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Total Results: 2,344 records

Showing results for "defined".

  1. Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive
    January 24, 2024 - Commentary Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. Citation Text: Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45538/psn-pdf
    December 14, 2016 - About 84% of parents made at least one dosing error, and 21% made at least one large error, defined

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36154/psn-pdf
    September 29, 2010 - Harmful errors were defined as errors that resulted in temporary or permanent harm to the patient or

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43436/psn-pdf
    August 13, 2014 - Handoff- related care failures were defined as insufficient information transfer that affected the patient

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39570/psn-pdf
    September 20, 2011 - checklist successfully reduced mortality and complications in patients undergoing urgent surgery (defined

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45889/psn-pdf
    August 16, 2017 - patients, investigators sought to better characterize new and persistent opioid use after surgery, defined

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36907/psn-pdf
    September 14, 2012 - psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update The National Quality Forum originally defined

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45778/psn-pdf
    April 26, 2017 - long-term-outcomes-medication-intervention-using-screening-tool-older-persons-potentially https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events

  9. Measurement of Patient Safety | PSNet

    psnet.ahrq.gov/primer/measurement-patient-safety
    September 15, 2024 - Framework for Measuring Patient Safety In the 1960s, health services researcher Avedis Donabedian defined … Retrospective chart review using trigger tools or well-defined specific adverse events is often used … reliable measurement strategies , and studies have shown that variation in how medication errors are defined

  10. High-Performance Work Systems in Health Care Management: Parts 1-5. | PSNet

    psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
    March 22, 2017 - In this continuing series, high-performance work practices are explored and defined through literature

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858175/psn-pdf
    December 13, 2023 - Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. December 13, 2023 Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. BMC Complementary Medici…

  12. Application of a digital quality measure for cancer diagnosis in Epic Cosmos. | PSNet

    psnet.ahrq.gov/issue/application-digital-quality-measure-cancer-diagnosis-epic-cosmos
    November 13, 2024 - study examined the use of a digital quality measure (dQM) of emergency presentation of lung cancer (defined

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33591/psn-pdf
    March 15, 2025 - Well-defined, specific triggers like this also lend themselves to automated electronic detection, making … Use of the trigger tool involves screening a defined sample of medical records by two independent clinicians

  14. Tough Call: Addressing Errors From Previous Providers | PSNet

    psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers
    July 17, 2024 - Describe two examples of well-defined processes to identify individual accountability for adverse events … practice-based learning.( 9 ) Organizations can reinforce these professional duties by: (i) developing well-defined … diagnostic errors, such as a standardized review of all readmissions for the same diagnosis within a defined … After a suspected diagnostic error, there should be a standardized-review process with well-defined means … Reason's Unsafe Acts Algorithm and the Professional Accountability Pyramid are two well-defined tools

  15. Measuring the Success of the Regional Medication Safety Program for Hospitals. | PSNet

    psnet.ahrq.gov/issue/measuring-success-regional-medication-safety-program-hospitals
    June 27, 2018 - The work focused on 16 key improvement areas defined through a collaborative process involving the Health

  16. Safe Practices for Better Healthcare–2009 Update. | PSNet

    psnet.ahrq.gov/issue/safe-practices-better-healthcare-2009-update
    September 29, 2017 - The practices are defined so that organizations can measure the relationship between implementation of

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864368/psn-pdf
    March 13, 2024 - Diseases (ICD) subclass Misadventures to Patients During Surgical and Medical Care, where the authors defined

  18. A framework for classifying patient safety practices: results from an expert consensus process. | PSNet

    psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-process
    September 20, 2011 - This AHRQ-sponsored consensus panel defined a classification scheme for patient safety practices, including

  19. Associations between safety culture and employee engagement over time: a retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/associations-between-safety-culture-and-employee-engagement-over-time-retrospective-analysis
    July 01, 2017 - Higher levels of engagement (defined as a positive work-related mindset including dedication and absorption

  20. Workplace team resilience: a systematic review and conceptual development. | PSNet

    psnet.ahrq.gov/issue/workplace-team-resilience-systematic-review-and-conceptual-development
    January 03, 2017 - This systematic review examined nature of workplace team resilience , how it is defined, the individual
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