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Showing results for "implemented".

  1. A cognitive task analysis of information management strategies in a computerized provider order entry environment. | PSNet

    psnet.ahrq.gov/issue/cognitive-task-analysis-information-management-strategies-computerized-provider-order-entry
    May 27, 2011 - Study A cognitive task analysis of information management strategies in a computerized provider order entry environment. Citation Text: Weir C, Nebeker JJR, Hicken BL, et al. A cognitive task analysis of information management strategies in a computerized provider order entry environme…

  2. Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers | PSNet

    psnet.ahrq.gov/issue/preserving-organizational-resilience-patient-safety-and-staff-retention-during-covid-19
    May 08, 2019 - Commentary Classic Preserving organizational resilience, patient safety, and staff retention during COVID-19 requires a holistic consideration of the psychological safety of healthcare workers Citation Text: Rangachari P, L. Woods J. Preserving organizational re…

  3. Communication through the electronic health record: frequency and implications of free text orders. | PSNet

    psnet.ahrq.gov/issue/communication-through-electronic-health-record-frequency-and-implications-free-text-orders
    May 12, 2021 - Study Communication through the electronic health record: frequency and implications of free text orders. Citation Text: Kandaswamy S, Hettinger AZ, Hoffman DJ, et al. Communication through the electronic health record: frequency and implications of free text orders. JAMIA Open. 2020;3(2…

  4. Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet

    psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates
    February 09, 2011 - Study Overestimation of clinical diagnostic performance caused by low necropsy rates. Citation Text: Shojania KG, Burton EC, McDonald KM, et al. Overestimation of clinical diagnostic performance caused by low necropsy rates. Qual Saf Health Care. 2005;14(6):408-13. Copy Citation …

  5. A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. | PSNet

    psnet.ahrq.gov/issue/qualitative-analysis-outpatient-medication-use-community-settings-observed-safety
    October 26, 2022 - Study A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety. Citation Text: Lyson HC, Sharma AE, Cherian R, et al. A Qualitative Analysis of Outpatient Medication Use in Community Setting…

  6. Can we rely on patients' reports of adverse events? | PSNet

    psnet.ahrq.gov/issue/can-we-rely-patients-reports-adverse-events
    December 29, 2014 - Study Classic Can we rely on patients' reports of adverse events? Citation Text: Zhu J, Stuver SO, Epstein AM, et al. Can we rely on patients' reports of adverse events? Med Care. 2011;49(10):948-55. doi:10.1097/MLR.0b013e31822047a8. Copy Citation Format…

  7. Healthcare team resilience during COVID-19: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/healthcare-team-resilience-during-covid-19-qualitative-study
    February 20, 2019 - Study Healthcare team resilience during COVID-19: a qualitative study. Citation Text: Ambrose JW, Catchpole K, Evans HL, et al. Healthcare team resilience during COVID-19: a qualitative study. BMC Health Serv Res. 2024;24(1):459. doi:10.1186/s12913-024-10895-3. Copy Citation Format…

  8. Patient safety strategies targeted at diagnostic errors: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-strategies-targeted-diagnostic-errors-systematic-review
    March 20, 2013 - Review Patient safety strategies targeted at diagnostic errors: a systematic review. Citation Text: McDonald KM, Matesic B, Contopoulos-Ioannidis DG, et al. Patient safety strategies targeted at diagnostic errors: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):381-389. doi:10.7…

  9. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. | PSNet

    psnet.ahrq.gov/issue/characteristics-and-contributing-factors-diagnostic-error-surgery-analysis-closed-medico
    April 16, 2019 - Study Characteristics and contributing factors of diagnostic error in surgery: analysis of closed medico-legal cases and complaints in Canada. Citation Text: Kwan JL, Calder LA, Bowman CL, et al. Characteristics and contributing factors of diagnostic error in surgery: analysis of closed …

