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Showing results for "failures".

8101. Preventable deaths: who, how often, and why? | PSNet
      psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why
      February 22, 2011 - Study Classic Preventable deaths: who, how often, and why? Citation Text: Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…

8102. Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them? | PSNet
      psnet.ahrq.gov/issue/spinal-surgery-complications-unsolved-problem-world-health-organization-safety-surgical
      March 08, 2023 - Study Spinal surgery complications: an unsolved problem-Is the World Health Organization Safety Surgical Checklist an useful tool to reduce them? Citation Text: Barbanti-Brodano G, Griffoni C, Halme J, et al. Spinal surgery complications: an unsolved problem-Is the World Health Organizat…

8103. Cognitive biases encountered by physicians in the emergency room. | PSNet
      psnet.ahrq.gov/issue/cognitive-biases-encountered-physicians-emergency-room
      June 19, 2024 - Study Cognitive biases encountered by physicians in the emergency room. Citation Text: Kunitomo K, Harada T, Watari T. Cognitive biases encountered by physicians in the emergency room. BMC Emerg Med. 2022;22(1):148. doi:10.1186/s12873-022-00708-3. Copy Citation Format: DOI …

8104. Appendix A. Database Search Strategy | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-test-result-communication-apa.html
      July 01, 2024 - Electronic Test Result Communication in the Era of the 21st Century Cures Act Appendix A. Database Search Strategy Previous Page Next Page Table of Contents Electronic Test Result Communication in the Era of the 21st Century Cures Act Introduction Methods Results Discussion Conclusions R…

8105. When the lights go down in the delivery room: lessons from a ransomware attack. | PSNet
      psnet.ahrq.gov/issue/when-lights-go-down-delivery-room-lessons-ransomware-attack
      September 02, 2020 - Commentary When the lights go down in the delivery room: lessons from a ransomware attack. Citation Text: Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…

8106. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. | PSNet
      psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings
      April 22, 2011 - Study Impact of patient communication problems on the risk of preventable adverse events in acute care settings. Citation Text: Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ. 2008;1…

8107. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/cost-illness-patient-reported-adverse-drug-events-population-based-cross-sectional-survey
      January 27, 2012 - Study Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. Citation Text: Gyllensten H, Rehnberg C, Jönsson AK, et al. Cost of illness of patient-reported adverse drug events: a population-based cross-sectional survey. BMJ Open. 2013;3(6).…

8108. Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. | PSNet
      psnet.ahrq.gov/issue/estimating-breast-cancer-overdiagnosis-after-screening-mammography-among-older-women-united
      October 19, 2022 - Study Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. Citation Text: Richman IB, Long JB, Soulos PR, et al. Estimating breast cancer overdiagnosis after screening mammography among older women in the United States. Ann Intern Med…

8109. Association of measured quality and future financial performance among hospitals performing cardiac surgery. | PSNet
      psnet.ahrq.gov/issue/association-measured-quality-and-future-financial-performance-among-hospitals-performing
      May 04, 2022 - Study Association of measured quality and future financial performance among hospitals performing cardiac surgery. Citation Text: Enumah SJ, Sundt TM, Chang DC. Association of measured quality and future financial performance among hospitals performing cardiac surgery. J Healthc Manag. 2…

8110. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/use-technology-urgent-clinician-clinician-communications-systematic-review-literature
      September 09, 2015 - Review The use of technology for urgent clinician to clinician communications: a systematic review of the literature. Citation Text: Nguyen C, McElroy LM, Abecassis MM, et al. The use of technology for urgent clinician to clinician communications: a systematic review of the literature. I…

8111. Factors associated with post-intensive care unit adverse events: a clinical validation study. | PSNet
      psnet.ahrq.gov/issue/factors-associated-post-intensive-care-unit-adverse-events-clinical-validation-study
      February 13, 2013 - Study Factors associated with post-intensive care unit adverse events: a clinical validation study. Citation Text: Elliott M, Page K, Worrall-Carter L. Factors associated with post-intensive care unit adverse events: a clinical validation study. Nurs Crit Care. 2014;19(5):228-35. doi:10.…

8112. Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. | PSNet
      psnet.ahrq.gov/issue/are-opioid-infusions-used-inappropriately-end-life-results-qualitysafety-project
      November 16, 2022 - Study Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. Citation Text: Yeh JC, Chae SG, Kennedy PJ, et al. Are opioid infusions used inappropriately at end of life? Results from a quality/safety project. J Pain Symptom Manage. 2022;64(3):e13…

8113. An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. | PSNet
      psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic
      June 26, 2019 - Study An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. Citation Text: Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Manageme…

8114. Use of professional interpreters for patients with limited English proficiency undergoing surgery. | PSNet
      psnet.ahrq.gov/issue/use-professional-interpreters-patients-limited-english-proficiency-undergoing-surgery
      October 19, 2022 - Study Use of professional interpreters for patients with limited English proficiency undergoing surgery. Citation Text: Cevallos J, Lee C, Bongiovanni T. Use of professional interpreters for patients with limited English proficiency undergoing surgery. JAMA Netw Open. 2024;7(2):e2355014.…

8115. The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. | PSNet
      psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare
      January 18, 2023 - Study The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. Citation Text: Bhakta S, Pollock BD, Erben YM, et al. The association of acute COVID‐19 infection with Patient Safety Indicator‐12 events in a multisite healthcare …

8116. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
      February 14, 2017 - Review Classic How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. Citation Text: Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship betwe…

8117. Implementation of safeguards to improve patient safety in chemotherapy. | PSNet
      psnet.ahrq.gov/issue/implementation-safeguards-improve-patient-safety-chemotherapy
      September 19, 2012 - Study Implementation of safeguards to improve patient safety in chemotherapy. Citation Text: Huertas-Fernández MJ, Martínez-Bautista Mª J, Rodríguez-Mateos ME, et al. Implementation of safeguards to improve patient safety in chemotherapy. Clin Transl Oncol. 2017;19(9):1099-1106. doi:10.1…

8118. The husband's story: from tragedy to learning and action. | PSNet
      psnet.ahrq.gov/issue/husbands-story-tragedy-learning-and-action
      February 02, 2022 - Commentary The husband's story: from tragedy to learning and action. Citation Text: Bromiley M. The husband's story: from tragedy to learning and action. BMJ Qual Saf. 2015;24(7):425-427. doi:10.1136/bmjqs-2015-004129. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

8119. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. | PSNet
      psnet.ahrq.gov/issue/persisting-high-rates-omissions-during-anesthesia-induction-are-decreased-utilization-pre
      July 20, 2022 - Study Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. Citation Text: Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a…

8120. Diverticulitis (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/diverticulitis-one-page.docx
      November 01, 2019 - Diverticulitis Diverticulitis Diagnosis · Abdominal pain (usually left lower quadrant, ~90%), low-grade fever (~90%) · Diagnostic testing: computed tomography (CT) scan of abdomen for diagnosis and complications (e.g., abscess, perforation) · Microbiology: Escherichia coli, Klebsiella pneumoniae, Ba…