Results

Total Results: 983 records

Showing results for "gaps".

81. Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. | PSNet
    psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological
    October 23, 2019 - This article describes a framework to address gaps in measuring diagnostic error .

82. Escape Room. | PSNet
    psnet.ahrq.gov/issue/escape-room
    April 30, 2024 - for Diagnostic Results February 5, 2020 Duplicate medication order errors: safety gaps

83. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. | PSNet
    psnet.ahrq.gov/issue/when-agency-fails-analysis-association-between-hospital-agency-staffing-and-quality-outcomes
    September 11, 2024 - Many hospitals use agency, or temporary , staff to fill these gaps.

84. Deficient Care of a Patient Who Died by Suicide and Facility Leaders' Response at the Charlie Norwood VA Medical Center in Augusta, Georgia. | PSNet
    psnet.ahrq.gov/issue/deficient-care-patient-who-died-suicide-and-facility-leaders-response-charlie-norwood-va
    November 29, 2023 - In addition, post-event process gaps occurred, impacting learning and resolution such as a delay in the

85. ISMP medication error report analysis. | PSNet
    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-6
    June 16, 2019 - Executives and Administrators Indwelling Tubes and Catheters Infusion Pumps Discontinuities, Gaps

86. Improving Diagnosis in Medicine Act of 2020. | PSNet
    psnet.ahrq.gov/issue/improving-diagnosis-medicine-act-2020
    September 10, 2009 - cooperation and coordination to improve diagnosis in health care by addressing systemic weaknesses, knowledge gaps

87. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. | PSNet
    psnet.ahrq.gov/issue/moving-knowledge-action-improving-safety-and-quality-care-patients-limited-english
    October 19, 2022 - this study found that workflow constraints, supply-demand issues, variable interpretation quality, and gaps

88. Predictors of likelihood of speaking up about safety concerns in labour and delivery. | PSNet
    psnet.ahrq.gov/issue/predictors-likelihood-speaking-about-safety-concerns-labour-and-delivery
    October 19, 2022 - Despite efforts to promote teamwork and develop shared tools for communication, there are persistent gaps

89. The impact of health information technology on the management and follow-up of test results—a systematic review. | PSNet
    psnet.ahrq.gov/issue/impact-health-information-technology-management-and-follow-test-results-systematic-review
    August 19, 2020 - The authors conclude that health information technology alone is not sufficient to close safety gaps

90. ISMP medication error report analysis. | PSNet
    psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-24
    June 16, 2019 - Pharmacists Hospital Pharmacy Indwelling Tubes and Catheters Infusion Pumps Discontinuities, Gaps

91. Do staffing levels predict missed nursing care? | PSNet
    psnet.ahrq.gov/issue/do-staffing-levels-predict-missed-nursing-care
    September 27, 2017 - This study surveyed nurses and discovered that inadequate nurse staffing levels may partly explain gaps

92. Recommendations but no Action: Improving the Effectiveness of Quality and Safety Recommendations in Healthcare. | PSNet
    psnet.ahrq.gov/issue/recommendations-no-action-improving-effectiveness-quality-and-safety-recommendations
    January 16, 2025 - Global Report on the Epidemiology and Burden of Sepsis: Current Evidence, Identifying Gaps

93. A Conversation with Patient Safety Officers. | PSNet
    psnet.ahrq.gov/issue/conversation-patient-safety-officers
    April 30, 2024 - April 16, 2018 Duplicate medication order errors: safety gaps and recommendations for

94. Adverse Events. | PSNet
    psnet.ahrq.gov/issue/adverse-events-0
    September 20, 2011 - publications not only examines weaknesses but provides recommendations for improvement on topics such as gaps

95. The misery of a doctor's first days. | PSNet
    psnet.ahrq.gov/issue/misery-doctors-first-days
    December 02, 2015 - This magazine article reports on the challenges first-year residents face, including burnout and gaps

96. Resident Safety Practices in Nursing Home Settings. | PSNet
    psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
    July 27, 2018 - This technical brief discusses gaps in the research base that hinder understanding of the safety hazards

97. Research in Ambulatory Patient Safety 2000-2010: A 10-Year Review. | PSNet
    psnet.ahrq.gov/issue/research-ambulatory-patient-safety-2000-2010-10-year-review
    March 11, 2015 - analyzes efforts to improve patient safety in ambulatory care over the past decade and identifies gaps

98. Bachelor's degree nurse graduates report better quality and safety educational preparedness than associate degree graduates. | PSNet
    psnet.ahrq.gov/issue/bachelors-degree-nurse-graduates-report-better-quality-and-safety-educational-preparedness
    December 21, 2018 - From 2007 to 2015, as QSEN spread, gaps grew between nurses educated in the two degree pathways.

99. Fumbled Handoff | PSNet
    psnet.ahrq.gov/web-mm/fumbled-handoff
    September 01, 2006 - between institutions or between the inpatient and outpatient setting, in-hospital signouts represent gaps … patients at increased risk for harm.( 3 ) Although practitioners are generally effective in bridging gaps … Gaps in the continuity of care and progress on patient safety.

100. Implementation of patient centeredness to enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety
     June 24, 2010 - Medicine report Crossing the Quality Chasm  and applies the rules to several case studies to illustrate gaps