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Showing results for "improvements".

  1. The additional cost of perioperative medication errors | PSNet

    psnet.ahrq.gov/issue/additional-cost-perioperative-medication-errors
    July 24, 2024 - Study The additional cost of perioperative medication errors Citation Text: Langlieb ME, Sharma P, Hocevar M, et al. The additional cost of perioperative medication errors. J Patient Saf. 2023;19(6):375-378. doi:10.1097/pts.0000000000001136. Copy Citation Format: DOI Google…

  2. Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. | PSNet

    psnet.ahrq.gov/issue/robotic-dispensing-improves-patient-safety-inventory-management-and-staff-satisfaction
    February 26, 2020 - Study Emerging Classic Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy. Citation Text: Rodriguez-Gonzalez CG, Herranz-Alonso A, Escudero-Vilaplana V, et al. Robotic dispensing improves p…

  3. Fatal flaws in clinical decision making. | PSNet

    psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
    March 03, 2011 - Study Fatal flaws in clinical decision making. Citation Text: Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  4. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. | PSNet

    psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
    March 01, 2011 - Study Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatr…

  5. Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. | PSNet

    psnet.ahrq.gov/issue/inadequacies-physical-examination-cause-medical-errors-and-adverse-events-collection
    June 01, 1989 - Study Classic Inadequacies of physical examination as a cause of medical errors and adverse events: a collection of vignettes. Citation Text: Verghese A, Charlton B, Kassirer JP, et al. Inadequacies of Physical Examination as a Cause of Medical Errors and Advers…

  6. Patient safety and artificial intelligence in clinical care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-artificial-intelligence-clinical-care
    December 21, 2022 - Commentary Patient safety and artificial intelligence in clinical care. Citation Text: Ratwani RM, Bates DW, Classen DC. Patient safety and artificial intelligence in clinical care. JAMA Health Forum. 2024;5(2):e235514. doi:10.1001/jamahealthforum.2023.5514. Copy Citation Format: …

  7. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. | PSNet

    psnet.ahrq.gov/issue/patient-safety-trends-2023-analysis-287997-serious-events-and-incidents-nations-largest-event
    July 24, 2024 - Study Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest event reporting database. Citation Text: Kepner S, Jones RM. Patient safety trends in 2023: an analysis of 287,997 serious events and incidents from the nation’s largest eve…

  8. A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. | PSNet

    psnet.ahrq.gov/issue/sociotechnical-framework-safety-related-electronic-health-record-research-reporting-safer
    February 16, 2022 - Commentary Emerging Classic A sociotechnical framework for safety-related electronic health record research reporting: the SAFER reporting framework. Citation Text: Singh H, Sittig DF. A sociotechnical framework for safety-related electronic health record resear…

  9. Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. | PSNet

    psnet.ahrq.gov/issue/development-leapfrog-groups-bar-code-medication-administration-standard-address-hospital
    November 10, 2015 - Commentary Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety. Citation Text: Austin JM, Bane A, Gooder V, et al. Development of the Leapfrog Group's bar code medication administration standard to address hospit…

  10. Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. | PSNet

    psnet.ahrq.gov/issue/sex-differences-operating-room-care-giver-perceptions-patient-safety-pilot-study-veterans
    June 14, 2011 - Study Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. Citation Text: Carney BT, Mills PD, Bagian JP, et al. Sex differences in operating room care giver perceptions of patie…

  11. 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…

  12. The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
    February 10, 2015 - Study The value from investments in health information technology at the U.S. Department of Veterans Affairs. Citation Text: Byrne CM, Mercincavage LM, Pan EC, et al. The value from investments in health information technology at the U.S. Department of Veterans Affairs. Health Aff (Millw…

  13. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. | PSNet

    psnet.ahrq.gov/issue/evidence-nurses-need-participate-diagnosis-lessons-malpractice-claims
    September 12, 2018 - Study Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. Citation Text: Gleason KT, Jones RM, Rhodes C, et al. Evidence that nurses need to participate in diagnosis: lessons from malpractice claims. J Patient Saf. 2021;17(8):e959-e963. doi:10.1097/pts…

  14. Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles. | PSNet

    psnet.ahrq.gov/issue/crossing-academic-boundaries-diagnostic-safety-10-complex-challenges-and-potential-solutions
    November 30, 2022 - Commentary Crossing academic boundaries for diagnostic safety: 10 complex challenges and potential solutions from clinical perspectives and high-reliability organizing principles. Citation Text: Yousef EA, Sutcliffe KM, McDonald KM, et al. Crossing academic boundaries for diagnostic safe…

  15. Parent–provider miscommunications in hospitalized children. | PSNet

    psnet.ahrq.gov/issue/parent-provider-miscommunications-hospitalized-children
    May 08, 2017 - Study Parent–provider miscommunications in hospitalized children. Citation Text: Khan A, Furtak SL, Melvin P, et al. Parent-Provider Miscommunications in Hospitalized Children. Hosp Pediatr. 2017;7(9):505-515. doi:10.1542/hpeds.2016-0190. Copy Citation Format: DOI Google Sc…

  16. A systematic review to evaluate the accuracy of electronic adverse drug event detection. | PSNet

    psnet.ahrq.gov/issue/systematic-review-evaluate-accuracy-electronic-adverse-drug-event-detection
    October 05, 2011 - Study A systematic review to evaluate the accuracy of electronic adverse drug event detection. Citation Text: Forster AJ, Jennings A, Chow C, et al. A systematic review to evaluate the accuracy of electronic adverse drug event detection. J Am Med Inform Assoc. 2012;19(1):31-8. doi:10.113…

  17. Clinical decision support for early recognition of sepsis. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-early-recognition-sepsis
    July 29, 2020 - Study Clinical decision support for early recognition of sepsis. Citation Text: Amland RC, Hahn-Cover KE. Clinical decision support for early recognition of sepsis.  Am J Med Qual. 2016;31(2):103-10. doi:10.1177/1062860614557636. Copy Citation Format: DOI Google Scholar Pub…

  18. Important factors for effective patient safety governance auditing: a questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
    December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…

  19. Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. | PSNet

    psnet.ahrq.gov/issue/lack-association-between-intraoperative-handoff-care-and-postoperative-complications
    March 14, 2022 - Study Lack of association between intraoperative handoff of care and postoperative complications: a retrospective observational study. Citation Text: O'Reilly-Shah VN, Melanson VG, Sullivan CL, et al. Lack of association between intraoperative handoff of care and postoperative complicat…

  20. Providers' and patients' perspectives on diagnostic errors in the acute care setting. | PSNet

    psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
    October 20, 2021 - Study Providers' and patients' perspectives on diagnostic errors in the acute care setting. Citation Text: Schnock KO, Garber A, Fraser H, et al. Providers' and patients' perspectives on diagnostic errors in the acute care setting. Jt Comm J Qual Patient Saf. 2023;49(2):89-97. doi:10.101…
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