2016;54:16-22. doi:10.1016/j.ijnurstu.2014.10.001. https://psne…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38356/psn-pdf
    January 21, 2009 - Oxytocin as a high-alert medication: implications for perinatal patient safety. January 21, 2009 Simpson KR, Knox E. Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7. doi:10.1097/01.NMC.0000343859.62828.ee. https://psnet.ahrq.gov…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45985/psn-pdf
    March 29, 2017 - Building a high-reliability organization: one system's patient safety journey. March 29, 2017 Building a high-reliability organization: one system's patient safety journey. J Healthc Manag. 2017;62. https://psnet.ahrq.gov/issue/building-high-reliability-organization-one-systems-patient-safety-journey High reliabil…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836784/psn-pdf
    March 23, 2022 - Qualitative content analysis: a framework for the substantive review of hospital incident reports. March 23, 2022 Stephens S. Qualitative content analysis: a framework for the substantive review of hospital incident reports. J Healthc Risk Manag. 2022;41(4):17-26. doi:10.1002/jhrm.21498. https://psnet.ahrq.gov/iss…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41388/psn-pdf
    May 30, 2012 - Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. May 30, 2012 Russ S, Hull L, Rout S, et al. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. Ann…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34750/psn-pdf
    May 21, 2019 - The Basics of FMEA. 2nd ed. May 21, 2019 McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773. https://psnet.ahrq.gov/issue/basics-fmea-2nd-edition The authors provide a handbook that serves as the core tool for understanding and implementing the failure mode and effect analy…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42698/psn-pdf
    December 04, 2013 - A structured judgement method to enhance mortality case note review: development and evaluation. December 4, 2013 Hutchinson A, Coster JE, Cooper KL, et al. A structured judgement method to enhance mortality case note review: development and evaluation. BMJ Qual Saf. 2013;22(12). doi:10.1136/bmjqs-2013-001839. htt…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35574/psn-pdf
    June 17, 2010 - What do we know about financial returns on investments in patient safety? A literature review. June 17, 2010 Schmidek JM, Weeks WB. What do we know about financial returns on investments in patient safety? A literature review. Jt Comm J Qual Patient Saf. 2005;31(12):690-699. https://psnet.ahrq.gov/issue/what-do-we…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46221/psn-pdf
    July 02, 2017 - Tools and methods for quality improvement and patient safety in perinatal care. July 2, 2017 Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002. https://psnet.ahrq.gov/issue/tools-and-methods-q…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45557/psn-pdf
    October 27, 2016 - Time-out: the professional and organizational ethics of speaking up in the OR. October 27, 2016 Berlinger N, Dietz E. Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. AMA J Ethics. 2016;18(9):925-32. doi:10.1001/journalofethics.2016.18.9.stas1-1609. https://psnet.ahrq.gov/issue/time-o…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45611/psn-pdf
    May 27, 2025 - Funding Announcement for Projects Targeting the Reduction of Healthcare-Associated Infections. July 7, 2021 Rockville, MD: Agency for Healthcare Research and Quality; July 7 2021. https://psnet.ahrq.gov/issue/funding-announcement-projects-targeting-reduction-healthcare-associated- infections Health care–associate…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47433/psn-pdf
    February 22, 2019 - Impact of nurse peer review on a culture of safety. February 22, 2019 Herrington CR, Hand MW. Impact of Nurse Peer Review on a Culture of Safety. J Nurs Care Qual. 2019;34(2):158-162. doi:10.1097/NCQ.0000000000000361. https://psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety This commentary describes an…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44630/psn-pdf
    February 15, 2017 - Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. February 15, 2017 Rebello E, Kee S, Kowalski A, et al. Reduction of incorrect record accessing and charting patient electronic medical records in the perioperative environment. Health Informati…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47218/psn-pdf
    January 09, 2019 - The accuracy of medical dispatch—a systematic review. January 9, 2019 Bohm K, Kurland L. The accuracy of medical dispatch - a systematic review. Scand J Trauma Resusc Emerg Med. 2018;26(1):94. doi:10.1186/s13049-018-0528-8. https://psnet.ahrq.gov/issue/accuracy-medical-dispatch-systematic-review Medical dispatch i…
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