Results

Total Results: over 10,000 records

Showing results for "describes".

8701. Organizational learning in the morbidity and mortality conference. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
      June 09, 2015 - Study Organizational learning in the morbidity and mortality conference. Citation Text: Batthish M, Kuper A, Fine C, et al. Organizational learning in the morbidity and mortality conference. J Healthc Qual. 2024;46(2):100-108. doi:10.1097/jhq.0000000000000416. Copy Citation Format:…

8702. Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. | PSNet
      psnet.ahrq.gov/issue/evaluating-impact-radio-frequency-identification-retained-surgical-instruments-tracking
      August 03, 2022 - Review Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review. Citation Text: Schnock KO, Biggs B, Fladger A, et al. Evaluating the impact of radio frequency identification retained surgical instruments tracking…

8703. Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. | PSNet
      psnet.ahrq.gov/issue/effect-bar-code-assisted-medication-administration-medication-error-rates-adult-medical
      July 23, 2010 - Study Effect of bar-code–assisted medication administration on medication error rates in an adult medical intensive care unit. Citation Text: DeYoung JL, Vanderkooi ME, Barletta JF. Effect of bar-code-assisted medication administration on medication error rates in an adult medical inte…

8704. Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/patients-willingness-and-ability-participate-actively-reduction-clinical-errors-systematic
      February 24, 2021 - Review Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. Citation Text: DOHERTY CAROLE, STAVROPOULOU CHARITINI. Patients' willingness and ability to participate actively in the reduction of clinical errors: a …

8705. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. | PSNet
      psnet.ahrq.gov/issue/impact-out-hours-admission-patient-mortality-longitudinal-analysis-tertiary-acute-hospital
      July 21, 2017 - Study Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. Citation Text: Han L, Sutton M, Clough S, et al. Impact of out-of-hours admission on patient mortality: longitudinal analysis in a tertiary acute hospital. BMJ Qual Saf. 2018;…

8706. PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/tracking-measuring-data-slides.pptx
      June 01, 2021 - PowerPoint Presentation Tracking and Measuring Antibiotic Use Data Long-Term Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(21)-0029 June 2021 Tracking and Measuring 1 Objectives Learn how to collect and track antibiotic use in the long-term care setting Become familiar with forms for mon…

8707. Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. | PSNet
      psnet.ahrq.gov/issue/incidence-adverse-events-related-health-care-spain-results-spanish-national-study-adverse
      December 01, 2011 - Study Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events. Citation Text: Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, et al. Incidence of adverse events related to health care in Spain: results of the Spanish Nat…

8708. Residents, responsibility, and error: how residents learn to navigate the intersection. | PSNet
      psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection
      August 21, 2019 - Study Residents, responsibility, and error: how residents learn to navigate the intersection. Citation Text: Shepherd L, Chilton S, Cristancho SM. Residents, responsibility, and error: how residents learn to navigate the intersection. Acad Med. 2023;98(8):934-940. doi:10.1097/acm.0000000…

8709. Medicines management support to older people: understanding the context of systems failure. | PSNet
      psnet.ahrq.gov/issue/medicines-management-support-older-people-understanding-context-systems-failure
      October 04, 2023 - Study Medicines management support to older people: understanding the context of systems failure. Citation Text: Rogers S, Martin G, Rai G. Medicines management support to older people: understanding the context of systems failure. BMJ Open. 2014;4(7):e005302. doi:10.1136/bmjopen-2014-00…

8710. Module 3: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
      May 01, 2017 - Module 3: PowerPoint Presentation Management Practices for Sustainability Module 3: Problem Solving and Escalation AHRQ Safety Program for Ambulatory Surgery AHRQ Pub. No. 16(17)-0019-4-EF May 2017 Module 3: Problem Solving and Escalation | ‹#› AHRQ Safety Program for Ambulatory Surgery Management Practices for…

