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Showing results for "examined".

  1. Inadequate hand-off communication. | PSNet

    psnet.ahrq.gov/issue/inadequate-hand-communication
    April 02, 2015 - Sentinel Event Alerts Inadequate hand-off communication. Citation Text: Inadequate hand-off communication. Sentinel event alert. 2017;58(58):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download C…

  2. Human factor in cardiac surgery: errors and near misses in a high technology medical domain. | PSNet

    psnet.ahrq.gov/issue/human-factor-cardiac-surgery-errors-and-near-misses-high-technology-medical-domain
    June 09, 2010 - Review Classic Human factor in cardiac surgery: errors and near misses in a high technology medical domain. Citation Text: Carthey J, de Leval MR, Reason JT. The human factor in cardiac surgery: errors and near misses in a high technology medical domain. Ann Tho…

  3. 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. | PSNet

    psnet.ahrq.gov/issue/speaking-about-patient-safety-concerns-and-unprofessional-behaviour-among-residents
    December 21, 2017 - Study 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two scales. Citation Text: Martinez W, Etchegaray J, Thomas EJ, et al. 'Speaking up' about patient safety concerns and unprofessional behaviour among residents: validation of two…

  4. Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. | PSNet

    psnet.ahrq.gov/issue/power-and-conflict-effect-superiors-interpersonal-behaviour-trainees-ability-challenge
    December 13, 2017 - Study Power and conflict: the effect of a superior's interpersonal behaviour on trainees' ability to challenge authority during a simulated airway emergency. Citation Text: Friedman Z, Hayter MA, Everett TC, et al. Power and conflict: the effect of a superior's interpersonal behaviour on…

  5. Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. | PSNet

    psnet.ahrq.gov/issue/effectiveness-do-not-interrupt-bundled-intervention-reduce-interruptions-during-medication
    August 26, 2020 - Study Classic Effectiveness of a 'Do not interrupt' bundled intervention to reduce interruptions during medication administration: a cluster randomised controlled feasibility study. Citation Text: Westbrook JI, Li L, Hooper TD, et al. Effectiveness of a 'Do not …

  6. An analysis of incident reports related to electronic medication management: how they change over time. | PSNet

    psnet.ahrq.gov/issue/analysis-incident-reports-related-electronic-medication-management-how-they-change-over-time
    March 10, 2021 - Study An analysis of incident reports related to electronic medication management: how they change over time. Citation Text: Kinlay M, Zheng WY, Burke R, et al. An analysis of incident reports related to electronic medication management: how they change over time. J Patient Saf. 2024;20(…

  7. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/improving-communication-hospital-skilled-nursing-facility-through-standardized-hand-quality
    September 08, 2021 - Study Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality improvement project. Citation Text: Baluyot A, McNeill C, Wiers S. Improving communication from hospital to skilled nursing facility through standardized hand-off: a quality i…

  8. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. | PSNet

    psnet.ahrq.gov/issue/why-safety-intrapartum-electronic-fetal-monitoring-so-hard-qualitative-study-combining-human
    October 21, 2020 - Study Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative study combining human factors/ergonomics and social science analysis. Citation Text: Lamé G, Liberati EG, Canham A, et al. Why is safety in intrapartum electronic fetal monitoring so hard? A qualitative…

  9. Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. | PSNet

    psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
    December 21, 2014 - Study Classic Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. Citation Text: Leonardi MJ, McGory ML, Ko CY. Publicly available hospital comparison web sites: determin…

  10. Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. | PSNet

    psnet.ahrq.gov/issue/breakdowns-initial-patient-provider-encounter-are-frequent-source-diagnostic-error-among
    January 23, 2019 - Review Breakdowns in the initial patient-provider encounter are a frequent source of diagnostic error among ischemic stroke cases included in a large medical malpractice claims database. Citation Text: Liberman AL, Skillings J, Greenberg P, et al. Breakdowns in the initial patient-provid…

