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Showing results for "assessing".

  1. What are the experiences of team members involved in root cause analysis? A qualitative study. | PSNet

    psnet.ahrq.gov/issue/what-are-experiences-team-members-involved-root-cause-analysis-qualitative-study
    August 16, 2023 - Study What are the experiences of team members involved in root cause analysis? A qualitative study. Citation Text: Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi…

  2. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
    March 24, 2021 - Review Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Citation Text: Shah F, Falconer EA, Cimiotti JP. Does root cause analysis improve patient safety? A systematic review at the Department of Veterans Affairs. Qual Manag Healt…

  3. The Veterans Affairs root cause analysis system in action. | PSNet

    psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
    June 22, 2022 - Study Classic The Veterans Affairs root cause analysis system in action. Citation Text: Bagian JP, Gosbee JW, Lee CZ, et al. The Veterans Affairs Root Cause Analysis System in Action. Jt Comm J Qual Improv. 2016;28(10):531-545. doi:10.1016/s1070-3241(02)28057-8.…

  4. Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. | PSNet

    psnet.ahrq.gov/issue/patient-safety-reporting-systems-sustained-quality-improvement-using-multidisciplinary-team
    February 12, 2020 - Study Patient safety reporting systems: sustained quality improvement using a multidisciplinary team and "Good Catch" awards. Citation Text: Herzer KR, Mirrer M, Xie Y, et al. Patient Safety Reporting Systems: Sustained Quality Improvement Using a Multidisciplinary Team and “Good Catch” …

  5. Paediatric family activated rapid response interventions; qualitative systematic review. | PSNet

    psnet.ahrq.gov/issue/paediatric-family-activated-rapid-response-interventions-qualitative-systematic-review
    November 24, 2021 - Review Paediatric family activated rapid response interventions; qualitative systematic review. Citation Text: Cresham Fox S, Taylor N, Marufu TC, et al. Paediatric family activated rapid response interventions; qualitative systematic review. Intensive Crit Care Nurs. 2023;2023(75):1033…

  6. A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families. | PSNet

    psnet.ahrq.gov/issue/multi-stakeholder-consensus-driven-research-agenda-better-understanding-and-supporting
    September 01, 2018 - Commentary A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families. Citation Text: Bell SK, Etchegaray J, Gaufberg E, et al. A Multi-Stakeholder Consensus-Driven Research Agenda for Bette…

  7. Effects of the I-PASS nursing handoff bundle on communication quality and workflow. | PSNet

    psnet.ahrq.gov/issue/effects-i-pass-nursing-handoff-bundle-communication-quality-and-workflow
    November 12, 2014 - Study Effects of the I-PASS nursing handoff bundle on communication quality and workflow. Citation Text: Starmer AJ, Schnock KO, Lyons A, et al. Effects of the I-PASS Nursing Handoff Bundle on communication quality and workflow. BMJ Qual Saf. 2017;26(12):949-957. doi:10.1136/bmjqs-2016-0…

  8. Medication discrepancies in resident sign-outs and their potential to harm. | PSNet

    psnet.ahrq.gov/issue/medication-discrepancies-resident-sign-outs-and-their-potential-harm
    March 28, 2011 - Study Medication discrepancies in resident sign-outs and their potential to harm. Citation Text: Arora V, Kao J, Lovinger D, et al. Medication discrepancies in resident sign-outs and their potential to harm. J Gen Intern Med. 2007;22(12):1751-5. Copy Citation Format: Goog…

  9. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. | PSNet

    psnet.ahrq.gov/issue/use-structured-approach-and-virtual-simulation-practice-improve-diagnostic-reasoning
    December 15, 2021 - Study Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Citation Text: Dekhtyar M, Park YS, Kalinyak J, et al. Use of a structured approach and virtual simulation practice to improve diagnostic reasoning. Diagnosis (Berl). 2022;9(1):69-76. doi:…

  10. Narrative review: do state laws make it easier to say "I'm sorry"? | PSNet

    psnet.ahrq.gov/issue/narrative-review-do-state-laws-make-it-easier-say-im-sorry
    June 16, 2010 - Review Narrative review: do state laws make it easier to say "I'm sorry"? Citation Text: McDonnell WM, Guenther E. Narrative review: do state laws make it easier to say "I'm sorry?". Ann Intern Med. 2008;149(11):811-816. Copy Citation Format: Google Scholar PubMed BibTeX En…

  11. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. | PSNet

    psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
    June 22, 2022 - Study A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. Citation Text: Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…

  12. Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. | PSNet

    psnet.ahrq.gov/issue/validation-diagnostic-reminder-system-emergency-medicine-multi-centre-study
    April 14, 2011 - Study Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. Citation Text: Ramnarayan P, Cronje N, Brown R, et al. Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. Emerg Med J. 2007;24(9):619-24. Copy Citation …

  13. What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/what-counts-voiceable-concern-decisions-about-speaking-out-hospitals-qualitative-study
    June 16, 2021 - Study What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. Citation Text: Dixon-Woods M, Aveling EL, Campbell A, et al. What counts as a voiceable concern in decisions about speaking out in hospitals: a qualitative study. J Health Serv Res…

  14. Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. | PSNet

    psnet.ahrq.gov/issue/does-nurse-use-standardized-flowsheet-document-communication-advanced-providers-provide
    June 22, 2022 - Study Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures? A retrospective study of electronic health record data. Citation Text: Gleason KT, Tran A, Fawzy A, et al. Does nurse use of a standar…

  15. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-outcomes-hospital-merger-following-full-integration-safety-net-hospital
    June 22, 2022 - Study Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. Citation Text: Wang E, Arnold S, Jones S, et al. Quality and safety outcomes of a hospital merger following a full integration at a safety net hospital. JAMA Netw Open. 2022;5(1)…

  16. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. | PSNet

    psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
    February 15, 2023 - Study Association of current opioid use with serious adverse events among older adult survivors of breast cancer. Citation Text: Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open.…

  17. Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. | PSNet

    psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
    September 29, 2018 - Study Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. Citation Text: Lane AS, Roberts C. Developing open disclosure strategies to medical error using simulat…

  18. Medication-related emergency department visits in pediatrics: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/medication-related-emergency-department-visits-pediatrics-prospective-observational-study
    October 16, 2013 - Study Medication-related emergency department visits in pediatrics: a prospective observational study. Citation Text: Zed PJ, Black KJL, Fitzpatrick EA, et al. Medication-related emergency department visits in pediatrics: a prospective observational study. Pediatrics. 2015;135(3):435-43.…

  19. Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. | PSNet

    psnet.ahrq.gov/issue/occupational-therapy-utilization-veterans-dementia-retrospective-review-root-cause-analyses
    March 25, 2020 - Study Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. Citation Text: Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review…

  20. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet

    psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
    December 14, 2022 - Study How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. Citation Text: Malterud K, Aamland A, Fosse A. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioner…
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