Results

Total Results: 5,927 records

Showing results for "focusing".

341. Expected and unanticipated consequences of the quality and information technology revolutions. | PSNet
     psnet.ahrq.gov/issue/expected-and-unanticipated-consequences-quality-and-information-technology-revolutions
     March 02, 2011 - The author uses several case examples to illustrate how focusing on individual quality measures (eg,

342. Anesthesia Patient Safety Foundation. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation
     January 02, 2011 - September 4, 2024 - September 5, 2024 Proactive patient safety: focusing on what goes

343. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73303/psn-pdf
     May 26, 2021 - As opposed to focusing on how to rid the system of errors, a system under a Just Culture focuses on … blameless environment, but rather one that focuses on what is to blame at the system level instead of focusing

344. Rethinking Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
     August 21, 2016 - This limits opportunity for understanding recurrence vulnerability and may lead to focusing resources … Focusing more specifically on problems with RCA tools and techniques, Card described " the problem with … redesigning the process and tools used, ensuring the active involvement of organizational leadership, focusing

345. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. | PSNet
     psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico
     April 16, 2019 - November 15, 2023 Proactive patient safety: focusing on what goes right in the perioperative

346. Curated Article Libraries | PSNet
     psnet.ahrq.gov/curated-article-libraries
     March 18, 2025 - articles) Selected PSNet materials for a general safety audience focusing … articles) Selected PSNet materials for a general safety audience focusing

347. Patient safety and medical liability: current status and an agenda for the future. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-medical-liability-current-status-and-agenda-future
     January 01, 2015 - January 3, 2017 Apologies following an adverse medical event: the importance of focusing

348. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. | PSNet
     psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
     October 17, 2018 - October 20, 2021 Focusing on Health Care Safety.

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33755/psn-pdf
     September 01, 2013 - leaders can undermine their ability to affect lasting change and create a learning orientation by focusing … safety through coaching and constructively leveraging resistance, creating a learning orientation by focusing

350. Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. | PSNet
     psnet.ahrq.gov/issue/towards-understanding-and-improving-medication-safety-patients-mental-illness-primary-care
     February 28, 2024 - December 16, 2020 Exploring safety systems for dispensing in community pharmacies: focusing

351. Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. | PSNet
     psnet.ahrq.gov/issue/capturing-patients-perspectives-medication-safety-development-patient-centered-medication
     February 17, 2021 - July 31, 2019 Exploring safety systems for dispensing in community pharmacies: focusing

352. Hospital-based medication reconciliation practices: a systematic review. | PSNet
     psnet.ahrq.gov/issue/hospital-based-medication-reconciliation-practices-systematic-review
     April 05, 2013 - Although pharmacist-led interventions and interventions focusing on high-risk patients were generally

353. Patient characteristics and the occurrence of never events. | PSNet
     psnet.ahrq.gov/issue/patient-characteristics-and-occurrence-never-events
     February 15, 2011 - exemplifies research into the "basic science" of patient safety; a prior commentary called for studies focusing

354. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. | PSNet
     psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
     September 25, 2011 - This study explored a less understood risk for wrong-site surgery by focusing on the documentation transition

355. The impact of eHealth on the quality and safety of health care: a systematic overview. | PSNet
     psnet.ahrq.gov/issue/impact-ehealth-quality-and-safety-health-care-systematic-overview
     December 14, 2016 - Research focusing on different eHealth strategies, such as computerized provider order entry , electronic

356. A July spike in fatal medication errors: a possible effect of new medical residents. | PSNet
     psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
     February 15, 2011 - This study examined all U.S. death certificates between 1979 and 2006, focusing on medication errors,

357. Methods for studying medication safety following electronic health record implementation in acute care: a scoping review. | PSNet
     psnet.ahrq.gov/issue/methods-studying-medication-safety-following-electronic-health-record-implementation-acute
     February 03, 2011 - sociotechnical-based conceptual model to evaluate medication safety in future studies, including focusing

358. Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet
     psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
     November 21, 2017 - The authors highlight the importance of focusing on these contextual factors when seeking improvement

359. Two-state collaborative study of a multifaceted intervention to decrease ventilator-associated events. | PSNet
     psnet.ahrq.gov/issue/two-state-collaborative-study-multifaceted-intervention-decrease-ventilator-associated-events
     January 15, 2014 - introduced a multifaceted intervention structured around the Comprehensive Unit-based Safety Program , focusing

360. Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany. | PSNet
     psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term
     April 21, 2021 - September 14, 2011 Effect of a pharmacist-led multicomponent intervention focusing on