-
psnet.ahrq.gov/node/33931/psn-pdf
June 23, 2015 - The authors describe characteristics from more than 1000
incidents collected and offer strategies to … The
authors conclude that it may be beneficial to classify specific incidents by a preventive strategy
-
psnet.ahrq.gov/node/35312/psn-pdf
January 02, 2017 - The authors discuss the severity of
errors captured and their location of origin, in addition to the … The authors conclude with a series of recommendations focused on greater training
in administration
-
psnet.ahrq.gov/node/34657/psn-pdf
June 14, 2011 - The authors review a series of interventions designed through the
multidisciplinary efforts of nursing … The authors share how
a single adverse event catalyzed 7 years of efforts to bring patient safety to
-
psnet.ahrq.gov/node/34700/psn-pdf
January 04, 2017 - ://psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
The authors … The authors review the value of this systems-
based, team-oriented quality improvement effort relative
-
psnet.ahrq.gov/node/35553/psn-pdf
July 03, 2013 - The authors present key findings and emphasize that the quality improvement aspect of
reporting systems … Although the authors encourage greater use of reporting systems,
a need exists for states to produce
-
psnet.ahrq.gov/node/35544/psn-pdf
March 29, 2010 - The authors conclude that significant gaps exist between how physicians disclose medical errors
and … The same authors previously wrote a commentary calling for professional action in disclosure of medical
-
psnet.ahrq.gov/node/47215/psn-pdf
September 19, 2018 - The authors applied a human factors framework to this literature and identified several
influences on … The authors
conclude that the field of system dynamics can be applied to health care in order to improve
-
psnet.ahrq.gov/node/34781/psn-pdf
June 23, 2015 - standards-patient-monitoring-during-general-anesthesia-harvard-medical-
school
To proactively devise a patient safety strategy for anesthesia, the authors … The authors
discuss the detailed process that led to the highlighted standards, including the need to
-
psnet.ahrq.gov/node/34953/psn-pdf
February 03, 2011 - The authors outline the current regulation requirements and offer strategies for
interpretation, particularly … The authors
conclude with recommendations to both comply with regulatory policy and ensure the best
-
psnet.ahrq.gov/node/34667/psn-pdf
January 17, 2018 - In analyzing the error, the authors (experts
from the Institute for Safe Medication Practices) discovered … The authors discuss the need to look beyond individuals and focus on the multiple
system failures that
-
psnet.ahrq.gov/node/36178/psn-pdf
September 30, 2010 - //psnet.ahrq.gov/issue/analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers
The authors … The authors recommend researching methods to improve outcomes
for less experienced surgical teams and
-
psnet.ahrq.gov/node/34874/psn-pdf
February 25, 2009 - The authors report findings based on categorizing intensive
care units (ICUs) into those with less versus … The authors suggest that nurse staffing affects the quality of postoperative care and that continued
-
psnet.ahrq.gov/node/35928/psn-pdf
June 09, 2011 - The authors detail the
individual and collective findings, which include reductions in adverse drug … The authors outline the needs for future investigation around roles for clinical
pharmacists, clinical
-
psnet.ahrq.gov/node/34995/psn-pdf
February 03, 2011 - The
authors provide a detailed account of the process involved, from investigating a possible serious … The authors conclude by sharing potential implications of the
program’s efforts and how this surveillance
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/urinary/pursuit-clinician-pocket-guide.pdf
November 28, 2023 - 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
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/nppv-respiratory-failure_disposition-comments.pdf
July 01, 2012 - At the conclusion of the public
comment period, authors use the commentators’ submissions and comments … Comments on draft reviews and the authors’ responses to the comments are posted for
public viewing on … As the authors state,
the majority of studies target patients with COPD and ACPE. … In the following, I will address the specific issues for the authors to
consider. … We reported the duration of mechanical
ventilation as reported by the authors.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/nppv-respiratory-failure_disposition-comments.pdf
July 01, 2012 - At the conclusion of the public
comment period, authors use the commentators’ submissions and comments … Comments on draft reviews and the authors’ responses to the comments are posted for
public viewing on … As the authors state,
the majority of studies target patients with COPD and ACPE. … In the following, I will address the specific issues for the authors to
consider. … We reported the duration of mechanical
ventilation as reported by the authors.
-
digital.ahrq.gov/events/national-web-conference-model-contract-language-health-information-exchange
March 15, 2007 - Exchange -- The Road From Policy and Technology Decision-Making to Multi-Lateral HIE Agreement
The authors … In addition, the authors discuss considerations for incorporating technology license terms in the agreement
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/telemedicine-surgery
January 01, 2003 - Telemedicine in surgery
Authors: Eadie LH, Seifalian AM, Davidson BR Journal: Br J Surg Publication … The authors also report on 12 studies of telementoring involving a variety of procedures and 24 telepresence
-
psnet.ahrq.gov/node/34075/psn-pdf
December 23, 2008 - The authors found empirical support that the
act of disclosure to patients doesn't consistently occur … practical guidance exists as to the nuts
and bolts of who, what, when, and how to disclose, which the authors