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Showing results for "failures".

  1. psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication
    May 27, 2011 - Commentary Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. Citation Text: Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…
  2. psnet.ahrq.gov/issue/tool-concise-analysis-patient-safety-incidents
    August 09, 2018 - Study A tool for the concise analysis of patient safety incidents. Citation Text: Pham JC, Hoffman C, Popescu I, et al. A Tool for the Concise Analysis of Patient Safety Incidents. Jt Comm J Qual Patient Saf. 2016;42(1):26-33. Copy Citation Format: Google Scholar PubMed Bib…
  3. psnet.ahrq.gov/issue/just-culture-foundation-staff-safety-perioperative-environment
    June 09, 2021 - Commentary Just culture: the foundation of staff safety in the perioperative environment. Citation Text: Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352. Copy Citation …
  4. psnet.ahrq.gov/issue/association-patient-and-family-reports-hospital-safety-climate-language-proficiency-us
    November 16, 2022 - Study Association of patient and family reports of hospital safety climate with language proficiency in the US. Citation Text: Khan A, Parente V, Baird JD, et al. Association of patient and family reports of hospital safety climate with language proficiency in the US. JAMA Pediatr. 2022;…
  5. psnet.ahrq.gov/issue/interdisciplinary-icu-cardiac-arrest-debriefing-improves-survival-outcomes
    September 02, 2020 - Study Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes. Citation Text: Wolfe H, Zebuhr C, Topjian AA, et al. Interdisciplinary ICU cardiac arrest debriefing improves survival outcomes*. Crit Care Med. 2014;42(7):1688-95. doi:10.1097/CCM.0000000000000327. Copy …
  6. psnet.ahrq.gov/issue/operating-night-does-not-increase-risk-intraoperative-adverse-events
    July 01, 2017 - Study Operating at night does not increase the risk of intraoperative adverse events. Citation Text: Eskesen TG, Peponis T, Saillant N, et al. Operating at night does not increase the risk of intraoperative adverse events. Am J Surg. 2018;216(1):19-24. doi:10.1016/j.amjsurg.2017.10.026. …
  7. psnet.ahrq.gov/issue/improving-quality-health-care-whats-taking-so-long
    April 06, 2016 - Commentary Classic Improving the quality of health care: what's taking so long? Citation Text: Chassin MR. Improving The Quality Of Health Care: What’s Taking So Long? Health Aff. 2013;32(10):1761-1765. doi:10.1377/hlthaff.2013.0809. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability
    February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…
  9. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/fullerton-c-et-al
    January 01, 2023 - Fullerton C et al. 2006 "Lessons learned from pilot site implementation of an ambulatory electronic health record." Reference Fullerton C, Aponte P, Hopkins R III, et al. Lessons learned from pilot site implementation of an ambulatory electronic health record. Baylor University Medical Center Proceedi…
  10. psnet.ahrq.gov/issue/making-healthcare-safer-iii
    March 27, 2019 - Book/Report Making Healthcare Safer III. Citation Text: Making Healthcare Safer III. Holmes A, Long A, Wyant B, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2020. AHRQ Publication No. 20-0029-EF. Copy Citation Save Save to your library…
  11. psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
    July 24, 2013 - Commentary Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. Citation Text: Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …
  12. psnet.ahrq.gov/issue/clinicians-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
    May 05, 2021 - Review Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Clinicians' Expectations of the Benefits and Harms of Treatments, Screening, and Tests: A Systematic Review. JAMA Intern Med. 2017;17…
  13. psnet.ahrq.gov/issue/diagnosing-crime-and-diagnosing-disease-part-1-and-part-2
    December 05, 2018 - Review Diagnosing crime and diagnosing disease—part 1 and part 2. Citation Text: Lockhart JJ, Satya-Murti S. Diagnosing Crime and Diagnosing Disease: Bias Reduction Strategies in the Forensic and Clinical Sciences. J Forensic Sci. 2017;62(6):1534-1541. doi:10.1111/1556-4029.13453. Copy…
  14. psnet.ahrq.gov/issue/understanding-factors-impact-health-care-professionals-risk-perceptions-and-responses-toward
    June 22, 2022 - Review Understanding factors that impact on health care professionals' risk perceptions and responses toward Clostridium difficile and methicillin-resistant Staphylococcus aureus: a structured literature review. Citation Text: Burnett E, Kearney N, Johnston B, et al. Understanding fact…
  15. psnet.ahrq.gov/issue/patient-perceptions-receiving-test-results-online-portals-mixed-methods-study
    July 01, 2017 - Study Patient perceptions of receiving test results via online portals: a mixed-methods study. Citation Text: Giardina TD, Baldwin J, Nystrom DT, et al. Patient perceptions of receiving test results via online portals: a mixed-methods study. J Am Med Inform Assoc. 2018;25(4):440-446. doi…
  16. psnet.ahrq.gov/issue/scoping-review-clinical-handover-mnemonic-devices
    July 24, 2019 - Review A scoping review of clinical handover mnemonic devices. Citation Text: Yung AHW, Pak CS, Watson B. A scoping review of clinical handover mnemonic devices. Int J Qual Health Care. 2023;35(3):mzad065. doi:10.1093/intqhc/mzad065. Copy Citation Format: DOI Google Scholar…
  17. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miller-ra-1994-medical
    January 01, 1994 - Miller RA 1994 "Medical diagnostic decision-support systems - past, present, and future - a threaded bibliography and brief commentary." Reference Miller RA. Medical diagnostic decision-support systems - past, present, and future - a threaded bibliography and brief commentary. J Am Med Inform Assoc 19…
  18. psnet.ahrq.gov/issue/advancing-patient-safety-reviews-agency-healthcare-research-and-qualitys-making-healthcare
    March 18, 2020 - Special or Theme Issue Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report. Citation Text: Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality’s Making Healthcare Safer III Report. J …
  19. digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shebl-na-et-al-2007
    January 01, 2007 - Shebl NA et al. 2007 "Clinical decision support systems and antibiotic use." Reference Shebl NA, Franklin BD, Barber N. Clinical decision support systems and antibiotic use. Pharm World Sci 2007;29(4):342-349. Abstract "Aim: To review and appraise randomised controlled trials (RCT) and 'before…
  20. digital.ahrq.gov/ahrq-funded-projects/sponsored-health-it-and-evidence-based-prescribing-among-medical-residents
    January 01, 2023 - Sponsored Health IT and Evidence-Based Prescribing Among Medical Residents Project Final Report ( PDF , 217.5 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represen…