Results

Total Results: over 10,000 records

Showing results for "failures".

8121. Identifying factors influencing clinicians' reporting of medication errors: a systematic review and qualitative evidence synthesis using the theoretical domains framework. | PSNet
      psnet.ahrq.gov/issue/identifying-factors-influencing-clinicians-reporting-medication-errors-systematic-review-and
      December 11, 2013 - Review Identifying factors influencing clinicians' reporting of medication errors: a systematic review and qualitative evidence synthesis using the theoretical domains framework. Citation Text: Takhtinejad NJ, Stewart D, Nazar Z, et al. Identifying factors influencing clinicians’ reporti…

8122. Differential perceptions of what constitutes a medical error associated with electronic medical records. | PSNet
      psnet.ahrq.gov/issue/differential-perceptions-what-constitutes-medical-error-associated-electronic-medical-records
      August 09, 2023 - Commentary Differential perceptions of what constitutes a medical error associated with electronic medical records. Citation Text: Koppel R, Kuziemsky C, Elkin PL, et al. Differential perceptions of what constitutes a medical error associated with electronic medical records. Stud Health …

8123. Variability in the measurement of hospital-wide mortality rates. | PSNet
      psnet.ahrq.gov/issue/variability-measurement-hospital-wide-mortality-rates
      July 01, 2016 - Study Classic Variability in the measurement of hospital-wide mortality rates. Citation Text: Shahian DM, Wolf RE, Iezzoni LI, et al. Variability in the measurement of hospital-wide mortality rates. N Engl J Med. 2010;363(26):2530-9. doi:10.1056/NEJMsa1006396. …

8124. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. | PSNet
      psnet.ahrq.gov/issue/clinical-risk-management-hospitals-strategy-central-coordination-and-dialogue-key-enablers
      November 27, 2013 - Study Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. Citation Text: Briner M, Manser T, Kessler O. Clinical risk management in hospitals: strategy, central coordination and dialogue as key enablers. J Eval Clin Pract. 2013;19(2):363-…

8125. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. | PSNet
      psnet.ahrq.gov/issue/towards-reduction-medication-errors-orthopedics-and-spinal-surgery-outcomes-using-pharmacist
      January 30, 2008 - Study Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led approach. Citation Text: Weiner BK, Venarske J, Yu M, et al. Towards the reduction of medication errors in orthopedics and spinal surgery: outcomes using a pharmacist-led…

8126. Event Investigation and Analysis Guide: Appendix I | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/api.html
      August 01, 2022 - Event Investigation and Analysis Guide: Appendix I Glossary Adverse safety event: a deviation from generally accepted performance standards that reaches the patient and results in moderate to severe harm or death. Anchoring bias:   the tendency to make all information fit into a preconceived story, causing…

8127. Appendix | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/pfp/interimhac2013-ap1.html
      December 01, 2014 - Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix Previous Page Next Page Table of Contents Efforts To Improve Patient Safety Result in 1.3 Million Fewer Patient Harms Appendix References Exhibit A1: 2013 Interim AHRQ National Scorecard Data o…

8128. Implementation of crew resource management: a qualitative study in 3 intensive care units. | PSNet
      psnet.ahrq.gov/issue/implementation-crew-resource-management-qualitative-study-3-intensive-care-units
      July 10, 2013 - Study Implementation of crew resource management: a qualitative study in 3 intensive care units. Citation Text: Kemper PF, van Dyck C, Wagner C, et al. Implementation of Crew Resource Management: A Qualitative Study in 3 Intensive Care Units. J Patient Saf. 2017;13(4):223-231. doi:10.109…

8129. Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. | PSNet
      psnet.ahrq.gov/issue/establishing-multi-institutional-quality-and-patient-safety-consortium-collaboration-across
      June 24, 2009 - Commentary Establishing a multi-institutional quality and patient safety consortium: collaboration across affiliates in a community-based medical school. Citation Text: Hillman E, Paul J, Neustadt M, et al. Establishing a multi-institutional quality and patient safety consortium: collab…

8130. Chartbook on Effective Treatment: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/nhqrdr/chartbooks/effectivetreatment/effectivetreatment-slides.html
      April 01, 2018 - Chartbook on Effective Treatment: Slide Presentation National Healthcare Quality and Disparities Report Introduction Cardiovascular Disease . Cancer . Chronic Kidney Disease . Diabetes . HIV and AIDS . Mental Health and Substance Abuse . Musculoskeletal Diseases . Respiratory Diseases . …

8131. 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 …

8132. Renal-Function Research-Protocol (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/renal-function_research-protocol.pdf
      June 13, 2013 - Source: www.effectivehealthcare.ahrq.gov Published online: June 13, 2013 1 Evidence-based Practice Center Systematic Review Protocol Project Title: Troponin Cardiac Marker Interpretation During Renal Function Impairment I. Background and Objectives for the Systematic Review Troponin is a protein compl…

8133. Description of Data Elements (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/DataElements_NIS_2002_Severity.pdf
      January 01, 2002 - Description of Data Elements Description of Data Elements Nationwide Inpatient Sample (NIS) Disease Severity Measure File This document contains cumulative descriptions of data elements across all states and years of HCUP data from 1988 to the current data year. Please refer to the I…

8134. Healthcare Cost and Utilization Project (HCUP) NIS Description of Data Elements - Severity Notes (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/DataElements_NIS_2004_Severity.pdf
      January 01, 2004 - Healthcare Cost and Utilization Project (HCUP) NIS Description of Data Elements - Severity Notes Description of Data Elements Nationwide Inpatient Sample (NIS) Disease Severity Measure File Prior to 2004, severity measures are not available for every state. Please check the "State Specif…

8135. Healthcare Cost and Utilization Project (HCUP) NIS Description of Data Elements - Severity Notes (pdf file)
      hcup-us.ahrq.gov/db/nation/nis/DataElements_NIS_2003_SEVERITY.pdf
      January 01, 2003 - Healthcare Cost and Utilization Project (HCUP) NIS Description of Data Elements - Severity Notes Description of Data Elements Nationwide Inpatient Sample (NIS) Disease Severity Measure File Severity measures are not available for every state. Please check the “State Specific Notes” section …

8136. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment | PSNet
      psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment
      June 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment Citation Text: Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

8137. Methods – Applying HCUP Quality Indicators (pdf file)
      hcup-us.ahrq.gov/reports/methods/2019-01.pdf
      January 01, 2019 - Methods – Applying HCUP Quality Indicators HCUP Methods Series Methods Applying AHRQ Quality Indicators to Healthcare Cost and Utilization Project (HCUP) Data for the 2018 National Healthcare Quality and Disparities Report (QDR) Report # 2019-01 Contact Information: Healthcare Cost and Utilization Project (…

8138. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
      February 04, 2022 - Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. … rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures. … patients experiences a diagnostic error firsthand.11 in 3 Diagnostic-related communication failures … 2012.pdf https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures … https://www.rmf.harvard.edu/Malpractice-Data/Annual-Benchmark-Reports/Risks-in-Communication-Failures

8139. Comparative Effectiveness of Strategies to De-escalate Aggressive Behavior in Psychiatric Patients in Acute Care Settings (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/aggression_executive.pdf
      October 01, 2016 - Comparative Effectiveness of Strategies to De-escalate Aggressive Behavior in Psychiatric Patients in Acute Care Settings 1 Comparative Effectiveness Review Number 180 Strategies To De-escalate Aggressive Behavior in Psychiatric Patients Executive Summary Background Aggressive Behavior Aggressive behavior con…

8140. Innovations in Using Health IT for Chronic Disease Management (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/09-0029-ef-cdm.pdf
      January 01, 2009 - Findings The interviews provided rich detail about grantees’ successes, failures