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Showing results for "innovative".

  1. First Annual Centers of Excellence Workshop | Agency for Healthcare Research and Quality

    www.ahrq.gov/chsp/events/coe-workshop1.html
    December 01, 2022 - First Annual Centers of Excellence Workshop Overview The first annual meeting of the Centers of Excellence under the Comparative Health System Performance (CHSP) Initiative was held in September 2016 and was attended by AHRQ, the Centers of Excellence, and the Coordinating Center. The purpose of these meeting…

  2. An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. | PSNet

    psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic
    June 26, 2019 - Study An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. Citation Text: Wetmore D, Goldberg A, Gandhi N, et al. An embedded checklist in the Anesthesia Information Manageme…

  3. How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/how-effective-teamwork-really-relationship-between-teamwork-and-performance-healthcare-teams
    February 14, 2017 - Review Classic How effective is teamwork really? The relationship between teamwork and performance in healthcare teams: a systematic review and meta-analysis. Citation Text: Schmutz JB, Meier LL, Manser T. How effective is teamwork really? The relationship betwe…

  4. Frequency of passive EHR alerts in the ICU: another form of alert fatigue? | PSNet

    psnet.ahrq.gov/issue/frequency-passive-ehr-alerts-icu-another-form-alert-fatigue
    January 23, 2017 - Study Frequency of passive EHR alerts in the ICU: another form of alert fatigue? Citation Text: Kizzier-Carnahan V, Artis KA, Mohan V, et al. Frequency of Passive EHR Alerts in the ICU: Another Form of Alert Fatigue? J Patient Saf. 2019;15(3):246-250. doi:10.1097/PTS.0000000000000270. …

  5. Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet

    psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
    October 12, 2022 - Study Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. Citation Text: Dunn KL, Reddy P, Moulden A, et al. Medical record review of deaths, unexpected intensive care unit admissio…

  6. Introduction | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patients-source-understanding-dx-error-vol1-2.html
    June 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Introduction Previous Page Next Page Table of Contents Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Executive Summary Introduct…

  7. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. | PSNet

    psnet.ahrq.gov/issue/accident-analysis-large-scale-technological-disasters-applied-anaesthetic-complication
    November 16, 2022 - Study Classic Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Citation Text: Eagle CJ, Davies JM, Reason J. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Can J An…

  8. Medication errors' causes analysis in home care setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-causes-analysis-home-care-setting-systematic-review
    August 17, 2022 - Review Medication errors' causes analysis in home care setting: a systematic review. Citation Text: Dionisi S, Di Simone E, Liquori G, et al. Medication errors' causes analysis in home care setting: A systematic review. Public Health Nurs. 2022;39(4):876-897. doi:10.1111/phn.13037. Cop…

  9. Patient safety concerns arising from test results that return after hospital discharge. | PSNet

    psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
    January 17, 2012 - Study Classic Patient safety concerns arising from test results that return after hospital discharge. Citation Text: Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;…

  10. Tying up loose ends: discharging patients with unresolved medical issues. | PSNet

    psnet.ahrq.gov/issue/tying-loose-ends-discharging-patients-unresolved-medical-issues
    February 24, 2011 - Study Tying up loose ends: discharging patients with unresolved medical issues. Citation Text: Moore C, McGinn T, Halm E. Tying up loose ends: discharging patients with unresolved medical issues. Arch Intern Med. 2007;167(12):1305-11. Copy Citation Format: Google Scholar …

  11. Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. | PSNet

    psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
    January 21, 2019 - Study Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. Citation Text: Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…

  12. The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
    August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…

  13. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. | PSNet

    psnet.ahrq.gov/issue/missed-and-delayed-diagnoses-emergency-department-study-closed-malpractice-claims-4-liability
    March 02, 2011 - Study Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4 liability insurers. Citation Text: Kachalia A, Gandhi TK, Puopolo AL, et al. Missed and delayed diagnoses in the emergency department: a study of closed malpractice claims from 4…

  14. Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. | PSNet

    psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state-science-review
    May 08, 2024 - Review Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. Citation Text: Jones TL, Hamilton P, Murry N. Unfinished nursing care, missed care, and implicitly rationed care: State of the science review. Int J Nurs Stud. 2015;52(6):1121-1137. do…

  15. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet

    psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review
    January 06, 2018 - Review Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Citation Text: Sullivan N, Schoelles KM. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):410-416. doi:10.7326/0003-…

  16. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
    December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…

  17. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. | PSNet

    psnet.ahrq.gov/issue/effects-leadership-self-worth-inclusion-trust-and-psychological-safety-medical-error
    March 30, 2022 - Study The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. Citation Text: Brimhall KC, Tsai C-Y, Eckardt R, et al. The effects of leadership for self-worth, inclusion, trust, and psychological safety on medical error reporting. …

  18. Errors in adult trauma resuscitation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review
    December 01, 2021 - Review Errors in adult trauma resuscitation: a systematic review. Citation Text: Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. Copy Citation Format: DOI Google Schola…

  19. Defining and studying errors in surgical care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review
    July 20, 2022 - Review Defining and studying errors in surgical care: a systematic review. Citation Text: Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. Copy Citation F…

  20. The care transitions intervention: results of a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/care-transitions-intervention-results-randomized-controlled-trial
    July 10, 2008 - Study Classic The care transitions intervention: results of a randomized controlled trial. Citation Text: Coleman EA, Parry C, Chalmers S, et al. The care transitions intervention: results of a randomized controlled trial. Arch Intern Med. 2006;166(17):1822-8.…
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