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Showing results for "improvements".

  1. "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. | PSNet

    psnet.ahrq.gov/issue/patient-awake-and-we-need-stay-calm-reconsidering-indirect-communication-face-medical-error
    October 11, 2023 - Study "The patient is awake and we need to stay calm": reconsidering indirect communication in the face of medical error and professionalism lapses. Citation Text: Taylor T, Columbus L, Banner H, et al. “The patient is awake and we need to stay calm”: reconsidering indirect communication…

  2. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. | PSNet

    psnet.ahrq.gov/issue/unplanned-transfers-medical-intensive-care-unit-causes-and-relationship-preventable-errors
    July 19, 2023 - Study Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. Citation Text: Bapoje SR, Gaudiani JL, Narayanan V, et al. Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care. J …

  3. Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education. | PSNet

    psnet.ahrq.gov/issue/systematic-review-association-shift-length-protected-sleep-time-and-night-float-patient-care
    November 26, 2014 - Review Classic Systematic review: association of shift length, protected sleep time, and night float with patient care, residents' health, and education. Citation Text: Reed DA, Fletcher KE, Arora V. Systematic review: association of shift length, protected sl…

  4. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. | PSNet

    psnet.ahrq.gov/issue/blackbox-error-management-how-do-practices-deal-critical-incidents-everyday-practice
    May 01, 2024 - Study Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitative interview study. Citation Text: Bodek A, Pommée M, Berger A, et al. Blackbox error management: how do practices deal with critical incidents in everyday practice? A qualitat…

  5. Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. | PSNet

    psnet.ahrq.gov/issue/electronic-health-records-communication-and-data-sharing-challenges-and-opportunities
    October 13, 2018 - Study Electronic health records, communication, and data sharing: challenges and opportunities for improving the diagnostic process. Citation Text: Quinn M, Forman J, Harrod M, et al. Electronic health records, communication, and data sharing: challenges and opportunities for improving t…

  6. Overdose risk in young children of women prescribed opioids. | PSNet

    psnet.ahrq.gov/issue/overdose-risk-young-children-women-prescribed-opioids
    September 07, 2016 - Study Overdose risk in young children of women prescribed opioids. Citation Text: Finkelstein Y, Macdonald EM, Gonzalez A, et al. Overdose Risk in Young Children of Women Prescribed Opioids. Pediatrics. 2017;139(3). doi:10.1542/peds.2016-2887. Copy Citation Format: DOI Goog…

  7. Relationship between patient safety and hospital surgical volume. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patient-safety-and-hospital-surgical-volume
    May 04, 2012 - Study Relationship between patient safety and hospital surgical volume. Citation Text: Hernandez-Boussard T, Downey JR, McDonald KM, et al. Relationship between Patient Safety and Hospital Surgical Volume. Health Serv Res. 2011;47(2). doi:10.1111/j.1475-6773.2011.01310.x. Copy Citati…

  8. Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. | PSNet

    psnet.ahrq.gov/issue/partnering-va-stakeholders-develop-comprehensive-patient-safety-data-display-lessons-learned
    September 25, 2019 - Study Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field. Citation Text: Chen Q, Shin MH, Chan J, et al. Partnering With VA Stakeholders to Develop a Comprehensive Patient Safety Data Display: Lessons Learned From the Fi…

  9. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. | PSNet

    psnet.ahrq.gov/issue/cost-inpatient-falls-and-cost-benefit-analysis-implementation-evidence-based-fall-prevention
    December 02, 2020 - Study Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. Citation Text: Dykes PC, Curtin-Bowen M, Lipsitz S, et al. Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention prog…

  10. Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. | PSNet

    psnet.ahrq.gov/issue/wrong-patient-blood-transfusion-error-leveraging-technology-overcome-human-error
    December 09, 2020 - Study Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration. Citation Text: Hensley NB, Koch CG, Pronovost P, et al. Wrong-Patient Blood Transfusion Error: Leveraging Technology to Overcome Human Error in Int…

  11. Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals. | PSNet

    psnet.ahrq.gov/issue/development-pilot-study-and-psychometric-analysis-ahrq-surveys-patient-safety-culture-sops
    December 09, 2020 - Study Development, pilot study, and psychometric analysis of the AHRQ Surveys on Patient Safety Culture (SOPS) Workplace Safety Supplemental Items for Hospitals. Citation Text: Zebrak K, Yount N, Sorra J, et al. Development, pilot study, and psychometric analysis of the AHRQ Surveys on P…

  12. Promoting Patient Safety Through Effective Health Information Technology Risk Management. | PSNet

    psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
    May 25, 2016 - Government Resource Promoting Patient Safety Through Effective Health Information Technology Risk Management. Citation Text: Promoting Patient Safety Through Effective Health Information Technology Risk Management. Schneider EC, Ridgely MS, Meeker D, Hunter LE, Khodyakov D, Rudin R. RAND…

  13. Data omission by physician trainees on ICU rounds. | PSNet

    psnet.ahrq.gov/issue/data-omission-physician-trainees-icu-rounds
    January 23, 2017 - Study Data omission by physician trainees on ICU rounds. Citation Text: Artis KA, Bordley J, Mohan V, et al. Data Omission by Physician Trainees on ICU Rounds. Crit Care Med. 2019;47(3):403-409. doi:10.1097/CCM.0000000000003557. Copy Citation Format: DOI Google Scholar PubM…

  14. Lessons learned in implementing a chronic opioid therapy management system. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
    July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. Citation Text: Carlile N, Fuller TE, Benneyan JC, et al. Lessons learned in implementing a chronic opioid therapy management system. J Patient Saf. 2022;18(8):e1142-e1149. doi:10.1097/pts.0000000000001039. …

  15. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. | PSNet

    psnet.ahrq.gov/issue/connecting-patients-and-clinicians-anticipated-effects-open-notes-patient-safety-and-quality
    March 20, 2017 - Commentary Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of care. Citation Text: Bell SK, Folcarelli PH, Anselmo MK, et al. Connecting patients and clinicians: the anticipated effects of Open Notes on patient safety and quality of…

  16. Documenting the indication for antimicrobial prescribing: a scoping review. | PSNet

    psnet.ahrq.gov/issue/documenting-indication-antimicrobial-prescribing-scoping-review
    August 03, 2022 - Review Documenting the indication for antimicrobial prescribing: a scoping review. Citation Text: Saini S, Leung V, Si E, et al. Documenting the indication for antimicrobial prescribing: a scoping review. BMJ Qual Saf. 2022;31(11):787-799. doi:10.1136/bmjqs-2021-014582. Copy Citation …

  17. Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. | PSNet

    psnet.ahrq.gov/issue/understanding-preventable-deaths-geriatric-trauma-population-analysis-3452339-patients-center
    February 16, 2022 - Study Understanding preventable deaths in the geriatric trauma population: analysis of 3,452,339 patients from the Center of Medicare and Medicaid Services Database. Citation Text: Ang D, Nieto K, Sutherland M, et al. Understanding preventable deaths in the geriatric trauma population: a…

  18. Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. | PSNet

    psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation
    April 12, 2023 - Study Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. Citation Text: Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…

  19. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. | PSNet

    psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
    January 17, 2024 - Study Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. Citation Text: Amat MJ, Anderson TS, Shafiq U, et al. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident …

  20. The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. | PSNet

    psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish
    March 03, 2021 - Study The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. Citation Text: Connolly W, Rafter N, Conroy RM, et al. The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in th…
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