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Showing results for "failures".

6741. Benefits of a rapid response system at a community hospital. | PSNet
      psnet.ahrq.gov/issue/benefits-rapid-response-system-community-hospital
      July 02, 2019 - Commentary Benefits of a rapid response system at a community hospital. Citation Text: Gessner P. Benefits of a Rapid Response System at a Community Hospital. The Joint Commission Journal on Quality and Patient Safety. 2016;33(6). doi:10.1016/s1553-7250(07)33040-7. Copy Citation Fo…

6742. Southern Baptist Hospital of Florida v. Charles. | PSNet
      psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles
      May 20, 2009 - Legislation/Case Law Southern Baptist Hospital of Florida v. Charles. Citation Text: Southern Baptist Hospital of Florida v. Charles. Fla Ct App, 1st Dist. October 28, 2015. Copy Citation Save Save to your library Print Download PDF Share F…

6743. Sounding the alarm. Nurses, organizations work to address alarm fatigue. | PSNet
      psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
      July 19, 2017 - Newspaper/Magazine Article Sounding the alarm. Nurses, organizations work to address alarm fatigue. Citation Text: Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7. Copy Citation Format: Google Scholar PubMed…

6744. Report focuses on risk to patients from ED errors. | PSNet
      psnet.ahrq.gov/issue/report-focuses-risk-patients-ed-errors
      June 26, 2019 - Newspaper/Magazine Article Report focuses on risk to patients from ED errors. Citation Text: Report focuses on risk to patients from ED errors. Palmer J. Patient Saf Qual Healthcare. Sept/Oct 2019. Copy Citation Save Save to your library Print Download…

6745. Avoidable sepsis infections send thousands of seniors to gruesome deaths. | PSNet
      psnet.ahrq.gov/issue/avoidable-sepsis-infections-send-thousands-seniors-gruesome-deaths
      March 27, 2019 - Newspaper/Magazine Article Avoidable sepsis infections send thousands of seniors to gruesome deaths. Citation Text: Avoidable sepsis infections send thousands of seniors to gruesome deaths. Schulte F, Lucas E, Mahr J. Kaiser Health News and Chicago Tribune. September 5, 2018. Copy Cita…

6746. Beyond the organisational accident: the need for "error wisdom" on the frontline. | PSNet
      psnet.ahrq.gov/issue/beyond-organisational-accident-need-error-wisdom-frontline
      November 18, 2015 - Commentary Beyond the organisational accident: the need for "error wisdom" on the frontline. Citation Text: Reason J. Beyond the organisational accident: the need for "error wisdom" on the frontline. Qual Saf Health Care. 2004;13 Suppl 2:ii28-33. Copy Citation Format: Goo…

6747. Mistake-proofing healthcare: why stopping processes may be a good start. | PSNet
      psnet.ahrq.gov/issue/mistake-proofing-healthcare-why-stopping-processes-may-be-good-start
      March 14, 2022 - Commentary Mistake-proofing healthcare: why stopping processes may be a good start. Citation Text: Grout JR, Toussaint JS. Mistake-proofing healthcare: Why stopping processes may be a good start. Bus Horiz. 2009;53(2):149-156. doi:10.1016/j.bushor.2009.10.007. Copy Citation Forma…

6748. Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. | PSNet
      psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
      November 23, 2016 - Book/Report Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. Citation Text: Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. Oakbrook Terrace, IL: The Joint Commission; November 2008. Copy Citation …

6749. Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. | PSNet
      psnet.ahrq.gov/issue/closing-loop-guide-safer-ambulatory-referrals-ehr-era
      July 12, 2017 - Book/Report Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Citation Text: Closing the Loop: A Guide to Safer Ambulatory Referrals in the EHR Era. Institute for Healthcare Improvement, National Patient Safety Foundation. Cambridge, MA: Institute for Healthcare Imp…

6750. There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. | PSNet
      psnet.ahrq.gov/issue/there-no-such-thing-nonjudgmental-debriefing-theory-and-method-debriefing-good-judgment
      December 19, 2014 - Commentary There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Citation Text: Rudolph JW, Simon R, Dufresne RL, et al. There's no such thing as "nonjudgmental" debriefing: a theory and method for debriefing with good judgment. Si…

