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Showing results for "failures".

  1. psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-emotional-exhaustion-and-job-dissatisfaction
    February 09, 2011 - Study Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Citation Text: Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254. C…
  2. psnet.ahrq.gov/issue/squire-20-standards-quality-improvement-reporting-excellence-revised-publication-guidelines
    December 02, 2015 - Organizational Policy/Guidelines Classic SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. Citation Text: Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality…
  3. psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
    September 07, 2022 - Review Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. Citation Text: Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patient…
  4. psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
    September 23, 2020 - Study Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. Citation Text: Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…
  5. psnet.ahrq.gov/issue/system-based-interprofessional-simulation-based-training-program-increases-awareness-and-use
    December 01, 2011 - Study System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. Citation Text: Wehbe-Janek H, Pliego J, Sheather S, et al. System-based interprofessional simulation-based training program increases awareness and use of rapid res…
  6. psnet.ahrq.gov/issue/involvement-patients-cancer-patient-safety-qualitative-study-current-practices-potentials-and
    September 27, 2017 - Study Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and barriers. Citation Text: Martin HM, Navne LE, Lipczak H. Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and…
  7. www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/COPD-one-page.pdf
    November 01, 2019 - Chronic Obstructive Pulmonary Disease Exacerbations Diagnosis • Distinguishing chronic obstructive pulmonary disease (COPD) exacerbations and community- acquired pneumonia (CAP) in a patient with a known history of COPD can be challenging. o If the chest x ray does not show evidence of a new infiltrate, a COPD…
  8. psnet.ahrq.gov/issue/cost-effectiveness-quality-improvement-programme-reduce-central-line-associated-bloodstream
    January 02, 2017 - Study Cost-effectiveness of a quality improvement programme to reduce central line–associated bloodstream infections in intensive care units in the USA. Citation Text: Herzer KR, Niessen L, Constenla DO, et al. Cost-effectiveness of a quality improvement programme to reduce central line-…
  9. psnet.ahrq.gov/issue/pharmacist-led-video-stimulated-feedback-reduce-prescribing-errors-doctors-training-mixed
    August 10, 2022 - Journal Article Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation Citation Text: Parker H, Farrell O, Bethune R, et al. Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A…
  10. psnet.ahrq.gov/issue/patient-notification-bloodborne-pathogen-testing-due-unsafe-injection-practices-us-health
    February 02, 2011 - Study Patient notification for bloodborne pathogen testing due to unsafe injection practices in the US health care settings, 2001–2011. Citation Text: Guh AY, Thompson ND, Schaefer MK, et al. Patient notification for bloodborne pathogen testing due to unsafe injection practices in the …
  11. psnet.ahrq.gov/issue/checklist-based-intervention-improve-surgical-outcomes-michigan-evaluation-keystone-surgery
    May 01, 2015 - Study Classic A checklist-based intervention to improve surgical outcomes in Michigan: evaluation of the Keystone Surgery program. Citation Text: Reames BN, Krell RW, Campbell D, et al. A checklist-based intervention to improve surgical outcomes in Michigan: eva…
  12. psnet.ahrq.gov/issue/national-surveillance-emergency-department-visits-outpatient-adverse-drug-events
    February 27, 2009 - Study Classic National surveillance of emergency department visits for outpatient adverse drug events. Citation Text: Budnitz DS, Pollock DA, Weidenbach KN, et al. National surveillance of emergency department visits for outpatient adverse drug events. JAMA. 200…
  13. psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
    January 16, 2019 - Commentary Classic Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. Citation Text: Bates DW, Singh H. Two Decades Since To Err Is Human: An Assessment Of Progress And Emerging Priorities In Patient Safety. H…
  14. psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
    June 21, 2010 - Study Classic Adverse drug events in U.S. adult ambulatory medical care. Citation Text: Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x…
  15. psnet.ahrq.gov/issue/how-effective-are-electronic-medication-systems-reducing-medication-error-rates-and
    August 26, 2020 - Review Emerging Classic How effective are electronic medication systems in reducing medication error rates and associated harm among hospital inpatients? A systematic review and meta-analysis. Citation Text: Gates PJ, Hardie R-A, Raban MZ, et al. How effective a…
  16. psnet.ahrq.gov/issue/longitudinal-evaluation-pediatric-rapid-response-system-realist-evaluation-framework
    July 20, 2022 - Study Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Citation Text: Acorda DE, Bracken J, Abela K, et al. Longitudinal evaluation of a pediatric rapid response system with realist evaluation framework. Jt Comm J Qual Patient Saf. 2022;48(4…
  17. psnet.ahrq.gov/issue/preventing-pregnancy-related-mental-health-deaths-insights-14-us-maternal-mortality-review
    November 10, 2021 - Study Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. Citation Text: Trost SL, Beauregard JL, Smoots AN, et al. Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committee…
  18. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/why/index.html
    June 01, 2020 - Why Child Health Measures? Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. In recent years, there has been growing interest in a special focus on quality measurement for child health programs. Increasingly,…
  19. psnet.ahrq.gov/issue/nurse-physician-communication-long-term-care-setting-perceived-barriers-and-impact-patient
    February 23, 2011 - Study Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. Citation Text: Tjia J, Mazor KM, Field T, et al. Nurse-physician communication in the long-term care setting: perceived barriers and impact on patient safety. J Patient S…
  20. psnet.ahrq.gov/issue/sex-bias-pain-management-decisions
    June 07, 2023 - Study Sex bias in pain management decisions. Citation Text: Guzikevits M, Gordon-Hecker T, Rekhtman D, et al. Sex bias in pain management decisions. Proc Natl Acad Sci U S A. 2024;121(33):e2401331121. doi:10.1073/pnas.2401331121. Copy Citation Format: DOI Google Scholar Bib…