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Total Results: over 10,000 records

Showing results for "failures".

8361. How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. | PSNet
      psnet.ahrq.gov/issue/how-might-health-services-capture-patient-reported-safety-concerns-hospital-setting
      July 21, 2017 - Study How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms. Citation Text: O'Hara JK, Armitage G, Reynolds C, et al. How might health services capture patient-reported safety concerns in a hospital settin…

8362. Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. | PSNet
      psnet.ahrq.gov/issue/assessment-patients-ability-review-electronic-health-record-information-identify-potential
      July 27, 2022 - Study Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey. Citation Text: Freise L, Neves AL, Flott K, et al. Assessment of patients' ability to review electronic health record information to identi…

8363. Implementing and Improving the Integration of Decision Support into Outpatient Clinical Workflow - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/implementing-and-improving-integration-decision-support-outpatient-clinical/annual-summary/2011
      January 01, 2011 - Implementing and Improving the Integration of Decision Support into Outpatient Clinical Workflow - 2011 Project Name Implementing and Improving the Integration of Decision Support into Outpatient Clinical Workflow Principal Investigator Doebbling, Bradley Organization Indiana…

8364. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. | PSNet
      psnet.ahrq.gov/issue/association-current-opioid-use-serious-adverse-events-among-older-adult-survivors-breast
      February 15, 2023 - Study Association of current opioid use with serious adverse events among older adult survivors of breast cancer. Citation Text: Winn AN, Check DK, Farkas A, et al. Association of current opioid use with serious adverse events among older adult survivors of breast cancer. JAMA Netw Open.…

8365. The missing evidence: a systematic review of patients' experiences of adverse events in health care. | PSNet
      psnet.ahrq.gov/issue/missing-evidence-systematic-review-patients-experiences-adverse-events-health-care
      September 06, 2017 - Review Classic The missing evidence: a systematic review of patients' experiences of adverse events in health care. Citation Text: Harrison R, Walton M, Manias E, et al. The missing evidence: a systematic review of patients' experiences of adverse events in heal…

8366. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. | PSNet
      psnet.ahrq.gov/issue/patient-harm-and-institutional-avoidability-out-hours-discharge-intensive-care-analysis-using
      February 10, 2021 - Study Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis using mixed methods. Citation Text: Vollam S, Gustafson O, Morgan L, et al. Patient harm and institutional avoidability of out-of-hours discharge from intensive care: an analysis …

8367. An objective methodology for task analysis and workload assessment in anesthesia providers. | PSNet
      psnet.ahrq.gov/issue/objective-methodology-task-analysis-and-workload-assessment-anesthesia-providers
      February 19, 2010 - Study Classic An objective methodology for task analysis and workload assessment in anesthesia providers. Citation Text: Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers. An…

8368. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. | PSNet
      psnet.ahrq.gov/issue/clinical-decision-support-alert-malfunctions-analysis-and-empirically-derived-taxonomy
      December 04, 2016 - Study Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. Citation Text: Wright A, Ai A, Ash JS, et al. Clinical decision support alert malfunctions: analysis and empirically derived taxonomy. J Am Med Inform Assoc. 2018;25(5):496-506. doi:10.1093/jam…

8369. Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. | PSNet
      psnet.ahrq.gov/issue/comparison-accuracy-physical-examination-findings-initial-progress-notes-between-paper-charts
      May 11, 2022 - Study Comparison of accuracy of physical examination findings in initial progress notes between paper charts and a newly implemented electronic health record. Citation Text: Yadav S, Kazanji N, C. NK, et al. Comparison of accuracy of physical examination findings in initial progress note…

8370. Drug shortage-associated increase in catheter-related blood stream infection in children. | PSNet
      psnet.ahrq.gov/issue/drug-shortage-associated-increase-catheter-related-blood-stream-infection-children
      April 24, 2018 - Study Drug shortage-associated increase in catheter-related blood stream infection in children. Citation Text: Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/…

8371. Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? | PSNet
      psnet.ahrq.gov/issue/patient-comprehension-emergency-department-care-and-instructions-are-patients-aware-when-they
      September 23, 2020 - Study Classic Patient comprehension of emergency department care and instructions: are patients aware of when they do not understand? Citation Text: Engel KG, Heisler M, Smith DM, et al. Patient comprehension of emergency department care and instructions: are …

8372. Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. | PSNet
      psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events
      July 28, 2023 - Study Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. Citation Text: Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis…

8373. Discrimination, abuse, harassment, and burnout in surgical residency training. | PSNet
      psnet.ahrq.gov/issue/discrimination-abuse-harassment-and-burnout-surgical-residency-training
      May 06, 2020 - Study Classic Discrimination, abuse, harassment, and burnout in surgical residency training. Citation Text: Hu Y-Y, Ellis RJ, Hewitt B, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. New Engl J Med. 2019;381(18):1741-1752. …

8374. Health IT Hazard Manager - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/health-information-technology-hazard-manager/annual-summary/2011
      January 01, 2011 - Health IT Hazard Manager - 2011 Project Name Health Information Technology Hazard Manager Principal Investigator Walker, James Organization Abt Associates, Inc. Funding Mechanism Accelerating Change and Transformation in Organizations and Networks (ACTION) Con…

8375. Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. | PSNet
      psnet.ahrq.gov/issue/older-patients-perceptions-unnecessary-tests-and-referrals-national-survey-medicare
      May 25, 2011 - Study Older patients' perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. Citation Text: Herndon B, Schwartz LM, Woloshin S, et al. Older patients perceptions of "unnecessary" tests and referrals: a national survey of Medicare beneficiaries. J…

8376. What is the return on investment for implementation of a crew resource management program at an academic medical center? | PSNet
      psnet.ahrq.gov/issue/what-return-investment-implementation-crew-resource-management-program-academic-medical
      April 24, 2018 - Study What is the return on investment for implementation of a crew resource management program at an academic medical center? Citation Text: Moffatt-Bruce SD, Hefner JL, Mekhjian H, et al. What Is the Return on Investment for Implementation of a Crew Resource Management Program at an Ac…

8377. DATAFORM 3 Medication Error and Near Miss Classification Form (pdf file)
      digital.ahrq.gov/sites/default/files/docs/resource/Dataform_3_Medication_Error_and_Near_Miss_Classification_Form.pdf
      June 16, 2021 - DATAFORM 3 Medication Error and Near Miss Classification Form WBD DATAFORM 3 Medication Error and Near Miss Classification Form 1. Study ID Number: ____ ____-____ ____ ____ ____ ____ 2. Reviewer ID Number: ____ ____ See below for codes 3. Case # 4. Script # 5. ME o…

8378. Nurses' perceptions of safety culture in long-term care settings. | PSNet
      psnet.ahrq.gov/issue/nurses-perceptions-safety-culture-long-term-care-settings
      April 06, 2011 - Study Nurses' perceptions of safety culture in long-term care settings. Citation Text: Wagner LM, Capezuti E, Rice JC. Nurses' perceptions of safety culture in long-term care settings. J Nurs Scholarsh. 2009;41(2):184-192. doi:10.1111/j.1547-5069.2009.01270.x. Copy Citation Format…

8379. Health care safety during the pandemic and beyond--building a system that ensures resilience. | PSNet
      psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience
      July 20, 2022 - Commentary Health care safety during the pandemic and beyond--building a system that ensures resilience. Citation Text: Fleisher LA, Schreiber M, Cardo D, et al. Health care safety during the pandemic and beyond--building a system that ensures resilience. N Engl J Med. 2022;386(7):609-61…

8380. A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. | PSNet
      psnet.ahrq.gov/issue/randomized-trial-effectiveness-demand-versus-computer-triggered-drug-decision-support-primary
      March 11, 2011 - Study A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primary care. Citation Text: Tamblyn R, Huang A, Taylor L, et al. A randomized trial of the effectiveness of on-demand versus computer-triggered drug decision support in primar…