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Showing results for "identifying".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33658/psn-pdf
    October 01, 2007 - In Conversation with...David Marx, JD October 1, 2007 In Conversation with..David Marx, JD. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withdavid-marx-jd Editor's Note: An engineer and an attorney by training, David Marx, JD, is president of Outcome Engineering, a risk management firm. …

  2. Misidentifying the Unidentified – John Doe and the EHR | PSNet

    psnet.ahrq.gov/web-mm/misidentifying-unidentified-john-doe-and-ehr
    September 27, 2017 - Misidentifying the Unidentified – John Doe and the EHR Citation Text: Janowak CF, Janowak LM. Misidentifying the Unidentified – John Doe and the EHR. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49853/psn-pdf
    February 01, 2019 - Adverse Event During Intrahospital Transport February 1, 2019 Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport The Case A 4-year-old boy underwent surgery under general anesthesia for correction o…

  4. The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm | PSNet

    psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
    February 26, 2025 - The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 5, 2021 Innovation Contact …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49751/psn-pdf
    January 01, 2016 - New Patient Mistakenly Checked in as Another January 1, 2016 Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another The Case A 55-year-old man, presented to a primary care physician's office for an initial vis…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33833/psn-pdf
    May 01, 2017 - There's no way of identifying who is not going to be harmed.

  7. The Risks of a Malpositioned Gastrostomy Tube and Poor Communication | PSNet

    psnet.ahrq.gov/web-mm/risks-malpositioned-gastrostomy-tube-and-poor-communication
    August 01, 2012 - poorly tolerated and the CT scan was misread, and (2) the subsequent lack of consistent communication identifying

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44166/psn-pdf
    October 13, 2015 - Development and validation of electronic health record–based triggers to detect delays in follow-up of abnormal lung imaging findings. October 13, 2015 Murphy DR, Thomas EJ, Meyer AND, et al. Development and Validation of Electronic Health Record-based Triggers to Detect Delays in Follow-up of Abnormal Lung Imagin…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867345/psn-pdf
    December 11, 2024 - Implementation of a high-reliability organization framework in a large integrated health care system: a pre- post quasi-experimental quality improvement project. December 11, 2024 Sawyer AM, Thiyarajan S, Essen KE, et al. Implementation of a high-reliability organization framework in a large integrated health care…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73391/psn-pdf
    June 16, 2021 - Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. June 16, 2021 Carman E-M, Fray M, Waterson P. Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff. Appl Ergon. 2021;93:103339. do…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849134/psn-pdf
    May 17, 2023 - Adverse patient safety events during the COVID epidemic. May 17, 2023 Yackel EE, Knowles RS, Jones CM, et al. Adverse patient safety events during the COVID epidemic. J Patient Saf. 2023;19(5):340-345. doi:10.1097/pts.0000000000001129. https://psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853614/psn-pdf
    September 20, 2023 - Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. September 20, 2023 Choi JJ, Rosen MA, Shapiro MF, et al. Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. Diagno…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867685/psn-pdf
    March 05, 2025 - Understanding factors influencing safety and team functionality at operative vaginal birth through multidisciplinary perspectives: a mixed methods study. March 5, 2025 Skinner SM, Kippen E, Rolnik DL, et al. Understanding factors influencing safety and team functionality at operative vaginal birth through multidis…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867687/psn-pdf
    March 05, 2025 - Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospective hazard analysis. March 5, 2025 Barker LT, Bond WF, Willemsen-Dunlap AM, et al. Simulation-debriefing enhanced needs assessment to address quality markers in health care: an innovation for prospe…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837859/psn-pdf
    August 17, 2022 - The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. August 17, 2022 van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e1075. doi:10.1097/pts.00000000000010…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838019/psn-pdf
    September 07, 2022 - Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an observational study. September 7, 2022 Müller BS, Lüttel D, Schütze D, et al. Strength of safety measures introduced by medical practices to prevent a recurrence of patient safety incidents: an obser…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860388/psn-pdf
    January 10, 2024 - Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. January 10, 2024 Dukhanin V, McDonald KM, Gonzalez N, et al. Patient reasoning: patients' and care partners' perceptions of diagnostic accuracy in emergency care. Med Decis Making. 2024;44(1):102-111. doi:10.1177/…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38693/psn-pdf
    June 15, 2011 - Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. June 15, 2011 Snijders C, van Lingen RA, Klip H, et al. Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports. Arch Dis Child Fetal Neonatal Ed. 20…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853064/psn-pdf
    August 30, 2023 - Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of qualitative studies. August 30, 2023 Fu BQ, Zhong CCW, Wong CHL, et al. Barriers and facilitators to implementing interventions for reducing avoidable hospital readmission: systematic review of…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837150/psn-pdf
    May 18, 2022 - Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. May 18, 2022 White AA, King AM, D’Addario AE, et al. Video-based communication assessment of physician error …
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