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Showing results for "failures".

  1. psnet.ahrq.gov/issue/follow-abnormal-screening-mammograms-among-low-income-ethnically-diverse-women-findings
    May 12, 2021 - Study Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a qualitative study. Citation Text: Allen JD, Shelton RC, Harden E, et al. Follow-up of abnormal screening mammograms among low-income ethnically diverse women: findings from a quali…
  2. psnet.ahrq.gov/issue/evaluating-impact-pharmacist-led-prescribing-feedback-intervention-prescribing-errors
    August 26, 2020 - Study Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a hospital setting. Citation Text: Lloyd M, Watmough SD, O'Brien SV, et al. Evaluating the impact of a pharmacist-led prescribing feedback intervention on prescribing errors in a ho…
  3. psnet.ahrq.gov/issue/risk-adjusted-survival-adults-following-hospital-cardiac-arrest-day-week-and-time-day
    July 01, 2017 - Study Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study. Citation Text: Robinson EJ, Smith GB, Power GS, et al. Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time o…
  4. psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
    December 21, 2016 - Study Classic A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. Citation Text: Burlison JD, Quillivan RR, Kath LM, et al. A Multilevel Analysis of U.S. Hospital Patient Safety Culture Relat…
  5. psnet.ahrq.gov/issue/effect-19-item-surgical-safety-checklist-during-urgent-operations-global-patient-population
    December 29, 2014 - Study Classic Effect of a 19-item surgical safety checklist during urgent operations in a global patient population. Citation Text: Weiser TG, Haynes AB, Dziekan G, et al. Effect of A 19-Item Surgical Safety Checklist During Urgent Operations in A Global Patie…
  6. psnet.ahrq.gov/issue/situ-simulation-strategy-restore-patient-safety-intensive-care-units-after-covid-19-pandemic
    March 09, 2022 - Review In situ simulation: a strategy to restore patient safety in intensive care units after the COVID-19 pandemic? Citation Text: Gómez-Pérez V, Escrivá Peiró D, Sancho-Cantus D, et al. In Situ Simulation: A Strategy to Restore Patient Safety in Intensive Care Units after the COVID-19 …
  7. psnet.ahrq.gov/issue/clinical-diagnoses-vs-autopsy-findings-early-deceased-septic-patients-intensive-care
    September 22, 2021 - Study Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive care: a retrospective cohort study. Citation Text: Driessen RGH, Latten BGH, Bergmans DCJJ, et al. Clinical diagnoses vs. autopsy findings in early deceased septic patients in the intensive c…
  8. psnet.ahrq.gov/issue/early-prescribing-outcomes-after-exporting-equipped-medication-safety-improvement-programme
    September 09, 2020 - Study Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. Citation Text: Vaughan CP, Hwang U, Vandenberg AE, et al. Early prescribing outcomes after exporting the EQUIPPED medication safety improvement programme. BMJ Open Qual. 2021;10(4):e001…
  9. psnet.ahrq.gov/issue/surgical-checklists-systematic-review-impacts-and-implementation
    January 06, 2018 - Review Surgical checklists: a systematic review of impacts and implementation. Citation Text: Treadwell JR, Lucas S, Tsou AY. Surgical checklists: a systematic review of impacts and implementation. BMJ Qual Saf. 2014;23(4):299-318. doi:10.1136/bmjqs-2012-001797. Copy Citation F…
  10. psnet.ahrq.gov/issue/relationship-between-job-stress-and-patient-safety-culture-among-nurses-systematic-review
    March 29, 2023 - Review The relationship between job stress and patient safety culture among nurses: a systematic review. Citation Text: Zabin LM, Zaitoun RSA, Sweity EM, et al. The relationship between job stress and patient safety culture among nurses: a systematic review. BMC Nurs. 2023;22(1):39. doi:…
  11. psnet.ahrq.gov/issue/assessment-requests-medication-related-follow-after-hospital-discharge-and-relation-unplanned
    November 17, 2021 - Study Assessment of requests for medication-related follow-up after hospital discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective chart review. Citation Text: Cam H, Kempen TGH, Eriksson H, et al. Assessment of requests for medication…
  12. psnet.ahrq.gov/issue/impact-22-month-multistep-implementation-program-speaking-behavior-academic-anesthesia
    January 11, 2023 - Study The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesthesia department. Citation Text: Walther F, Schick C, Schwappach DLB, et al. The impact of a 22-month multistep implementation program on speaking-up behavior in an academic anesth…
  13. psnet.ahrq.gov/issue/alcoholism-and-american-healthcare-case-patient-safety-approach
    March 30, 2022 - Review Alcoholism and American healthcare: the case for a patient safety approach. Citation Text: Zipperer L, Ryan R, Jones B. Alcoholism and American healthcare: the case for a patient safety approach. J Patient Saf Risk Manag. 2022;27(5):201-208. doi:10.1177/25160435221117952. Copy C…
  14. psnet.ahrq.gov/issue/patient-feedback-safety-improvement-primary-care-results-feasibility-study
    December 02, 2020 - Study Patient feedback for safety improvement in primary care: results from a feasibility study. Citation Text: Hernan AL, Giles SJ, Beks H, et al. Patient feedback for safety improvement in primary care: results from a feasibility study. BMJ Open. 2020;10(6):e037887. doi:10.1136/bmjopen…
  15. psnet.ahrq.gov/issue/improving-patient-family-and-clinician-experience-after-harmful-events-when-things-go-wrong
    July 01, 2020 - Study Improving the patient, family, and clinician experience after harmful events: the "When Things Go Wrong" curriculum. Citation Text: Bell SK, Moorman D, Delbanco T. Improving the patient, family, and clinician experience after harmful events: the "when things go wrong" curriculum. A…
  16. psnet.ahrq.gov/issue/patient-safety-culture-care-homes-older-people-scoping-review
    January 08, 2020 - Review Patient safety culture in care homes for older people: a scoping review. Citation Text: Gartshore E, Waring J, Timmons S. Patient safety culture in care homes for older people: a scoping review. BMC Health Serv Res. 2017;17(1):752. doi:10.1186/s12913-017-2713-2. Copy Citation …
  17. www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/prevhosp/facility-transfer.html
    September 01, 2017 - AHRQ’s Safety Program for Nursing Homes: On-Time Preventable Hospital and Emergency Department Visits Electronic Reports Table 6. Sample Monthly Summary of Transfers by Facility or Nursing Unit Average Daily Census 30 TOTAL Transfers (In/out, no returns) 16 Resident Days (including bed hol…
  18. psnet.ahrq.gov/issue/costs-associated-adverse-drug-events-among-older-adults-ambulatory-setting
    May 20, 2020 - Study The costs associated with adverse drug events among older adults in the ambulatory setting. Citation Text: Field T, Gilman BH, Subramanian S, et al. The costs associated with adverse drug events among older adults in the ambulatory setting. Med Care. 2005;43(12):1171-1176. Copy…
  19. psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses
    March 22, 2023 - Study Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. Citation Text: Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nur…
  20. psnet.ahrq.gov/issue/association-between-language-use-and-icu-transfer-and-serious-adverse-events-hospitalized
    May 18, 2022 - Study Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation. Citation Text: McDade JE, Olszewski AE, Qu P, et al. Association between language use and ICU transfer and serious adverse event…