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Showing results for "failures".

  1. Priority Areas Identified by the U.S.-Mexico Border Commission (continued) | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part4-comm4.html
    October 01, 2015 - Chartbook for Hispanic Health Care Priority Areas Identified by the U.S.-Mexico Border Commission (continued) Previous Page Next Page Table of Contents Chartbook for Hispanic Health Care Acknowledgments Health Care For Hispanics National Quality Strategy Priorities: Patient Safety National Q…

  2. Fail-safe patient ID matching remains just out of reach. | PSNet

    psnet.ahrq.gov/issue/fail-safe-patient-id-matching-remains-just-out-reach
    October 05, 2016 - Newspaper/Magazine Article Fail-safe patient ID matching remains just out of reach. Citation Text: Fail-safe patient ID matching remains just out of reach. Arndt RZ. Mod Healthc. July 14, 2018. Copy Citation Save Save to your library Print Download PDF …

  3. Listening, Learning, Responding to Concerns. | PSNet

    psnet.ahrq.gov/issue/listening-learning-responding-concerns
    June 12, 2024 - Book/Report Listening, Learning, Responding to Concerns. Citation Text: Listening, Learning, Responding to Concerns. Newcastle Upon Tyne, UK: Care Quality Commission; March 2023. Copy Citation Save Save to your library Print Download PDF Share …

  4. Next Steps | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role4.html
    September 01, 2024 - The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Next Steps Previous Page Next Page Table of Contents The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design Introduction The History of Patient Roles Impac…

  5. Medical Error. | PSNet

    psnet.ahrq.gov/issue/medical-error
    August 07, 2018 - Book/Report Medical Error. Citation Text: Medical Error. National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005. Copy Citation Save Save to your library Print Download PDF …

  6. Hospital discharge and readmission. | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-and-readmission
    March 27, 2005 - Review Hospital discharge and readmission. Citation Text: Hospital discharge and readmission. Alper E, O'Malley TA, Greenwald J. UpToDate. February 3, 2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitt…

  7. Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. | PSNet

    psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
    October 02, 2013 - Toolkit Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Citation Text: Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation. Gleason KM, Brake H, Agramonte V, Perfetti C. Rockville, MD: Agency for H…

  8. National Center for Patient Safety (NCPS). | PSNet

    psnet.ahrq.gov/issue/national-center-patient-safety-ncps
    March 27, 2005 - Multi-use Website National Center for Patient Safety (NCPS). Citation Text: National Center for Patient Safety (NCPS). Department of Veterans Affairs. 24 Frank Lloyd Wright Drive, M2100, Post Office Box 486, Ann Arbor, MI 48106-0486. Phone: (734) 930-5890. Copy Citation …

  9. Disclosure of errors in surgical procedures. | PSNet

    psnet.ahrq.gov/issue/disclosure-errors-surgical-procedures
    April 13, 2022 - Review Disclosure of errors in surgical procedures. Citation Text: Disclosure of errors in surgical procedures. Ryan M, Mekel M, Sinha MS. UptoDate. November 20, 2023. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  10. To combat physician burnout and improve care, fix the electronic health record. | PSNet

    psnet.ahrq.gov/issue/combat-physician-burnout-and-improve-care-fix-electronic-health-record
    November 14, 2018 - Newspaper/Magazine Article To combat physician burnout and improve care, fix the electronic health record. Citation Text: To combat physician burnout and improve care, fix the electronic health record. Wachter R, Goldsmith J. Harv Bus Rev. March 30, 2018. Copy Citation …

  11. Improving Diagnosis. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis
    November 28, 2018 - Special or Theme Issue Improving Diagnosis. Citation Text: Improving Diagnosis. Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

  12. Patient safety records: silent witness. | PSNet

    psnet.ahrq.gov/issue/patient-safety-records-silent-witness
    September 01, 2017 - Newspaper/Magazine Article Patient safety records: silent witness. Citation Text: Gould M. Patient safety. Silent witness. The Health Service Journal. 2008;September 15:22-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  13. Rethinking Patient Safety. | PSNet

    psnet.ahrq.gov/issue/rethinking-patient-safety
    April 13, 2018 - Book/Report Rethinking Patient Safety. Citation Text: Rethinking Patient Safety. Woodward S. Boca Raton, FL: Productivity Press; 2017. ISBN: 9781498778541. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitte…

  14. Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. | PSNet

    psnet.ahrq.gov/issue/special-section-human-factors-and-ergonomics-operating-room-contributions-advance-surgical
    September 01, 2018 - Special or Theme Issue Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Citation Text: Special Section on Human Factors and Ergonomics in the Operating Room: Contributions That Advance Surgical Practice. Hallbeck MS, Paq…

  15. Resilience Engineering in Practice: a Guidebook. | PSNet

    psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
    February 06, 2019 - Book/Report Classic Resilience Engineering in Practice: a Guidebook. Citation Text: Resilience Engineering in Practice: a Guidebook. Hollnagel E, Pariès J, Woods DD et al eds. Farnham UK; Ashgate, 2011. ISBN: 9781472420749 Copy Citation …

  16. Microsoft Word - Comp Eff 10.doc (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/ace-inhibitor-arb-2007_research-2007-1.pdf
    January 01, 2007 - Microsoft Word - Comp Eff 10.doc This report is based on research conducted by the Duke Evidence-based Practice Center (EPC) under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. 290-02-0025). The findings and conclusions in this do…

  17. Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS (pdf file)

    www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
    January 01, 2024 - Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS AHRQ Grant Final Progress Report 12/2018 Title of Project: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue (Push Electronic Relay for Smart Alerts f…

  18. Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pptx
    January 01, 2014 - Standardized infection ratios for central line-associated bloodstream infections and surgical site infections, 2009–2012 Part 4: Health Care of Residents of the U.S.-Mexico Border National Healthcare Quality and Disparities Report Chartbook on Health Care for Hispanics This part of the chartbook focuses on health …

  19. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
    February 04, 2022 - Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. … rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures. … patients experiences a diagnostic error firsthand.11 in 3 Diagnostic-related communication failures … 2012.pdf https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures

  20. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
    August 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case August 2006 Physical Diagnosis: A Lost Art? Source and Credits This presentation is based on the August 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: George Thompson III,…
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