8711. Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. | PSNet
      psnet.ahrq.gov/issue/exploring-error-team-based-acute-care-scenarios-observational-study-united-kingdom
      November 02, 2011 - Study Exploring error in team-based acute care scenarios: an observational study from the United Kingdom. Citation Text: Tallentire VR, Smith SE, Skinner J, et al. Exploring error in team-based acute care scenarios: an observational study from the United kingdom. Acad Med. 2012;87(6):79…

8712. Medical errors and quality of care: from control to commitment. | PSNet
      psnet.ahrq.gov/issue/medical-errors-and-quality-care-control-commitment
      July 15, 2020 - Commentary Medical errors and quality of care: from control to commitment. Citation Text: Khatri N, Baveja A, Boren SA, et al. Medical Errors and Quality of Care: From Control to Commitment. California Manage Review. 2006;48(3):115-141. doi:10.2307/41166353. Copy Citation Format…

8713. Building a framework for trust: critical event analysis of deaths in surgical care. | PSNet
      psnet.ahrq.gov/issue/building-framework-trust-critical-event-analysis-deaths-surgical-care
      June 23, 2009 - Study Building a framework for trust: critical event analysis of deaths in surgical care. Citation Text: Thompson A, Stonebridge PA. Building a framework for trust: critical event analysis of deaths in surgical care. BMJ. 2005;330(7500):1139-42. Copy Citation Format: Goog…

8714. A method for measuring system safety and latent errors associated with pediatric procedural sedation. | PSNet
      psnet.ahrq.gov/issue/method-measuring-system-safety-and-latent-errors-associated-pediatric-procedural-sedation
      April 11, 2011 - Study A method for measuring system safety and latent errors associated with pediatric procedural sedation. Citation Text: Blike G, Christoffersen K, Cravero JP, et al. A method for measuring system safety and latent errors associated with pediatric procedural sedation. Anesth Analg. 2…

8715. Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
      November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

8716. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. | PSNet
      psnet.ahrq.gov/issue/veterans-health-administration-response-covid-19-crisis-surveillance-action
      November 17, 2021 - Commentary Veterans Health Administration response to the COVID-19 crisis: surveillance to action. Citation Text: Charles MA, Yackel EE, Mills PD, et al. Veterans Health Administration response to the COVID-19 crisis: surveillance to action. J Patient Saf. 2022;18(7):686-691. doi:10.1097…

8717. Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. | PSNet
      psnet.ahrq.gov/issue/should-i-report-qualitative-study-barriers-incident-reporting-among-nurses-working-nursing
      March 31, 2021 - Study Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Citation Text: Prang IW, Jelsness-Jørgensen L-P. Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Geriatr Nurs.…

8718. Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. | PSNet
      psnet.ahrq.gov/issue/improving-handoffs-perioperative-environment-conceptual-framework-key-theories-system-factors
      November 16, 2022 - Commentary Improving handoffs in the perioperative environment: a conceptual framework of key theories, system factors, methods, and core interventions to ensure success. Citation Text: Starmer AJ, Michael MM, Spector ND, et al. Improving handoffs in the perioperative environment: a conc…

8719. Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. | PSNet
      psnet.ahrq.gov/issue/using-co-design-develop-collective-leadership-intervention-healthcare-teams-improve-safety
      October 02, 2019 - Commentary Emerging Classic Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture. Citation Text: Ward ME, De Brún A, Beirne D, et al. Using Co-Design to Develop a Collective Leadership Intervention for He…

8720. Encouraging patients to speak up about problems in cancer care. | PSNet
      psnet.ahrq.gov/issue/encouraging-patients-speak-about-problems-cancer-care
      March 11, 2013 - Study Encouraging patients to speak up about problems in cancer care. Citation Text: Mazor KM, Kamineni A, Roblin DW, et al. Encouraging patients to speak up about problems in cancer care. J Patient Saf. 2021;17(8):e1278-e1284. doi:10.1097/pts.0000000000000510. Copy Citation Format…