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Showing results for "authors".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846708/psn-pdf
     March 29, 2023 - The authors identified marked heterogeneity in the use of established curriculum development best practices … The authors identify challenges that could be addressed to improve future educational interventions.

242. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61058/psn-pdf
     October 28, 2020 - In this systematic review, the authors summarize the five “hallmarks” of high reliability organizations … The authors also discuss generalizable interventions that can guide systems towards high reliability

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60724/psn-pdf
     July 29, 2020 - issue/safety-health-care-ethnic-minority-patients-systematic-review In this systematic review, the authors … The authors identified several factors contributing to the increased risk, including language proficiency

244. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60032/psn-pdf
     March 11, 2020 - /issue/medical-teamwork-and-evolution-safety-science-critical-review In this narrative review, the authors … The authors encourage moving past a ‘reductionist’ (reducible through information) approach to teamwork

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36804/psn-pdf
     August 26, 2011 - https://psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients The authors … Based on the findings, the authors developed a series of triggers that would prompt a direct communication … In addition, the authors advocate for greater use of structured protocols to address handoffs and transfers

246. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34707/psn-pdf
     September 29, 2017 - psnet.ahrq.gov/issue/national-patient-safety-foundation-agenda-research-and-development-patient- safety The authors … The authors emphasize the need to address issues along the continuum of patient safety, including epidemiology … The authors conclude that the ultimate test will be to determine whether NPSF programs have an impact

247. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-389
     April 26, 2023 - The authors of this article present a socioecological model for understanding the individual, interpersonal … The authors outline several recommendations for improving care, including workforce diversification, … The authors found the classes of medication related problems are similar to studies from a decade ago … Authors surmised that HCSWs may not be a substitute for RNs. … Authors surmised that HCSWs may not be a substitute for RNs.

248. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/866984
     January 01, 2020 - In this narrative review, the authors contrast approaches to teamwork in healthcare with current concepts … The authors encourage moving past a ‘reductionist’ (reducible through information) approach to teamwork … The authors conclude that the safety practices did not differ... … The authors review a series of interventions designed through the multidisciplinary efforts of nursing … The authors conclude that the safety practices did not differ...

249. Sharing Lessons Learned with CDS Connect Template (pdf file)
     cds.ahrq.gov/sites/default/files/Sharing_Lessons_Learned_With_CDSConnect_TEMPLATE.pdf
     August 01, 2020 - TOPICAL SERIES 1 508 Guidance: Quick Tips for Authors … 508 Guidance: Quick Tips for Authors … – Clinicians, vendors, authors, patients, quality improvement analysts, etc.

250. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-280
     February 10, 2021 - Based on a review of the literature, the authors conclude that the strain placed on provider resources … The authors discuss implicit bias at the individual, organizational, educational, and research levels … In this evaluation of 194 cardiac catheterization procedures at a single hospital, the authors found … The authors propose several actions such as the use of a ‘sterile cockpit’ to reduce distractions and … Based on multistate data, the authors conclude that there is a disconnect between penalties levied by

251. The effects of a computer-assisted reminder system on patient compliance with recommended health maintenance procedures | 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-computer-assisted
     January 01, 1995 - computer-assisted reminder system on patient compliance with recommended health maintenance procedures Authors … Description:  The computer-assisted reminder system was designed by two of the authors, and it was implemented … Quality of Care and Patient Safety Outcome:  In the 22 months following implementation the authors documented

252. A usability evaluation of four commercial dental computer-based patient record systems | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/usability/usability-evaluation-four-commercial
     The authors conducted formal usability tests of four dental CPR systems by using a purposive sample of … The authors measured task outcomes in each CPR system while the participants performed nine clinical … The authors identified 286 usability problems.

253. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34703/psn-pdf
     December 24, 2008 - https://psnet.ahrq.gov/issue/alternative-strategy-studying-adverse-events-medical-care The authors report … The authors suggest that their result, much higher than prior estimates, is more accurate than previous … The authors emphasize that 25% of detected errors had “interactive” or “administrative” causes, rather

254. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34680/psn-pdf
     February 09, 2011 - psnet.ahrq.gov/issue/estimating-hospital-deaths-due-medical-errors-preventability-eye-reviewer The authors … The authors retrospectively reviewed medical records of in-hospital deaths. … In their analysis, the authors report that clinicians estimated that only 0.5% of patients who died

255. Will electronic order entry reduce health care costs? | 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/will-electronic-order-entry
     April 01, 2002 - Authors:  Birkmeyer CM, Lee J, Bates DW, Birkmeyer JD Journal:  Eff Clin Pract Publication Date:  2002 … Implementation:  The authors report the following estimates (presumably in 2001 dollars, not otherwise … associated with electronic order entry implementation: Changes in healthcare costs:  Potential savings: The authors … By synthesizing the existing literature and incorporating judgments from experts in the field, the authors

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/856587/psn-pdf
     January 01, 2024 - experts identify non-technical skills that leaders require in a safety culture environment which the authors … The authors developed the Safety Leadership Assessment Matrix (SLAM) to assess these non-technical skills

257. Systematic review of scope and quality of electronic patient record data in primary care | 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/systematic-review-scope-and
     May 17, 2021 - Systematic review of scope and quality of electronic patient record data in primary care Authors … Clinical Outcomes:  The authors report that 48 publications concerned diagnostic data, 37 studies measured

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74758/psn-pdf
     February 09, 2022 - Based on radiology-related events identified in a hospital incident reporting system, the authors identified … The authors also proposed several improvement strategies, including communication training and improvement

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72778/psn-pdf
     February 24, 2021 - In this evaluation of 194 cardiac catheterization procedures at a single hospital, the authors found … The authors propose several actions such as the use of a ‘sterile cockpit’ to reduce distractions and

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34807/psn-pdf
     January 01, 2019 - quality-australian-health-care-study In order to estimate patient injury and its direct consequences, the authors … The authors extrapolate their findings to draw estimations for all of Australia, and they conclude that