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Showing results for "failures".

  1. Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. | PSNet

    psnet.ahrq.gov/issue/hastened-death-due-disease-burden-and-distress-has-not-received-timely-quality-palliative
    October 31, 2023 - Commentary Hastened death due to disease burden and distress that has not received timely, quality palliative care is a medical error. Citation Text: Gallagher R, Passmore MJ, Baldwin C. Hastened death due to disease burden and distress that has not received timely, quality palliative ca…

  2. The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/impact-trained-assistance-error-rates-anaesthesia-simulation-based-randomised-controlled
    January 28, 2009 - Study The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. Citation Text: Weller JM, Merry AF, Robinson BJ, et al. The impact of trained assistance on error rates in anaesthesia: a simulation-based randomised controlled trial. …

  3. Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals. | PSNet

    psnet.ahrq.gov/issue/safety-culture-and-mortality-after-acute-myocardial-infarction-study-medicare-beneficiaries
    September 13, 2023 - Study Safety culture and mortality after acute myocardial infarction: a study of Medicare beneficiaries at 171 hospitals. Citation Text: Shahian DM, Liu X, Rossi LP, et al. Safety Culture and Mortality after Acute Myocardial Infarction: A Study of Medicare Beneficiaries at 171 Hospitals.…

  4. Postoperative sepsis in the United States. | PSNet

    psnet.ahrq.gov/issue/postoperative-sepsis-united-states
    January 12, 2022 - Study Postoperative sepsis in the United States. Citation Text: Vogel TR, Dombrovskiy VY, Carson JL, et al. Postoperative sepsis in the United States. Ann Surg. 2010;252(6):1065-71. doi:10.1097/SLA.0b013e3181dcf36e. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

  5. Systematic review of computerized prescriber order entry and clinical decision support. | PSNet

    psnet.ahrq.gov/issue/systematic-review-computerized-prescriber-order-entry-and-clinical-decision-support
    August 23, 2017 - Review Systematic review of computerized prescriber order entry and clinical decision support. Citation Text: Vélez-Díaz-Pallarés M, Pérez-Menéndez-Conde C, Bermejo-Vicedo T. Systematic review of computerized prescriber order entry and clinical decision support. Am J Health Syst Pharm. 2…

  6. Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. | PSNet

    psnet.ahrq.gov/issue/risk-factors-patient-reported-errors-during-cancer-follow-results-national-survey-denmark
    December 01, 2011 - Study Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. Citation Text: Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-up: Results from a national survey in Denmark. Ca…

  7. Advancing health equity in patient safety: a reckoning, challenge and opportunity. | PSNet

    psnet.ahrq.gov/issue/advancing-health-equity-patient-safety-reckoning-challenge-and-opportunity
    February 23, 2022 - Commentary Advancing health equity in patient safety: a reckoning, challenge and opportunity. Citation Text: Chin MH. Advancing health equity in patient safety: a reckoning, challenge and opportunity. BMJ Qual Saf. 2021;30(5):356-361. doi:10.1136/bmjqs-2020-012599. Copy Citation Fo…

  8. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. | PSNet

    psnet.ahrq.gov/issue/chance-favors-only-prepared-mind-preparing-minds-systematically-reduce-hazards-testing
    April 23, 2014 - Study "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testing process in primary care. Citation Text: Singh R, Hickner J, Mold J, et al. "Chance favors only the prepared mind": preparing minds to systematically reduce hazards in the testin…

  9. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. | PSNet

    psnet.ahrq.gov/issue/stakeholders-safety-patient-reports-unsafe-clinical-behaviors-distinguish-hospital-mortality
    November 29, 2023 - Study Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. Citation Text: Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):4…

  10. Patient Engagement | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/patient-engagement
    January 01, 2023 - Patient Engagement Bedside Notes: A Multicenter Trial to Improve Family Clinical Note Access and Outcomes for Hospitalized Children Description This research will evaluate the effectiveness of Bedside Notes, a digital health solution designed to provide caregivers with real-ti…

  11. Patient Education | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/patient-education
    January 01, 2023 - Patient Education Examining the Feasibility and Effectiveness of an mHealth Solution Designed to Enhance Clinical Outcomes Among Patients Attending Physical Therapy for Musculoskeletal Pain Description This research examines whether remote therapeutic monitoring can improve ph…

  12. How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? | PSNet

    psnet.ahrq.gov/issue/how-valid-icd-9-cm-based-ahrq-patient-safety-indicator-postoperative-venous-thromboembolism
    April 03, 2017 - Study How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? Citation Text: White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator for Postoperative Venous Thromboembolism? Med Care. 2009;4…

  13. Emergency physician perceptions of electronic health record usability and safety. | PSNet

    psnet.ahrq.gov/issue/emergency-physician-perceptions-electronic-health-record-usability-and-safety
    August 24, 2022 - Study Emergency physician perceptions of electronic health record usability and safety. Citation Text: Pruitt ZM, Howe JL, Hettinger AZ, et al. Emergency physician perceptions of electronic health record usability and safety. J Patient Saf. 2021;17(8):e983-e987. doi:10.1097/pts.000000000…

  14. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. | PSNet

    psnet.ahrq.gov/issue/mature-rapid-response-system-and-potentially-avoidable-cardiopulmonary-arrests-hospital
    July 20, 2022 - Study Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Citation Text: Galhotra S, DeVita MA, Simmons RL, et al. Mature rapid response system and potentially avoidable cardiopulmonary arrests in hospital. Qual Saf Health Care. 2007;16(4):260-26…

  15. Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/responses-physicians-objective-safety-and-quality-knowledge-test-cross-sectional-study
    March 24, 2021 - Study Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. Citation Text: Burke HB, King HB. Responses of physicians to an objective safety and quality knowledge test: a cross-sectional study. BMJ Open. 2021;11(9):e040779. doi:10.1136/bmjope…

  16. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. | PSNet

    psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-prescribing-us-nursing-homes-2013-2017
    March 27, 2024 - Study Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. Citation Text: Riester MR, Goyal P, Steinman MA, et al. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. J Gen Intern Med. 2023;38(6):1563-15…

  17. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. | PSNet

    psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence
    April 03, 2005 - Review Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. Citation Text: Reeve J, Maden M, Hill R, et al. Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence synthesis. H…

  18. What and when to debrief: a scoping review examining interprofessional clinical debriefing. | PSNet

    psnet.ahrq.gov/issue/what-and-when-debrief-scoping-review-examining-interprofessional-clinical-debriefing
    September 09, 2015 - Review What and when to debrief: a scoping review examining interprofessional clinical debriefing. Citation Text: Paxino J, Szabo RA, Marshall SD, et al. What and when to debrief: a scoping review examining interprofessional clinical debriefing. BMJ Qual Saf. 2024;33(5):314-327. doi:10.1…

  19. Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. | PSNet

    psnet.ahrq.gov/issue/facilitators-and-barriers-implementation-surgical-safety-checklist-ssc-integrative-review
    September 07, 2016 - Review Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. Citation Text: Lim PJH, Chen L, Siow S, et al. Facilitators and barriers to the implementation of surgical safety checklist: an integrative review. Int J Qual Health Care. 20…

  20. Comformat 2003

    hcup-us.ahrq.gov/toolssoftware/comorbidity/comformat_2003.txt
    January 01, 2003 - /**************************************************************/ /* Title: CREATION OF FORMAT LIBRARY FOR COMORBIDITY GROUPS */ /* */ /* Description: */ /* Define all ICD codes and labels for each forma…
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