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Showing results for "failures".

  1. psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
    June 28, 2010 - Study Development of a measure of patient safety event learning responses. Citation Text: Ginsburg LR, Chuang Y-T, Norton PG, et al. Development of a measure of patient safety event learning responses. Health Serv Res. 2009;44(6):2123-47. doi:10.1111/j.1475-6773.2009.01021.x. Copy Ci…
  2. psnet.ahrq.gov/issue/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
    February 17, 2021 - Study Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Citation Text: Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. …
  3. psnet.ahrq.gov/issue/review-medication-error-sources-associated-inpatient-subcutaneous-insulin-recommendations
    June 17, 2020 - Review Review of medication error sources associated with inpatient subcutaneous insulin: recommendations for safe and cost-effective dispensing practices. Citation Text: McKay C, Schenkat D, Murphy K, et al. Review of medication error sources associated with inpatient subcutaneous insul…
  4. psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient
    October 13, 2021 - Study Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. Citation Text: Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interw…
  5. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-nc
    January 01, 2023 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Project Final Report ( PDF , 2.07 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …
  6. psnet.ahrq.gov/issue/burden-peri-operative-work-night-perceived-anaesthesiologists-international-survey
    May 08, 2024 - Study The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Citation Text: Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Eur J Anaesthesi…
  7. psnet.ahrq.gov/issue/implementation-world-health-organization-trauma-care-checklist-program-11-centers-across
    November 16, 2022 - Study Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. Citation Text: Lashoher A, Schneider EB, Juillard C, et al. Implementation of the World Health Organization Trauma Care Chec…
  8. psnet.ahrq.gov/issue/exploring-mediating-effects-between-nursing-leadership-and-patient-safety-person-centred
    October 08, 2016 - Study Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review. Citation Text: Wang M, Dewing J. Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: a literatu…
  9. psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization
    January 27, 2021 - Study Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services Citation Text: Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…
  10. digital.ahrq.gov/ahrq-funded-projects/promoting-self-management-stroke-survivors-using-health-it
    January 01, 2023 - Promoting Self-Management in Stroke Survivors Using Health Information Technology Project Final Report ( PDF , 180.67 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 …
  11. psnet.ahrq.gov/issue/what-happens-between-visits-adverse-and-potential-adverse-events-among-low-income-urban
    February 22, 2011 - Study What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes. Citation Text: Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse events among a low-income, urban, ambu…
  12. psnet.ahrq.gov/issue/medsafer-study-electronic-decision-support-deprescribing-hospitalized-older-adults-cluster
    July 31, 2019 - Study The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a cluster randomized clinical trial. Citation Text: McDonald EG, Wu PE, Rashidi B, et al. The MedSafer study-electronic decision support for deprescribing in hospitalized older adults: a …
  13. psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
    January 27, 2016 - Study Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. Citation Text: Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…
  14. psnet.ahrq.gov/issue/evaluation-patient-and-family-outpatient-complaints-strategy-prioritize-efforts-improve
    November 16, 2022 - Study Evaluation of patient and family outpatient complaints as a strategy to prioritize efforts to improve cancer care delivery. Citation Text: Mack JW, Jacobson J, Frank D, et al. Evaluation of Patient and Family Outpatient Complaints as a Strategy to Prioritize Efforts to Improve Canc…
  15. psnet.ahrq.gov/issue/impact-intervention-improve-intrapartum-maternal-vital-sign-monitoring-and-reduce-alarm
    September 23, 2020 - Study The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fatigue. Citation Text: Kern-Goldberger AR, Nicholls EM, Plastino N, et al. The impact of an intervention to improve intrapartum maternal vital sign monitoring and reduce alarm fati…
  16. psnet.ahrq.gov/issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital
    May 08, 2017 - Study Classic Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Citation Text: Kripalani S, Roumie CL, Dalal A, et al. Effect of a pharmacist intervention on clinically important medicat…
  17. psnet.ahrq.gov/issue/situ-simulation-essential-tool-safe-preparedness-covid-19-pandemic
    June 02, 2021 - Study In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Citation Text: Sharara-Chami R, Sabouneh R, Zeineddine R, et al. In situ simulation: an essential tool for safe preparedness for the COVID-19 pandemic. Simul Healthc. 2020;15(5):303-309. doi:10.1…
  18. psnet.ahrq.gov/issue/interprofessionalinterdisciplinary-teamwork-during-early-covid-19-pandemic-experience
    September 23, 2020 - Commentary Interprofessional/interdisciplinary teamwork during the early COVID-19 pandemic: experience from a children's hospital within an academic health center. Citation Text: Natale JAE, Boehmer J, Blumberg DA, et al. Interprofessional/interdisciplinary teamwork during the early COVI…
  19. psnet.ahrq.gov/issue/ethical-leadership-supports-safety-voice-increasing-risk-perception-and-reducing-ethical
    September 14, 2022 - Study Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. Citation Text: Cakir MS, Wardman JK, Trautrims A. Ethical leadership supports safety voice by increasing risk perception and reducing ethical …
  20. psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
    October 11, 2017 - Commentary Emerging Classic Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. Citation Text: Prachand VN, Milner R, Angelos P, et al. Medically-n…