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Showing results for "incidents".

8961. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. | PSNet
      psnet.ahrq.gov/issue/towards-high-reliability-organising-healthcare-strategy-building-organisational-capacity
      January 06, 2016 - Commentary Towards high-reliability organising in healthcare: a strategy for building organisational capacity. Citation Text: Aboumatar HJ, Weaver SJ, Rees D, et al. Towards high-reliability organising in healthcare: a strategy for building organisational capacity. BMJ Qual Saf. 2017;26(…

8962. Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet
      psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
      February 08, 2023 - Study Restorative just culture: an exploration of the enabling conditions for successful implementation. Citation Text: Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;…

8963. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. | PSNet
      psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
      September 01, 2018 - Study Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Citation Text: Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood).…

8964. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet
      psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
      May 30, 2012 - Multi-use Website Classic Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission. Copy Citation …

8965. Preventive Care | Digital Healthcare Research
      digital.ahrq.gov/type-care/preventive-care
      January 01, 2023 - Preventive Care A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide Description This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military service…

8966. Inability of providers to predict unplanned readmissions. | PSNet
      psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmissions
      December 05, 2007 - Study Inability of providers to predict unplanned readmissions. Citation Text: Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3. Copy Citation Format: DOI Go…

8967. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. | PSNet
      psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
      October 27, 2016 - Study Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Citation Text: Chang C-M, Liu P-YY, Yang Y-HK, et al. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Pharmacotherapy. 2005;25(6):…

8968. Deaths in Acute Hospitals: Caring to the End? | PSNet
      psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
      March 17, 2011 - Book/Report Deaths in Acute Hospitals: Caring to the End? Citation Text: Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. Copy Citat…

8969. Rapid response systems as a patient safety strategy: a systematic review. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
      March 20, 2013 - Review Rapid response systems as a patient safety strategy: a systematic review. Citation Text: Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051…

8970. Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet
      psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
      December 24, 2008 - Press Release/Announcement Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Citation Text: Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Crit…

8971. Hospital performance trends on national quality measures and the association with Joint Commission accreditation. | PSNet
      psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission
      September 20, 2011 - Study Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Citation Text: Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accre…

8972. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. | PSNet
      psnet.ahrq.gov/issue/effect-drug-concentration-expression-epinephrine-dosing-errors-randomized-trial
      August 27, 2008 - Study The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Citation Text: Wheeler DW, Carter JJ, Murray LJ, et al. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Ann Intern Med. 2008;148(1):11-4. …

8973. Disclosing medical errors: prioritising the needs of patients and families. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-prioritising-needs-patients-and-families
      November 11, 2020 - Commentary Disclosing medical errors: prioritising the needs of patients and families. Citation Text: Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880. C…

8974. Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. | PSNet
      psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort
      October 14, 2015 - Commentary Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. Citation Text: Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…

8975. Information distortion in physicians' diagnostic judgments. | PSNet
      psnet.ahrq.gov/issue/information-distortion-physicians-diagnostic-judgments
      April 07, 2021 - Study Information distortion in physicians' diagnostic judgments. Citation Text: Kostopoulou O, Russo E, Keenan G, et al. Information distortion in physicians' diagnostic judgments. Med Decis Making. 2012;32(6):831-9. doi:10.1177/0272989X12447241. Copy Citation Format: DO…

8976. Creating a Health Information Exchange Application to Provide Fast Access to Patient Data in Emergency Department Settings | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/creating-health-information-exchange-application-provide-fast-access-patient-data-emergency
      January 01, 2020 - Creating a Health Information Exchange Application to Provide Fast Access to Patient Data in Emergency Department Settings Integrating health information exchange (HIE) data directly into electronic health records has the potential to improve delivery of care and patient outcomes, as well as increase clinician sati…

8977. Using an automated risk assessment report to identify patients at risk for clinical deterioration. | PSNet
      psnet.ahrq.gov/issue/using-automated-risk-assessment-report-identify-patients-risk-clinical-deterioration
      February 15, 2017 - Commentary Using an automated risk assessment report to identify patients at risk for clinical deterioration. Citation Text: Whittington J, White R, Haig KM, et al. Using an automated risk assessment report to identify patients at risk for clinical deterioration. Jt Comm J Qual Patient S…

8978. How policy makers can smooth the way for communication-and-resolution programs. | PSNet
      psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
      December 19, 2018 - Commentary How policy makers can smooth the way for communication-and-resolution programs. Citation Text: Sage WM, Gallagher TH, Armstrong S, et al. How policy makers can smooth the way for communication-and- resolution programs. Health Aff (Millwood). 2014;33(1):11-9. doi:10.1377/hlthaf…

8979. Patient safety: a consumer's perspective. | PSNet
      psnet.ahrq.gov/issue/patient-safety-consumers-perspective
      January 12, 2022 - Study Patient safety: a consumer's perspective. Citation Text: Hovey RB, Dvorak ML, Burton T, et al. Patient safety: a consumer's perspective. Qual Health Res. 2011;21(5):662-72. doi:10.1177/1049732311399779. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

8980. The debrief imperative: building teaming competencies and team effectiveness. | PSNet
      psnet.ahrq.gov/issue/debrief-imperative-building-teaming-competencies-and-team-effectiveness
      December 16, 2020 - Commentary The debrief imperative: building teaming competencies and team effectiveness. Citation Text: Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. Copy Citati…