Results

Total Results: 6,755 records

Showing results for "described".

421. Facing ambiguous threats. | PSNet
     psnet.ahrq.gov/issue/facing-ambiguous-threats
     December 24, 2008 - Bohmer and Edmondson have previously described the collective learning process that health care organizations

422. From identifying patient safety risks to reporting patient complaints: a grounded theory study on patients' hospital experiences. | PSNet
     psnet.ahrq.gov/issue/identifying-patient-safety-risks-reporting-patient-complaints-grounded-theory-study-patients
     December 20, 2017 - In this study, recently hospitalized patients described the various ways they tried to improve their

423. Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet
     psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
     September 10, 2014 - Physicians described the process to be valuable, educational, and effective.

424. Digitizing diagnosis: a review of mobile applications in the diagnostic process. | PSNet
     psnet.ahrq.gov/issue/digitizing-diagnosis-review-mobile-applications-diagnostic-process
     October 10, 2018 - Although the authors described some of the potential benefits of these apps, they note that their research

425. Assessment of programs aimed to decrease or prevent mistreatment of medical trainees. | PSNet
     psnet.ahrq.gov/issue/assessment-programs-aimed-decrease-or-prevent-mistreatment-medical-trainees
     November 15, 2018 - This review described formal programs to reduce mistreatment of physician learners .

426. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. | PSNet
     psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
     September 28, 2010 - The same authors recently described using the SAQ as a tool to evaluate safety culture in surgical

427. Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study. | PSNet
     psnet.ahrq.gov/issue/intensive-care-unit-safety-incidents-medical-versus-surgical-patients-prospective-multicenter
     June 29, 2009 - This AHRQ-funded multicenter prospective study used data from a previously described voluntary reporting

428. Advances in Patient Safety and Medical Liability. | PSNet
     psnet.ahrq.gov/issue/advances-patient-safety-and-medical-liability
     May 01, 2017 - A past PSNet perspective described how evidence-based improvements to the medical liability system

429. Quality gaps identified through mortality review. | PSNet
     psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
     November 11, 2015 - This study described the implementation of an institution-wide mortality review process, which identified

430. Adverse events detected by clinical surveillance on an obstetric service. | PSNet
     psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance-obstetric-service
     September 11, 2009 - Investigators identified more than 100 triggers, and while very few serious adverse events were described

431. The association between night or weekend admission and hospitalization-relevant patient outcomes. | PSNet
     psnet.ahrq.gov/issue/association-between-night-or-weekend-admission-and-hospitalization-relevant-patient-outcomes
     November 26, 2014 - Nights and weekends have been described as times when the quality of care is at risk for poor outcomes

432. Identifying quality markers of a safe surgical ward: an interview study of patients, clinical staff, and administrators. | PSNet
     psnet.ahrq.gov/issue/identifying-quality-markers-safe-surgical-ward-interview-study-patients-clinical-staff-and
     June 17, 2015 - A PSNet perspective described how surgical safety has evolved as a field.

433. Liability associated with obstetric anesthesia: a closed claims analysis. | PSNet
     psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
     July 13, 2010 - This study uses a previously described database to compare liability profiles in obstetric anesthesia

434. From guideline to order set to patient harm. | PSNet
     psnet.ahrq.gov/issue/guideline-order-set-patient-harm
     October 10, 2017 - The editorial is based on a case described in the related article.

435. Ambulatory safety nets to reduce missed and delayed diagnoses of cancer. | PSNet
     psnet.ahrq.gov/issue/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
     June 21, 2016 - A WebM&M commentary described how patients with lung nodules are at risk for both overtreatment and

436. Implementing an error disclosure coaching model: a multicenter case study. | PSNet
     psnet.ahrq.gov/issue/implementing-error-disclosure-coaching-model-multicenter-case-study
     May 11, 2016 - This study described a demonstration project to enhance error disclosure .

437. Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms through which reflection counteracts mistakes. | PSNet
     psnet.ahrq.gov/issue/exploring-role-salient-distracting-clinical-features-emergence-diagnostic-errors-and
     July 03, 2014 - This study described the role of reflection in preventing physicians from being overly influenced by

438. Implications of case managers' perceptions and attitude on safety of home-delivered care. | PSNet
     psnet.ahrq.gov/issue/implications-case-managers-perceptions-and-attitude-safety-home-delivered-care
     September 18, 2016 - Community nurses described their role in empowering patients, but believed that they are often incapable

439. Medication errors in neonatal and paediatric intensive-care units. | PSNet
     psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
     February 03, 2011 - The overall error rate reported per admission approached 15% with several classification types described

440. Ascension Health's demonstration of full disclosure protocol for unexpected events during labor and delivery shows promise. | PSNet
     psnet.ahrq.gov/issue/ascension-healths-demonstration-full-disclosure-protocol-unexpected-events-during-labor-and
     January 22, 2017 - Full disclosure of medical errors has been described as both a great idea and an impractical risk