-
psnet.ahrq.gov/node/34642/psn-pdf
June 24, 2015 - Drawing from
experiences in cardiac surgery, the authors detail the process of capturing and examining … The authors also share lessons learned from exploring similar high-
complexity industries.
-
psnet.ahrq.gov/node/36199/psn-pdf
March 28, 2011 - The authors hypothesize that this finding could reflect fatigue (as demonstrated in a prior
simulation … Moreover, for most AEs, the authors could not determine whether
patients were harmed or whether the
-
psnet.ahrq.gov/node/34907/psn-pdf
August 03, 2009 - weak associations between the effective
interventions and their ratings of effectiveness, and the authors … The authors conclude with a number of suggestions
for better translation of evidence into adopted practice
-
psnet.ahrq.gov/node/35023/psn-pdf
March 04, 2011 - The authors describe operational aspects of SASM and report on
nearly 45,000 deaths reviewed in the … The
authors conclude that voluntary mortality audits may lead to important changes in practice and focusing
-
psnet.ahrq.gov/node/36017/psn-pdf
June 14, 2006 - The authors describe the assumptions and consequences of control-based management and
compare it to … Along with existing cultural barriers (eg,
hierarchy, silos, and a "caste structure"), the authors argue
-
psnet.ahrq.gov/node/34645/psn-pdf
December 23, 2008 - issue/how-do-patients-want-physicians-handle-mistakes-survey-internal-medicine-
patients-academic
The authors … The authors conclude that open communication between patients and providers is
important and may reduce
-
psnet.ahrq.gov/node/35588/psn-pdf
February 03, 2011 - The authors offer a series of explanations for these
delays in important improvements and apply the … The authors argue
that sustained change occurs only when these root causes receive appropriate exploration
-
psnet.ahrq.gov/node/36025/psn-pdf
March 28, 2011 - The authors
begin with a general discussion about diagnostic errors before presenting a framework for … Using a case example, the
authors illustrate how situational awareness can be applied to health care
-
psnet.ahrq.gov/node/34886/psn-pdf
February 03, 2011 - The authors also describe noted
regional differences within European cities and report a number of factors … They authors call for greater
regulatory measures and uniformity within the European Union to improve
-
psnet.ahrq.gov/node/38662/psn-pdf
April 12, 2011 - The authors identified two main groups of errors: action errors, errors of patient behavior such as failing … The authors suggest
that further research should investigate how interactions among patients, clinicians
-
psnet.ahrq.gov/node/34058/psn-pdf
September 29, 2017 - The
authors provide a framework for evaluating work of this nature and focus specifically on quantitative … The authors advocate
for selecting an evaluation strategy that meets the needs and available resources
-
psnet.ahrq.gov/node/36265/psn-pdf
April 21, 2015 - The authors have previously argued that the current US tort system is ineffective at
compensating injured … The authors describe how health courts
would work in practice, and argue that such a system could improve
-
psnet.ahrq.gov/node/34957/psn-pdf
February 28, 2011 - The authors present six key
recommendations. … The authors advocate
for greater emphasis on teamwork, increased education about effective communication
-
psnet.ahrq.gov/node/35617/psn-pdf
January 01, 2016 - The authors provide a summary of their safe practice recommendations and share their
reconciliation … Overall, the authors provide a
practical, step-by-step experiential guide for institutions and individuals
-
psnet.ahrq.gov/node/34796/psn-pdf
November 18, 2015 - The authors examine four case studies to explore the financial and clinical implications of
quality … The authors share the differing
perspectives of the stakeholders to demonstrate how intimately tied
-
psnet.ahrq.gov/node/35242/psn-pdf
February 24, 2011 - 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
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/pelvic-pain_disposition-comments.pdf
January 01, 2012 - Comments on draft reviews and the authors’ responses to the comments are posted for
public viewing on … I did think that the
authors should be more critical in the section relating to
comorbidities. … The
authors have approached their topic with admirable
thoroughness. … The authors get at this issue but could address this more in
the discussion. … The authors should be commended for
their synthesis and appraisal of the evidence.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/pelvic-pain_disposition-comments.pdf
January 01, 2012 - Comments on draft reviews and the authors’ responses to the comments are posted for
public viewing on … I did think that the
authors should be more critical in the section relating to
comorbidities. … The
authors have approached their topic with admirable
thoroughness. … The authors get at this issue but could address this more in
the discussion. … The authors should be commended for
their synthesis and appraisal of the evidence.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/advanced-care-decision-aids_disposition-comments.pdf
July 29, 2014 - 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 … The tables below include the responses by the authors of the review to each comment
that was submitted … The authors should consider clearly defining what they consider
ACP to be. … Peer Reviewer #3 Findings The authors’ findings are nicely organized and described.
-
effectivehealthcare-admin.ahrq.gov/sites/default/files/related_files/advanced-care-decision-aids_disposition-comments.pdf
July 29, 2014 - 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 … The tables below include the responses by the authors of the review to each comment
that was submitted … The authors should consider clearly defining what they consider
ACP to be. … Peer Reviewer #3 Findings The authors’ findings are nicely organized and described.