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Showing results for "focusing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40769/psn-pdf
    March 21, 2012 - Identification of adverse events in ground transport emergency medical services. March 21, 2012 Patterson PD, Weaver MD, Abebe K, et al. Identification of adverse events in ground transport emergency medical services. Am J Med Qual. 2011;27(2):139-146. doi:10.1177/1062860611415515. https://psnet.ahrq.gov/issue/ide…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40000/psn-pdf
    November 10, 2017 - Behind Human Error, Second Edition. November 10, 2017 Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537. https://psnet.ahrq.gov/issue/behind-human-error-second-edition "Human error," the authors of this book argue, is an inherently misleading term.  Drawing on the field …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46727/psn-pdf
    August 21, 2021 - Alliance for Innovation on Maternal Health. August 21, 2021 American College of Obstetricians and Gynecologists. https://psnet.ahrq.gov/issue/alliance-innovation-maternal-health This website provides information from a multidisciplinary collaboration whose mission was to support safe health care for pregnant and p…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865931/psn-pdf
    July 22, 2024 - Examining the Impact of Artificial Intelligence (AI) on Healthcare Safety (R18). July 22, 2024 Rockville, MD: Agency for Research and Quality; July 15, 2024. PA-24-261. https://psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcement-examining-impact- artificial Health systems are increasingly …

  5. Development of Dashboards to Provide Feedback to Home Care Nurses - Final Report | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/development-dashboards-provide-feedback-home-care-nurses/final-report
    January 01, 2023 - Development of Dashboards to Provide Feedback to Home Care Nurses - Final Report Citation Dowding D. Development of Dashboards to Provide Feedback to Home Care Nurses - Final Report. (Prepared by Visiting Nurse Service of New York under Grant No. R21 HS023855). Rockville, MD: Agency for Healthcare Res…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837747/psn-pdf
    July 27, 2022 - Measure Dx: A Resource to Identify, Analyze, and Learn from Diagnostic Safety Events. July 27, 2022 Rockville, MD: Agency for Healthcare Research and Quality; July 2022.  AHRQ Publication No. 22- 0038. https://psnet.ahrq.gov/issue/measure-dx-resource-identify-analyze-and-learn-diagnostic-safety-events Diagno…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847060/psn-pdf
    January 01, 2001 - The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? January 1, 2001 Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. Linköping Sweden: Linköping University; 2001. https://psnet.ahrq.gov/issu…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41928/psn-pdf
    January 30, 2013 - Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. January 30, 2013 Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme. BMJ Qual Saf. 2013;22(2):97-10…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46534/psn-pdf
    January 31, 2018 - Safety considerations in learning new procedures: a survey of surgeons. January 31, 2018 Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. https://psnet.ahrq.gov/issue/safety-considerations-learni…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34648/psn-pdf
    April 21, 2015 - Gaps in the continuity of care and progress on patient safety. April 21, 2015 Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. https://psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety This commentary discusses the concept o…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836833/psn-pdf
    March 30, 2022 - As a nurse faces prison for a deadly error, her colleagues worry: could I be next? March 30, 2022 Kelman B. Kaiser Health News. March 22, 2022 https://psnet.ahrq.gov/issue/nurse-faces-prison-deadly-error-her-colleagues-worry-could-i-be-next Criminalization of medical mistakes typifies the blame-focused approach pa…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44132/psn-pdf
    May 13, 2015 - Adverse outcomes: why bad things happen to good people. May 13, 2015 Sonnenberg A. Adverse outcomes: why bad things happen to good people. Clin Gastroenterol Hepatol. 2015;13(5):820-3.e1. doi:10.1016/j.cgh.2014.07.064. https://psnet.ahrq.gov/issue/adverse-outcomes-why-bad-things-happen-good-people This commentary…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46090/psn-pdf
    December 22, 2018 - More than a tick box: medical checklist development, design, and use. December 22, 2018 Burian BK, Clebone A, Dismukes K, et al. More Than a Tick Box: Medical Checklist Development, Design, and Use. Anesth Analg. 2018;126(1):223-232. doi:10.1213/ANE.0000000000002286. https://psnet.ahrq.gov/issue/more-tick-box-medi…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34927/psn-pdf
    June 23, 2009 - Health Care Quality and Disparities: Lessons from the First National Reports. June 23, 2009 Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. https://psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports Highlights from AHRQ's two inaugural reports, the 2003 National …

  15. COVID-19 Identification & Prevention series | Agency for Healthcare Research and Quality

    www.ahrq.gov/nursing-home/learning-modules/covid-id-prevention.html
    December 01, 2022 - COVID-19 Identification & Prevention series This series of three learning modules focuses on identifying the signs and symptoms of COVID-19, knowing when and how to report signs and symptoms of COVID-19, and remembering to maintain infection prevention processes. Module 1: COVID-19 Identification and Preventi…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47632/psn-pdf
    April 10, 2019 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. April 10, 2019 Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46524/psn-pdf
    October 18, 2017 - Pressure Injury Prevention in Hospitals Training Program. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality; September 2017. https://psnet.ahrq.gov/issue/pressure-injury-prevention-hospitals-training-program Pressure ulcers are a common hospital-acquired condition that can lead to patient h…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42105/psn-pdf
    June 28, 2013 - Public perceptions and preferences for patient notification after an unsafe injection. June 28, 2013 Schneider AK, Brinsley-Rainisch KJ, Schaefer MK, et al. Public perceptions and preferences for patient notification after an unsafe injection. J Patient Saf. 2013;9(1):8-12. doi:10.1097/PTS.0b013e318269992d. https:…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42277/psn-pdf
    July 02, 2014 - Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. July 2, 2014 Mitchell EL, Lee DY, Arora S, et al. Improving the quality of the surgical morbidity and mortality conference: a prospective intervention study. Acad Med. 2013;88(6):824-30. doi:10.1097/ACM.0b013…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46451/psn-pdf
    September 27, 2017 - Health Care Facility Design Safety Risk Assessment Toolkit. September 27, 2017 Rockville, MD: Agency for Healthcare Research and Quality; 2017. https://psnet.ahrq.gov/issue/health-care-facility-design-safety-risk-assessment-toolkit Both organizational culture and the physical environment affect the safety of care …
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