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Total Results: over 10,000 records

Showing results for "failures".

4881. Declines in hospitalizations for acute cardiovascular conditions during the COVID-19 pandemic: a multicenter tertiary care experience. | PSNet
      psnet.ahrq.gov/issue/declines-hospitalizations-acute-cardiovascular-conditions-during-covid-19-pandemic
      April 24, 2018 - Study Declines in hospitalizations for acute cardiovascular conditions during the COVID-19 pandemic: a multicenter tertiary care experience. Citation Text: Bhatt AS, Moscone A, McElrath EE, et al. Declines in Hospitalizations for Acute Cardiovascular Conditions During the COVID-19 Pandem…

4882. Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. | PSNet
      psnet.ahrq.gov/issue/identifying-and-categorising-patient-safety-hazards-cardiovascular-operating-rooms-using
      August 25, 2015 - Study Identifying and categorising patient safety hazards in cardiovascular operating rooms using an interdisciplinary approach: a multisite study. Citation Text: Gurses AP, Kim G, Martinez EA, et al. Identifying and categorising patient safety hazards in cardiovascular operating rooms u…

4883. Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. | PSNet
      psnet.ahrq.gov/issue/readmission-rates-after-passage-hospital-readmissions-reduction-program-pre-post-analysis
      October 30, 2010 - Study Classic Readmission rates after passage of the Hospital Readmissions Reduction Program: a pre–post analysis. Citation Text: Wasfy JH, Zigler CM, Choirat C, et al. Readmission Rates After Passage of the Hospital Readmissions Reduction Program: A Pre-Post An…

4884. An implementation strategy for a multicenter pediatric rapid response system in Ontario. | PSNet
      psnet.ahrq.gov/issue/implementation-strategy-multicenter-pediatric-rapid-response-system-ontario
      September 09, 2015 - Commentary An implementation strategy for a multicenter pediatric rapid response system in Ontario. Citation Text: Buist MD, Shearer W. Rapid Response Systems: A Mandatory System of Care or an Optional Extra for Bedside Clinical Staff? The Joint Commission Journal on Quality and Patient …

4885. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. | PSNet
      psnet.ahrq.gov/issue/ten-years-online-incident-reporting-and-learning-using-cpirls-implications-improved-patient
      December 23, 2020 - Study Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Citation Text: Thomas M, Swait G, Finch R. Ten years of online incident reporting and learning using CPiRLS: implications for improved patient safety. Chiropr Man Therap. 202…

4886. Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. | PSNet
      psnet.ahrq.gov/issue/application-human-factors-methods-ensure-appropriate-infant-identification-and-abduction
      April 27, 2022 - Commentary Application of human factors methods to ensure appropriate infant identification and abduction prevention within the hospital setting. Citation Text: Webster KLW, Stikes R, Bunnell L, et al. Application of human factors methods to ensure appropriate infant identification and a…

4887. COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. | PSNet
      psnet.ahrq.gov/issue/covid-19-hospital-outbreaks-protecting-healthcare-workers-protect-frail-patients-italian
      March 18, 2020 - Study COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. Citation Text: Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian ob…

4888. NPSD Dashboards | Agency for Healthcare Research and Quality
      www.ahrq.gov/npsd/data/dashboard/index.html
      September 01, 2025 - NPSD Dashboards The Agency for Healthcare Research and Quality (AHRQ) presents the dashboards of patient safety data received for analysis and publication in the Network of Patient Safety Databases (NPSD). The NPSD dashboards were initially published in June 2019 and were based on more than 1.1 million records …

4889. AHRQ Issues Report to Congress on Burden of Sepsis in U.S. Hospital Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/press-releases/sepsis-report-to-congress.html
      September 01, 2024 - AHRQ Issues Report to Congress on Burden of Sepsis in U.S. Hospital Care Report finds the emergence of COVID-19 significantly changed the epidemiology of sepsis Press Release Date: September 16, 2024 The number of sepsis-related inpatient stays at non-federal acute care hospitals in the United States increased …

4890. Self-Management | Digital Healthcare Research
      digital.ahrq.gov/type-care/self-management
      January 01, 2023 - Self-Management Patient Intestinal Failure-ECHO Project (PIF-ECHO) Description This study will evaluate the feasibility and effectiveness of providing chronic intestinal failure patients and their family caregivers with direct access to live, virtual, multi-disciplinary (multi…

4891. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. | PSNet
      psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
      February 02, 2022 - Review The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. Citation Text: van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e10…

4892. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. | PSNet
      psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-ambulatory-setting-study-closed-malpractice-claims
      October 26, 2010 - Study Classic Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. Citation Text: Gandhi TK, Kachalia A, Thomas EJ, et al. Missed and delayed diagnoses in the ambulatory setting: a study of closed malpractice claims. An…

4893. Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/hospital-nurses-and-physicians-experiences-practicing-patient-safety-work-recognize
      October 20, 2021 - Study Hospital nurses and physicians' experiences practicing patient safety work to recognize deteriorating patients: a qualitative study. Citation Text: Berg AMN, Werner A, Knutsen IR, et al. Hospital nurses and physicians’ experiences practicing patient safety work to recognize deterio…

4894. Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. | PSNet
      psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
      April 05, 2023 - Commentary Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. Citation Text: Black GB, Nicholson BD, Moreland J-A, et al. Doing …

4895. Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. | PSNet
      psnet.ahrq.gov/issue/analysis-hospital-level-readmission-rates-and-variation-adverse-events-among-patients
      August 25, 2021 - Study Analysis of hospital-level readmission rates and variation in adverse events among patients with pneumonia in the United States. Citation Text: Wang Y, Eldridge N, Metersky ML, et al. Analysis of hospital-level readmission rates and variation in adverse events among patients with p…

4896. The impact of medication reconciliation and review in patients using oral chemotherapy. | PSNet
      psnet.ahrq.gov/issue/impact-medication-reconciliation-and-review-patients-using-oral-chemotherapy
      November 17, 2021 - Study The impact of medication reconciliation and review in patients using oral chemotherapy. Citation Text: Darcis E, Germeys J, Stragier M, et al. The impact of medication reconciliation and review in patients using oral chemotherapy. J Oncol Pharm Pract. 2023;29(2):270-275. doi:10.117…

4897. Healthcare Safety Competencies Affinity Group | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/competencies-affinity-group/index.html
      May 01, 2025 - Healthcare Safety Competencies Affinity Group Background The AHRQ National Action Alliance Healthcare Safety Competencies Affinity Group provided a forum for identifying and exploring the patient and workforce safety competencies needed by our healthcare workforce to support the safety of healthcare delivery.  …

4898. Malpractice claims related to diagnostic errors in the hospital. | PSNet
      psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital
      September 16, 2020 - Study Classic Malpractice claims related to diagnostic errors in the hospital. Citation Text: Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774. …

4899. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. | PSNet
      psnet.ahrq.gov/issue/incidents-resulting-staff-leaving-normal-duties-attend-medical-emergency-team-calls
      July 13, 2010 - Study Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Citation Text: Investigators CMETIS, Cheung W, Sahai V, et al. Incidents resulting from staff leaving normal duties to attend medical emergency team calls. Med J Aust. 2014;201(9):528-31. …

4900. The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. | PSNet
      psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-system-medical-errors-antineoplastic-drugs-5-years
      November 17, 2021 - Study The impact of a computerized physician order entry system on medical errors with antineoplastic drugs 5 years after its implementation. Citation Text: Cuervo S, Sanchis R, Lopez P, et al. The impact of a computerized physician order entry system on medical errors with antineoplasti…