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Showing results for "examining".

2041. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
      psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
      February 26, 2025 - critical care staff and administrators began to analyze the problem using aggregate root-cause analysis, examining

2042. Two Wrongs Don't Make a Right (Kidney) | PSNet
      psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
      April 01, 2010 - The estimated rate of wrong-site surgery varies widely when examining the literature and accessible databases

2043. U.S. Department of Veterans Affairs Medical Center, Houston, TX, and Baylor College of Medicine Revised Safer Diagnosis (Safer Dx) Instrument | PSNet
      psnet.ahrq.gov/innovation/us-department-veterans-affairs-medical-center-houston-tx-and-baylor-college-medicine
      February 26, 2025 - Quality (AHRQ) funded study is looking at the incidence of diagnostic error in inpatient settings, examining

2044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865524/psn-pdf
      April 10, 2024 - Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. April 10, 2024 Patel K, Smith DJ, Huntley CC, et al. Exploring the causes of COPD misdiagnosis in primary care: a mixed methods study. PLoS ONE. 2024;19(3):e0298432. doi:10.1371/journal.pone.0298432. https://psnet.ahrq.gov/issue/expl…

2045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47918/psn-pdf
      April 03, 2019 - AHRQ Health Services Research Project: Partners Enabling Diagnostic Excellence (R01). April 3, 2019 Agency for Healthcare Research and Quality, US Department of Health and Human Services. Program Announcement No. RFA-HS-19-003. https://psnet.ahrq.gov/issue/ahrq-health-services-research-project-partners-enabling-di…

2046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44445/psn-pdf
      September 16, 2015 - Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician characteristics, organization demographics, or leadership factors? September 16, 2015 Castel ES, Ginsburg LR, Zaheer S, et al. Understanding nurses' and physicians' fear of repercussions for reporting errors: clinician cha…

2047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838175/psn-pdf
      September 28, 2022 - Modes of failure in venous thromboembolism prophylaxis. September 28, 2022 Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. https://psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis Hosp…

2048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844551/psn-pdf
      February 15, 2023 - Emotional safety is patient safety. February 15, 2023 Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369- 372. doi:10.1136/bmjqs-2022-015573. https://psnet.ahrq.gov/issue/emotional-safety-patient-safety Patient perspectives can provide unique insights into care …

2049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855103/psn-pdf
      November 08, 2023 - Adverse Events. November 8, 2023 United States Office of the Inspector General: 2010-2023. https://psnet.ahrq.gov/issue/adverse-events-0 Large-scale data analysis provides insights to generate evidence-based improvement action. This collection of reports provides access to investigations of the impact of heal…

2050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866524/psn-pdf
      August 14, 2024 - Generative artificial intelligence, patient safety and healthcare quality: a review. August 14, 2024 Howell MD. Generative artificial intelligence, patient safety and healthcare quality: a review. BMJ Qual Saf. 2024;33(11):748-754. doi:10.1136/bmjqs-2023-016690. https://psnet.ahrq.gov/issue/generative-artificial-i…

2051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60972/psn-pdf
      January 30, 2003 - Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care. January 30, 2003 Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Press: 2003. ISBN 9780309082655. https://psnet.ahrq.gov/issue/unequal-treatment-confronting-racial-and-ethnic-dis…

2052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/842769/psn-pdf
      January 18, 2023 - Production pressure and its relationship to safety: a systematic review and future directions. January 18, 2023 Hashemian SM, Triantis K. Production pressure and its relationship to safety: a systematic review and future directions. Safety Sci. 2023;159:106045. doi:10.1016/j.ssci.2022.106045. https://psnet.ahrq.go…

2053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73167/psn-pdf
      April 21, 2021 - Patient safety functions of state medical boards in the United States. April 21, 2021 Roy CG. Yale J Biol Med. 2021;94(1):165-173.  https://psnet.ahrq.gov/issue/patient-safety-functions-state-medical-boards-united-states Delivery of safe care hinges on the competency of medical professionals. This article out…

2054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47944/psn-pdf
      April 17, 2019 - How to deliver safer and effective patient care: tips for team leaders and educators. April 17, 2019 Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017. https://psnet.ahrq.gov/issue/how-deliver-safer…

2055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847060/psn-pdf
      January 01, 2001 - The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? January 1, 2001 Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. Linköping Sweden: Linköping University; 2001. https://psnet.ahrq.gov/issu…

2056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838192/psn-pdf
      September 28, 2022 - When medical error becomes personal, activism becomes painful. September 28, 2022 Millenson M. Forbes. September 16, 2022. https://psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful Unnecessary medication infusions indicate weaknesses in medication service processes. While no harm w…

2057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47718/psn-pdf
      March 20, 2019 - Impact of patient safety culture on missed nursing care and adverse patient events. March 20, 2019 Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qual. 2019;34(4):287-294. doi:10.1097/NCQ.0000000000000378. https://psnet.ahrq.…

2058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44670/psn-pdf
      January 23, 2017 - Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. January 23, 2017 Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. https://psnet.ahrq.gov/issue/shift-shift-hand…

2059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60604/psn-pdf
      June 17, 2020 - The limits of current A.I. in health care: patient safety policing in hospitals. June 17, 2020 Furrow BR. NE Univ Law Rev. 2020;12(1):1-55. https://psnet.ahrq.gov/issue/limits-current-ai-health-care-patient-safety-policing-hospitals Artificial intelligence (AI) has the potential to improve the use of big data to e…

2060. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet
      psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
      September 09, 2015 - March 18, 2020 Examining causes and prevention strategies of adverse events in deceased