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Showing results for "failures".

  1. Interventions to improve teamwork and communications among healthcare staff. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-teamwork-and-communications-among-healthcare-staff
    March 03, 2011 - Review Interventions to improve teamwork and communications among healthcare staff. Citation Text: McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg. 2011;98(4):469-79. doi:10.1002/bjs.7434. Copy Citation …

  2. Quality and safety of artificial intelligence generated health information. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-artificial-intelligence-generated-health-information
    October 19, 2022 - Commentary Quality and safety of artificial intelligence generated health information. Citation Text: Sorich MJ, Menz BD, Hopkins AM. Quality and safety of artificial intelligence generated health information. BMJ. 2024;384:q596. doi:10.1136/bmj.q596. Copy Citation Format: …

  3. The patient's role in patient safety. | PSNet

    psnet.ahrq.gov/issue/patients-role-patient-safety
    May 01, 2024 - Review The patient's role in patient safety. Citation Text: Corina I, Abram M, Halperin D. The patient's role in patient safety. Obstet Gynecol Clin North Am. 2019;46(2):215-225. doi:10.1016/j.ogc.2019.01.004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

  4. Guide to Patient and Family Engagement in Hospital Quality and Safety. | PSNet

    psnet.ahrq.gov/issue/guide-patient-and-family-engagement-hospital-quality-and-safety
    December 24, 2008 - Multi-use Website Guide to Patient and Family Engagement in Hospital Quality and Safety. Citation Text: Guide to Patient and Family Engagement in Hospital Quality and Safety. Rockville, MD: Agency for Healthcare Research and Quality; June 2013. Copy Citation Save …

  5. Assessing patient safety in the United States: challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenges-and-opportunities
    July 07, 2021 - Review Assessing patient safety in the United States: challenges and opportunities. Citation Text: Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and opportunities. Med Care. 2005;43(3 Suppl):I42-I47. Copy Citation Format: Goog…

  6. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. | PSNet

    psnet.ahrq.gov/issue/avoiding-iatrogenic-harm-patient-and-family-while-discussing-goals-care-near-end-life
    September 09, 2010 - Review Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. Citation Text: Weiner JS, Roth J. Avoiding iatrogenic harm to patient and family while discussing goals of care near the end of life. J Palliat Med. 2006;9(2):451-63. Copy Citat…

  7. The cost of nurse-sensitive adverse events. | PSNet

    psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events
    June 16, 2021 - Study The cost of nurse-sensitive adverse events. Citation Text: Pappas SH. The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236. doi:10.1097/01.NNA.0000312770.19481.ce. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  8. Framing of clinical information affects physicians' diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/framing-clinical-information-affects-physicians-diagnostic-accuracy
    November 02, 2011 - Study Framing of clinical information affects physicians' diagnostic accuracy. Citation Text: Popovich I, Szecket N, Nahill A. Framing of clinical information affects physicians' diagnostic accuracy. Emerg Med J. 2019;36(10):589-594. doi:10.1136/emermed-2019-208409. Copy Citation F…

  9. Preventing medication errors in the information age. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-information-age
    February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…

  10. Intralipid medication errors in the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit
    January 02, 2017 - Study Intralipid medication errors in the neonatal intensive care unit. Citation Text: Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J Qual Patient Saf. 2007;33(2):104-11. Copy Citation Format: Google Scholar PubMed B…

  11. Appendix J. Long-Term Care CAUTI Surveillance Worksheet | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.html
    March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet AHRQ Safety Program for Long-Term Care: HAIs/CAUTI The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident's chart for a suspected catheter-associated urinar…

  12. Measure 1, Section 2, Attachment 2 (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-3.pdf
    June 02, 2025 - Measure 1, Section 2, Attachment 2 SNAC Submission Form Measure 1: Accurate ADHD Diagnosis Section 2: Detailed Measure Specifications Attachment 2: EHR Recommended Data Locations This table describes where to look for and find the elements of ADHD measures in the chart Locations in the record where this info…

  13. Bedside detection of awareness in the vegetative state: a cohort study. | PSNet

    psnet.ahrq.gov/issue/bedside-detection-awareness-vegetative-state-cohort-study
    December 16, 2020 - Study Bedside detection of awareness in the vegetative state: a cohort study. Citation Text: Cruse D, Chennu S, Chatelle C, et al. Bedside detection of awareness in the vegetative state: a cohort study. Lancet. 2011;378(9809):2088-94. doi:10.1016/S0140-6736(11)61224-5. Copy Citation …

  14. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. | PSNet

    psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear
    May 24, 2012 - Commentary Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. Citation Text: Pronovost P, Hudson DW. Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear power industry. …

  15. Perceived disability-based discrimination in health care for children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/perceived-disability-based-discrimination-health-care-children-medical-complexity
    November 16, 2022 - Study Perceived disability-based discrimination in health care for children with medical complexity. Citation Text: Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for children with medical complexity. Pediatrics. 2023;152(1):e2022060975. …

  16. Applying Lean methods to improve quality and safety in surgical sterile instrument processing. | PSNet

    psnet.ahrq.gov/issue/applying-lean-methods-improve-quality-and-safety-surgical-sterile-instrument-processing
    September 16, 2015 - Study Applying Lean methods to improve quality and safety in surgical sterile instrument processing. Citation Text: Blackmore C, Bishop R, Luker S, et al. Applying lean methods to improve quality and safety in surgical sterile instrument processing. Jt Comm J Qual Patient Saf. 2013;39(…

  17. Patient-reported missed nursing care correlated with adverse events. | PSNet

    psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
    September 27, 2017 - Study Patient-reported missed nursing care correlated with adverse events. Citation Text: Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715. Copy Citation Format: …

  18. Placing patient safety at the heart of value-based healthcare. | PSNet

    psnet.ahrq.gov/issue/placing-patient-safety-heart-value-based-healthcare
    February 15, 2023 - Commentary Placing patient safety at the heart of value-based healthcare. Citation Text: La Regina M, Federici L, Bianco A, et al. Placing patient safety at the heart of value-based healthcare. Int J Qual Health Care. 2024;36(3):mzae087. doi:10.1093/intqhc/mzae087. Copy Citation Fo…

  19. Quality Oral Health Care through Health Information Technology | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/quality-oral-health-care-through-health-information-technology
    January 01, 2023 - Quality Oral Health Care through Health Information Technology Project Final Report ( PDF , 437.36 KB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications Project Details - …

  20. Patient safety: a consumer's perspective. | PSNet

    psnet.ahrq.gov/issue/patient-safety-consumers-perspective
    January 12, 2022 - Study Patient safety: a consumer's perspective. Citation Text: Hovey RB, Dvorak ML, Burton T, et al. Patient safety: a consumer's perspective. Qual Health Res. 2011;21(5):662-72. doi:10.1177/1049732311399779. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…
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