-
psnet.ahrq.gov/node/41782/psn-pdf
October 31, 2012 - nature of quality improvement and patient safety activities
within academic departments of medicine and identified
-
psnet.ahrq.gov/node/38702/psn-pdf
June 10, 2009 - https://psnet.ahrq.gov/issue/exploratory-study-measuring-verbal-order-content-and-context
This study identified
-
psnet.ahrq.gov/node/43415/psn-pdf
September 10, 2014 - a large-scale quality improvement effort to reduce readmissions and adverse
events after discharge identified
-
psnet.ahrq.gov/node/37312/psn-pdf
January 05, 2012 - better assess the risks facing community-based patients and
discovered that the most frequent risks identified
-
psnet.ahrq.gov/node/36676/psn-pdf
March 04, 2011 - outcomes-surgical
The investigators surveyed patients regarding the coordination of their postdischarge care and identified
-
psnet.ahrq.gov/node/38226/psn-pdf
February 18, 2011 - This critical incident study identified themes that contributed to residents' professional development
-
psnet.ahrq.gov/node/35282/psn-pdf
May 27, 2011 - The authors identified problems related to screen results, usability, training, and
others.
-
psnet.ahrq.gov/node/38656/psn-pdf
May 27, 2009 - The
authors discuss methods, such as checklists, that could be used to address the safety issues identified
-
psnet.ahrq.gov/node/41396/psn-pdf
May 23, 2012 - This analysis of paper-based signouts used by nurses and physicians in a cardiac intensive care unit
identified
-
psnet.ahrq.gov/node/46241/psn-pdf
January 30, 2018 - review of quality and safety practices for oral chemotherapy found that telephone calls from
nurses identified
-
psnet.ahrq.gov/node/38641/psn-pdf
September 02, 2009 - assessing-value-electronic-prescribing-ambulatory-care-focus-group-study
Focus groups with primary care physicians identified
-
psnet.ahrq.gov/node/39440/psn-pdf
September 19, 2016 - and failure to prevent
patient harm (such as suicide attempts) were among the common types of errors identified
-
psnet.ahrq.gov/node/42506/psn-pdf
August 28, 2013 - foundations-teaching-surgeons-address-contributions-systems-operating-
room-team-conflict
This study identified
-
psnet.ahrq.gov/node/39934/psn-pdf
October 30, 2010 - identifying-causes-adverse-events-detected-automated-trigger-tool-through-
depth-analysis
In this study, investigators identified
-
psnet.ahrq.gov/node/43887/psn-pdf
April 08, 2018 - most common sources of error were clinician knowledge gaps, which accounted for nearly
half of all identified
-
psnet.ahrq.gov/node/44139/psn-pdf
June 10, 2015 - arrest scenarios, conducted in actual clinical settings without
advance notification of participants, identified
-
psnet.ahrq.gov/node/37822/psn-pdf
June 18, 2008 - morbidity-and-mortality-conference-based-classification-system-adverse-
events-surgical
Surgical adverse events were identified
-
psnet.ahrq.gov/node/40985/psn-pdf
December 07, 2011 - one hospital implemented the WHO surgical safety checklist in a 2-week
plan-do-study-act trial and identified
-
psnet.ahrq.gov/node/46432/psn-pdf
October 04, 2017 - using-delphi-method-identify-human-factors-contributing-nursing-errors
Using a Delphi consensus method, investigators identified
-
psnet.ahrq.gov/node/43051/psn-pdf
May 29, 2014 - discusses why the poor conditions
were missed and how to prevent failures from recurring once they are identified