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Showing results for "factor".

  1. Sustainability | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/sustainability.html
    July 01, 2018 - Sustainability Toolkit To Reduce CAUTI and Other HAIs in Long-Term Care Facilities This section explains the importance of planning for sustainability from the beginning and provides an overview of factors to help achieve sustainable gains. Infection prevention strategies can only be sustained if they are emb…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35611/psn-pdf
    June 23, 2010 - Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure. June 23, 2010 Espin S, Levinson W, Regehr G, et al. Error or "act of God"? A study of patients' and operating room team members' perceptions of error definition, reporting, and d…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74001/psn-pdf
    January 01, 2022 - Filling a gap in safety metrics: development of a patient- centred framework to identify and categorise patient- reported breakdowns related to the diagnostic process in ambulatory care. October 27, 2021 Bell SK, Bourgeois FC, DesRoches CM, et al. Filling a gap in safety metrics: development of a patient- centred…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36255/psn-pdf
    February 02, 2011 - Interns' compliance with Accreditation Council for Graduate Medical Education work-hour limits. February 2, 2011 Landrigan CP, Barger LK, Cade BE, et al. Interns' compliance with accreditation council for graduate medical education work-hour limits. JAMA. 2006;296(9):1063-70. https://psnet.ahrq.gov/issue/interns-c…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48057/psn-pdf
    June 26, 2019 - Multicenter study to evaluate the benefits of technology- assisted workflow on i.v. room efficiency, costs, and safety. June 26, 2019 Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Am J Health-Syst Pharm. 2…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47153/psn-pdf
    October 12, 2018 - Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. October 12, 2018 Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Support Care Ca…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61099/psn-pdf
    November 04, 2020 - Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. November 4, 2020 Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection errors and user-Initiated "good…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866587/psn-pdf
    January 01, 2025 - Professionalising patient safety? Findings from a mixed- methods formative evaluation of the patient safety specialist role in the English National Health Service. August 28, 2024 Martin G, Pralat R, Waring J, et al. Professionalising patient safety? Findings from a mixed-methods formative evaluation of the patien…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44497/psn-pdf
    September 09, 2015 - VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. September 9, 2015 Washington, DC: United States Government Accountability Office; July 29, 2015. Publication GAO-15-643. https://psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses- advers…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45225/psn-pdf
    June 15, 2016 - A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. June 15, 2016 Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. J Investig Med High Impact Case R…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37530/psn-pdf
    December 15, 2008 - Do medical inpatients who report poor service quality experience more adverse events and medical errors? December 15, 2008 Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality experience more adverse events and medical errors? Med Care. 2008;46(2):224-228. doi:10.1097…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37873/psn-pdf
    June 16, 2009 - Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. June 16, 2009 Horwitz LI, Meredith T, Schuur JD, et al. Dropping the baton: a qualitative analysis of failures during the transition from emergency department to inpatient care. Ann Emerg Med. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847537/psn-pdf
    April 12, 2023 - Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method. April 12, 2023 Johansson AC, Manago B, Sell J, et al. Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observa…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39655/psn-pdf
    July 07, 2010 - Errors of diagnosis in pediatric practice: a multisite survey. July 7, 2010 Singh H, Thomas EJ, Wilson L, et al. Errors of diagnosis in pediatric practice: a multisite survey. Pediatrics. 2010;126(1):70-9. doi:10.1542/peds.2009-3218. https://psnet.ahrq.gov/issue/errors-diagnosis-pediatric-practice-multisite-survey…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38759/psn-pdf
    April 05, 2010 - Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. April 5, 2010 Benn J, Burnett S, Parand A, et al. Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative. J Eval Cl…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38660/psn-pdf
    November 13, 2009 - Improving medication error reporting in hospice care. November 13, 2009 Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145. https://psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-c…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37453/psn-pdf
    March 03, 2011 - Managing the prevention of retained surgical instruments: what is the value of counting? March 3, 2011 Egorova NN, Moskowitz A, Gelijns A, et al. Managing the prevention of retained surgical instruments: what is the value of counting? Ann Surg. 2008;247(1):13-8. https://psnet.ahrq.gov/issue/managing-prevention-ret…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848035/psn-pdf
    April 26, 2023 - Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. April 26, 2023 Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations presenting to the emergency department…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74833/psn-pdf
    February 16, 2022 - Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. February 16, 2022 Zerah L, Henrard S, Thevelin S, et al. Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. Age Ag…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60177/psn-pdf
    April 01, 2020 - What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regulation strategies, and effects on patient care. April 1, 2020 Isbell LM, Boudreaux ED, Chimowitz H, et al. What do emergency department physicians and nurses feel? A qualitative study of emotions, triggers, regu…
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