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Showing results for "failures".

  1. Hospital-acquired SARS-CoV-2 infection: lessons for public health. | PSNet

    psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-lessons-public-health
    November 25, 2020 - Commentary Hospital-acquired SARS-CoV-2 infection: lessons for public health. Citation Text: Richterman A, Meyerowitz EA, Cevik M. Hospital-acquired SARS-CoV-2 infection: lessons for public health. JAMA. 2020;324(21):2155. doi:10.1001/jama.2020.21399. Copy Citation Format: …

  2. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
    December 02, 2020 - Study Classic Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery. Citation Text: Pronovost PJ, Dang D, Dorman T, et al. Intensive care unit nurse staffing and the risk for complications after abdominal aortic surge…

  3. Rapid response teams: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-systematic-review-and-meta-analysis
    December 21, 2014 - Review Classic Rapid response teams: a systematic review and meta-analysis. Citation Text: Chan PS, Jain R, Nallmothu BK, et al. Rapid Response Teams: A Systematic Review and Meta-analysis. Arch Intern Med. 2010;170(1):18-26. doi:10.1001/archinternmed.2009.424…

  4. Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. | PSNet

    psnet.ahrq.gov/issue/systematic-review-and-evaluation-physiological-track-and-trigger-warning-systems-identifying
    July 20, 2022 - Review Systematic review and evaluation of physiological track and trigger warning systems for identifying at-risk patients on the ward. Citation Text: Gao H, McDonnell A, Harrison DA, et al. Systematic review and evaluation of physiological track and trigger warning systems for identif…

  5. Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. | PSNet

    psnet.ahrq.gov/issue/implementation-custom-alert-prevent-medication-timing-errors-associated-computerized
    April 25, 2016 - Study Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry. Citation Text: Idemoto LM, Williams BL, Ching JM, et al. Implementation of a custom alert to prevent medication-timing errors associated with computerized presc…

  6. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. | PSNet

    psnet.ahrq.gov/issue/graphical-display-diagnostic-test-results-electronic-health-records-comparison-8-systems
    November 11, 2020 - Study Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. Citation Text: Sittig DF, Murphy DR, Smith MW, et al. Graphical display of diagnostic test results in electronic health records: a comparison of 8 systems. J Am Med Inform Assoc. 2…

  7. The second victim phenomenon in health care: a literature review. | PSNet

    psnet.ahrq.gov/issue/second-victim-phenomenon-health-care-literature-review
    June 23, 2021 - Review The second victim phenomenon in health care: a literature review. Citation Text: Nydoo P, Pillay BJ, Naicker T, et al. The second victim phenomenon in health care: a literature review. Scand J Public Health. 2020;48(6):629-637. doi:10.1177/1403494819855506. Copy Citation For…

  8. Supporting nurses in acute and emergency care settings to speak up. | PSNet

    psnet.ahrq.gov/issue/supporting-nurses-acute-and-emergency-care-settings-speak
    November 29, 2023 - Commentary Supporting nurses in acute and emergency care settings to speak up. Citation Text: Clarke-Romain B. Supporting nurses in acute and emergency care settings to speak up. Emerg Nurse. 2024;32(3):16-21. doi:10.7748/en.2023.e2162. Copy Citation Format: DOI Google Scho…

  9. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. | PSNet

    psnet.ahrq.gov/issue/factors-causing-variation-world-health-organization-surgical-safety-checklist-effectiveness
    January 12, 2022 - Review Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. Citation Text: Wani MM, Gilbert JHV, Mohammed CA, et al. Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid sc…

  10. Adverse events after transition from ICU to hospital ward: a multicenter cohort study. | PSNet

    psnet.ahrq.gov/issue/adverse-events-after-transition-icu-hospital-ward-multicenter-cohort-study
    October 13, 2018 - Study Adverse events after transition from ICU to hospital ward: a multicenter cohort study. Citation Text: Sauro KM, Soo A, de Grood C, et al. Adverse Events After Transition From ICU to Hospital Ward: A Multicenter Cohort Study*. Crit Care Med. 2020;48(7):946-953. doi:10.1097/ccm.00000…

