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Showing results for "failures".

8521. Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system. | PSNet
      psnet.ahrq.gov/issue/assessing-impact-real-time-random-safety-audits-through-full-propensity-score-matching
      March 09, 2022 - Study Assessing the impact of real-time random safety audits through full propensity score matching on reliable data from the clinical information system. Citation Text: Bodí M, Samper MA, Sirgo G, et al. Assessing the impact of real-time random safety audits through full propensity scor…

8522. Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. | PSNet
      psnet.ahrq.gov/issue/identifying-hospital-wide-harm-set-icd-9-cm-coded-conditions-associated-increased-cost-length
      September 07, 2016 - Study Identifying hospital-wide harm: a set of ICD-9–CM-coded conditions associated with increased cost, length of stay, and risk of mortality. Citation Text: Bankowitz RA, Doyle B, Duan M, et al. Identifying hospital-wide harm: a set of ICD-9-CM-coded conditions associated with increase…

8523. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. | PSNet
      psnet.ahrq.gov/issue/reporting-sentinel-events-swedish-hospitals-comparison-severe-adverse-events-reported
      December 09, 2020 - Study Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by patients and providers. Citation Text: Öhrn A, Elfström J, Liedgren C, et al. Reporting of sentinel events in Swedish hospitals: a comparison of severe adverse events reported by …

8524. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. | PSNet
      psnet.ahrq.gov/issue/impact-perioperative-catastrophes-anesthesiologists-results-national-survey
      August 27, 2009 - Study The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Citation Text: Gazoni FM, Amato PE, Malik ZM, et al. The impact of perioperative catastrophes on anesthesiologists: results of a national survey. Anesth Analg. 2012;114(3):596-603. doi:10…

8525. Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. | PSNet
      psnet.ahrq.gov/issue/crisis-scenarios-simulation-based-nontechnical-skills-training-cardiac-surgery-teams-national
      January 08, 2020 - Commentary Crisis scenarios for simulation-based nontechnical skills training for cardiac surgery teams: a national survey among cardiac anesthesiologists, cardiac surgeons, clinical perfusionists, and cardiac operating room nurses. Citation Text: Kemper T, van Haperen M, Eberl S, et al.…

8526. The relationship between organizational culture and family satisfaction in critical care. | PSNet
      psnet.ahrq.gov/issue/relationship-between-organizational-culture-and-family-satisfaction-critical-care
      April 25, 2012 - Study The relationship between organizational culture and family satisfaction in critical care. Citation Text: Dodek P, Wong H, Heyland DK, et al. The relationship between organizational culture and family satisfaction in critical care. Crit Care Med. 2012;40(5):1506-12. doi:10.1097/CCM.…

8527. Learning from patient safety incidents: The Green Cross method. | PSNet
      psnet.ahrq.gov/issue/learning-patient-safety-incidents-green-cross-method
      June 14, 2023 - Study Learning from patient safety incidents: The Green Cross method. Citation Text: Jacobsen HK, Ballangrud R, Birkeli GH. Learning from patient safety incidents: the Green Cross method. Nurs Crit Care. 2024;Epub Jun 26. doi:10.1111/nicc.13114. Copy Citation Format: DOI Go…

8528. Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/effectiveness-n95-respirators-versus-surgical-masks-against-influenza-systematic-review-and
      March 24, 2019 - Review Classic Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. Citation Text: Long Y, Hu T, Liu L, et al. Effectiveness of N95 respirators versus surgical masks against influenza: a systematic revi…

8529. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
      March 11, 2011 - Review Classic The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Citation Text: Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…

8530. Optimizing patient safety in clinical trials by improving transitions of care. | PSNet
      psnet.ahrq.gov/issue/optimizing-patient-safety-clinical-trials-improving-transitions-care
      October 16, 2024 - Study Optimizing patient safety in clinical trials by improving transitions of care. Citation Text: Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001…

