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Total Results: 6,755 records

Showing results for "described".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38621/psn-pdf
    February 18, 2011 - https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis Diagnostic errors have been described

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43081/psn-pdf
    July 28, 2014 - Prior research has described cancer patients' perspectives related to communication breakdowns, but

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45870/psn-pdf
    March 25, 2017 - This study described how applying Lean methodology, enhancing frontline provider engagement, and redesigning

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46827/psn-pdf
    March 14, 2018 - A prior WebM&M commentary described a case in which a medication error led to serious patient harm.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43007/psn-pdf
    December 12, 2014 - In turn, staff described disillusionment with the lack of follow-up on their concerns.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45641/psn-pdf
    October 11, 2017 - This implementation study described a peer-to-peer assessment program adapted from the nuclear power

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45329/psn-pdf
    April 24, 2018 - A WebM&M commentary described risks related to prescribing opioids for patients with chronic pain.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35935/psn-pdf
    June 16, 2011 - The same authors recently described using the SAQ as a tool to evaluate safety culture in surgical settings

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41176/psn-pdf
    March 02, 2012 - /issue/weekend-hospitalization-and-additional-risk-death-analysis-inpatient-data Past studies have described

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36013/psn-pdf
    September 22, 2010 - A past survey study described physician perception of hospital safety and barriers to incident reporting

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44834/psn-pdf
    January 27, 2016 - sustaining-reliability-accountability-measures-johns-hopkins-hospital This study updates the previously described

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39489/psn-pdf
    June 11, 2010 - are a known patient safety hazard, but similar events between ambulatory clinic visits are poorly described

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47760/psn-pdf
    February 06, 2019 - A past WebM&M commentary highlighted the clinical significance of HACs and described an incident involving

  14. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. | PSNet

    psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian
    January 24, 2024 - Hospitals reported small scale success and described challenges with implementation when the Framework

  15. Tools for establishing a sustainable safety culture within maternity services: a retrospective case study. | PSNet

    psnet.ahrq.gov/issue/tools-establishing-sustainable-safety-culture-within-maternity-services-retrospective-case
    February 28, 2024 - Fourteen tools (e.g., databases, leadership seminars) and their results are described.

  16. Using Kotter's change model for implementing bedside handoff: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/using-kotters-change-model-implementing-bedside-handoff-quality-improvement-project
    September 23, 2020 - Change management has been described as a critical strategy to ensure safety improvements are sustained

  17. A safety maturity model for technology-induced errors. | PSNet

    psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
    June 15, 2022 - Five maturity levels, from ad hoc to formalized, are described.

  18. Peer training using cognitive rehearsal to promote a culture of safety in health care. | PSNet

    psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care
    November 16, 2022 - This paper described two interventions that effectively increased student nurses' self-efficacy in responding

  19. Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. | PSNet

    psnet.ahrq.gov/issue/endorsements-surgeon-punishment-and-patient-compensation-rested-and-sleep-restricted
    September 23, 2020 - increased desire to punish the surgeons and provide greater financial compensation to the patients described

  20. The attitudes of nursing students and clinical instructors towards reporting irregular incidents in the medical clinic. | PSNet

    psnet.ahrq.gov/issue/attitudes-nursing-students-and-clinical-instructors-towards-reporting-irregular-incidents
    June 01, 2019 - Underreporting of safety events and near misses in the health care setting has been well described and
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