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Total Results: 2,345 records

Showing results for "defined".

  1. Using Six Sigma to reduce medication errors in a home-delivery pharmacy service. | PSNet

    psnet.ahrq.gov/issue/using-six-sigma-reduce-medication-errors-home-delivery-pharmacy-service
    November 18, 2015 - process map of 13 identified indicators that contribute to medication errors and how each of these were defined

  2. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
    December 16, 2014 - In this AHRQ-funded study, the authors reviewed elements of the hospital discharge process and defined

  3. Apparent cause analysis: a safety tool. | PSNet

    psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
    June 27, 2018 - This article explores one hospital’s use of facilitated apparent cause analysis  (ACA), which is defined

  4. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. | PSNet

    psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions
    April 01, 2010 - discovered that providing unionized employees with a financial incentive to choose safer hospitals (defined

  5. Health outcomes associated with potentially inappropriate medication use in older adults. | PSNet

    psnet.ahrq.gov/issue/health-outcomes-associated-potentially-inappropriate-medication-use-older-adults
    June 29, 2011 - This study found an association between inappropriate medication use, as defined by the Beers criteria

  6. Surgeon commitment to trauma care decreases missed injuries. | PSNet

    psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-injuries
    June 15, 2012 - Full-time trauma surgeons had a lower incidence of diagnostic errors (defined as the incidence of missed

  7. IV push medications survey results—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
    December 12, 2018 - The first article reviews unsafe practices in care delivery as defined by inpatient clinicians.

  8. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. | PSNet

    psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
    October 27, 2016 - They found a positive relationship between potentially inappropriate drug prescribing, as defined by

  9. Medical misadventures as errors and mistakes and motor vehicular accidents in the disproportionate burden of childhood mortality among Blacks/African Americans in the United States: CDC Dataset, 1968-2015. | PSNet

    psnet.ahrq.gov/issue/medical-misadventures-errors-and-mistakes-and-motor-vehicular-accidents-disproportionate
    March 05, 2025 - Diseases (ICD) subclass Misadventures to Patients During Surgical and Medical Care , where the authors defined

  10. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. | PSNet

    psnet.ahrq.gov/issue/defining-excellence-next-steps-practicing-clinicians-seeking-prevent-diagnostic-error
    March 14, 2022 - Commentary Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. Citation Text: Foster PN, Klein JR. Defining excellence: next steps for practicing clinicians seeking to prevent diagnostic error. J Community Hosp Intern Med Perspect. 2016;6(4):319…

  11. Serious Reportable Events in Healthcare—2011 Update. | PSNet

    psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
    March 23, 2012 - The National Quality Forum originally defined 27 health care " never events "—patient safety events that

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33714/psn-pdf
    July 01, 2011 - , and even potentially across the world, can report information on patient safety in a way that is defined … clinically in a congruent way and defined electronically in an interoperable way so that information … We defined what should be collected at the local level, where care is being delivered at the hospital

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837847/psn-pdf
    August 17, 2022 - Defining and studying errors in surgical care: a systematic review. August 17, 2022 Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. https://psnet.ahrq.gov/issue/defining-and-studying-err…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47667/psn-pdf
    February 27, 2019 - It is time to define antimicrobial never events. February 27, 2019 Liu J, Kaye KS, Mercuro NJ, et al. It is time to define antimicrobial never events. Infect Control Hosp Epidemiol. 2019;40(2):206-207. doi:10.1017/ice.2018.313. https://psnet.ahrq.gov/issue/it-time-define-antimicrobial-never-events Never events are…

  15. Relationships within inpatient physician housestaff teams and their association with hospitalized patient outcomes. | PSNet

    psnet.ahrq.gov/issue/relationships-within-inpatient-physician-housestaff-teams-and-their-association-hospitalized
    December 18, 2013 - The presence of trust, defined as a willingness to be vulnerable to others (e.g., an attending on rounds

  16. Development of a measure of patient safety event learning responses. | PSNet

    psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
    June 28, 2010 - The authors defined a set of indicators that evaluate the analysis of the event and the dissemination

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47445/psn-pdf
    October 24, 2018 - Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. October 24, 2018 Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive Care Unit Safety. Ann Am Thorac Soc…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36667/psn-pdf
    April 14, 2011 - Effective healthcare teams require effective team members: defining teamwork competencies. April 14, 2011 Leggat SG. Effective healthcare teams require effective team members: defining teamwork competencies. BMC Health Serv Res. 2007;7:17. https://psnet.ahrq.gov/issue/effective-healthcare-teams-require-effective-t…

  19. Flexibilization of science, cognitive biases, and the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/flexibilization-science-cognitive-biases-and-covid-19-pandemic
    October 26, 2022 - discusses the threat that the “flexibilization” of science has played during the COVID-19 pandemic, defined

  20. Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-people-dementia-care-homes-retrospective-analysis
    April 20, 2022 - in six residential care homes were receiving at least one potentially inappropriate medication, as defined
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