8531. Surgical patient safety outcomes in critical access hospitals: how do they compare? | PSNet
      psnet.ahrq.gov/issue/surgical-patient-safety-outcomes-critical-access-hospitals-how-do-they-compare
      June 05, 2019 - Study Surgical patient safety outcomes in critical access hospitals: how do they compare? Citation Text: Natafgi N, Baloh J, Weigel P, et al. Surgical Patient Safety Outcomes in Critical Access Hospitals: How Do They Compare? J Rural Health. 2016;33(2):117-126. doi:10.1111/jrh.12176. C…

8532. Complication rates of central venous catheters: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/complication-rates-central-venous-catheters-systematic-review-and-meta-analysis
      December 07, 2016 - Review Complication rates of central venous catheters: a systematic review and meta-analysis. Citation Text: Teja B, Bosch NA, Diep C, et al. Complication rates of central venous catheters: a systematic review and meta-analysis. JAMA Intern Med. 2024;184(5):474-482. doi:10.1001/jamainter…

8533. Feasibility of prospective error reporting in home palliative care: a mixed methods study. | PSNet
      psnet.ahrq.gov/issue/feasibility-prospective-error-reporting-home-palliative-care-mixed-methods-study
      November 11, 2020 - Study Feasibility of prospective error reporting in home palliative care: a mixed methods study. Citation Text: Kurahashi AM, Kim G, Parry N, et al. Feasibility of prospective error reporting in home palliative care: a mixed methods study. Palliat Med. 2025;39(1):22-30. doi:10.1177/02692…

8534. Clinical impact of intraoperative electronic health record downtime on surgical patients. | PSNet
      psnet.ahrq.gov/issue/clinical-impact-intraoperative-electronic-health-record-downtime-surgical-patients
      March 14, 2016 - Study Clinical impact of intraoperative electronic health record downtime on surgical patients. Citation Text: Harrison AM, Siwani R, Pickering BW, et al. Clinical impact of intraoperative electronic health record downtime on surgical patients. J Am Med Inform Assoc. 2019;26(10):928-933.…

8535. Outcome Indicators for the HCBS Population | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/find4.html
      December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Outcome Indicators for the HCBS Population Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS Population Availability and Use of State Medicaid HCBS Outcome Indicators for…

8536. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. | PSNet
      psnet.ahrq.gov/issue/secondary-analysis-hand-offs-internal-medicine-using-i-pass-mnemonic
      April 22, 2013 - Study Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. Citation Text: Huber A, Moyano B, Blondon K. Secondary analysis of hand-offs in internal medicine using the I-PASS mnemonic. BMC Med Educ. 2024;24(1):1046. doi:10.1186/s12909-024-05880-7. Copy Citatio…

8537. NICU Family Information Packet, Appendix B, Feeding Tubes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-tubes.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Feeding Tubes Feeding Tubes Types of Devices ■ Nasogastric (NG) tube: non-weighted, polyurethane tube for use more than 10 days. ■ Gastrostomy tube: tube protrudes from anterior abdominal wall; most common initial gastrostomy device. ■ Button/skin-level gastrostomy: …

8538. The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. | PSNet
      psnet.ahrq.gov/issue/prevalence-medical-error-related-end-life-communication-canadian-hospitals-results
      November 23, 2016 - Study Classic The prevalence of medical error related to end-of-life communication in Canadian hospitals: results of a multicentre observational study. Citation Text: Heyland DK, Ilan R, Jiang X, et al. The prevalence of medical error related to end-of-life comm…

8539. Electronic health record–related safety concerns: a cross-sectional survey. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-related-safety-concerns-cross-sectional-survey
      August 03, 2016 - Study Electronic health record–related safety concerns: a cross-sectional survey. Citation Text: Menon S, Singh H, Meyer AND, et al. Electronic health record-related safety concerns: a cross-sectional survey. J Healthc Risk Manag. 2014;34(1):14-26. doi:10.1002/jhrm.21146. Copy Citation…

8540. Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. | PSNet
      psnet.ahrq.gov/issue/contemporary-evidence-about-hospital-strategies-reducing-30-day-readmissions-national-study
      July 19, 2010 - Study Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. Citation Text: Bradley EH, Curry LA, Horwitz LI, et al. Contemporary evidence about hospital strategies for reducing 30-day readmissions: a national study. J Am Coll Cardiol. 2012;6…