-
psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
February 18, 2015 - incident reports revealed common types of errors in cardiopulmonary resuscitation and identified areas … Errors were categorized into seven areas: alerting the resuscitation team, human performance, equipment
-
psnet.ahrq.gov/issue/improving-quality-and-safety-care-medical-ward-review-and-synthesis-evidence-base
November 03, 2015 - safety efforts on general hospital wards found that most interventions encompass one or more of five areas … The authors advocate for increasing the evidence base in all of these areas, as gaps in implementation
-
psnet.ahrq.gov/issue/ahrq-nursing-home-survey-patient-safety-culture-2016-user-comparative-database-report
June 08, 2016 - The report highlights two areas of safety culture in which nursing homes appear to do well: overall … Areas identified as needing improvement across most nursing homes included staffing issues and ensuring
-
psnet.ahrq.gov/issue/medical-errors-involving-trainees-study-closed-malpractice-claims-5-insurers
July 10, 2008 - call for continued research into trainee errors and targeted training interventions to address current areas … editorial discusses a dramatically new model for inpatient care that would begin to address the problem areas
-
psnet.ahrq.gov/node/836811/psn-pdf
April 07, 2022 - Electronic health record (EHR) documentation of patient watcher status, which can be viewed across
all areas … all other medical-surgical
units, as well as hematology-oncology and intermediate care unit (IMU) areas
-
psnet.ahrq.gov/issue/eliminating-serious-preventable-and-costly-medical-errors-never-events
May 26, 2021 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
-
psnet.ahrq.gov/node/45598/psn-pdf
November 23, 2016 - The report highlights two areas of safety culture in which nursing homes appear to do well: overall … Areas identified as
needing improvement across most nursing homes included staffing issues and ensuring
-
psnet.ahrq.gov/node/43132/psn-pdf
April 23, 2014 - comparative data for various hospital characteristics (type and size) and respondent
characteristics (work areas … Areas of strength included teamwork
, leadership, and continuous improvement, all of which have been
-
psnet.ahrq.gov/perspective/covid-19-and-built-environment
June 30, 2021 - Areas of Risk within the Healthcare Built Environment Due to COVID 19
Emergency Departments
Throughout … AJ: In the hospital, I think the other areas that are hugely impacted are the patient care units. … One big change that is happening is the role of the waiting areas in these clinics and outpatient areas … But there's naturally some overlap in these areas, and when something like COVID-19 occurs, errors do … What does that look like in rural areas?
-
psnet.ahrq.gov/issue/health-and-social-care-associated-harm-amongst-vulnerable-children-primary-care-mixed-methods
October 12, 2016 - primary care-related incidents among vulnerable children and used thematic analysis to identify priority areas … The authors identified system priority action areas to mitigate harm among vulnerable children, including
-
psnet.ahrq.gov/node/37290/psn-pdf
February 15, 2011 - for continued research into trainee errors and targeted
training interventions to address current areas … editorial discusses a
dramatically new model for inpatient care that would begin to address the problem areas
-
psnet.ahrq.gov/node/35572/psn-pdf
February 03, 2011 - Findings demonstrated only modest
improvements in certain areas with variability noted in others. … For instance, surgical areas and medication
processes seemed to embrace the greatest level of patient
-
psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
October 04, 2011 - Findings demonstrated only modest improvements in certain areas with variability noted in others. … For instance, surgical areas and medication processes seemed to embrace the greatest level of patient
-
psnet.ahrq.gov/node/33780/psn-pdf
July 01, 2015 - Efforts to do so have generally focused on two main areas: incorporating formal training in
patient … Leape
Institute at the National Patient Safety Foundation emphasized the importance of both of these areas … There were significant advances in these areas in 2014, as well as the publication of new evidence
evaluating … issue/clinical-learning-environment-review-cler-program
evaluate teaching institutions in six focus areas … The literature is offering some early themes
and areas for teaching programs to focus on in the coming
-
psnet.ahrq.gov/issue/addressing-postdischarge-adverse-events-neglected-area
November 13, 2024 - Review
Addressing postdischarge adverse events: a neglected area.
Citation Text:
Tsilimingras D. Addressing postdischarge adverse events: a neglected area. Jt Comm J Qual Patient Saf. 2008;34(2):85-97.
Copy Citation
Format:
Google Scholar PubMed BibTeX EndNote X3 XML EndNot…
-
psnet.ahrq.gov/issue/leape-ahead-award
September 29, 2017 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
-
psnet.ahrq.gov/node/33864/psn-pdf
January 01, 2019 - What modalities
comprise health care simulation and in what areas can these modalities help improve … These areas include counseling or
conducting difficult conversations, such as end-of-life discussions … Most of the valid studies
were in the areas of airway management, endoscopic procedures, central venous … catheter insertions, and
obstetrics—all high-risk areas. … In studying high-risk areas of the operating room, intensive
care unit, emergency department, and the
-
psnet.ahrq.gov/issue/sentinel-event-alert
May 30, 2012 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
-
psnet.ahrq.gov/issue/eliminating-racial-and-ethnic-disparities-causing-mortality-and-morbidity-pregnant-and
December 23, 2016 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas
-
psnet.ahrq.gov/issue/losing-laura
June 06, 2018 - Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas … Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas