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Showing results for "implemented".

  1. Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. | PSNet

    psnet.ahrq.gov/issue/minimization-occurrence-retained-surgical-items-using-machine-learning-and-deep-learning
    July 06, 2012 - Review Minimization of occurrence of retained surgical items using machine learning and deep learning techniques: a review. Citation Text: Abo-Zahhad M, El-Malek AHA, Sayed MS, et al. Minimization of occurrence of retained surgical items using machine learning and deep learning technique…

  2. Evaluating the medication process in the context of CPOE use: the significance of working around the system. | PSNet

    psnet.ahrq.gov/issue/evaluating-medication-process-context-cpoe-use-significance-working-around-system
    February 23, 2009 - Study Evaluating the medication process in the context of CPOE use: the significance of working around the system. Citation Text: Niazkhani Z, Pirnejad H, van der Sijs H, et al. Evaluating the medication process in the context of CPOE use: the significance of working around the system.…

  3. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/hospital-initiated-transitional-care-interventions-patient-safety-strategy-systematic-review
    August 12, 2014 - Review Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Citation Text: Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med. 2013;15…

  4. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. | PSNet

    psnet.ahrq.gov/issue/completeness-serious-adverse-drug-event-reports-received-us-food-and-drug-administration-2014
    September 25, 2008 - Study Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Citation Text: Moore TJ, Furberg CD, Mattison DR, et al. Completeness of serious adverse drug event reports received by the US Food and Drug Administration in 2014. Pharmacoe…

  5. A hybrid methodology for modeling risk of adverse events in complex health-care settings. | PSNet

    psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
    November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care settings. Citation Text: Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. …

  6. Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. | PSNet

    psnet.ahrq.gov/issue/missed-medication-doses-hospitalised-patients-descriptive-account-quality-improvement
    October 13, 2018 - Study Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis. Citation Text: Coleman JJ, Hodson J, Brooks HL, et al. Missed medication doses in hospitalised patients: a descriptive account of quality improvement me…

  7. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. | PSNet

    psnet.ahrq.gov/issue/novel-analysis-clinically-relevant-diagnostic-errors-point-care-devices
    June 21, 2016 - Study Novel analysis of clinically relevant diagnostic errors in point-of-care devices. Citation Text: Shermock KM, Streiff MB, Pinto BL, et al. Novel analysis of clinically relevant diagnostic errors in point-of-care devices. J Thromb Haemost. 2011;9(9):1769-1775. doi:10.1111/j.1538-7…

  8. Should operations be regionalized? The empirical relation between surgical volume and mortality. | PSNet

    psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
    August 04, 2021 - Study Classic Should operations be regionalized? The empirical relation between surgical volume and mortality. Citation Text: Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N En…

  9. Impact of attending physician workload on patient care: a survey of hospitalists. | PSNet

    psnet.ahrq.gov/issue/impact-attending-physician-workload-patient-care-survey-hospitalists
    November 26, 2014 - Study Impact of attending physician workload on patient care: a survey of hospitalists. Citation Text: Michtalik HJ, Yeh H-C, Pronovost P, et al. Impact of attending physician workload on patient care: a survey of hospitalists. JAMA Intern Med. 2013;173(5):375-7. doi:10.1001/jamainternme…

  10. The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/effect-checklist-quality-patient-handover-operating-room-intensive-care-unit-randomized
    April 03, 2013 - Study The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. Citation Text: Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the operating room t…

  11. Evaluating an evidence-based bundle for preventing surgical site infection. | PSNet

    psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
    August 21, 2019 - Study Evaluating an evidence-based bundle for preventing surgical site infection. Citation Text: Anthony T, Murray BW, Sum-Ping JT, et al. Evaluating an evidence-based bundle for preventing surgical site infection: a randomized trial. Arch Surg. 2011;146(3):263-9. doi:10.1001/archsurg.20…

  12. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. | PSNet

    psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
    February 24, 2011 - Study Classic Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. Citation Text: Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cas…

  13. Identifying unintended consequences of quality indicators: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/identifying-unintended-consequences-quality-indicators-qualitative-study
    March 04, 2020 - Study Identifying unintended consequences of quality indicators: a qualitative study. Citation Text: Lester HE, Hannon KL, Campbell S. Identifying unintended consequences of quality indicators: a qualitative study. BMJ Qual Saf. 2011;20(12):1057-61. doi:10.1136/bmjqs.2010.048371. Cop…

  14. Voluntary electronic reporting of medical errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-medical-errors-and-adverse-events
    March 21, 2017 - Study Voluntary electronic reporting of medical errors and adverse events. Citation Text: Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):1…

  15. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. | PSNet

    psnet.ahrq.gov/issue/voluntary-electronic-reporting-laboratory-errors-analysis-37532-laboratory-event-reports-30
    February 24, 2011 - Study Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event reports from 30 health care organizations. Citation Text: Snydman LK, Harubin B, Kumar S, et al. Voluntary electronic reporting of laboratory errors: an analysis of 37,532 laboratory event…

  16. The nature of the response to airway management incident reports in high income countries: a scoping review. | PSNet

    psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review
    December 15, 2014 - Review The nature of the response to airway management incident reports in high income countries: a scoping review. Citation Text: Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive…

  17. Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet

    psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
    July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…

  18. SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. | PSNet

    psnet.ahrq.gov/issue/sbar-improves-nurse-physician-communication-and-reduces-unexpected-death-pre-and-post
    November 21, 2018 - Study SBAR improves nurse–physician communication and reduces unexpected death: a pre and post intervention study. Citation Text: De Meester K, Verspuy M, Monsieurs KG, et al. SBAR improves nurse-physician communication and reduces unexpected death: a pre and post intervention study. Re…

  19. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. | PSNet

    psnet.ahrq.gov/issue/socio-technical-issues-and-challenges-implementing-safe-patient-handovers-insights
    July 19, 2023 - Study Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. Citation Text: Balka E, Tolar M, Coates S, et al. Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case st…

  20. Apologies following an adverse medical event: the importance of focusing on the consumer's needs. | PSNet

    psnet.ahrq.gov/issue/apologies-following-adverse-medical-event-importance-focusing-consumers-needs
    June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on the consumer's needs. Citation Text: Allan A, McKillop D, Dooley J, et al. Apologies following an adverse medical event: The importance of focusing on the consumer's needs. Patient Educ Couns. 2015;98(9):10…
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