Results

Total Results: over 10,000 records

Showing results for "incidents".

8761. Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. | PSNet
      psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
      September 07, 2016 - Book/Report Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Citation Text: Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23-1…

8762. Bringing the equity lens to patient safety event reporting. | PSNet
      psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
      September 21, 2009 - Commentary Bringing the equity lens to patient safety event reporting. Citation Text: Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. Copy Citation Format: …

8763. Ferranti, Jeffrey | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/ferranti-jeffrey
      January 01, 2023 - Ferranti, Jeffrey Sharing adverse drug event data using business intelligence technology. Citation Horvath MM, Cozart H, Ahmad A, et al. Sharing adverse drug event data using business intelligence technology. J Patient Saf 2009 Mar;5(1):35-41. Principal Investigator …

8764. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet
      psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
      February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Citation Text: Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…

8765. Physicians and cognitive decline: a challenge for state medical boards. | PSNet
      psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
      July 29, 2020 - Commentary Physicians and cognitive decline: a challenge for state medical boards. Citation Text: Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19. Copy Citation Format: D…

8766. CPOE: it don't come easy. | PSNet
      psnet.ahrq.gov/issue/cpoe-it-dont-come-easy
      May 27, 2009 - Newspaper/Magazine Article CPOE: it don't come easy. Citation Text: Anderson HJ. CPOE: it don't come easy. Health Data Manag. 2009;17(1):18-20, 22, 24 passim. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

8767. Policies to promote shared responsibility for safer electronic health records. | PSNet
      psnet.ahrq.gov/issue/policies-promote-shared-responsibility-safer-electronic-health-records
      August 25, 2021 - Commentary Policies to promote shared responsibility for safer electronic health records. Citation Text: Sittig DF, Singh H. Policies to promote shared responsibility for safer electronic health records. JAMA. 2021;326(15):1477-1478. doi:10.1001/jama.2021.13945. Copy Citation Forma…

8768. Checklists to reduce diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
      September 18, 2024 - Commentary Checklists to reduce diagnostic errors. Citation Text: Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

8769. Human factors in healthcare: welcome progress, but still scratching the surface. | PSNet
      psnet.ahrq.gov/issue/human-factors-healthcare-welcome-progress-still-scratching-surface
      June 16, 2021 - Commentary Human factors in healthcare: welcome progress, but still scratching the surface. Citation Text: Waterson P, Catchpole K. Human factors in healthcare: welcome progress, but still scratching the surface. BMJ Qual Saf. 2016;25(7):480-4. doi:10.1136/bmjqs-2015-005074. Copy Citat…

8770. Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. | PSNet
      psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
      October 07, 2020 - Book/Report Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. Citation Text: Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. de Bienassis K, Esmail L, Lopert R, Klazinga N for the O…

8771. Improving patient safety through the systematic evaluation of patient outcomes. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-through-systematic-evaluation-patient-outcomes
      August 25, 2011 - Review Improving patient safety through the systematic evaluation of patient outcomes. Citation Text: Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811. Copy Cita…

8772. Managing clinical failure: a complex adaptive system perspective. | PSNet
      psnet.ahrq.gov/issue/managing-clinical-failure-complex-adaptive-system-perspective
      August 13, 2014 - Study Managing clinical failure: a complex adaptive system perspective. Citation Text: Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336. Copy Citation Format: …

8773. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. | PSNet
      psnet.ahrq.gov/issue/overdiagnosis-and-overtreatment-quality-problem-insights-healthcare-improvement-research
      May 25, 2022 - Commentary Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. Citation Text: Armstrong N. Overdiagnosis and overtreatment as a quality problem: insights from healthcare improvement research. BMJ Qual Saf. 2018;27(7):571-575. doi:10.1136/b…

8774. Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care. | PSNet
      psnet.ahrq.gov/issue/notice-intent-publish-funding-opportunity-announcements-understand-and-improve-diagnostic
      August 15, 2018 - Press Release/Announcement Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory Care. Citation Text: Notice of Intent to Publish Funding Opportunity Announcements to Understand and Improve Diagnostic Safety in Ambulatory …

8775. Effective Health Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0351_05-10-2010.pdf
      January 01, 2010 - Effective Health Care Topic Number(s): 0265 Document Completion Date: 09-13-10 1 Results of Topic Selection Process & Next Steps  Cryptorchidism (undescended testicle) will go forward for refinement as a systematic review. The scope of this topic, including populations, interventions, compara…

8776. Accountability in nursing practice: why it is important for patient safety. | PSNet
      psnet.ahrq.gov/issue/accountability-nursing-practice-why-it-important-patient-safety
      April 07, 2021 - Commentary Accountability in nursing practice: why it is important for patient safety. Citation Text: Battié R, Steelman VM. Accountability in nursing practice: why it is important for patient safety. AORN J. 2014;100(5):537-541. doi:10.1016/j.aorn.2014.08.008. Copy Citation Format…

8777. Safety huddles in the PACU: when a patient self-medicates. | PSNet
      psnet.ahrq.gov/issue/safety-huddles-pacu-when-patient-self-medicates
      December 14, 2016 - Commentary Safety huddles in the PACU: when a patient self-medicates. Citation Text: Setaro J, Connolly M. Safety huddles in the PACU: when a patient self-medicates. J Perianesth Nurs. 2011;26(2):96-102. doi:10.1016/j.jopan.2011.01.010. Copy Citation Format: DOI Google Sc…

8778. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/role-talking-and-keeping-silent-physician-coping-medical-error-qualitative-study
      February 16, 2011 - Study The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Citation Text: May NB, Plews-Ogan M. The role of talking (and keeping silent) in physician coping with medical error: a qualitative study. Patient Educ Couns. 2012;88(3):449-54. …

8779. Leveraging the electronic health record to improve quality and safety in rheumatology. | PSNet
      psnet.ahrq.gov/issue/leveraging-electronic-health-record-improve-quality-and-safety-rheumatology
      June 12, 2019 - Review Leveraging the electronic health record to improve quality and safety in rheumatology. Citation Text: Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. …

8780. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet
      psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
      September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…