  11. Managing teamwork in the face of pandemic: evidence-based tips. | PSNet

    psnet.ahrq.gov/issue/managing-teamwork-face-pandemic-evidence-based-tips
    February 12, 2020 - Commentary Managing teamwork in the face of pandemic: evidence-based tips. Citation Text: Tannenbaum SI, Traylor AM, Thomas EJ, et al. Managing teamwork in the face of pandemic: evidence-based tips. BMJ Qual Saf. 2021;30(1):59-63. doi:10.1136/bmjqs-2020-011447. Copy Citation Format…

  12. "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. | PSNet

    psnet.ahrq.gov/issue/were-not-taken-seriously-describing-experiences-perceived-discrimination-medical-settings
    August 26, 2020 - Study "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. Citation Text: Washington A, Randall J. "We're not taken seriously": describing the experiences of perceived discrimination in medical settings for Black women. …

  13. Developing perioperative Covid-19 testing protocols to restore surgical services. | PSNet

    psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
    February 12, 2020 - Commentary Developing perioperative Covid-19 testing protocols to restore surgical services. Citation Text: Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19. Copy Citation Format: …

  14. The correlation between neonatal intensive care unit safety culture and quality of care. | PSNet

    psnet.ahrq.gov/issue/correlation-between-neonatal-intensive-care-unit-safety-culture-and-quality-care
    November 20, 2019 - Study The correlation between neonatal intensive care unit safety culture and quality of care. Citation Text: Profit J, Sharek PJ, Cui X, et al. The Correlation Between Neonatal Intensive Care Unit Safety Culture and Quality of Care. J Patient Saf. 2020;16(4):e310-e316. doi:10.1097/PTS.0…

  15. Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. | PSNet

    psnet.ahrq.gov/issue/relationship-between-preventability-death-after-coronary-artery-bypass-graft-surgery-and-all
    September 23, 2020 - Study Relationship between preventability of death after coronary artery bypass graft surgery and all-cause risk-adjusted mortality rates. Citation Text: Guru V, Tu J, Etchells E, et al. Relationship between preventability of death after coronary artery bypass graft surgery and all-cau…

  16. The effects of electronic prescribing by community-based providers on ambulatory medication safety. | PSNet

    psnet.ahrq.gov/issue/effects-electronic-prescribing-community-based-providers-ambulatory-medication-safety
    March 04, 2015 - Study The effects of electronic prescribing by community-based providers on ambulatory medication safety. Citation Text: Abramson EL, Pfoh ER, Barrón Y, et al. The effects of electronic prescribing by community-based providers on ambulatory medication safety. Jt Comm J Qual Patient Saf…

  17. Modeling and Analysis of Clinical Care for Health Information Technology Improvement - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/modeling-and-analysis-clinical-care-health-information-technology-improvement/annual-summary/2012
    January 01, 2012 - Modeling and Analysis of Clinical Care for Health Information Technology Improvement - 2012 Project Name Modeling and Analysis of Clinical Care for Health Information Technology Improvement Principal Investigator Butler, Keith Organization University of Washington Fun…

  18. Emergency department monitor alarms rarely change clinical management: an observational study. | PSNet

    psnet.ahrq.gov/issue/emergency-department-monitor-alarms-rarely-change-clinical-management-observational-study
    September 30, 2020 - Study Emergency department monitor alarms rarely change clinical management: an observational study. Citation Text: Fleischman W, Ciliberto B, Rozanski N, et al. Emergency department monitor alarms rarely change clinical management: an observational study. Am J Emerg Med. 2020;38(6):1072…

  19. National and local medication error reporting systems—a survey of practices in 16 countries. | PSNet

    psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16-countries
    September 09, 2015 - Study National and local medication error reporting systems—a survey of practices in 16 countries. Citation Text: Holmström A-R, Airaksinen M, Weiss M, et al. National and local medication error reporting systems: a survey of practices in 16 countries. J Patient Saf. 2012;8(4):165-76. …

  20. How to make medication error reporting systems work—factors associated with their successful development and implementation. | PSNet

    psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
    December 05, 2012 - Study How to make medication error reporting systems work—factors associated with their successful development and implementation. Citation Text: Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…
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