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Showing results for "failures".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866526/psn-pdf
    August 14, 2024 - Instruments and warning signs for identifying and evaluating the frequency of adverse events in intermediate and long-term care centres: a narrative systematic review. August 14, 2024 Malgrat-Caballero S, Kannukene A, Orrego C. Instruments and warning signs for identifying and evaluating the frequency of adverse …

  2. Gurses, Ayse | Agency for Healthcare Research and Quality

    www.ahrq.gov/funding/training-grants/grants/active/kawards/Kawdsumgurs.html
    October 01, 2014 - Gurses, Ayse Summaries of Independent Scientist (K) Awards Summaries of recently funded projects for Independent Scientist and Mentored Clinical Scientist Development K Awards. Institution: Johns Hopkins University, Baltimore Grant Title: Improving the Safety of Care Transitions for Cardiac Surgery Pati…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36886/psn-pdf
    May 27, 2011 - The extent and importance of unintended consequences related to computerized provider order entry. May 27, 2011 Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry. J Am Med Inform Assoc. 2007;14(4):415-23. https://psnet.ahrq.gov/issu…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34758/psn-pdf
    January 29, 2019 - Normal Accidents: Living with High-Risk Technologies. January 29, 2019 Perrow C. Princeton NJ: Princeton University Press; 1999. https://psnet.ahrq.gov/issue/normal-accidents-living-high-risk-technologies Though less often cited than high-reliability theory in the health care literature, normal accidents theor…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36544/psn-pdf
    July 14, 2010 - Targeted chart review of pediatric patient safety events identified by the Agency for Healthcare Research and Quality's Patient Safety Indicators methodology. July 14, 2010 Scanlon M, Miller MR, Harris JM, et al. Targeted Chart Review of Pediatric Patient Safety Events Identified by the Agency for Healthcare Resea…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44527/psn-pdf
    March 18, 2016 - Measuring and improving patient safety through health information technology: the Health IT Safety Framework. March 18, 2016 Singh H, Sittig DF. Measuring and improving patient safety through health information technology: The Health IT Safety Framework. BMJ Qual Saf. 2016;25(4):226-32. doi:10.1136/bmjqs-2015-00448…

  7. When is a doctor too old for the job? | PSNet

    psnet.ahrq.gov/issue/when-doctor-too-old-job
    March 04, 2020 - Newspaper/Magazine Article When is a doctor too old for the job? Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 18, 2019 Potential deterioration of an aging surgeon's…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837628/psn-pdf
    July 06, 2022 - Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. July 6, 2022 Lawson MB, Bissell MCS, Miglioretti DL, et al. Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity. JAMA Oncol. 2022;8(…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39673/psn-pdf
    December 21, 2014 - Effect of hospital follow-up appointment on clinical event outcomes and mortality. December 21, 2014 Grafft CA, McDonald FS, Ruud KL, et al. Effect of hospital follow-up appointment on clinical event outcomes and mortality. Arch Intern Med. 2010;170(11):955-60. doi:10.1001/archinternmed.2010.105. https://psnet.ahr…

  10. 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…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39768/psn-pdf
    August 18, 2010 - Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. August 18, 2010 Neily J, Mills PD, Lee P, et al. Medical team training and coaching in the Veterans Health Administration; assessment and impact on the first 32 facilities in…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60012/psn-pdf
    March 03, 2020 - Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. March 3, 2020 Freeman K, Dinnes J, Chuchu N, et al. Algorithm based smartphone apps to assess risk of skin cancer in adults: systematic review of diagnostic accuracy studies. BMJ. 2020;368:m12…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866864/psn-pdf
    October 02, 2024 - Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the Primary Care Academic CollaboraTive (PACT). October 2, 2024 Watson J, Duncan P, Burrell A, et al. Patient safety in actioning and communicating blood test results in primary care: a UK wide audit using the P…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46450/psn-pdf
    August 20, 2018 - Improving Diagnostic Quality and Safety Final Report. August 20, 2018 Washington, DC: National Quality Forum. September 19, 2017. https://psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report Although diagnostic error is a well-recognized source of preventable patient harm, measuring and mitiga…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837193/psn-pdf
    May 25, 2022 - Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. May 25, 2022 Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38863/psn-pdf
    August 12, 2009 - Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. August 12, 2009 Philibert I. Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications. Qual Saf Health Care. 2009;18(4):2…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50711/psn-pdf
    January 01, 2020 - Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. December 4, 2019 Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am J Emerg Med. 2020;38(8):1584-158…

  18. 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…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37546/psn-pdf
    June 14, 2011 - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. June 14, 2011 Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care. …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844787/psn-pdf
    September 11, 2019 - TRIAD XII: are patients aware of and agree with DNR or POLST orders in their medical records. September 11, 2019 Mirarchi FL, Juhasz K, Cooney TE, et al. TRIAD XII: Are Patients Aware of and Agree With DNR or POLST Orders in Their Medical Records. J Patient Saf. 2019;15(3):230-237. doi:10.1097/PTS.0000000000000631.…
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