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Total Results: 197 records

Showing results for "extensive".

1. Does lean management improve patient safety culture? An extensive evaluation of safety culture in a radiotherapy institute. | PSNet
   psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture
   December 05, 2018 - An extensive evaluation of safety culture in a radiotherapy institute. … An extensive evaluation of safety culture in a radiotherapy institute. … An extensive evaluation of safety culture in a radiotherapy institute.

2. Psn-Pdf (pdf file)
   psnet.ahrq.gov/node/45023/psn-pdf
   April 17, 2018 - improving-medication-administration-safety-community-hospital-setting-using-lean-methodology https://psnet.ahrq.gov/issue/does-lean-management-improve-patient-safety-culture-extensive-evaluation-safety-culture

3. ICU attending handoff practices: results from a national survey of academic intensivists. | PSNet
   psnet.ahrq.gov/issue/icu-attending-handoff-practices-results-national-survey-academic-intensivists
   February 06, 2019 - This suggests that despite extensive work in this area, handoffs remain a persistent safety vulnerability

4. Factors influencing in-hospital prescribing errors: a systematic review. | PSNet
   psnet.ahrq.gov/issue/factors-influencing-hospital-prescribing-errors-systematic-review
   March 23, 2022 - Despite extensive research and interventions , medication prescribing errors in hospital continue

5. Evaluation of Quality, Safety and Value in Veterans Health Administration Facilities, Fiscal 2021. | PSNet
   psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fiscal-2021
   October 12, 2022 - This extensive inspection report shares findings from examinations at 45 Veterans Health Administration

6. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. | PSNet
   psnet.ahrq.gov/issue/ahrq-report-diagnostic-errors-emergency-department-wrong-answer-wrong-question
   September 23, 2020 - , AHRQ released Diagnostic Errors in the Emergency Department: a Systematic Review which received extensive

7. Delayed Evaluation of Abdominal Pain in an Elderly Patient. | PSNet
   psnet.ahrq.gov/web-mm/delayed-evaluation-abdominal-pain-elderly-patient
   February 26, 2020 - At 2235H, the ED physician was contacted by the hospital’s on-call radiologist who reported seeing extensive … A surgical consultant deemed the patient to be inoperable and non-recoverable due to extensive bowel … Many patients who come to the ED do not need extensive workups and use few resources. … The case description concludes with the patient rapidly deteriorating after radiographic detection of extensive … If the surgeon were to encounter extensive necrosis or irreversible ischemia of the intestines, they

8. The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units. | PSNet
   psnet.ahrq.gov/issue/impact-safety-organizing-trusted-leadership-and-care-pathways-reported-medication-errors
   January 18, 2011 - This study discovered that extensive use of care pathways increased the positive effects of safety organizing

9. Redesign of health care systems to reduce diagnostic errors: leveraging human experience and artificial intelligence. | PSNet
   psnet.ahrq.gov/issue/redesign-health-care-systems-reduce-diagnostic-errors-leveraging-human-experience-and
   December 04, 2016 - Despite extensive research and education, diagnostic errors continue to be a global health concern.

10. Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. | PSNet
    psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
    November 06, 2015 - The extensive three-volume report outlines 290 proposals, including drastic measures to improve patient

11. Medication errors involving oral chemotherapy. | PSNet
    psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
    January 06, 2017 - Widely publicized errors associated with chemotherapy catalyzed extensive efforts to improve safety

12. Accountability measures—using measurement to promote quality improvement. | PSNet
    psnet.ahrq.gov/issue/accountability-measures-using-measurement-promote-quality-improvement
    January 23, 2012 - This tension between the need to improve care and knowing how to do it has generated extensive debate

13. How not to waste a crisis: a qualitative study of problem definition and its consequences in three hospitals. | PSNet
    psnet.ahrq.gov/issue/how-not-waste-crisis-qualitative-study-problem-definition-and-its-consequences-three
    April 21, 2015 - This qualitative study included interviews, extensive ethnographic observation, and review of documents

14. Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. | PSNet
    psnet.ahrq.gov/issue/unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug
    February 18, 2011 - However, extensive research has shown that clinicians ignore many warnings, especially those perceived

15. Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. | PSNet
    psnet.ahrq.gov/issue/improved-safety-culture-and-teamwork-climate-are-associated-decreases-patient-harm-and
    January 15, 2014 - patient safety and high reliability program that included numerous quality improvement activities and extensive

16. High-profile investigations into hospital safety problems in England did not prompt patients to switch providers. | PSNet
    psnet.ahrq.gov/issue/high-profile-investigations-hospital-safety-problems-england-did-not-prompt-patients-switch
    July 11, 2012 - basis, most organizations fear high-profile cases that land on front pages of newspapers or lead to extensive

17. Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital mortality: a cohort study. | PSNet
    psnet.ahrq.gov/issue/effects-introduction-who-surgical-safety-checklist-hospital-mortality-cohort-study
    April 24, 2018 - Despite the extensive publicity that checklists have received as a result of their central role in

18. A program to prevent catheter-associated urinary tract infection in acute care. | PSNet
    psnet.ahrq.gov/issue/program-prevent-catheter-associated-urinary-tract-infection-acute-care
    December 21, 2017 - , the study's key insight was that preventing health care–associated infections (HAIs) required extensive

19. Editorial Team | PSNet
    psnet.ahrq.gov/Information/Editor
    She has extensive experience managing and implementing large scale federal health care quality and patient … She has extensive experience leading patient safety initiatives and root cause analyses, and implementing … She has extensive experience managing research projects of varying scales and complexities, particularly

20. A systematic review of the literature on the evaluation of handoff tools: implications for research and practice. | PSNet
    psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice
    May 23, 2012 - 2011 The published literature on handoffs in hospitals: deficiencies identified in an extensive