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Showing results for "failures".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45193/psn-pdf
    October 03, 2017 - Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease. October 3, 2017 Resneck JS, Abrouk M, Steuer M, et al. Choice, Transparency, Coordination, and Quality Among Direct-to- Consumer Telemedicine Websites and Apps Treating Skin Disease. JAMA …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837741/psn-pdf
    July 27, 2022 - The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. July 27, 2022 Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. J Patient Saf. 20…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837693/psn-pdf
    January 01, 2023 - Medication-related medical emergency team activations: a case review study of frequency and preventability. July 20, 2022 Levkovich BJ, Orosz J, Bingham G, et al. Medication-related Medical Emergency Team activations: a case review study of frequency and preventability. BMJ Qual Saf. 2023;32(4):214-224. doi:10.1136…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43479/psn-pdf
    October 30, 2017 - The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. October 30, 2017 Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Modern healthcare. 2014;44(33):12-5. https://psnet.ahrq.gov/issue/hum…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47996/psn-pdf
    January 01, 2021 - Building an ambulatory safety program at an academic health system. May 15, 2019 Desai S, Fiumara K, Kachalia A. Building an Ambulatory Safety Program at an Academic Health System. J Patient Saf. 2021;17(2):e84-e90. doi:10.1097/PTS.0000000000000594. https://psnet.ahrq.gov/issue/building-ambulatory-safety-program-a…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35497/psn-pdf
    June 30, 2011 - Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. June 30, 2011 Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16. https://psnet.ahr…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867083/psn-pdf
    November 06, 2024 - Patient-clinician diagnostic concordance upon hospital admission. November 6, 2024 Lam A, Plombon S, Garber A, et al. Patient-clinician diagnostic concordance upon hospital admission. Appl Clin Inform. 2024;15(4):733-742. doi:10.1055/s-0044-1788330. https://psnet.ahrq.gov/issue/patient-clinician-diagnostic-concord…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39387/psn-pdf
    July 23, 2014 - Medication errors involving oral chemotherapy. July 23, 2014 Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer. 2010;116(10):2455-2464. doi:10.1002/cncr.25027. https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy Widely publicized errors associated w…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46290/psn-pdf
    January 01, 2021 - Using prospective risk analysis tools to improve safety in pharmacy settings: a systematic review and critical appraisal. August 2, 2017 Stojkovic T, Marinkovic V, Manser T. Using Prospective Risk Analysis Tools to Improve Safety in Pharmacy Settings: A Systematic Review and Critical Appraisal. J Patient Saf. 2021…

  10. Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit1-19.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 1.19. Major Factors that Inhibit Lean Success at LHC Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/859350/psn-pdf
    December 20, 2023 - What are the experiences of team members involved in root cause analysis? A qualitative study. December 20, 2023 Willis R, Jones T, Hoiles J, et al. What are the experiences of team members involved in root cause analysis? A qualitative study. BMC Health Serv Res. 2023;23(1):1152. doi:10.1186/s12913-023-10164-9. h…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41464/psn-pdf
    November 26, 2014 - Risk of unintentional overdose with non-prescription acetaminophen products. November 26, 2014 Wolf MS, King J, Jacobson K, et al. Risk of unintentional overdose with non-prescription acetaminophen products. J Gen Intern Med. 2012;27(12):1587-93. doi:10.1007/s11606-012-2096-3. https://psnet.ahrq.gov/issue/risk-uni…

  13. 73. For the Patient Unwilling To Quit (Continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide73.html
    October 01, 2014 - 73. For the Patient Unwilling To Quit (Continued) Treating Tobacco Use and Dependence: 2008 Update Text version of slide presentation. The "5 Rs" Rewards The clinician should ask the patient to identify potential benefits of stopping tobacco use. The clinician may suggest and highlight those tha…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866117/psn-pdf
    January 01, 2025 - Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. June 12, 2024 Raffel KE, Gershanik EF, Ranji SR. Diagnostic disparities and strategies for enhancing diagnostic equity in hospital medicine. J Hosp Med. 2025;20(1):71-74. doi:10.1002/jhm.13375. https://psnet.ahrq.gov/issue/…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46571/psn-pdf
    October 25, 2017 - Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. October 25, 2017 Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;26(11):929-932. doi:10.1136/bmjqs-2017…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45362/psn-pdf
    January 23, 2017 - Capturing essential information to achieve safe interoperability. January 23, 2017 Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. https://psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability T…

  17. Evidence Base Supporting Telehealth | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/teledx-2.html
    August 01, 2020 - Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Evidence Base Supporting Telehealth Previous Page Next Page Table of Contents Telediagnosis for Acute Care: Implications for the Quality and Safety of Diagnosis Introduction Evidence Base Supporting Telehealth I…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61120/psn-pdf
    November 11, 2020 - Application of human factors methods to understand missed follow-up of abnormal test results. November 11, 2020 Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. doi:10.1055/s-0040-1716537. http…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60881/psn-pdf
    September 02, 2020 - Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. September 2, 2020 Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making Healthcare Safer III Report. J Patient Saf. 2020;16(3S Suppl 1):s1-s56. doi:1…

  20. Critical Echocardiogram Result Lost to Follow-up | PSNet

    psnet.ahrq.gov/web-mm/critical-echocardiogram-result-lost-follow
    July 31, 2023 - WebM&M Cases Delay in Malignancy Diagnosis Reflects Systemic Failures
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