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Showing results for "failures".

  1. Complications of ECMO During Transport | PSNet

    psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
    January 27, 2021 - Complications of ECMO During Transport Citation Text: Broman M. Complications of ECMO During Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

  2. Transforming Healthcare Quality through Information Technology - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
    January 01, 2007 - Transforming Healthcare Quality through Information Technology - Final Report Grant Final Report Grant ID: 1UC1HS015076 Transforming Healthcare Quality through Information Technology Inclusive Dates: Not provided. Principal Investigator: Cynthia Rosa RN, BSN, MS Team Members: Sheryl Sovie Michael M…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848110/psn-pdf
    April 26, 2023 - Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. April 26, 2023 Failure to Ensure Patient Safety Leads to Patient Falls in Nursing Homes. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/failure-ensure-patient-safety-leads-patient-falls-nursing-homes Disclosure of Relevant Financial R…

  4. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis | PSNet

    psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
    May 26, 2021 - Endometriosis: A Common and Commonly Missed and Delayed Diagnosis Citation Text: Mackenzie M, Royce C. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cit…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867672/psn-pdf
    February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations February 26, 2025 Brown S, Utter GH, Barnes DK. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction…

  6. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
    October 01, 2015 - A Model for Sustaining and Spreading Safety Interventions Next Page Table of Contents A Model for Sustaining and Spreading Safety Interventions Appendix A. Action Plan Tool for Project Sustainability Contents Background and Acknowledgments How To Use This Guide Why Sustainab…

  7. Prevehosp-Reports-Ig (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/prevehosp-reports-ig.pdf
    November 30, 2013 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits 1 On-Time Preventable Hospital and ED Visits: Reports AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and ED Visits Training Slide 1: Introduction to Preventable Hospital and ED Visits Reports …

  8. Electronic detection of delayed test result follow-up in patients with hypothyroidism. | PSNet

    psnet.ahrq.gov/issue/electronic-detection-delayed-test-result-follow-patients-hypothyroidism
    September 27, 2017 - Study Electronic detection of delayed test result follow-up in patients with hypothyroidism. Citation Text: Meyer AND, Murphy DR, Al-Mutairi A, et al. Electronic Detection of Delayed Test Result Follow-Up in Patients with Hypothyroidism. J Gen Intern Med. 2017;32(7). doi:10.1007/s11606-0…

  9. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-uncommon-conditions-systematic-review-case-reports-diagnostic-errors
    June 19, 2024 - Study Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Citation Text: Harada Y, Watari T, Nagano H, et al. Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. Diagnosis (Berl). 2023;10(4):3…

  10. Prevalence of burnout among surgical residents and surgeons in Switzerland. | PSNet

    psnet.ahrq.gov/issue/prevalence-burnout-among-surgical-residents-and-surgeons-switzerland
    December 21, 2014 - Study Prevalence of burnout among surgical residents and surgeons in Switzerland. Citation Text: Businger A, Stefenelli U, Guller U. Prevalence of burnout among surgical residents and surgeons in Switzerland. Arch Surg. 2010;145(10):1013-6. doi:10.1001/archsurg.2010.188. Copy Citatio…

  11. How to perform a root cause analysis for workup and future prevention of medical errors: a review. | PSNet

    psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review
    August 03, 2017 - Review How to perform a root cause analysis for workup and future prevention of medical errors: a review. Citation Text: Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…

  12. Chasing zero harm in radiation oncology: using pre-treatment peer review. | PSNet

    psnet.ahrq.gov/issue/chasing-zero-harm-radiation-oncology-using-pre-treatment-peer-review
    January 12, 2022 - Commentary Chasing zero harm in radiation oncology: using pre-treatment peer review. Citation Text: Vijayakumar S, Duggar WN, Packianathan S, et al. Chasing Zero Harm in Radiation Oncology: Using Pre-treatment Peer Review. Front Oncol. 2019;9:302. doi:10.3389/fonc.2019.00302. Copy Cita…

  13. Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. | PSNet

    psnet.ahrq.gov/issue/perceptual-and-interpretive-error-diagnostic-radiology-causes-and-potential-solutions
    November 13, 2024 - Commentary Perceptual and interpretive error in diagnostic radiology—causes and potential solutions. Citation Text: Degnan AJ, Ghobadi EH, Hardy P, et al. Perceptual and Interpretive Error in Diagnostic Radiology-Causes and Potential Solutions. Acad Radiol. 2019;26(6):833-845. doi:10.101…

  14. Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. | PSNet

    psnet.ahrq.gov/issue/conversations-diagnostic-uncertainty-and-its-management-among-pediatric-acute-care-physicians
    March 17, 2021 - Study Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. Citation Text: Patel SJ, Ipsaro A, Brady PW. Conversations on diagnostic uncertainty and its management among pediatric acute care physicians. Hosp Pediatr. 2022;12(3):317-324. doi:10.…

  15. Clinical reasoning assessment methods: a scoping review and practical guidance. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-assessment-methods-scoping-review-and-practical-guidance
    August 15, 2018 - Review Clinical reasoning assessment methods: a scoping review and practical guidance. Citation Text: Daniel M, Rencic J, Durning SJ, et al. Clinical Reasoning Assessment Methods: A Scoping Review and Practical Guidance. Acad Med. 2019;94(6):902-912. doi:10.1097/ACM.0000000000002618. C…

  16. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. | PSNet

    psnet.ahrq.gov/issue/improving-follow-abnormal-cancer-screens-using-electronic-health-records-trust-verify-test
    July 14, 2010 - Study Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test result communication. Citation Text: Singh H, Wilson L, Petersen L, et al. Improving follow-up of abnormal cancer screens using electronic health records: trust but verify test r…

  17. Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation. | PSNet

    psnet.ahrq.gov/issue/virtual-patients-designed-training-against-medical-error-exploring-impact-decision-making
    May 15, 2024 - Study Virtual patients designed for training against medical error: exploring the impact of decision-making on learner motivation. Citation Text: Woodham LA, Round J, Stenfors T, et al. Virtual patients designed for training against medical error: Exploring the impact of decision-making …

  18. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-outpatient-medication-prescribing-older-adults-across-electronic
    September 29, 2021 - Study Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. Citation Text: Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record syste…

  19. Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3? | PSNet

    psnet.ahrq.gov/issue/compliance-guidelines-prevent-surgical-site-infections-simple-1-2-3
    January 21, 2019 - Study Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3? Citation Text: Meeks DW, Lally KP, Carrick MM, et al. Compliance with guidelines to prevent surgical site infections: As simple as 1-2-3? Am J Surg. 2011;201(1):76-83. doi:10.1016/j.amjsurg.2009.0…

  20. How long and how much are nurses now working? | PSNet

    psnet.ahrq.gov/issue/how-long-and-how-much-are-nurses-now-working
    April 01, 2024 - Study How long and how much are nurses now working? Citation Text: Trinkoff AM, Geiger-Brown J, Brady B, et al. How long and how much are nurses now working? Am J Nurs. 2006;106(4):60-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…
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