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Total Results: over 10,000 records

Showing results for "failures".

8601. Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. | PSNet
      psnet.ahrq.gov/issue/intravenous-infusion-administration-comparative-study-practices-and-errors-between-united
      October 18, 2018 - Study Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. Citation Text: Blandford A, Dykes PC, Franklin BD, et al. Intravenous Infusion Administration: A Comparative Study of Pr…

8602. What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. | PSNet
      psnet.ahrq.gov/issue/what-can-we-learn-depth-analysis-human-errors-resulting-diagnostic-errors-emergency
      June 08, 2022 - Study What can we learn from in-depth analysis of human errors resulting in diagnostic errors in the emergency department: an analysis of serious adverse event reports. Citation Text: Baartmans MC, Hooftman J, Zwaan L, et al. What can we learn from in-depth analysis of human errors resul…

8603. Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. | PSNet
      psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
      January 08, 2020 - Study Usability of a human factors-based clinical decision support in the emergency department: lessons learned for design and implementation. Citation Text: Salwei ME, Hoonakker PLT, Carayon P, et al. Usability of a human factors-based clinical decision support in the emergency departme…

8604. Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. | PSNet
      psnet.ahrq.gov/issue/containing-covid-19-emergency-department-role-improved-case-detection-and-segregation-suspect
      May 05, 2021 - Study Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. Citation Text: Wee LE, Fua T‐P, Chua YY, et al. Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cas…

8605. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? | PSNet
      psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infections-patients-inevitable-conditions-or-medical-malpractice
      June 23, 2021 - Review Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Citation Text: Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ …

8606. Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/collaboration-oriented-approach-controlling-high-blood-pressure-coach
      June 30, 2025 - Collaboration-Oriented Approach to Controlling High Blood Pressure (COACH) Project Description Publications Events Use of a standards-based shareable, interoperable patient-facing clinical decision support tool for high blood pressure management has the potential to…

8607. Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. | PSNet
      psnet.ahrq.gov/issue/ensuring-effective-care-transition-communication-implementation-electronic-medical-record
      July 12, 2023 - Study Ensuring effective care transition communication: implementation of an electronic medical record-based tool for improved cancer treatment handoffs between clinic and infusion nurses. Citation Text: Pandya C, Clarke T, Scarsella E, et al. Ensuring Effective Care Transition Communica…

8608. Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-threats-information-management-using-health-information-technology-ambulatory
      April 01, 2020 - Study Patient safety threats in information management using health information technology in ambulatory cancer care: an exploratory, prospective study. Citation Text: Pfeiffer Y, Zimmermann C, Schwappach DLB. Patient safety threats in information management using health information tech…

8609. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. | PSNet
      psnet.ahrq.gov/issue/seven-features-safety-maternity-units-framework-based-multisite-ethnography-and-stakeholder
      February 20, 2019 - Study Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder consultation. Citation Text: Liberati EG, Tarrant C, Willars J, et al. Seven features of safety in maternity units: a framework based on multisite ethnography and stakeholder con…

8610. Continuous Predictive Analytics Monitoring to Improve Care for At-Risk Patients with Cardiac Disease | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-stories/continuous-predictive-analytics-monitoring-improve-care-risk
      January 01, 2023 - Continuous Predictive Analytics Monitoring to Improve Care for At-Risk Patients with Cardiac Disease Theme: Optimizing Care Delivery for Clinicians Subtheme: Using Real-Time Digital Healthcare Data to Improve Timely Treatment or Diagnosis An artificial intelligence digital health tool that…

8611. Unsafe care in residential settings for older adults. A content analysis of accreditation reports. | PSNet
      psnet.ahrq.gov/issue/unsafe-care-residential-settings-older-adults-content-analysis-accreditation-reports
      August 16, 2023 - Study Unsafe care in residential settings for older adults. A content analysis of accreditation reports. Citation Text: Hibbert PD, Ash R, Molloy CJ, et al. Unsafe care in residential settings for older adults: a content analysis of accreditation reports. Int J Qual Health Care. 2023;35(…

8612. A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. | PSNet
      psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
      March 29, 2023 - Study A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. Citation Text: Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J Healthc Manag. 2013;58(5):369-85. Copy Citation Format: …

8613. Association between implementation of a medical team training program and surgical mortality. | PSNet
      psnet.ahrq.gov/issue/association-between-implementation-medical-team-training-program-and-surgical-mortality
      December 21, 2014 - Study Classic Association between implementation of a medical team training program and surgical mortality. Citation Text: Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA. 2…

8614. Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. | PSNet
      psnet.ahrq.gov/issue/interventions-reduce-burnout-and-improve-resilience-impact-health-systems-outcomes
      January 10, 2018 - Study Interventions to reduce burnout and improve resilience: impact on a health system's outcomes. Citation Text: Moffatt-Bruce SD, Nguyen MC, Steinberg B, et al. Interventions to Reduce Burnout and Improve Resilience: Impact on a Health System's Outcomes. Clin Obstet Gynecol. 2019;62(3…

8615. Identifying trigger concepts to screen emergency department visits for diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/identifying-trigger-concepts-screen-emergency-department-visits-diagnostic-errors
      March 12, 2025 - Study Identifying trigger concepts to screen emergency department visits for diagnostic errors. Citation Text: Mahajan P, Pai C-W, Cosby KS, et al. Identifying trigger concepts to screen emergency department visits for diagnostic errors. Diagnosis (Berl). 2021;8(3):340-346. doi:10.1515/d…

8616. A strategic solution to preventing the harm associated with ambulance handover delays. | PSNet
      psnet.ahrq.gov/issue/strategic-solution-preventing-harm-associated-ambulance-handover-delays
      July 22, 2020 - Study A strategic solution to preventing the harm associated with ambulance handover delays. Citation Text: Evans C, Da’Costa A. A strategic solution to preventing the harm associated with ambulance handover delays. Emerg Nurse. 2024;32(6):32(6):15-20. doi:10.7748/en.2024.e2199. Copy C…

8617. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. | PSNet
      psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
      August 15, 2012 - Book/Report Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Citation Text: Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. Levit L, Balogh E, Nass S, Ganz PA, eds. Committee on Improving the Quality of Cancer Care: Add…

8618. Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. | PSNet
      psnet.ahrq.gov/issue/making-soft-intelligence-hard-multi-site-qualitative-study-challenges-relating-voice-about
      June 16, 2021 - Study Emerging Classic Making soft intelligence hard: a multi-site qualitative study of challenges relating to voice about safety concerns. Citation Text: Martin G, Aveling E-L, Campbell A, et al. Making soft intelligence hard: a multi-site qualitative study of …

8619. C2 Prioritization Worksheet Example (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/c2_pdi_prioritizationworksheetexample.xlsx
      June 02, 2025 - C2 Prioritization Worksheet Example Prioritization Matrix Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety AHRQ Quality Indicators Prioritization Matrix Section 1- Blue Section 2-Green Section 3-Purple Section 4-Orange Own Rate and Natio…

8620. Introduction to the Pediatric Best Practices Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d4_pdi_bestpracticescover.pdf
      June 02, 2025 - Introduction to the Pediatric Best Practices Tool Pediatric Toolkit for Using the AHRQ Quality Indicators How To Improve Hospital Quality and Safety i Tool D.4 Introduction to the Pediatric Best Practices Tool What is the purpose of this tool? The purpose of this tool is to provide: • Detailed description of…