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Showing results for "documentation".

  1. Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. | PSNet

    psnet.ahrq.gov/issue/hospital-incident-reporting-systems-do-not-capture-most-patient-harm
    September 20, 2011 - Book/Report Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Citation Text: Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 201…

  2. Controlled substance drug diversion by healthcare workers as a threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/controlled-substance-drug-diversion-healthcare-workers-threat-patient-safety
    April 05, 2023 - Special or Theme Issue Controlled substance drug diversion by healthcare workers as a threat to patient safety. Citation Text: Controlled substance drug diversion by healthcare workers as a threat to patient safety. ISMP Medication Safety Alert! Acute care edition. February 23, 2023;28(4…

  3. Variations by state in physician disciplinary actions by US medical licensure boards. | PSNet

    psnet.ahrq.gov/issue/variations-state-physician-disciplinary-actions-us-medical-licensure-boards
    March 12, 2025 - Study Variations by state in physician disciplinary actions by US medical licensure boards. Citation Text: Harris JA, Byhoff E. Variations by state in physician disciplinary actions by US medical licensure boards. BMJ Qual Saf. 2017;26(3):200-208. doi:10.1136/bmjqs-2015-004974. Copy Ci…

  4. Poor resident–attending intraoperative communication may compromise patient safety. | PSNet

    psnet.ahrq.gov/issue/poor-resident-attending-intraoperative-communication-may-compromise-patient-safety
    September 23, 2020 - Study Poor resident–attending intraoperative communication may compromise patient safety. Citation Text: Belyansky I, Martin TR, Prabhu AS, et al. Poor resident-attending intraoperative communication may compromise patient safety. J Surg Res. 2011;171(2):386-94. doi:10.1016/j.jss.2011.…

  5. I-PASS mentored implementation handoff curriculum: champion training materials. | PSNet

    psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-champion-training-materials
    November 16, 2022 - Commentary I-PASS mentored implementation handoff curriculum: champion training materials. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: Champion Training Materials. MedEdPORTAL. 2019;15:10794. doi:10.15766/mep_2374-8265.10794…

  6. Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. | PSNet

    psnet.ahrq.gov/issue/development-implementation-and-dissemination-i-pass-handoff-curriculum-multisite-educational
    November 12, 2014 - Study Development, implementation, and dissemination of the I-PASS Handoff Curriculum: a multisite educational intervention to improve patient handoffs. Citation Text: Starmer AJ, O'Toole JK, Rosenbluth G, et al. Development, implementation, and dissemination of the I-PASS handoff curric…

  7. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. | PSNet

    psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources
    November 16, 2022 - Commentary I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/me…

  8. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. | PSNet

    psnet.ahrq.gov/issue/addressing-racial-and-ethnic-bias-pulse-oximeters-wicked-problem
    April 18, 2019 - Commentary Addressing racial and ethnic bias in pulse oximeters—a wicked problem. Citation Text: Shachar C, Drabo EF, Iwashyna TJ, et al. Addressing racial and ethnic bias in pulse oximeters—a wicked problem. JAMA. 2025;333(7):563-564. doi:10.1001/jama.2024.25443. Copy Citation For…

  9. Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. | PSNet

    psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
    May 25, 2022 - Study Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. Citation Text: doi:10.1001/jamaoncol.2022.0114. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  10. The emotional impact of medical errors on practicing physicians in the United States and Canada. | PSNet

    psnet.ahrq.gov/issue/emotional-impact-medical-errors-practicing-physicians-united-states-and-canada
    January 23, 2008 - Study Classic The emotional impact of medical errors on practicing physicians in the United States and Canada. Citation Text: Waterman AD, Garbutt J, Hazel E, et al. The emotional impact of medical errors on practicing physicians in the United States and Canada.…

  11. Challenges and opportunities for improving patient safety through human factors and systems engineering. | PSNet

    psnet.ahrq.gov/issue/challenges-and-opportunities-improving-patient-safety-through-human-factors-and-systems
    September 11, 2019 - Commentary Emerging Classic Challenges and opportunities for improving patient safety through human factors and systems engineering. Citation Text: Carayon P, Wooldridge A, Hose B-Z, et al. Challenges And Opportunities For Improving Patient Safety Through Human …

  12. Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-inconvenient-facts-patient-safety-non-247-theatre-site-staffed-obstetric
    November 02, 2022 - Commentary Hiding in plain sight: inconvenient facts for patient safety in non-24/7 theatre on-site staffed obstetric units. Citation Text: McGurgan P. Hiding in plain sight: Inconvenient facts for patient safety in non‐24/7 theatre on‐site staffed obstetric units. Aust N Z J Obstet Gyna…

  13. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2024-user-database-report
    January 14, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. Citation Text: Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2024 User Database Report. Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthcare Research…

  14. Quantitative assessment of workload and stressors in clinical radiation oncology. | PSNet

    psnet.ahrq.gov/issue/quantitative-assessment-workload-and-stressors-clinical-radiation-oncology
    October 21, 2015 - Study Quantitative assessment of workload and stressors in clinical radiation oncology. Citation Text: Mazur LM, Mosaly PR, Jackson M, et al. Quantitative assessment of workload and stressors in clinical radiation oncology. Int J Radiat Oncol Biol Phys. 2012;83(5):e571-6. doi:10.1016/j.i…

  15. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. | PSNet

    psnet.ahrq.gov/issue/emergency-medical-services-system-changes-reduce-pediatric-epinephrine-dosing-errors
    October 06, 2021 - Study Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting. Citation Text: Kaji AH, Gausche-Hill M, Conrad H, et al. Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital settin…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49807/psn-pdf
    October 01, 2017 - Translating From Normal to Abnormal October 1, 2017 Turner AM. Translating From Normal to Abnormal. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/translating-normal-abnormal Case Objectives Define limited English proficiency. Understand the principal approaches to machine translation. Review the way mach…

  17. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. | PSNet

    psnet.ahrq.gov/issue/reducing-catheter-associated-bloodstream-infections-pediatric-intensive-care-unit-business
    November 23, 2016 - Study Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. Citation Text: Nowak JE, Brilli RJ, Lake MR, et al. Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: Business …

  18. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
    April 22, 2011 - Study The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Citation Text: Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…

  19. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. | PSNet

    psnet.ahrq.gov/issue/what-causes-medication-administration-errors-mental-health-hospital-qualitative-study-nursing
    March 11, 2020 - Study What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. Citation Text: Keers RN, Plácido M, Bennett K, et al. What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff. …

  20. Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. | PSNet

    psnet.ahrq.gov/issue/retrospective-review-medication-dose-errors-pediatric-emergency-department-medication-orders
    January 12, 2022 - Study Retrospective review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist review. Citation Text: Todd SE, Thompson AJ, Russell WS. Retrospective review for medication dose errors in pediatric emergency department medication orders…
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