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Showing results for "improvements".

  1. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. | PSNet

    psnet.ahrq.gov/issue/analyzing-and-mitigating-risks-patient-harm-during-operating-room-intensive-care-unit-patient
    October 05, 2022 - Commentary Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient handoffs. Citation Text: Martins NRS, Martinez EZ, Simões CM, et al. Analyzing and mitigating the risks of patient harm during operating room to intensive care unit patient …

  2. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. | PSNet

    psnet.ahrq.gov/issue/systematic-review-identify-factors-affect-failure-rescue-and-escalation-care-surgery
    September 09, 2015 - Review A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Citation Text: Johnston MJ, Arora S, King D, et al. A systematic review to identify the factors that affect failure to rescue and escalation of care in surgery. Surgery. 20…

  3. Examining medication ordering errors using AHRQ Network of Patient Safety Databases. | PSNet

    psnet.ahrq.gov/issue/examining-medication-ordering-errors-using-ahrq-network-patient-safety-databases
    November 30, 2022 - Study Examining medication ordering errors using AHRQ Network of Patient Safety Databases. Citation Text: Grauer A, Rosen A, Applebaum JR, et al. Examining medication ordering errors using AHRQ network of patient safety databases. J Am Med Inform Assoc. 2023;30(5):838-845. doi:10.1093/ja…

  4. Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. | PSNet

    psnet.ahrq.gov/issue/value-improving-patient-safety-health-economic-considerations-rapid-response-systems-rapid
    January 07, 2015 - Review Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. Citation Text: Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid res…

  5. Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/retrospective-evaluation-computerized-physician-order-entry-adaptation-prevent-prescribing
    May 27, 2011 - Study Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department. Citation Text: Sard BE, Walsh KE, Doros G, et al. Retrospective evaluation of a computerized physician order entry adaptation to prevent …

  6. Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. | PSNet

    psnet.ahrq.gov/issue/computerised-provider-order-entry-combined-clinical-decision-support-systems-improve
    March 20, 2013 - Review Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review. Citation Text: Ranji SR, Rennke S, Wachter R. Computerised provider order entry combined with clinical decision support systems to improve medication…

  7. Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
    March 14, 2022 - Review Emerging Classic Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Citation Text: Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…

  8. Cognitive interventions to reduce diagnostic error: a narrative review. | PSNet

    psnet.ahrq.gov/issue/cognitive-interventions-reduce-diagnostic-error-narrative-review
    October 16, 2012 - Review Classic Cognitive interventions to reduce diagnostic error: a narrative review. Citation Text: Graber ML, Kissam S, Payne VL, et al. Cognitive interventions to reduce diagnostic error: a narrative review. BMJ Qual Saf. 2012;21(7):535-557. doi:10.1136/bmjq…

  9. "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. | PSNet

    psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
    February 15, 2011 - Study "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. Citation Text: Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…

  10. Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules. | PSNet

    psnet.ahrq.gov/issue/patient-safety-resident-education-and-resident-well-being-following-implementation-2003-acgme
    June 20, 2012 - Review Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rules. Citation Text: Fletcher KE, Reed DA, Arora V. Patient safety, resident education and resident well-being following implementation of the 2003 ACGME duty hour rule…

  11. Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. | PSNet

    psnet.ahrq.gov/issue/identification-latent-safety-threats-using-high-fidelity-simulation-based-training
    June 26, 2019 - Study Identification of latent safety threats using high-fidelity simulation-based training with multidisciplinary neonatology teams. Citation Text: Wetzel EA, Lang TR, Pendergrass TL, et al. Identification of Latent Safety Threats Using High-Fidelity Simulation-Based Training with Mult…

  12. Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). | PSNet

    psnet.ahrq.gov/issue/consumer-mobile-apps-potential-drug-drug-interaction-check-systematic-review-and-content
    March 04, 2020 - Review Emerging Classic Consumer mobile apps for potential drug–drug interaction check: systematic review and content analysis using the Mobile App Rating Scale (MARS). Citation Text: Kim BY, Sharafoddini A, Tran N, et al. Consumer Mobile Apps for Potential Drug…

  13. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/caregiver-and-clinician-perspectives-discharge-medication-counseling-qualitative-study
    January 31, 2024 - Study Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Citation Text: Carroll AR, Schlundt D, Bonnet K, et al. Caregiver and clinician perspectives on discharge medication counseling: a qualitative study. Hosp Pediatr. 2023;13(4):325-342. doi:…

  14. Randomized controlled evaluation of an insulin pen storage policy. | PSNet

    psnet.ahrq.gov/issue/randomized-controlled-evaluation-insulin-pen-storage-policy
    January 23, 2017 - Study Randomized controlled evaluation of an insulin pen storage policy. Citation Text: Gibbs HG, McLernon T, Call R, et al. Randomized controlled evaluation of an insulin pen storage policy. Am J Health Syst Pharm. 2017;74(24):2054-2059. doi:10.2146/ajhp160348. Copy Citation Forma…

  15. Application of human factors methods to understand missed follow-up of abnormal test results. | PSNet

    psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test-results
    December 16, 2020 - Study Application of human factors methods to understand missed follow-up of abnormal test results. Citation Text: Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. do…

  16. Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. | PSNet

    psnet.ahrq.gov/issue/diagnostic-discrepancies-between-antemortem-clinical-diagnosis-and-autopsy-findings-pediatric
    July 28, 2021 - Study Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients. Citation Text: Raghuram N, Alodan K, Bartels U, et al. Diagnostic discrepancies between antemortem clinical diagnosis and autopsy findings in pediatric cancer patients.…

  17. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. | PSNet

    psnet.ahrq.gov/issue/implementation-and-sustainability-medication-reconciliation-toolkit-mixed-methods-evaluation
    May 19, 2021 - Study Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Citation Text: Stolldorf DP, Mixon AS, Auerbach AD, et al. Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. Am J Health Syst Ph…

  18. Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/interprofessional-learning-multidisciplinary-healthcare-teams-associated-reduced-patient
    April 10, 2024 - Review Interprofessional learning in multidisciplinary healthcare teams is associated with reduced patient mortality: a quantitative systematic review and meta-analysis. Citation Text: Webster CS, Coomber T, Liu S, et al. Interprofessional learning in multidisciplinary healthcare teams i…

  19. What are we missing? The quality of intraoperative handover before and after introduction of a checklist. | PSNet

    psnet.ahrq.gov/issue/what-are-we-missing-quality-intraoperative-handover-and-after-introduction-checklist
    January 12, 2022 - Study What are we missing? The quality of intraoperative handover before and after introduction of a checklist. Citation Text: Lane S, Gross M, Arzola C, et al. What are we missing? The quality of intraoperative handover before and after introduction of a checklist. Can J Anaesth. 2022;6…

  20. 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: …
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