-
psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - workarounds (e.g., unreadable medication barcodes, unreadable or missing patient ID wristbands, and battery failures
-
psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - A more open culture, in which errors or service failures can be reported and discussed.
-
psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
December 01, 2014 - November 1, 2023
Classification of failures in the perception of conversational agents
-
www.ahrq.gov/sites/default/files/2025-02/mao-report.pdf
January 01, 2025 - Device failures associated with patient injuries
during robot-assisted laparoscopic surgeries: a comprehensive
-
psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - A more open culture, in which errors or service failures can be reported and discussed.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Campbell_47.pdf
March 11, 2008 - Labor and delivery units are high-risk and high-cost
environments in which failures in data transmission
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight12.pdf
January 01, 2020 - care, such as cesarean
births among low-risk women,
nonmedically indicated inductions,
induction failures
-
psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
January 31, 2024 - Clinician-reported non-routine events included case delays from machine failures and staffing issues.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/f1_pdi_returnoninvestment.docx
January 01, 2013 - Shutdown costs for time-limited intervention or failures.
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/5-determining-focus/section5part2.html
January 01, 2020 - participants' stories often bring to life the emotional impact of excellent service as well as service failures
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/f1-returnoninvestment.pdf
January 01, 2009 - Shutdown costs for time-limited intervention or failures.
-
digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
January 01, 2023 - Findings
The interviews provided rich detail about grantees’ successes, failures, and lessons learned
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs028104-final-report-zhang-2024.pdf
January 01, 2024 - Failures in coordinated care are one of the root causes of adverse events, such as
delays in patient
-
www.ahrq.gov/cahps/quality-improvement/improvement-guide/3-are-you-ready/index.html
February 01, 2020 - Remove barriers, which could be a function of finances, policies, system failures, internal politics,
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/f1_combo_returnoninvestment.docx
January 01, 2013 - Shutdown costs for time-limited intervention or failures.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023849-valdez-final-report-2018.pdf
January 01, 2018 - observed by the moderator who
used posttest inquiries to determine root causes of any observed task failures
-
psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - Perspectives on Safety
Annual Perspective
Impact of System Failures
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Patey.pdf
January 01, 2004 - An analysis of
major errors and equipment failures in anaesthesia
management: considerations for prevention
-
digital.ahrq.gov/sites/default/files/docs/citation/r13hs023969-fridsma-final-report-2017.pdf
January 01, 2017 - Monitor widespread and persistent market failures to address
data inaccuracy and poor usability that
-
digital.ahrq.gov/sites/default/files/docs/lesson/09-0031-ef-inpatient-cpoe.pdf
January 01, 2009 - Findings
The interviews provided rich detail about grantees’ successes, failures