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Showing results for "failures".

  1. Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical Texts - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-outpatient-medication-lists-using-temporal-reasoning-and-clinical/annual-summary/2010
    January 01, 2010 - Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical Texts - 2010 Project Name Improving Outpatient Medication Lists Using Temporal Reasoning and Clinical Texts Principal Investigator Zhou, Li Organization Brigham and Women's Hospital Funding Me…

  2. Allocation of physician time in ambulatory practice: a time and motion study in four specialties. | PSNet

    psnet.ahrq.gov/issue/allocation-physician-time-ambulatory-practice-time-and-motion-study-four-specialties
    August 26, 2020 - Study Classic Allocation of physician time in ambulatory practice: a time and motion study in four specialties. Citation Text: Sinsky CA, Colligan L, Li L, et al. Allocation of Physician Time in Ambulatory Practice: A Time and Motion Study in 4 Specialties. Ann …

  3. Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/unintended-effects-computerized-physician-order-entry-nearly-hard-stop-alert-prevent-drug
    February 18, 2011 - Study Classic Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial. Citation Text: Strom BL, Schinnar R, Aberra F, et al. Unintended effects of a computerized physician ord…

  4. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? | PSNet

    psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
    April 04, 2011 - Study Classic Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Citation Text: Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…

  5. Delayed time to defibrillation after in-hospital cardiac arrest. | PSNet

    psnet.ahrq.gov/issue/delayed-time-defibrillation-after-hospital-cardiac-arrest
    June 08, 2010 - Study Classic Delayed time to defibrillation after in-hospital cardiac arrest. Citation Text: Chan PS, Krumholz HM, Nichol G, et al. Delayed time to defibrillation after in-hospital cardiac arrest. N Engl J Med. 2008;358(1):9-17. doi:10.1056/NEJMoa0706467. C…

  6. Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. | PSNet

    psnet.ahrq.gov/issue/effect-pediatric-early-warning-system-all-cause-mortality-hospitalized-pediatric-patients
    April 24, 2018 - Study Classic Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. Citation Text: Parshuram CS, Dryden-Palmer K, Farrell C, et al. Effect of a Pediatric Early Warning System on All-Cause Mortality in Hospitalized …

  7. e-Coaching: Interactive Voice Response-Enhanced Care Transition Support for Complex Patients - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/e-coaching-interactive-voice-response-ivr-enhanced-care-transition-support/annual-summary/2012
    January 01, 2012 - e-Coaching: Interactive Voice Response-Enhanced Care Transition Support for Complex Patients - 2012 Project Name e-Coaching: Interactive Voice Response-Enhanced Care Transition Support for Complex Patients Principal Investigator Ritchie, Christine Organization University of A…

  8. Dedicated teams to optimize quality and safety of surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/dedicated-teams-optimize-quality-and-safety-surgery-systematic-review
    October 27, 2021 - Review Dedicated teams to optimize quality and safety of surgery: a systematic review. Citation Text: Lentz CM, De Lind Van Wijngaarden RAF, Willeboordse F, et al. Dedicated teams to optimize quality and safety of surgery: a systematic review. Int J Qual Health Care. 2022;34(4):mzac078.…

  9. Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. | PSNet

    psnet.ahrq.gov/issue/does-patient-centered-design-guarantee-patient-safety-using-human-factors-engineering-find
    November 23, 2016 - Study Does patient-centered design guarantee patient safety?: Using human factors engineering to find a balance between provider and patient needs. Citation Text: France DJ, Throop P, Walczyk B, et al. Does Patient-Centered Design Guarantee Patient Safety? J Patient Saf. 2008;1(3):145-15…

  10. Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. | PSNet

    psnet.ahrq.gov/issue/defining-diagnostic-error-scoping-review-assess-impact-national-academies-report-improving
    March 03, 2021 - Review Defining diagnostic error: a scoping review to assess the impact of the National Academies' report Improving Diagnosis in Health Care. Citation Text: Giardina TD, Hunte H, Hill MA, et al. Defining diagnostic error: a scoping review to assess the impact of the National Academies' r…

  11. A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. | PSNet

    psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
    March 29, 2023 - Study A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. Citation Text: Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J Healthc Manag. 2013;58(5):369-85. Copy Citation Format: …

  12. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. | PSNet

    psnet.ahrq.gov/issue/nature-and-timing-incidents-intercepted-surpass-checklist-surgical-patients
    September 20, 2011 - Study Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. Citation Text: de Vries EN, Prins HA, Bennink C, et al. Nature and timing of incidents intercepted by the SURPASS checklist in surgical patients. BMJ Qual Saf. 2012;21(6):503-8. doi:10.1136/…

  13. Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. | PSNet

    psnet.ahrq.gov/issue/unscheduled-return-visits-emergency-department-icu-admission-trigger-tool-diagnostic-error
    December 02, 2020 - Study Unscheduled return visits to the emergency department with ICU admission: a trigger tool for diagnostic error. Citation Text: Aaronson E, Jansson P, Wittbold K, et al. Unscheduled return visits to the emergency department with ICU admission: A trigger tool for diagnostic error. Am …

  14. Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/intravenous-infusion-administration-comparative-study-practices-and-errors-between-united
    October 18, 2018 - Study Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. Citation Text: Blandford A, Dykes PC, Franklin BD, et al. Intravenous Infusion Administration: A Comparative Study of Pr…

  15. Diagnostic error in medicine: analysis of 583 physician-reported errors. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
    June 24, 2009 - Study Classic Diagnostic error in medicine: analysis of 583 physician-reported errors. Citation Text: Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/a…

  16. Utilising improvement science methods to optimise medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/utilising-improvement-science-methods-optimise-medication-reconciliation
    July 24, 2017 - Study Utilising improvement science methods to optimise medication reconciliation. Citation Text: White CM, Schoettker PJ, Conway PH, et al. Utilising improvement science methods to optimise medication reconciliation. BMJ Qual Saf. 2011;20(4):372-80. doi:10.1136/bmjqs.2010.047845. Co…

  17. Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. | PSNet

    psnet.ahrq.gov/issue/patterns-medication-incidents-10-yr-experience-cross-national-anaesthesia-incident-reporting
    January 15, 2025 - Study Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. Citation Text: Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident r…

  18. Association between implementation of a medical team training program and surgical mortality. | PSNet

    psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
    December 21, 2014 - Study Classic Association between implementation of a medical team training program and surgical mortality. Citation Text: Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2…

  19. Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. | PSNet

    psnet.ahrq.gov/issue/missed-serious-neurologic-conditions-emergency-department-patients-discharged-nonspecific
    April 08, 2018 - Study Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. Citation Text: Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecifi…

  20. Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System. | PSNet

    psnet.ahrq.gov/issue/racial-disparities-frequency-patient-safety-events-results-national-medicare-patient-safety
    December 18, 2014 - Study Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System. Citation Text: Metersky M, Hunt D, Kliman R, et al. Racial disparities in the frequency of patient safety events: results from the National Medicare …
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