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Showing results for "authors".

201. Risk management: extreme honesty may be the best policy. | PSNet
     psnet.ahrq.gov/issue/risk-management-extreme-honesty-may-be-best-policy
     January 04, 2017 - View more articles from the same authors. … The authors discuss principles of such a policy, including early injury review, maintenance of the hospital-patient … The authors examine the complexity of embracing this proposed strategy while weighing the factors that

202. What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. | PSNet
     psnet.ahrq.gov/issue/what-can-hospitalized-patients-tell-us-about-adverse-events-learning-patient-reported
     June 29, 2011 - View more articles from the same authors. … The authors enrolled 228 patients hospitalized on an inpatient medical service and discovered that 8% … The authors conclude that engaging patients in the identification of medical errors may offer an additional

203. Reconciling medications at admission: safe practice recommendations and implementation strategies. | PSNet
     psnet.ahrq.gov/issue/reconciling-medications-admission-safe-practice-recommendations-and-implementation-strategies
     January 02, 2017 - View more articles from the same authors. … The authors provide a summary of their safe practice recommendations and share their reconciliation form … Overall, the authors provide a practical, step-by-step experiential guide for institutions and individuals

204. The wrong patient. | PSNet
     psnet.ahrq.gov/issue/wrong-patient
     December 23, 2008 - View more articles from the same authors. … While reviewing the details of the case and the institution’s root cause analysis , the authors identify … The authors discuss the role of the individual versus the system, the existing culture contributing to

205. Problem doctors: is there a system-level solution? | PSNet
     psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
     October 31, 2014 - View more articles from the same authors. … The authors provide a background and contextual basis for definitions such as professional competence … The authors conclude with a call to action for organizations best positioned to lead this charge, including

206. Ambiguity and workarounds as contributors to medical error. | PSNet
     psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
     December 23, 2008 - View more articles from the same authors. … The authors contrast characteristics of error-prone organizations with high-performing ones and provide … The authors suggest that health care organizations should not strive to become factories of repetition

207. Epidemiology of medical error. | PSNet
     psnet.ahrq.gov/issue/epidemiology-medical-error
     March 29, 2012 - View more articles from the same authors. … The authors provide findings from benchmark studies to describe the prevalence and consequences of errors … The authors illustrate the number of preventable adverse events and those resulting in permanent disability

208. What causes prescribing errors in children? Scoping review. | PSNet
     psnet.ahrq.gov/issue/what-causes-prescribing-errors-children-scoping-review
     September 09, 2015 - View more articles from the same authors. … The authors suggest that further research is needed to better understand how these factors are tied to … 14, 2020 How to prevent or reduce prescribing errors: an evidence brief for policy authors

209. Byrne JM et al. 2009 "Initial experience with patient-clinician secure messaging at a VA medical center." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/byrne-jm-et
     January 01, 2023 - [Link] Abstract "The authors implemented what is possibly the first secure messaging system in … To address known concerns of clinicians, the authors analyzed secure messaging use and performed a content … In addition, the authors believe that clinicians experienced clinical adoption inertia resulting from … The authors learned that to promote clinician adoption they must demonstrate workload benefits from secure

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34721/psn-pdf
     November 19, 2015 - preventing-medical-injury Reviewing cases of medical error in the Harvard Medical Practice Study, the authors … The authors found that 78% of fatal errors were preventable. … The authors conclude by proposing areas to target to reduce iatrogenic injury.

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34725/psn-pdf
     April 07, 2011 - The authors emphasize that neither the patient’s role in preventing errors nor the impact of these errors … The authors outline the patient’s role in increasing diagnostic accuracy, determining appropriate treatment … In addition, the authors explain that psychological injury from medical errors must be acknowledged

212. Urinary Incontinence Table of Contents: Launch Toolkit (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/wi-intuit-launch-toolkit-contents.pdf
     February 23, 2024 - The authors are solely responsible for this document’s contents, findings, and conclusions, which do … None of the authors has any affiliation or financial involvement that conflicts with the material presented … The authors are solely responsible for this document’s contents, findings, and conclusions, which do … None of the authors has any affiliation or financial involvement that conflicts with the material presented … The authors are solely responsible for this document’s contents, findings, and conclusions, which do

213. Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effects-computerized-clinical
     March 09, 2005 - decision support systems on practitioner performance and patient outcomes: a systematic review Authors … Developers of the software were study authors in 72% of trials. 76 took place in academic centers. 33% … Quality of Care and Patient Safety Outcome:  The authors described their results in the following categories … Among study factors associated with success, the authors reported that studies in which users were automatically

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34648/psn-pdf
     April 21, 2015 - The authors expand on the definition by explaining how complicated health systems produce multiple gaps … The authors use two cases, which received significant media notoriety, to demonstrate how these gaps … As an alternative to the usual focus on systems improvements for patient safety, the authors advocate

215. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33936/psn-pdf
     May 27, 2011 - The authors provide an introduction to CPOE development before presenting a detailed account of its … The authors also present challenges in estimating costs associated with design, use, and support for … Finally, the authors recommend considering a series of issues, which they enumerate, before organizations

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34638/psn-pdf
     December 23, 2008 - The authors explore different models of accountability and compare three to illustrate how these fit … These include professional, economic, and political models, which, the authors argue, fail to serve an … The authors comment on the challenges with existing models of accountability and provide a detailed

217. Risks for jaw osteonecrosis drastically increases after 2 years of bisphosphonate therapy | Practice-Based Research Networks | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/tools-and-resources/pbrn-literature/risks-jaw-osteonecrosis-drastically-increases-after-2-years
     January 09, 2022 - term=23253854 Authors:  Akintoye,S.O. Hersh,E.V. … CONCLUSIONS: The authors concluded that ONJ is causally linked to both intravenous and oral bisphosphonate … The authors also concluded that oral suppuration and dental extractions are independent ONJ risk factors

218. Medical groups' adoption of electronic health records and information systems. Practices are encountering greater-than-expected barriers to adopting an EHR system, but the adoption rate continues to rise | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medical-groups-adoption
     August 16, 2021 - greater-than-expected barriers to adopting an EHR system, but the adoption rate continues to rise Authors … would translate to a 10% reduction in take-home pay each year for most primary care physicians per the authors … would translate to a 10% reduction in take-home pay each year for most primary care physicians per the authors

219. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50909/psn-pdf
     February 19, 2020 - https://psnet.ahrq.gov/issue/time-take-hearing-loss-seriously The authors of this narrative review propose … The authors suggest that hearing loss be a priority item on safety agendas put forward by organizations

220. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35251/psn-pdf
     April 06, 2011 - The authors define the features of HROs before exploring the concept of HRTs that are integral to their … Finally, the authors provide mechanisms by which health care teams can achieve high-reliability status … The authors conclude that an ongoing effort to improve safety through an emphasis on teams requires