Results

Total Results: over 10,000 records

Showing results for "incidents".

8521. Research on Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/research/index.html
      November 01, 2024 - Research on Diagnostic Safety and Quality Since 2007, AHRQ has invested in research to discover findings that advance the knowledge of diagnostic safety and to develop practical tools and resources to improve diagnostic safety. AHRQ funds research to better understand how diagnostic errors happen and what can b…

8522. Changing our culture: adopting the military aviation safety system. | PSNet
      psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
      November 21, 2021 - Commentary Changing our culture: adopting the military aviation safety system. Citation Text: Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. Copy Citation Format: DOI …

8523. Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. | PSNet
      psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high
      May 11, 2019 - Commentary Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Citation Text: Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Guttman O,…

8524. Chase H et al. 2003 "Modem transmission of glucose values reduces the costs and need for clinic visits." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chase-h-et-al-2003
      January 01, 2003 - Chase H et al. 2003 "Modem transmission of glucose values reduces the costs and need for clinic visits." Reference Chase H, Pearson J, Wightman C, et al. Modem transmission of glucose values reduces the costs and need for clinic visits. Diabetes Care 2003;26(5):1475. [Link] Abstract "OBJECTI…

8525. Barriers to nurses' reporting of medication administration errors in Taiwan. | PSNet
      psnet.ahrq.gov/issue/barriers-nurses-reporting-medication-administration-errors-taiwan
      May 01, 2006 - Study Barriers to nurses' reporting of medication administration errors in Taiwan. Citation Text: Chiang H-Y, Pepper GA. Barriers to Nurses' Reporting of Medication Administration Errors in Taiwan. Journal of Nursing Scholarship. 2006;38(4). doi:10.1111/j.1547-5069.2006.00133.x. Copy…

8526. Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. | PSNet
      psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-report-quality-and-safety-2008
      November 23, 2016 - Book/Report Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. Citation Text: Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008. Oakbrook Terrace, IL: The Joint Commission; November 2008. Copy Citation …

8527. Samore, Matthew | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/samore-matthew
      January 01, 2023 - Samore, Matthew Understanding adoption of a personal health record in rural health care clinics: revealing barriers and facilitators of adoption including attributions about potential patient portal users and self-reported characteristics of early adopting users. Citation Butl…

8528. Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. | PSNet
      psnet.ahrq.gov/issue/patient-safety-hospitals-face-challenges-implementing-evidence-based-practices
      September 07, 2016 - Book/Report Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Citation Text: Patient Safety: Hospitals Face Challenges Implementing Evidence-Based Practices. Washington, DC: United States Government Accountability Office; February 2016. Publication GAO-16-3…

8529. Healthcare Simulation Dictionary, Third Edition. | PSNet
      psnet.ahrq.gov/issue/healthcare-simulation-dictionary-third-edition
      January 10, 2024 - Book/Report Healthcare Simulation Dictionary, Third Edition. Citation Text: Healthcare Simulation Dictionary, Third Edition. Lioce L, Lopreiato J, Anderson M, et al, eds and the Terminology and Concepts Working Group. Rockville, MD: Agency for Healthcare Research and Quality; January 202…

8530. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet
      psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
      January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

8531. Patient Safety and Quality Improvement Act of 2005 | PSO
      pso.ahrq.gov/resources/act
      August 01, 2022 - SHARE: More topics in this section Resources Resources Resources About the Patient Safety and Quality Improvement Act of 2005 Patient Safety Act Patient Safety Rule HHS Guidance Guides Other Educational Materials …

8532. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. | PSNet
      psnet.ahrq.gov/issue/using-medical-malpractice-closed-claims-data-reduce-surgical-risk-and-improve-patient-safety
      December 01, 2010 - Commentary Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Citation Text: Manuel BM, Greenwald LM. Using medical malpractice closed claims data to reduce surgical risk and improve patient safety. Bull Am Coll Surg. 2007;92(3):27-30. Copy…

8533. A piece of my mind. I'm sorry. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-im-sorry
      November 22, 2017 - Commentary A piece of my mind. I'm sorry. Citation Text: Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

8534. To improve health care, focus on fixing systems — not people. | PSNet
      psnet.ahrq.gov/issue/improve-health-care-focus-fixing-systems-not-people
      September 08, 2021 - Newspaper/Magazine Article To improve health care, focus on fixing systems — not people. Citation Text: Mate KS, Clark J, Salvon-Harman J. To improve health care, focus on fixing systems — not people. Harvard Business Review. July 12, 2024; Copy Citation Format: Google Scho…

8535. Health Literacy Interventions and Outcomes: An Updated Systematic Review. | PSNet
      psnet.ahrq.gov/issue/health-literacy-interventions-and-outcomes-updated-systematic-review
      August 17, 2022 - Book/Report Health Literacy Interventions and Outcomes: An Updated Systematic Review. Citation Text: Health Literacy Interventions and Outcomes: An Updated Systematic Review. Berkman ND, Sheridan SL, Donahue KE, et al. Evidence Report/Technology Assessment: Number 199. Rockville, MD:…

8536. Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. | PSNet
      psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
      March 10, 2021 - Newspaper/Magazine Article Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. Citation Text: Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…

8537. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet
      psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
      May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…

8538. Adverse Events. | PSNet
      psnet.ahrq.gov/issue/adverse-events-0
      September 20, 2011 - Multi-use Website Adverse Events. Citation Text: Adverse Events. United States Office of the Inspector General: 2010-2023. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Cop…

8539. Awareness and use of a cognitive aid for anesthesiology. | PSNet
      psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
      January 05, 2017 - Study Awareness and use of a cognitive aid for anesthesiology. Citation Text: Neily J, DeRosier JM, Mills PD, et al. Awareness and use of a cognitive aid for anesthesiology. Jt Comm J Qual Patient Saf. 2007;33(8):502-11. Copy Citation Format: Google Scholar PubMed BibTeX En…

8540. Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. | PSNet
      psnet.ahrq.gov/issue/blind-obedience-and-unnecessary-workup-hypoglycemia-teachable-moment
      March 14, 2022 - Commentary Blind obedience and an unnecessary workup for hypoglycemia: a teachable moment. Citation Text: Wang EY, Patrick L, Connor DM. Blind Obedience and an Unnecessary Workup for Hypoglycemia: A Teachable Moment. JAMA Intern Med. 2018;178(2):279-280. doi:10.1001/jamainternmed.2017.71…