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Total Results: 6,011 records

Showing results for "examined".

  1. What can we learn from coroners’ reports on preventable deaths? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
    October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  2. Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents. | PSNet

    psnet.ahrq.gov/issue/teaching-about-how-doctors-think-longitudinal-curriculum-cognitive-bias-and-diagnostic-error
    July 02, 2014 - Study Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents. Citation Text: Reilly JB, Ogdie AR, Von Feldt JM, et al. Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for reside…

  3. An effectiveness analysis of healthcare systems using a systems theoretic approach. | PSNet

    psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
    August 10, 2022 - Study An effectiveness analysis of healthcare systems using a systems theoretic approach. Citation Text: Chuang S, Inder K. An effectiveness analysis of healthcare systems using a systems theoretic approach. BMC Health Serv Res. 2009;9:195. doi:10.1186/1472-6963-9-195. Copy Citation …

  4. Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional). | PSNet

    psnet.ahrq.gov/issue/patient-safety-learning-laboratories-advancing-patient-safety-through-design-systems
    July 22, 2024 - Grant Announcement Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Engineering, and Health Services Research (R18 Clinical Trial Optional). Citation Text: Patient Safety Learning Laboratories: Advancing Patient Safety through Design, Systems Enginee…

  5. Risk mitigation in large scale systems: lessons from high reliability organizations. | PSNet

    psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations
    January 30, 2019 - Commentary Classic Risk mitigation in large scale systems: lessons from high reliability organizations. Citation Text: Risk mitigation in large scale systems: lessons from high reliability organizations. Grabowski M, Roberts K. Calif Manag Rev. 1997;39(4):152-16…

  6. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. | PSNet

    psnet.ahrq.gov/issue/early-readmissions-department-medicine-screening-tool-monitoring-quality-care-problems
    April 06, 2022 - Study Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Citation Text: Balla U, Malnick S, Schattner A. Early readmissions to the department of medicine as a screening tool for monitoring quality of care problems. Medicine (Ba…

  7. Hospital RNs' experiences with disruptive behavior: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/hospital-rns-experiences-disruptive-behavior-qualitative-study
    September 09, 2015 - Study Hospital RNs' experiences with disruptive behavior: a qualitative study. Citation Text: Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e. Copy Citation …

  8. Failure to rescue as a process measure to evaluate fetal safety during labor. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-process-measure-evaluate-fetal-safety-during-labor
    October 19, 2022 - Study Failure to rescue as a process measure to evaluate fetal safety during labor. Citation Text: Beaulieu MJ. Failure to rescue as a process measure to evaluate fetal safety during labor. MCN Am J Matern Child Nurs. 2009;34(1):18-23. doi:10.1097/01.NMC.0000343861.64614.c9. Copy Citat…

  9. Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. | PSNet

    psnet.ahrq.gov/issue/risk-evaluation-and-mitigation-strategy-rems-programs-and-medication-safety-parts-i-and-ii
    March 15, 2022 - Special or Theme Issue Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. Citation Text: Risk Evaluation and Mitigation Strategy (REMS) Programs and Medication Safety: Parts I and II. ISMP Medication Safety Alert! Acute care edition. July 13, 2…

  10. Racism as a Root Cause approach: a new framework. | PSNet

    psnet.ahrq.gov/issue/racism-root-cause-approach-new-framework
    December 17, 2020 - Commentary Racism as a Root Cause approach: a new framework. Citation Text: Malawa Z, Gaarde J, Spellen S. Racism as a Root Cause approach: a new framework. Pediatrics. 2021;147(1):e2020015602. doi:10.1542/peds.2020-015602. Copy Citation Format: DOI Google Scholar BibTeX En…

  11. Preventable mortality after common urological surgery: failing to rescue? | PSNet

    psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
    July 17, 2013 - Study Preventable mortality after common urological surgery: failing to rescue? Citation Text: Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. Copy Citation Form…

  12. Malpractice liability and health care quality: a review | PSNet

    psnet.ahrq.gov/issue/malpractice-liability-and-health-care-quality-review
    April 13, 2011 - Review Emerging Classic Malpractice liability and health care quality: a review Citation Text: Mello MM, Frakes MD, Blumenkranz E, et al. Malpractice liability and health care quality: A review . JAMA. 2020;323(4):352-366. doi:10.1001/jama.2019.21411. Copy Cit…

  13. The need for organizational change in patient safety initiatives. | PSNet

    psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
    May 12, 2010 - Study The need for organizational change in patient safety initiatives. Citation Text: Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. Copy Citation Format: Google Scholar Pu…

  14. The Future of Emergency Care in the United States Health System. | PSNet

    psnet.ahrq.gov/issue/future-emergency-care-united-states-health-system
    June 16, 2012 - Book/Report The Future of Emergency Care in the United States Health System. Citation Text: The Future of Emergency Care in the United States Health System. Institute of Medicine. Washington DC; National Academies Press: 2007. Copy Citation Save Save to your l…

  15. Teaching medical error disclosure to residents using patient-centered simulation training. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training
    October 19, 2022 - Study Teaching medical error disclosure to residents using patient-centered simulation training. Citation Text: Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.000…

  16. How structural racism works - racist policies as a root cause of U.S. racial health inequities. | PSNet

    psnet.ahrq.gov/issue/how-structural-racism-works-racist-policies-root-cause-us-racial-health-inequities
    April 14, 2017 - Commentary Classic How structural racism works - racist policies as a root cause of U.S. racial health inequities. Citation Text: Bailey ZD, Feldman JM, Bassett MT. How structural racism works - racist policies as a root cause of U.S. racial health inequities. N…

  17. Bending the patient safety curve: how much can AI help? | PSNet

    psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
    March 31, 2021 - Commentary Bending the patient safety curve: how much can AI help? Citation Text: Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5. Copy Citation Format: DOI Google Schola…

  18. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. | PSNet

    psnet.ahrq.gov/issue/structural-empowerment-magnet-hospital-characteristics-and-patient-safety-culture-making-link
    May 28, 2014 - Study Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. Citation Text: Armstrong KJ, Laschinger H. Structural empowerment, Magnet hospital characteristics, and patient safety culture: making the link. J Nurs Care Qual. 2006;21(2):124-…

  19. Automatic errors: a case series on the errors inherent in electronic prescribing. | PSNet

    psnet.ahrq.gov/issue/automatic-errors-case-series-errors-inherent-electronic-prescribing
    March 14, 2022 - Commentary Automatic errors: a case series on the errors inherent in electronic prescribing. Citation Text: Lourenco LM, Bursua A, Groo VL. Automatic Errors: A Case Series on the Errors Inherent in Electronic Prescribing. J Gen Intern Med. 2016;31(7):808-811. doi:10.1007/s11606-016-3606-…

  20. Balancing innovation and safety when integrating digital tools into health care. | PSNet

    psnet.ahrq.gov/issue/balancing-innovation-and-safety-when-integrating-digital-tools-health-care
    July 01, 2011 - Commentary Balancing innovation and safety when integrating digital tools into health care. Citation Text: Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. Co…
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