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Showing results for "failures".

7181. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. | PSNet
      psnet.ahrq.gov/issue/utility-and-assessment-non-technical-skills-rapid-response-systems-and-medical-emergency
      June 22, 2009 - Review Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Citation Text: Chalwin RP, Flabouris A. Utility and assessment of non-technical skills for rapid response systems and medical emergency teams. Intern Med J. 2013;43(9):962-9. d…

7182. Safety culture as a patient safety practice for alarm fatigue. | PSNet
      psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue
      July 07, 2021 - Commentary Safety culture as a patient safety practice for alarm fatigue. Citation Text: Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. Copy Citation Format: DOI Go…

7183. Using an automated risk assessment report to identify patients at risk for clinical deterioration. | PSNet
      psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
      February 15, 2017 - Commentary Using an automated risk assessment report to identify patients at risk for clinical deterioration. Citation Text: Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…

7184. Rapid response systems as a patient safety strategy: a systematic review. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
      March 20, 2013 - Review Rapid response systems as a patient safety strategy: a systematic review. Citation Text: Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051…

7185. High-Performance Work Systems in Health Care Management: Parts 1-5. | PSNet
      psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
      March 22, 2017 - Special or Theme Issue High-Performance Work Systems in Health Care Management: Parts 1-5. Citation Text: High-Performance Work Systems in Health Care Management: Parts 1-5. Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020. Copy Citation …

7186. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. | PSNet
      psnet.ahrq.gov/issue/incidence-and-nature-prescribing-and-medication-administration-errors-paediatric-inpatients
      July 08, 2008 - Study The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Citation Text: Ghaleb M, Barber N, Franklin BD, et al. The incidence and nature of prescribing and medication administration errors in paediatric inpatients. Arch Dis Child. 201…

7187. The interrelationship of isolation precautions and adverse events in an acute care facility. | PSNet
      psnet.ahrq.gov/issue/interrelationship-isolation-precautions-and-adverse-events-acute-care-facility
      September 24, 2010 - Study The interrelationship of isolation precautions and adverse events in an acute care facility. Citation Text: Spence MR, McQuaid M. The interrelationship of isolation precautions and adverse events in an acute care facility. Am J Infect Control. 2011;39(2):154-155. doi:10.1016/j.aj…

7188. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. | PSNet
      psnet.ahrq.gov/issue/patient-safety-perioperative-medication-through-lens-digital-health-and-artificial
      September 02, 2020 - Commentary Patient safety of perioperative medication through the lens of digital health and artificial intelligence. Citation Text: Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.219…

7189. Redesigning surgical decision making for high-risk patients. | PSNet
      psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients
      July 20, 2016 - Commentary Redesigning surgical decision making for high-risk patients. Citation Text: Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. Copy Citation Format: DOI Googl…

7190. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-hospital-accreditation-quality-improvement-healthcare-systematic-review
      September 23, 2020 - Review Impact of hospital accreditation on quality improvement in healthcare: a systematic review. Citation Text: Alhawajreh MJ, Paterson AS, Jackson WJ. Impact of hospital accreditation on quality improvement in healthcare: a systematic review. PLoS ONE. 2023;18(12):e0294180. doi:10.137…

7191. Case Report on Ambulatory Safety and Quality (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/lab-testiing/lab-testing-casereport.pdf
      September 05, 2017 - ) • o Could technical failures or training issues affect performance? … o Could technical failures or training issues affect performance?

7192. Evidence-based Practice Center Systematic Review Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/disparities-quality-improvement_research-protocol.pdf
      February 23, 2012 - Evidence-based Practice Center Systematic Review Protocol Source: www.effectivehealthcare.ahrq.gov Published Online: February 23, 2012 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Closing the Quality Gap 2010: Quality Improvement Interventions to Address Health Disparities …

7193. Final Progress Report: Quality Improvement and Practice-Based Research in Neurology Using the EMR (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/maraganore-report.pdf
      January 01, 2024 - Final Progress Report: Quality Improvement and Practice-Based Research in Neurology Using the EMR A. Title Page Title of Project: Quality Improvement and Practice-Based Research in Neurology Using the EMR Principal Investigator and Team Members: University of Florida: Demetrius M. Maraganore, MD (principal investi…

7194. Statistical Brief #123
      hcup-us.ahrq.gov/reports/statbriefs/sb123.jsp
      November 01, 2011 - Statistical Brief #123 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

7195. Informed or Misled? | PSNet
      psnet.ahrq.gov/web-mm/informed-or-misled
      April 24, 2018 - Informed or Misled? Citation Text: White SM. Informed or Misled? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

7196. Confusion With Acetaminophen | PSNet
      psnet.ahrq.gov/web-mm/confusion-acetaminophen
      December 01, 2009 - Confusion With Acetaminophen Citation Text: Heubi JE. Confusion With Acetaminophen. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

7197. Evidence Summary: CER 237_Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/cer-237-evidence-summary-palliative-care-ambulatory.pdf
      February 01, 2021 - Evidence Summary: CER 237_Integrating Palliative Care in Ambulatory Care of Noncancer Serious Chronic Illness Comparative Effectiveness Review Number 237 Integrating Palliative Care in Ambulatory Care of Noncancer Serious Illness Evidence Summary Main Points Background and Purpose In the Unit…

7198. VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/high-reliability-journey-slides.pptx
      September 26, 2023 - VHA's Journey to High Reliability: Advancing Toward Zero Harm and Becoming a Learning Health System September 26, 2023 Pre-Decisional Deliberative Document Internal VA Use Only Advancing Toward Zero Harm and Becoming a Learning Health System Gerard R. Cox, MD, MHA  Assistant Under Secretary for Health for Quality & …

7199. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49548/psn-pdf
      October 01, 2007 - Toxic Tachycardia October 1, 2007 Wartofsky L. Toxic Tachycardia. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/toxic-tachycardia The Case A 66-year-old woman with a past medical history of hypertension and breast cancer was admitted with abdominal pain. She complained of 3 weeks of progressive severe rig…

7200. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49435/psn-pdf
      February 01, 2004 - X-ray Flip February 1, 2004 Shapiro MJ. X-ray Flip. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/x-ray-flip The Case A 19-year-old man presented to the emergency department with respiratory distress after blunt chest trauma. A digital chest radiograph was labeled backwards; a "left" marker was mistakenly…