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Showing results for "examined".

  1. Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. | PSNet

    psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management
    October 06, 2011 - Commentary Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. Citation Text: Singh R, Singh A, Fox C, et al. Computer visualisation of patient safety in primary care: a systems approach adapted from management sci…

  2. A framework for operationalizing risk: a practical approach to patient safety.  | PSNet

    psnet.ahrq.gov/issue/framework-operationalizing-risk-practical-approach-patient-safety
    October 13, 2018 - Commentary A framework for operationalizing risk: a practical approach to patient safety.  Citation Text: Mathews SC, Sutcliffe K, Garrett MR, et al. A framework for operationalizing risk: A practical approach to patient safety. J Healthc Risk Manag. 2018;38(1):38-46. doi:10.1002/jhrm.21…

  3. 2023 National Healthcare Quality and Disparities Report | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/nhqdr23/app-b.html
    December 01, 2023 - 2023 National Healthcare Quality and Disparities Report Appendix B. Quality Trends and Disparities Tables Appendix B contains data tables showing trends in quality for measures by topic (e.g., Access, Person-Centered Care), as well as single-year disparities information by demographic group (e.g., race, incom…

  4. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. | PSNet

    psnet.ahrq.gov/issue/surgical-simulation-curriculum-senior-medical-students-based-teamstepps
    December 21, 2014 - Study A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Citation Text: Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.…

  5. Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity. | PSNet

    psnet.ahrq.gov/issue/remaking-surgical-socialization-work-hour-restrictions-rites-passage-and-occupational
    March 15, 2023 - Study Remaking surgical socialization: work hour restrictions, rites of passage, and occupational identity. Citation Text: Veazey Brooks J, Bosk CL. Remaking surgical socialization: Work hour restrictions, rites of passage, and occupational identity. Soc Sci Med. 2012;75(9). doi:10.1016…

  6. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. | PSNet

    psnet.ahrq.gov/issue/cognitive-processes-involved-blame-and-blame-judgments-and-forgiveness-and-forgiveness
    August 23, 2017 - Study Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Citation Text: Mullet E, Rivière S, Sastre MTM. Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments. Am J…

  7. Factors influencing preceptors' responses to medical errors: a factorial survey. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
    September 10, 2009 - Study Factors influencing preceptors' responses to medical errors: a factorial survey. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92. Copy Citation Format: …

  8. Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. | PSNet

    psnet.ahrq.gov/issue/implementing-world-health-organization-surgical-safety-checklist-model-future-perioperative
    March 30, 2022 - Commentary Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. Citation Text: Styer KA, Ashley SW, Schmidt I, et al. Implementing the World Health Organization surgical safety checklist: a model for future perioperative in…

  9. 114-Fvc-Aspects-Steps-One-Pager (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/114-fvc-aspects-steps-one-pager.docx
    April 01, 2025 - When starting or improving an environmental cleaning (EVC) monitoring program, there are five essential steps to address, which are outlined below. This document focuses on the implementation of fluorescent gel (FG) monitoring, which is generally easier to use and implement, especially when starting a new monitoring pr…

  10. System weaknesses as contributing causes of accidents in health care. | PSNet

    psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
    August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

  11. Impact of the Care Quality Commission on Provider Performance: Room for Improvement? | PSNet

    psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
    November 18, 2015 - Book/Report Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Citation Text: Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…

  12. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet

    psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
    February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

  13. Using simulation to address hierarchy issues during medical crises. | PSNet

    psnet.ahrq.gov/issue/using-simulation-address-hierarchy-issues-during-medical-crises
    June 15, 2012 - Commentary Using simulation to address hierarchy issues during medical crises. Citation Text: Calhoun AW, Boone MC, Miller KH, et al. Case and commentary: using simulation to address hierarchy issues during medical crises. Simul Healthc. 2013;8(1):13-9. doi:10.1097/SIH.0b013e318280b202…

  14. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. | PSNet

    psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
    January 23, 2017 - Commentary Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Citation Text: Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;1…

  15. One hospital's initiatives to encourage safe opioid use. | PSNet

    psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
    October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…

  16. Using fault trees to advance understanding of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
    November 11, 2020 - Commentary Using fault trees to advance understanding of diagnostic errors. Citation Text: Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007. Copy Citation F…

  17. Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet

    psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
    June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…

  18. Five new ways to advance diagnostic safety in your clinical practice. | PSNet

    psnet.ahrq.gov/issue/five-new-ways-advance-diagnostic-safety-your-clinical-practice
    June 30, 2021 - Commentary Five new ways to advance diagnostic safety in your clinical practice. Citation Text: Five new ways to advance diagnostic safety in your clinical practice. Bradford A, Goeschel C, Shofer M, et al. Am Fam Physician. 2023;108(1):14-16. Copy Citation Save …

  19. Understanding the Impacts of State Efforts to Increase Primary Care Spending (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/profiles/profile_song.pdf
    August 09, 2025 - Understanding the Impacts of State Efforts to Increase Primary Care Spending PI Name: Zirui Song, MD, PhD Grant Title: Evaluations of Increasing State Investments in Primary Care: Effects on Health Care Spending, Utilization, and Quality Organization Name: Harvard Medical School Gran…

  20. Quality improvement and patient safety activities in academic departments of medicine. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-and-patient-safety-activities-academic-departments-medicine
    July 02, 2014 - Study Quality improvement and patient safety activities in academic departments of medicine. Citation Text: Neeman N, Sehgal NL, Davis RB, et al. Quality improvement and patient safety activities in academic departments of medicine. Am J Med. 2012;125(8):831-5. doi:10.1016/j.amjmed.201…
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