-
psnet.ahrq.gov/node/35805/psn-pdf
January 02, 2017 - The authors provide a series of strategic recommendations to close the
reported gaps in knowledge and
-
psnet.ahrq.gov/node/45833/psn-pdf
January 30, 2018 - These results
suggest that safety gaps may arise at the interface of multiple electronic systems.
-
psnet.ahrq.gov/node/43783/psn-pdf
January 14, 2015 - The authors advocate for
increasing the evidence base in all of these areas, as gaps in implementation
-
psnet.ahrq.gov/issue/acog-committee-opinion-367-communication-strategies-patient-handoffs
October 11, 2023 - Care Providers
Quality and Safety Professionals
Gynecology
Obstetrics
Discontinuities, Gaps
-
psnet.ahrq.gov/node/72482/psn-pdf
November 18, 2020 - Real-time debriefing after critical events: exploring the
gap between principle and reality.
November 18, 2020
Arriaga AF, Szyld D, Pian-Smith MCM. Real-time debriefing after critical events: exploring the gap between
principle and reality. Anesthesiol Clin. 2020;38(4):801-820. doi:10.1016/j.anclin.2020.08.003.
ht…
-
psnet.ahrq.gov/node/73440/psn-pdf
June 30, 2021 - Bridging the feedback gap: a sociotechnical approach to
informing clinicians of patients' subsequent clinical
course and outcomes.
June 30, 2021
Cifra CL, Sittig DF, Singh H. Bridging the feedback gap: a sociotechnical approach to informing clinicians of
patients’ subsequent clinical course and outcomes. BMJ Qual …
-
psnet.ahrq.gov/node/844764/psn-pdf
September 11, 2019 - IV Push Gap Analysis Tool (GAT) helps uncover national
priorities for safe injection practices.
September 11, 2019
ISMP Medication Safety Alert! Acute Care Edition. August 29, 2019;24.
https://psnet.ahrq.gov/issue/iv-push-gap-analysis-tool-gat-helps-uncover-national-priorities-safe-injection-
practices
Mistakes i…
-
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-19
June 16, 2019 - Pharmacists
Hospital Pharmacy
Indwelling Tubes and Catheters
Infusion Pumps
Discontinuities, Gaps
-
psnet.ahrq.gov/issue/special-issue-teamwork
March 23, 2022 - View More
See More About The Topic
Hospitals
Medicine
Discontinuities, Gaps
-
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-23
June 16, 2019 - Pharmacists
Hospital Pharmacy
Indwelling Tubes and Catheters
Infusion Pumps
Discontinuities, Gaps
-
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-22
June 16, 2019 - Topic
Hospital Pharmacy
Indwelling Tubes and Catheters
Infusion Pumps
Discontinuities, Gaps
-
psnet.ahrq.gov/node/47484/psn-pdf
March 20, 2019 - From 2007 to 2015, as QSEN spread,
gaps grew between nurses educated in the two degree pathways.
-
psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-24
June 16, 2019 - Pharmacists
Hospital Pharmacy
Indwelling Tubes and Catheters
Infusion Pumps
Discontinuities, Gaps
-
psnet.ahrq.gov/issue/10-ways-guarantee-lawsuit
February 10, 2021 - See More About The Topic
Physicians
Risk Managers
Diagnostic Errors
Discontinuities, Gaps
-
psnet.ahrq.gov/issue/new-horizons-patient-safety-understanding-communication-case-studies-physicians
December 15, 2021 - See More About The Topic
Hospitals
Health Care Providers
Medicine
Discontinuities, Gaps
-
psnet.ahrq.gov/node/39173/psn-pdf
November 02, 2014 - transforming-healthcare-safety-imperative
https://psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
-
psnet.ahrq.gov/node/45537/psn-pdf
July 27, 2018 - This technical brief explores gaps in the evidence
base that hinder understanding of safety concerns
-
psnet.ahrq.gov/node/36409/psn-pdf
September 28, 2016 - Observed gaps in communication
resulted from poor information flow complicated by inherent multitasking
-
psnet.ahrq.gov/node/44590/psn-pdf
November 11, 2015 - physician-motivation-listening-what-pay-performance-programs-and-quality-improvement
https://psnet.ahrq.gov/issue/patient-safety-ten-unmistakable-progress-troubling-gaps
-
psnet.ahrq.gov/node/42682/psn-pdf
January 01, 2015 - Safety gaps detected
included communication barriers, lack of a structured communication tool, and unclear