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Showing results for "failures".

  1. psnet.ahrq.gov/issue/delayed-workup-rectal-bleeding-adult-primary-care-examining-process-care-failures
    April 24, 2018 - Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures … Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures. … Delayed Workup of Rectal Bleeding in Adult Primary Care: Examining Process-of-Care Failures.
  2. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-1.html
    June 01, 2023 - explores: How patient-reported experiences can augment other methods of identifying diagnostic failures … Feedback from patient experiences can be useful for addressing diagnostic failures in two distinct ways
  3. psnet.ahrq.gov/issue/what-do-patients-and-relatives-know-about-problems-and-failures-care
    November 28, 2016 - Study What do patients and relatives know about problems and failures in care? … What do patients and relatives know about problems and failures in care? … What do patients and relatives know about problems and failures in care?
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38881/psn-pdf
    November 08, 2012 - This column recounts a case of delayed diagnosis and examines how communication and  process of care failures … issue/are-patients-part-blame-when-doctors-miss-diagnosis https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
  5. psnet.ahrq.gov/issue/teaching-nursing-students-ethical-and-legal-consequences-medical-errors-insights-radonda
    July 05, 2017 - students reported greater understanding of error reporting, the role of state boards of nursing, system failures … Download Citation Related Resources From the Same Author(s) Operational failures … April 17, 2024 Systemic failures in health care oversight.
  6. psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review
    September 26, 2012 - This systematic review of 38 published studies identified communication failures in all phases of surgical … RIS Download Citation Related Resources From the Same Author(s) Failures … February 9, 2011 An observational study of the frequency, severity, and etiology of failures
  7. psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
    March 14, 2023 - , 2023 Patient death tied to lack of proper escalation process for barcode scanning failures … October 4, 2023 Latent and active failures perfectly align to allow a preventable adverse … April 5, 2023 Latent and active failures perfectly align to allow a preventable adverse
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867337/psn-pdf
    December 11, 2024 - perspectives-anesthesia-and-perioperative-patient-safety-past-present-and- future Achieving sustained improvements in patient safety requires learning from both safety failures … The Safety I framework includes using individual and system failures, analytics, culture, and technology
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46570/psn-pdf
    April 12, 2019 - electronic-health-records https://psnet.ahrq.gov/issue/trainees-perceptions-patient-safety-practices-recounting-failures-supervision … https://psnet.ahrq.gov/issue/trainees-perceptions-patient-safety-practices-recounting-failures-supervision
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844546/psn-pdf
    February 15, 2023 - gender-biases-and-diagnostic-delay-inflammatory-bowel-disease-multicenter- observational-study Women often experience misdiagnosis and diagnostic delays due to process failures … psnet.ahrq.gov/issue/unwell-women-misdiagnosis-and-myth-man-made-world https://psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
  11. www.ahrq.gov/ncepcr/care/coordination/atlas//chapter2.html
    June 01, 2014 - Perspectives on Care Coordination Successes and failures in care coordination will be perceived (and … and sites are met over time. 4 Patients, their families, and other informal caregivers experience failures … Patients perceive failures in terms of unreasonable levels of effort required on the part of themselves … They also perceive failures in terms of unreasonable levels of effort required on their part in order … Successes and failures in care coordination will be perceived (and may be measured) in different ways
  12. www.ahrq.gov/ncepcr/care/coordination/atlas/chapter2.html
    June 01, 2014 - Perspectives on Care Coordination Successes and failures in care coordination will be perceived (and … and sites are met over time. 4 Patients, their families, and other informal caregivers experience failures … Patients perceive failures in terms of unreasonable levels of effort required on the part of themselves … They also perceive failures in terms of unreasonable levels of effort required on their part in order … Successes and failures in care coordination will be perceived (and may be measured) in different ways
  13. www.healthcare411.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.
  14. www.monahrq.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.
  15. www.innovations.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.
  16. www.qualitymeasures.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.
  17. www.talkingquality.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.
  18. www.cahps.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.
  19. www.cpsi.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.
  20. ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-from-defects-fac-guide.html
    July 01, 2023 - Active failures are also called human error. … Latent conditions are sorted into two categories: technical failures and organizational failures. … Technical failures are problems with physical items, such as equipment and software. … Tools to identify defects or failures When identifying defects or failures, CUSP uses the Staff Safety … Remember to consider both active failures and latent conditions.