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Showing results for "descriptions".

  1. A critical appraisal of AHRQ's "Diagnostic Errors" report. | PSNet

    psnet.ahrq.gov/issue/critical-appraisal-ahrqs-diagnostic-errors-report
    July 13, 2016 - Commentary A critical appraisal of AHRQ's "Diagnostic Errors" report. Citation Text: Carpenter C, Jotte R, Griffey RT, et al. A critical appraisal of AHRQ's "Diagnostic Errors" report. Mo Med. 2023;120(2):114-120. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

  2. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0255_06-25-2010.pdf
    January 01, 2010 - Effective Health Care Topic Number(s): 0272 Document Completion Date: 10-12-10 1 Results of Topic Selection Process & Next Steps  Intravascular diagnostic procedures and imaging techniques compared to angiography will go forward for refinement as a systematic review. The scope of this topic, incl…

  3. First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. | PSNet

    psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical
    March 03, 2021 - Commentary First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality. Citation Text: English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and …

  4. Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. | PSNet

    psnet.ahrq.gov/issue/rural-emergency-medical-services-clinicians-perceptions-and-preferences-receiving-clinical
    June 02, 2021 - Study Rural emergency medical services clinicians' perceptions and preferences in receiving clinical feedback from hospitals: a qualitative needs assessment. Citation Text: Schneider K, Williams M, Mohr NM, et al. Rural emergency medical services clinicians' perceptions and preferences i…

  5. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. | PSNet

    psnet.ahrq.gov/issue/escalation-care-and-failure-rescue-multicenter-multiprofessional-qualitative-study
    September 09, 2015 - Study Classic Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Citation Text: Johnston MJ, Arora S, King D, et al. Escalation of care and failure to rescue: a multicenter, multiprofessional qualitative study. Surgery.…

  6. Project InfoCare | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/project-infocare
    January 01, 2023 - Project InfoCare Project Description Other Resources Project Details - Completed Grant Number UC1 HS015110 Funding Mechanism(s) Transforming Healthcare Quality Through Information Technology (THQIT) - Implementation Grants …

  7. Quality improvement for patient safety: project-level versus program-level learning. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-patient-safety-project-level-versus-program-level-learning
    April 01, 2010 - Study Quality improvement for patient safety: project-level versus program-level learning. Citation Text: Rivard PE, Parker VA, Rosen AK. Quality improvement for patient safety: project-level versus program-level learning. Health Care Manage Rev. 2013;38(1):40-50. doi:10.1097/HMR.0b013…

  8. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. | PSNet

    psnet.ahrq.gov/issue/achieving-national-quality-forums-never-events-prevention-wrong-site-wrong-procedure-and
    September 28, 2010 - Review Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations. Citation Text: Michaels RK, Makary MA, Dahab Y, et al. Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure…

  9. Appendixfmhaahqrkick-Off (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicaldata/AppendixFMHAAHQRKick-Off.pdf
    January 15, 2008 - MHA/AHRQ Kick-Off Event: Adding Clinical Lab Data to Minnesota’s Statewide Administrative Database Tuesday, Jan. 15, 2008 9 a.m. – 4:30 p.m. MHA was awarded a two-year contract from the Agency for Healthcare Research and Quality to add clinical lab data to the administrative billing database that is alr…

  10. Social disparities in patient safety in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/social-disparities-patient-safety-primary-care-systematic-review
    January 08, 2025 - Review Emerging Classic Social disparities in patient safety in primary care: a systematic review. Citation Text: Piccardi C, Detollenaere J, Bussche PV, et al. Social disparities in patient safety in primary care: a systematic review. Int J Equity Health. 2018;…

  11. A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
    February 14, 2024 - Study A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. Citation Text: Schraagen JM, Schouten T, Smit M, et al. A prospective study of paediatric cardiac surgical microsystems: assessi…

  12. The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. | PSNet

    psnet.ahrq.gov/issue/development-concept-return-investment-large-scale-quality-improvement-programmes-healthcare
    October 27, 2021 - Review The development of the concept of return-on-investment from large-scale quality improvement programmes in healthcare: an integrative systematic literature review. Citation Text: Thusini S’thembile, Milenova M, Nahabedian N, et al. The development of the concept of return-on-invest…

  13. Voluntary electronic reporting of medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
    March 21, 2017 - Study Voluntary electronic reporting of medical errors and adverse events. Citation Text: Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…

  14. Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-vest-intervention-reduce-medication-errors-during-medication
    December 21, 2017 - Study Effectiveness of a ‘do not interrupt’ vest intervention to reduce medication errors during medication administration: a multicenter cluster randomized controlled trial. Citation Text: Berdot S, Vilfaillot A, Bézie Y, et al. Effectiveness of a ‘do not interrupt’ vest intervention to…

  15. Exploration of prescribing error reporting across primary care: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/exploration-prescribing-error-reporting-across-primary-care-qualitative-study
    June 01, 2022 - Study Exploration of prescribing error reporting across primary care: a qualitative study. Citation Text: Hall N, Bullen K, Sherwood J, et al. Exploration of prescribing error reporting across primary care: a qualitative study. BMJ Open. 2022;12(1):e050283. doi:10.1136/bmjopen-2021-05028…

  16. From reporting to improving: how root cause analysis in teams shape patient safety culture. | PSNet

    psnet.ahrq.gov/issue/reporting-improving-how-root-cause-analysis-teams-shape-patient-safety-culture
    July 31, 2024 - Study From reporting to improving: how root cause analysis in teams shape patient safety culture. Citation Text: Tsamasiotis C, Fiard G, Bouzat P, et al. From reporting to improving: how root cause analysis in teams shape patient safety culture. Risk Manag Healthc Policy. 2024;17:1847-18…

  17. Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). | PSNet

    psnet.ahrq.gov/issue/supporting-doctors-healthcare-quality-and-safety-advocates-recommendations-association
    April 13, 2016 - Study Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT). Citation Text: Fleming CA, Humm G, Wild JR, et al. Supporting doctors as healthcare quality and safety advocates: Recommendations from the Association…

  18. Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. | PSNet

    psnet.ahrq.gov/issue/communicating-certainty-pathology-reports-interpretation-differences-among-staff-pathologists
    January 23, 2017 - Study Communicating certainty in pathology reports: interpretation differences among staff pathologists, clinicians, and residents in a multicenter study. Citation Text: Gibson BA, McKinnon E, Bentley RC, et al. Communicating certainty in pathology reports: interpretation differences amo…

  19. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. | PSNet

    psnet.ahrq.gov/issue/medication-dose-calculation-errors-and-other-numeracy-mishaps-hospitals-analysis-nature-and
    May 11, 2022 - Study Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature and enablers of incident reports. Citation Text: Mulac A, Hagesaether E, Granas AG. Medication dose calculation errors and other numeracy mishaps in hospitals: analysis of the nature …

  20. Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. | PSNet

    psnet.ahrq.gov/issue/analysis-academic-medical-centers-corrective-action-plan-response-fatal-medication-error
    February 21, 2018 - Commentary Analysis of an academic medical center’s corrective action plan in response to fatal medication error using the Institute for Safe Medication Practices’ Hierarchy of Effectiveness. Citation Text: Stolte AR, Siwy YM, Tanios SB, et al. Analysis of an academic medical center’s co…
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