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Total Results: 6,014 records

Showing results for "examining".

1961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35175/psn-pdf
      June 23, 2009 - Overnight and postcall errors in medication orders. June 23, 2009 Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders This study examined the incidence of prescribing errors…

1962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34722/psn-pdf
      April 07, 2011 - A preliminary taxonomy of medical errors in family practice. April 7, 2011 Dovey S, Meyers DS, Phillips RL, et al. A preliminary taxonomy of medical errors in family practice. Qual Saf Health Care. 2002;11(3):233-8. https://psnet.ahrq.gov/issue/preliminary-taxonomy-medical-errors-family-practice Efforts to improv…

1963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45039/psn-pdf
      September 27, 2016 - Deaths following prehospital safety incidents: an analysis of a national database. September 27, 2016 Yardley I, Donaldson LJ. Deaths following prehospital safety incidents: an analysis of a national database. Emerg Med J. 2016;33(10):716-721. doi:10.1136/emermed-2015-204724. https://psnet.ahrq.gov/issue/deaths-fo…

1964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47244/psn-pdf
      August 01, 2018 - The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. August 1, 2018 Simul Healthc. 2018;13(3S suppl 1):S1-S55. https://psnet.ahrq.gov/issue/second-society-simulation-healthcare-research-summit-beyond-our-boundaries Simulation strategies can help examine team interaction and care …

1965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37575/psn-pdf
      September 08, 2010 - Systematic review: the evidence that publishing patient care performance data improves quality of care. September 8, 2010 Fung CH, Lim Y-W, Mattke S, et al. Systematic review: the evidence that publishing patient care performance data improves quality of care. Ann Intern Med. 2008;148(2):111-23. https://psnet.ahrq…

1966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35101/psn-pdf
      November 04, 2015 - Hospital finances and patient safety outcomes. November 4, 2015 Encinosa W, Bernard DM. Hospital finances and patient safety outcomes. Inquiry. 2005;42(1):60-72. https://psnet.ahrq.gov/issue/hospital-finances-and-patient-safety-outcomes This AHRQ–funded study examined the relationship between hospital profit margin…

1967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837982/psn-pdf
      August 31, 2022 - Patient Safety Incident Response Framework. August 31, 2022 London, England: NHS England; August 2022. https://psnet.ahrq.gov/issue/patient-safety-incident-response-framework Effective response to medical error requires a comprehensive systemic and process-focused incident examination approach to ensure organizati…

1968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40217/psn-pdf
      April 04, 2011 - The objective impact of clinical peer review on hospital quality and safety. April 4, 2011 Edwards MT. The objective impact of clinical peer review on hospital quality and safety. Am J Med Qual. 2011;26(2):110-9. doi:10.1177/1062860610380732. https://psnet.ahrq.gov/issue/objective-impact-clinical-peer-review-hospi…

1969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35022/psn-pdf
      June 22, 2009 - The investigation and analysis of critical incidents and adverse events in healthcare. June 22, 2009 Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health Technol Assess. 2005;9(19):1-143, iii. https://psnet.ahrq.gov/issue/in…

1970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859351/psn-pdf
      January 01, 2024 - Changing the patient safety mindset: can safety cases help? December 20, 2023 Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652. https://psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help Examinatio…

1971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50580/psn-pdf
      October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. October 23, 2019 Rein L. Washington Post. October 5, 2019. https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding- investigation-va-hospital The Vete…

1972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854264/psn-pdf
      October 04, 2023 - Patient death tied to lack of proper escalation process for barcode scanning failures. October 4, 2023 ISMP Medication Safety Alert! Acute Care edition. 2023;28(19):1-3. https://psnet.ahrq.gov/issue/patient-death-tied-lack-proper-escalation-process-barcode-scanning-failures Lack of experience with distinct process…

1973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37399/psn-pdf
      March 28, 2012 - Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors. March 28, 2012 Throckmorton T, Etchegaray J. Factors affecting incident reporting by registered nur…

1974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43211/psn-pdf
      July 16, 2015 - Seeking high reliability in primary care: leadership, tools, and organization. July 16, 2015 Weaver RR. Seeking high reliability in primary care: Leadership, tools, and organization. Health Care Manage Rev. 2015;40(3):183-92. doi:10.1097/HMR.0000000000000022. https://psnet.ahrq.gov/issue/seeking-high-reliability-p…

1975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866201/psn-pdf
      June 26, 2024 - Systemic: How Racism Is Making Us Ill. June 26, 2024 Liverpool L. New York, NY: Astra Publishing House; 2024. ISBN?: ?9781662601675. https://psnet.ahrq.gov/issue/systemic-how-racism-making-us-ill People of color are routinely affected by biased decision making in health care. This book examines the phenomenon of d…

1976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40764/psn-pdf
      December 29, 2014 - Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. December 29, 2014 Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.1093/intqhc/mzr045. https://psnet…

1977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73225/psn-pdf
      May 05, 2021 - Black or 'other'? Doctors may be relying on race to make decisions about your health. May 5, 2021 Smith J, Spodak C. CNN. April 25, 2021. https://psnet.ahrq.gov/issue/black-or-other-doctors-may-be-relying-race-make-decisions-about-your-health Race-adjusted decision making tools perpetuate the potential for diagnos…

1978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42405/psn-pdf
      July 10, 2013 - The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. July 10, 2013 Lucchiari C, Pravettoni G. The role of patient involvement in the diagnostic process in internal medicine: a cognitive approach. Eur J Intern Med. 2013;24(5):411-5. doi:10.1016/j.ejim.2013.01.022. ht…

1979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34799/psn-pdf
      December 23, 2008 - Drug related admissions to a cardiology department; frequency and avoidability. December 23, 2008 Hallas J, Haghfelt T, Gram LF, et al. Drug related admissions to a cardiology department; frequency and avoidability. J Intern Med. 1990;228(4):379-84. https://psnet.ahrq.gov/issue/drug-related-admissions-cardiology-d…

1980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38061/psn-pdf
      November 08, 2008 - Medication errors in pediatric inpatients: prevalence and results of a prevention program. November 8, 2008 Otero P, Leyton A, Mariani G, et al. Medication errors in pediatric inpatients: prevalence and results of a prevention program. Pediatrics. 2008;122(3):e737-43. doi:10.1542/peds.2008-0014. https://psnet.ahrq…