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Showing results for "failures".

  1. psnet.ahrq.gov/issue/opportunities-and-challenges-quality-and-safety-applications-icd-11-international-survey
    February 17, 2017 - Study Opportunities and challenges for quality and safety applications in ICD-11: an international survey of users of coded health data. Citation Text: Southern DA, Hall M, White DE, et al. Opportunities and challenges for quality and safety applications in ICD-11: an international surve…
  2. psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient
    December 29, 2014 - Study A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. Citation Text: Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety…
  3. psnet.ahrq.gov/issue/burnout-nicu-setting-and-its-relation-safety-culture
    February 13, 2019 - Study Burnout in the NICU setting and its relation to safety culture. Citation Text: Profit J, Sharek PJ, Amspoker AB, et al. Burnout in the NICU setting and its relation to safety culture. BMJ Qual Saf. 2014;23(10):806-813. doi:10.1136/bmjqs-2014-002831. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/tele-rapid-response-team-tele-rrt-effect-implementing-patient-safety-network-system-outcomes
    March 24, 2021 - Study Tele-Rapid Response Team (Tele-RRT): the effect of implementing patient safety network system on outcomes of medical patients- a before and after cohort study. Citation Text: Balshi AN, Al-Odat MA, Alharthy AM, et al. Tele-Rapid Response Team (Tele-RRT): The effect of implementing …
  5. psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
    February 09, 2022 - Study Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. Citation Text: Procaccini D, Rapaport R, Petty BG, et al. Design and Impleme…
  6. psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
    January 25, 2017 - Study Classic Preventability and causes of readmissions in a national cohort of general medicine patients. Citation Text: Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…
  7. psnet.ahrq.gov/issue/extent-and-importance-unintended-consequences-related-computerized-provider-order-entry
    May 27, 2011 - Study Classic The extent and importance of unintended consequences related to computerized provider order entry. Citation Text: Ash JS, Sittig DF, Poon EG, et al. The extent and importance of unintended consequences related to computerized provider order entry…
  8. psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
    July 16, 2019 - Review Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Citation Text: Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:1…
  9. psnet.ahrq.gov/issue/insights-problem-alarm-fatigue-physiologic-monitor-devices-comprehensive-observational-study
    July 17, 2013 - Study Classic Insights into the problem of alarm fatigue with physiologic monitor devices: a comprehensive observational study of consecutive intensive care unit patients. Citation Text: Drew BJ, Harris P, Zègre-Hemsey JK, et al. Insights into the problem of ala…
  10. psnet.ahrq.gov/issue/comprehensive-estimation-costs-30-day-postoperative-complications-using-actual-costs-multiple
    June 22, 2022 - Study A comprehensive estimation of the costs of 30-day postoperative complications using actual costs from multiple, diverse hospitals. Citation Text: Merkow RP, Shan Y, Gupta AR, et al. A comprehensive estimation of the costs of 30-day postoperative complications using actual costs fro…
  11. psnet.ahrq.gov/issue/exploring-safety-culture-within-inpatient-mental-health-units-results-participant-observation
    September 23, 2020 - Study Exploring safety culture within inpatient mental health units: the results from participant observation across three mental health services. Citation Text: Molloy L, Wilson V, O'Connor MF, et al. Exploring safety culture within inpatient mental health units: the results from partic…
  12. psnet.ahrq.gov/issue/comparing-patient-reported-hospital-adverse-events-medical-record-review-do-patients-know
    February 03, 2011 - Study Classic Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? Citation Text: Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with…
  13. psnet.ahrq.gov/issue/opinions-nurses-and-physicians-patient-family-and-visitor-activated-rapid-response-system-use
    February 14, 2024 - Study Opinions of nurses and physicians on a patient, family and visitor activated rapid response system in use across two hospital settings. Citation Text: King L, Minyaev S, Grantham H, et al. Opinions of nurses and physicians on a patient, family and visitor activated rapid response s…
  14. psnet.ahrq.gov/issue/association-nurse-workload-missed-nursing-care-neonatal-intensive-care-unit
    September 27, 2017 - Study Emerging Classic Association of nurse workload with missed nursing care in the neonatal intensive care unit. Citation Text: Tubbs-Cooley HL, Mara CA, Carle AC, et al. Association of Nurse Workload With Missed Nursing Care in the Neonatal Intensive Care Uni…
  15. digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-nc
    January 01, 2023 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Project Final Report ( PDF , 2.07 MB) × Disclaimer Disclaimer details Close Project Description Annual Summaries Publications …
  16. psnet.ahrq.gov/issue/burden-peri-operative-work-night-perceived-anaesthesiologists-international-survey
    May 08, 2024 - Study The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Citation Text: Cortegiani A, Ippolito M, Lakbar I, et al. The burden of peri-operative work at night as perceived by anaesthesiologists: an international survey. Eur J Anaesthesi…
  17. psnet.ahrq.gov/issue/implementation-world-health-organization-trauma-care-checklist-program-11-centers-across
    November 16, 2022 - Study Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. Citation Text: Lashoher A, Schneider EB, Juillard C, et al. Implementation of the World Health Organization Trauma Care Chec…
  18. psnet.ahrq.gov/issue/exploring-mediating-effects-between-nursing-leadership-and-patient-safety-person-centred
    October 08, 2016 - Study Exploring mediating effects between nursing leadership and patient safety from a person-centred perspective: a literature review. Citation Text: Wang M, Dewing J. Exploring mediating effects between nursing leadership and patient safety from a person‐centred perspective: a literatu…
  19. psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization
    January 27, 2021 - Study Potentially inappropriate medications according to STOPP-J criteria and risks of hospitalization and mortality in elderly patients receiving home-based medical services Citation Text: Huang C-H, Umegaki H, Watanabe Y, et al. Potentially inappropriate medications according to STOPP-…
  20. digital.ahrq.gov/ahrq-funded-projects/promoting-self-management-stroke-survivors-using-health-it
    January 01, 2023 - Promoting Self-Management in Stroke Survivors Using Health Information Technology Project Final Report ( PDF , 180.67 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily …