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Total Results: over 10,000 records

Showing results for "assessed".

2241. The association between patient-reported incidents in hospitals and estimated rates of patient harm. | PSNet
      psnet.ahrq.gov/issue/association-between-patient-reported-incidents-hospitals-and-estimated-rates-patient-harm
      August 13, 2013 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed

2242. Systematic video game training in surgical novices improves performance in virtual reality endoscopic surgical simulators: a prospective randomized study. | PSNet
      psnet.ahrq.gov/issue/systematic-video-game-training-surgical-novices-improves-performance-virtual-reality
      January 18, 2011 - May 4, 2010 Seasoned surgeons assessed in a laparoscopic surgical crisis.

2243. Same system, different outcomes: comparing the transitions from two paper-based systems to the same computerized physician order entry system. | PSNet
      psnet.ahrq.gov/issue/same-system-different-outcomes-comparing-transitions-two-paper-based-systems-same
      June 13, 2011 - Related Resources The effect of hospital electronic health record adoption on nurse-assessed

2244. Patient safety in external beam radiotherapy—guidelines on risk assessment and analysis of adverse error-events and near misses: introducing the ACCIRAD project. | PSNet
      psnet.ahrq.gov/issue/patient-safety-external-beam-radiotherapy-guidelines-risk-assessment-and-analysis-adverse
      March 15, 2017 - March 6, 2005 French national survey of inpatient adverse events prospectively assessed

2245. Perceptions of safety culture vary across the intensive care units of a single institution. | PSNet
      psnet.ahrq.gov/issue/perceptions-safety-culture-vary-across-intensive-care-units-single-institution
      June 27, 2011 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed

2246. Targeted implementation of the Comprehensive Unit-Based Safety Program through an assessment of safety culture to minimize central line-associated bloodstream infections. | PSNet
      psnet.ahrq.gov/issue/targeted-implementation-comprehensive-unit-based-safety-program-through-assessment-safety
      November 20, 2015 - Rescue January 29, 2025 Factors associated with missed nursing care and nurse-assessed

2247. The influence of organizational culture, climate and commitment on speaking up about medical errors. | PSNet
      psnet.ahrq.gov/issue/influence-organizational-culture-climate-and-commitment-speaking-about-medical-errors
      December 31, 2018 - March 29, 2023 Factors associated with missed nursing care and nurse-assessed quality

2248. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. | PSNet
      psnet.ahrq.gov/issue/qualitative-positive-deviance-study-explore-exceptionally-safe-care-medical-wards-older
      March 02, 2016 - nursing homes: variance of six patient safety climate factor scores across nursing homes and wards—assessed

2249. Three missed critical nursing care processes on labor and delivery units during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/three-missed-critical-nursing-care-processes-labor-and-delivery-units-during-covid-19
      October 29, 2017 - April 20, 2022 Factors associated with missed nursing care and nurse-assessed quality

2250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836839/psn-pdf
      March 31, 2022 - Annual Perspective: Psychological Safety of Healthcare Staff March 31, 2022 Kingston MB, Dowell P, Mossburg SE, et al. Annual Perspective: Psychological Safety of Healthcare Staff. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff Introduction The…

2251. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49676/psn-pdf
      February 01, 2013 - Death by PCA February 1, 2013 Hicks RW. Death by PCA. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/death-pca The Case A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …

2252. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865376/psn-pdf
      March 27, 2024 - Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures March 27, 2024 Loseth C. Navigating Chaos: Fatal Iatrogenic Liver Injury in a Patient Admitted for Leg Fractures. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/navigating-chaos-fatal-iatrogenic-liver-injury-patient-admi…

2253. Safeguarding Diagnostic Testing at the Point of Care | PSNet
      psnet.ahrq.gov/web-mm/safeguarding-diagnostic-testing-point-care
      September 30, 2011 - Safeguarding Diagnostic Testing at the Point of Care Citation Text: Kost GJ, Ehrmeyer SS. Safeguarding Diagnostic Testing at the Point of Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: …

2254. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841139/psn-pdf
      December 14, 2022 - Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. December 14, 2022 Bohringer C, Godoy L. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. PSNet [internet]. 2022. https://psnet.ah…

2255. Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
      January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx Spotlight Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy Source and Credits • This presentation is based on the March 2024 AHRQ WebM&M Spotlight Case o See the ful…

2256. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49699/psn-pdf
      February 01, 2014 - Multifactorial Medication Mishap February 1, 2014 Yang A. Multifactorial Medication Mishap. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/multifactorial-medication-mishap Case Objectives Understand the system-based causes of medication errors. Describe a model for a systems approach to error analysis. Id…

2257. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49819/psn-pdf
      February 01, 2018 - Signout Fallout February 1, 2018 Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/signout-fallout Case Objectives Understand the role of communication failures in medical errors and preventable adverse events. Review the evidence in support of handoff improvement pr…

2258. Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. | PSNet
      psnet.ahrq.gov/issue/hospital-board-and-management-practices-are-strongly-related-hospital-performance-clinical
      October 27, 2021 - Study Classic Hospital board and management practices are strongly related to hospital performance on clinical quality metrics. Citation Text: Tsai TC, Jha AK, Gawande AA, et al. Hospital board and management practices are strongly related to hospital performanc…

2259. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33827/psn-pdf
      February 01, 2017 - While the quality of teamwork is not directly assessed in new payment models (although it is undoubtedly … related to many of the outcomes that are assessed), that may well change.

2260. Why patient summaries in electronic health records do not provide the cognitive support necessary for nurses' handoffs on medical and surgical units: insights from interviews and observations. | PSNet
      psnet.ahrq.gov/issue/why-patient-summaries-electronic-health-records-do-not-provide-cognitive-support-necessary
      January 18, 2013 - January 18, 2013 The effect of hospital electronic health record adoption on nurse-assessed