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An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections. | PSNet

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February 22, 2023 - Review An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections. Citation Text: Backman C, Zoutman DE, Marck PB. An integrative review of the current evidence on the relationship between h…

Low on the Totem Pole | PSNet

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October 01, 2003 - SPOTLIGHT CASE Low on the Totem Pole Citation Text: Wachter R. Low on the Totem Pole. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

Improving Patient Safety and Team Communication through Daily Huddles | PSNet

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December 15, 2024 - medications that could increase their risk of falls or bleeding, patients with indwelling central venous or urinary … catheters, or patients with similar names.

Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. | PSNet

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September 02, 2020 - Study Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Citation Text: Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf. 2009;35(10):519-25. Copy Citation …

Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level. | PSNet

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May 19, 2021 - Review Scoping review of patients' attitudes about their role and behaviours to ensure safe care at the direct care level. Citation Text: Duhn L, Godfrey C, Medves J. Scoping review of patients’ attitudes about their role and behaviours to ensure safe care at the direct care level. Healt…

Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. | PSNet

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August 12, 2020 - Study Deficiencies in provider-reported interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department. Citation Text: Gutman CK, Klein EJ, Follmer K, et al. Deficiencies in provider-reported interpreter use in a clinical trial compa…

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? | PSNet

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June 08, 2022 - Commentary Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? Citation Text: Mandel KE, Cady SH. Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice? BMJ Qual Saf. 2022;31(12):860-866. d…

Interventions targeted at reducing diagnostic error: systematic review. | PSNet

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March 10, 2021 - Review Interventions targeted at reducing diagnostic error: systematic review. Citation Text: 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. Copy Citation Forma…

Remote patient monitoring during COVID-19: an unexpected patient safety benefit. | PSNet

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July 20, 2022 - Commentary Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Citation Text: Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. Copy C…

US poison control center calls for infants 6 months of age and younger. | PSNet

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November 16, 2022 - Study US poison control center calls for infants 6 months of age and younger. Citation Text: Kang M, Brooks DE. US Poison Control Center Calls for Infants 6 Months of Age and Younger. Pediatrics. 2016;137(2):e20151865. doi:10.1542/peds.2015-1865. Copy Citation Format: DOI G…

Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. | PSNet

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August 18, 2021 - Study Using the Targeted Solutions Tool to improve hand hygiene compliance is associated with decreased health care–associated infections. Citation Text: Shabot M, Chassin MR, France A-C, et al. Using the Targeted Solutions Tool® to Improve Hand Hygiene Compliance Is Associated with Decr…

Checking the lists: a systematic review of electronic checklist use in health care. | PSNet

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August 08, 2018 - Review Checking the lists: a systematic review of electronic checklist use in health care. Citation Text: Kramer HS, Drews FA. Checking the lists: A systematic review of electronic checklist use in health care. J Biomed Inform. 2017;71S:S6-S12. doi:10.1016/j.jbi.2016.09.006. Copy Citat…

What words convey: the potential for patient narratives to inform quality improvement. | PSNet

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August 19, 2015 - Study What words convey: the potential for patient narratives to inform quality improvement. Citation Text: Grob R, Schlesinger M, Barre LR, et al. What Words Convey: The Potential for Patient Narratives to Inform Quality Improvement. Milbank Q. 2019;97(1):176-227. doi:10.1111/1468-0009.…

Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet

psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs

April 24, 2024 - associated with infections. 25,26 For example, in a study of 28,205 home health care patients with urinary … catheters, the lack of appropriate policies resulted in a 21% higher probability of hospital transfer … Urinary catheter policies in home healthcare agencies and hospital transfers due to urinary tract infection

Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. | PSNet

psnet.ahrq.gov/issue/can-patient-involvement-improve-patient-safety-cluster-randomised-control-trial-patient

December 21, 2016 - Study Classic Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention. Citation Text: Lawton R, O'Hara JK, Sheard L, et al. Can patient involvement improve…

Patient engagement in the inpatient setting: a systematic review. | PSNet

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November 02, 2018 - Review Patient engagement in the inpatient setting: a systematic review. Citation Text: Prey JE, Woollen J, Wilcox L, et al. Patient engagement in the inpatient setting: a systematic review. J Am Med Inform Assoc. 2014;21(4):742-750. doi:10.1136/amiajnl-2013-002141. Copy Citation F…

Targeted versus universal decolonization to prevent ICU infection. | PSNet

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November 16, 2022 - Study Classic Targeted versus universal decolonization to prevent ICU infection. Citation Text: Huang SS, Septimus E, Kleinman K, et al. Targeted versus universal decolonization to prevent ICU infection. N Engl J Med. 2013;368(24):2255-2265. doi:10.1056/nejmoa12…

Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. | PSNet

psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality

May 04, 2022 - Study Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. Citation Text: Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improve…

Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic. | PSNet

psnet.ahrq.gov/issue/finding-right-balance-evidence-informed-guidance-document-support-re-opening-canadian-nursing

November 18, 2020 - Commentary Finding the right balance: an evidence-informed guidance document to support the re-opening of Canadian nursing homes to family caregivers and visitors during the coronavirus disease 2019 pandemic. Citation Text: Stall NM, Johnstone J, McGeer AJ, et al. Finding the right balan…

Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study. | PSNet

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January 18, 2023 - Study Reducing failure to rescue rates in a paediatric in-patient setting: a 9-year quality improvement study. Citation Text: McHale S, Marufu TC, Manning JC, et al. Reducing failure to rescue rates in a paediatric in‐patient setting: a 9‐year quality improvement study. Nurs Crit Care. 2…

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