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Total Results: 7,419 records

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3261. Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet
      psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
      May 04, 2022 - Study Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. Citation Text: Riblet N, Shiner B, Watts B, et al. Death by Suicide Within 1 Week of Hospital Discharge: A Retrospective Study of Root Cause Analysis Reports. J Nerv Ment Dis…

3262. Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. | PSNet
      psnet.ahrq.gov/issue/soft-factors-smooth-transport-role-safety-climate-and-team-processes-reducing-adverse-events
      September 27, 2016 - Commentary Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. Citation Text: Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and…

3263. Utilising improvement science methods to optimise medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
      July 24, 2017 - Study Utilising improvement science methods to optimise medication reconciliation. Citation Text: White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. Co…

3264. Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. | PSNet
      psnet.ahrq.gov/issue/suicide-incident-severe-patient-harm-retrospective-cohort-study-investigations-after-suicide
      November 02, 2022 - Study Suicide as an incident of severe patient harm: a retrospective cohort study of investigations after suicide in Swedish healthcare in a 13-year perspective. Citation Text: Fröding E, Gäre BA, Westrin Å, et al. Suicide as an incident of severe patient harm: a retrospective cohort stu…

3265. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. | PSNet
      psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
      January 31, 2024 - Study Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. Citation Text: McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports a…

3266. Association of primary care clinic appointment time with opioid prescribing. | PSNet
      psnet.ahrq.gov/issue/association-primary-care-clinic-appointment-time-opioid-prescribing
      September 01, 2021 - Study Association of primary care clinic appointment time with opioid prescribing. Citation Text: Neprash HT, Barnett ML. Association of Primary Care Clinic Appointment Time With Opioid Prescribing. JAMA Netw Open. 2019;2(8):e1910373. doi:10.1001/jamanetworkopen.2019.10373. Copy Citati…

3267. Identification of Patients with Low Life Expectancy | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/identification-patients-low-life-expectancy
      January 01, 2023 - Identification of Patients with Low Life Expectancy Project Final Report ( PDF , 445.1 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. No…

3268. Changes in medical errors after implementation of a handoff program. | PSNet
      psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
      April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…

3269. Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. | PSNet
      psnet.ahrq.gov/issue/using-health-care-failure-mode-and-effect-analysis-va-national-center-patient-safetys
      January 17, 2012 - Study Classic Using Health Care Failure Mode and Effect Analysis: the VA National Center for Patient Safety's prospective risk analysis system. Citation Text: DeRosier JM, Stalhandske E, Bagian JP, et al. Using health care Failure Mode and Effect Analysis: the V…

3270. Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. | PSNet
      psnet.ahrq.gov/issue/creating-psychological-safety-interprofessional-simulation-health-professional-learners
      June 22, 2022 - Review Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. Citation Text: Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health professional le…

3271. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. | PSNet
      psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
      October 26, 2010 - Study Classic Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Citation Text: Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. An…

3272. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet
      psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
      October 12, 2016 - Study Nature of blame in patient safety incident reports: mixed methods analysis of a national database. Citation Text: Cooper J, Edwards A, Williams H, et al. Nature of Blame in Patient Safety Incident Reports: Mixed Methods Analysis of a National Database. Ann Fam Med. 2017;15(5):455-4…

3273. Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. | PSNet
      psnet.ahrq.gov/issue/helping-healthcare-teams-debrief-effectively-associations-debriefers-actions-and-participants
      February 02, 2022 - Study Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. Citation Text: Kolbe M, Grande B, Lehmann-Willenbrock N, et al. Helping healthcare teams to debrief effectively: associations of debriefers’ a…

3274. Hospital | Digital Healthcare Research
      digital.ahrq.gov/care-setting/hospital
      January 01, 2023 - Hospital Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children Description This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-time access …

3275. Exploring situational awareness in diagnostic errors in primary care. | PSNet
      psnet.ahrq.gov/issue/exploring-situational-awareness-diagnostic-errors-primary-care
      September 20, 2011 - Study Exploring situational awareness in diagnostic errors in primary care. Citation Text: Singh H, Giardina TD, Petersen LA, et al. Exploring situational awareness in diagnostic errors in primary care. BMJ Qual Saf. 2011;21(1):30-38. doi:10.1136/bmjqs-2011-000310. Copy Citation Fo…

3276. An analysis of incident reports related to electronic medication management: how they change over time. | PSNet
      psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
      March 10, 2021 - Study An analysis of incident reports related to electronic medication management: how they change over time. Citation Text: Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…

3277. Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. | PSNet
      psnet.ahrq.gov/issue/characterization-adverse-events-detected-large-health-care-delivery-system-using-enhanced
      May 25, 2013 - Study Characterization of adverse events detected in a large health care delivery system using an enhanced Global Trigger Tool over a five-year interval. Citation Text: Kennerly DA, Kudyakov R, da Graca B, et al. Characterization of adverse events detected in a large health care delivery…

3278. Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions Between Care Settings - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-health-care-quality-primary-care-va/annual-summary/2012
      January 01, 2012 - Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions Between Care Settings - 2012 Project Name Using Health Information Technology to Improve Health Care Quality in Primary Care Practices and in Transitions between Care Settings Prin…

3279. Enhancing Complex Care Through an Integrated Care Coordination Information System - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2012
      January 01, 2012 - Enhancing Complex Care Through an Integrated Care Coordination Information System - 2012 Project Name Enhancing Complex Care through an Integrated Care Coordination Information System Principal Investigator Dorr, David Organization Oregon Health and Science University …

3280. Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Records - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-quality-pediatric-emergency-care-using-electronic-medical-records/annual-summary/2011
      January 01, 2011 - Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Records - 2011 Project Name Improving the Quality of Pediatric Emergency Care Using an Electronic Medical Record Registry and Clinician Feedback Principal Investigator Alpern, Elizabeth Organization …