6751. Errors of omission: missed nursing care. | PSNet
      psnet.ahrq.gov/issue/errors-omission-missed-nursing-care
      September 27, 2017 - Review Errors of omission: missed nursing care. Citation Text: Kalisch BJ, Xie B. Errors of Omission: Missed Nursing Care. West J Nurs Res. 2014;36(7):875-890. doi:10.1177/0193945914531859. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

6752. When medical error becomes personal, activism becomes painful. | PSNet
      psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
      August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes painful. Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022. Copy Citation Save Save to your library Print …

6753. Most Prevalent Conditions Requiring Hospitalization
      hcup-us.ahrq.gov/reports/infographics/sb277_hmpc.jsp
      September 01, 2021 - Most Prevalent Conditions Requiring Hospitalization An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs …

6754. Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. | PSNet
      psnet.ahrq.gov/issue/cultures-caring-healthcare-scandals-inquiries-and-remaking-accountabilities
      September 07, 2022 - Commentary Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. Citation Text: Goodwin D. Cultures of caring: Healthcare 'scandals', inquiries, and the remaking of accountabilities. Soc Stud Sci. 2018;48(1):101-124. doi:10.1177/0306312717751051. C…

6755. Dowding, Dawn | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/dowding-dawn
      January 01, 2023 - Dowding, Dawn Reinterpreting the nursing record for an electronic context. Citation Hardiker NR, Dowding D, Dykes PC, Sermeus W. Reinterpreting the nursing record for an electronic context. Int J Med Inform. 2019 Jul;127:120-126. doi: 10.1016/j.ijmedinf.2019.04.021. Epub 2019…

6756. McDonald CJ et al. 1984 "Reminders to physicians from an introspective computer medical record." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/mcdonald-cj-et-al-1984
      January 01, 2023 - McDonald CJ et al. 1984 "Reminders to physicians from an introspective computer medical record." Reference McDonald CJ, Hui SL, Smith DM, et al. Reminders to physicians from an introspective computer medical record. Ann Intern Med 1984;100(1):130-138. Abstract "We developed a computer-stored m…

6757. Patient safety culture in nephrology nurse practice settings: initial findings. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-nephrology-nurse-practice-settings-initial-findings
      August 10, 2022 - Study Patient safety culture in nephrology nurse practice settings: initial findings. Citation Text: Patient safety culture in nephrology nurse practice settings: initial findings. Ulrich B, Kear T. Nephrol Nurs J. 2014;41:459-476. Copy Citation Save Save to your …

6758. An evolving hospital quality star rating system from CMS: aligning the stars. | PSNet
      psnet.ahrq.gov/issue/evolving-hospital-quality-star-rating-system-cms-aligning-stars
      December 13, 2017 - Commentary An evolving hospital quality star rating system from CMS: aligning the stars. Citation Text: Bilimoria KY, Barnard C. An evolving hospital quality star rating system from CMS: aligning the stars. JAMA. 2021;325(21):2151-2152. doi:10.1001/jama.2021.6946. Copy Citation For…

6759. Chartbook on Hispanic Health Care: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/hisph-slides.html
      March 01, 2020 - Chartbook on Hispanic Health Care: Slide Presentation 2014 National Healthcare Quality and Disparities Report Contents Introduction Part 1: Overviews of the Report and the Hispanic Population Part 2: Trends in Priorities of the Heckler Report Part 3: Trends in Access and Priorities of the National Qua…

6760. Microsoft Word - NHQRDR9_HCUP Methods Report_final.doc (pdf file)
      hcup-us.ahrq.gov/reports/methods/2011_06.pdf
      January 01, 2011 - Microsoft Word - NHQRDR9_HCUP Methods Report_final.doc HCUP Methods Series kbr33831 Contact Information: Healthcare Cost and Utilization Project (HCUP) Agency for Healthcare Research and Quality 540 Gaither Road Rockville, MD 20850 http://www.hcup-us.ahrq.gov For Technical Assistance with HCUP Prod…