  11. Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. | PSNet

    psnet.ahrq.gov/issue/strengths-and-weaknesses-diagnostic-process-endometriosis-patients-perspective-focus-group
    March 06, 2019 - Study Strengths and weaknesses in the diagnostic process of endometriosis from the patients' perspective: a focus group study. Citation Text: van der Zanden M, de Kok L, Nelen WLDM, et al. Strengths and weaknesses in the diagnostic process of endometriosis from the patients’ perspective:…

  12. The burden of opioid-related mortality in the United States. | PSNet

    psnet.ahrq.gov/issue/burden-opioid-related-mortality-united-states
    June 02, 2021 - Study Classic The burden of opioid-related mortality in the United States. Citation Text: Gomes T, Tadrous M, Mamdani MM, et al. The burden of opioid-related mortality in the United States. JAMA Netw Open. 2018;1(2):e180217. doi:10.1001/jamanetworkopen.2018.0217…

  13. A systems approach to analyzing and preventing hospital adverse events. | PSNet

    psnet.ahrq.gov/issue/systems-approach-analyzing-and-preventing-hospital-adverse-events
    March 30, 2022 - Study Emerging Classic A systems approach to analyzing and preventing hospital adverse events. Citation Text: Leveson N, Samost A, Dekker SWA, et al. A systems approach to analyzing and preventing hospital adverse events. J Patient Saf. 2020;16(2):162-167. doi:1…

  14. Hierarchy and medical error: speaking up when witnessing an error. | PSNet

    psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-when-witnessing-error
    April 14, 2011 - Review Emerging Classic Hierarchy and medical error: speaking up when witnessing an error. Citation Text: Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.202…

  15. Patient-Centered Medical Home Information Model | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/patient-centered-medical-home-information-model
    January 01, 2023 - Patient-Centered Medical Home Information Model Project Final Report ( PDF , 1.5 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Project Details - Completed …

  16. Implementation of electronic triggers to identify diagnostic errors in emergency departments. | PSNet

    psnet.ahrq.gov/issue/implementation-electronic-triggers-identify-diagnostic-errors-emergency-departments
    September 25, 2024 - Study Implementation of electronic triggers to identify diagnostic errors in emergency departments. Citation Text: Vaghani V, Gupta A, Mir U, et al. Implementation of electronic triggers to identify diagnostic errors in emergency departments. JAMA Intern Med. 2025;185(2):143-151. doi:10.…

  17. Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/effect-emergency-department-process-improvement-package-suicide-prevention-ed-safe-2-cluster
    March 09, 2022 - Study Effect of an emergency department process improvement package on suicide prevention: the ED-SAFE 2 cluster randomized clinical trial. Citation Text: Boudreaux ED, Larkin C, Vallejo Sefair A, et al. Effect of an emergency department process improvement package on suicide prevention:…

  18. Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. | PSNet

    psnet.ahrq.gov/issue/impact-multidisciplinary-team-huddles-patient-safety-systematic-review-and-proposed-taxonomy
    November 10, 2015 - Review Emerging Classic Impact of multidisciplinary team huddles on patient safety: a systematic review and proposed taxonomy. Citation Text: Franklin BJ, Gandhi TK, Bates DW, et al. Impact of multidisciplinary team huddles on patient safety: a systematic review…

  19. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/nursing-implications-early-warning-system-implemented-reduce-adverse-events-qualitative-study
    October 27, 2021 - Study Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. Citation Text: Braun EJ, Singh S, Penlesky AC, et al. Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. BMJ Qual Saf. …

  20. Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. | PSNet

    psnet.ahrq.gov/issue/direct-observation-depression-screening-identifying-diagnostic-error-and-improving-accuracy
    December 08, 2021 - Study Direct observation of depression screening: identifying diagnostic error and improving accuracy through unannounced standardized patients. Citation Text: Schwartz A, Peskin S, Spiro A, et al. Direct observation of depression screening: identifying diagnostic error and improving acc…
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