  10. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. | PSNet

    psnet.ahrq.gov/issue/evaluating-patient-safety-learning-laboratory-create-interdisciplinary-ecosystem-health-care
    December 21, 2022 - Study Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care innovation. Citation Text: Atkinson MK, Benneyan JC, Bambury EA, et al. Evaluating a patient safety learning laboratory to create an interdisciplinary ecosystem for health care …

  11. Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/provider-provider-communication-during-transitions-care-outpatient-acute-care-systematic
    October 29, 2017 - Review Provider-to-provider communication during transitions of care from outpatient to acute care: a systematic review. Citation Text: Luu N-P, Pitts S, Petty BG, et al. Provider-to-Provider Communication during Transitions of Care from Outpatient to Acute Care: A Systematic Review. J G…

  12. Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. | PSNet

    psnet.ahrq.gov/issue/care-deficiencies-and-leaders-inadequate-reviews-patient-who-died-lt-col-luke-weathers-jr-va
    April 10, 2024 - Book/Report Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Medical Center in Memphis, Tennessee. Citation Text: Care Deficiencies and Leaders' Inadequate Reviews of a Patient Who Died at the Lt. Col. Luke Weathers, Jr. VA Me…

  13. Hospital- and system-wide interventions for health care-associated infections: a systematic review. | PSNet

    psnet.ahrq.gov/issue/hospital-and-system-wide-interventions-health-care-associated-infections-systematic-review
    January 12, 2022 - Review Hospital- and system-wide interventions for health care-associated infections: a systematic review. Citation Text: Maurer NR, Hogan TH, Walker DM. Hospital- and system-wide interventions for health care-associated infections: a systematic review. Med Care Res Rev. 2021;78(6):643-6…

  14. Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. | PSNet

    psnet.ahrq.gov/issue/perioperative-covid-19-defense-evidence-based-approach-optimization-infection-control-and
    November 30, 2012 - Commentary Classic Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. Citation Text: Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for …

  15. Diagnostic performance dashboards: tracking diagnostic errors using big data. | PSNet

    psnet.ahrq.gov/issue/diagnostic-performance-dashboards-tracking-diagnostic-errors-using-big-data
    July 28, 2023 - Commentary Diagnostic performance dashboards: tracking diagnostic errors using big data. Citation Text: Mane KK, Rubenstein KB, Nassery N, et al. Diagnostic performance dashboards: tracking diagnostic errors using big data. BMJ Qual Saf. 2018;27(7):567-570. doi:10.1136/bmjqs-2018-007945.…

  16. CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. | PSNet

    psnet.ahrq.gov/issue/cler-report-findings-2021-subprotocol-operative-and-procedural-areas
    October 18, 2017 - Book/Report CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Citation Text: CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas. Kuhn CM, Newton RC, Damewood MD, et al, on behalf of the CLER Evaluation Committee, the CLER Operative an…

  17. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? | PSNet

    psnet.ahrq.gov/issue/failure-administer-recommended-chemotherapy-acceptable-variation-or-cancer-care-quality-blind
    September 02, 2020 - Study Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? Citation Text: Ellis RJ, Schlick CJR, Feinglass J, et al. Failure to administer recommended chemotherapy: acceptable variation or cancer care quality blind spot? BMJ Qual Saf. 20…

  18. The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

    psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
    October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

  19. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. | PSNet

    psnet.ahrq.gov/issue/modified-early-warning-system-improves-patient-safety-and-clinical-outcomes-academic
    September 18, 2019 - Study Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. Citation Text: Mathukia C, Fan WQ, Vadyak K, et al. Modified Early Warning System improves patient safety and clinical outcomes in an academic community hospital. J Commun…

  20. Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. | PSNet

    psnet.ahrq.gov/issue/evaluation-drug-utilization-and-prescribing-errors-infants-primary-care-prescription-based
    March 16, 2022 - Study Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Citation Text: Khaja KAJA, Ansari TMA, Damanhori AHH, et al. Evaluation of drug utilization and prescribing errors in infants: a primary care prescription-based study. Healt…
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