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Total Results: 6,755 records

Showing results for "described".

  1. Rethinking Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - Indeed, one early study that described the RCA process within the Veterans Affairs health system did … In a widely cited 2016 commentary, Peerally and colleagues described eight problems with RCA as currently … Focusing more specifically on problems with RCA tools and techniques, Card described " the problem with … An earlier study described the development and adoption of a rapid approach to RCAs, referred to as "

  2. The importance of cognitive errors in diagnosis and strategies to minimize them. | PSNet

    psnet.ahrq.gov/issue/importance-cognitive-errors-diagnosis-and-strategies-minimize-them
    September 18, 2024 - The author reviews previously described CDRs, such as failures in perception and heuristics, overconfidence

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46541/psn-pdf
    January 31, 2018 - A recent PSNet perspective described the 2017 work hour requirements.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46488/psn-pdf
    November 15, 2017 - the new system to 45 patient safety vignettes gleaned from sources such as AHRQ WebM&M, then they described

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34639/psn-pdf
    March 02, 2011 - Based on their described process, the authors reported that 14% to 27% of deaths might have been prevented

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34067/psn-pdf
    January 04, 2017 - Another study specifically described patient and physician attitudes towards the disclosure process.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37891/psn-pdf
    June 09, 2011 - The process of ensuring accurate medication reconciliation at admission was described in a prior review

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35696/psn-pdf
    July 13, 2010 - The same authors previously described the dimensions of safety climate applied to this study.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35813/psn-pdf
    April 06, 2011 - Investigators combined didactic programs previously described with an intervention focused on putting

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47655/psn-pdf
    March 27, 2019 - increased desire to punish the surgeons and provide greater financial compensation to the patients described

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36386/psn-pdf
    July 14, 2010 - Very few patient-generated reports described an error, suggesting that different strategies may be required

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35404/psn-pdf
    March 11, 2011 - The technique of observation described in this study may serve as a very useful tool for similar technology

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41725/psn-pdf
    January 01, 2013 - The efforts described are primarily focused on smoothing the coordination of care and communication

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37227/psn-pdf
    December 15, 2011 - prospective-multicenter This AHRQ-funded multicenter prospective study used data from a previously described

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38259/psn-pdf
    December 03, 2008 - The authors point out that their AE rates mirror those described in Canada and Australia but are higher

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38026/psn-pdf
    March 21, 2017 - A successful intervention to improve physician incident reporting was described in a prior study.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35856/psn-pdf
    June 16, 2011 - A past study described the results of using such a tool in an academic medical center.

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46034/psn-pdf
    April 05, 2017 - In this retrospective study, researchers described the development and validation of a tool to assess

  19. Medication errors and professional practice of registered nurses. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-professional-practice-registered-nurses
    November 21, 2018 - This Australian study identified and described the incidence of medication errors among registered nurses

  20. Inquiry into reporter's death finds multiple failures in care. | PSNet

    psnet.ahrq.gov/issue/inquiry-reporters-death-finds-multiple-failures-care
    March 30, 2016 - The investigation uncovered a range of failures in emergency care and is described in a report available
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