-
psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
November 03, 2021 - The research comes largely from research on culture and teamwork in aviation, but the intended audience
-
psnet.ahrq.gov/issue/improving-diagnostic-performance-through-feedback-diagnosis-learning-cycle
December 16, 2020 - professionals outside of the healthcare field, researchers developed the Diagnosis Learning Cycle, a model intended
-
psnet.ahrq.gov/issue/hidden-risk-wheelchair-use
March 09, 2022 - Medical devices intended to improve patient safety can unintentionally lead to patient harm.
-
psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
September 01, 2021 - The CancelRx system is a health information technology-based intervention intended to mitigate the
-
psnet.ahrq.gov/issue/reflections-implementing-hospital-wide-provider-based-electronic-inpatient-mortality-review
August 12, 2020 - paper discusses the implementation of a hospital-wide, automated electronic reporting system that was intended
-
psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check
June 10, 2020 - This editorial presents a framework intended to further research and clinical practice by defining and
-
psnet.ahrq.gov/issue/evidence-base-us-joint-commission-hospital-accreditation-standards-cross-sectional-study
June 09, 2021 - Accreditation programs such as The Joint Commission are intended to improve patient safety and quality
-
psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
March 23, 2022 - This article describes a quality improvement intervention intended to improve physician reporting of
-
psnet.ahrq.gov/issue/diagnostic-time-outs-improve-diagnosis
September 14, 2022 - This article outlines how diagnostic timeouts , which are intended reduce bias during the identification
-
psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
September 23, 2020 - describes the development of the Key Potentially Inappropriate Drugs in Pediatrics, or “KIDs” List, intended
-
psnet.ahrq.gov/issue/iatrogenesis-context-residential-dementia-care-concept-analysis
August 17, 2022 - This article describes iatrogenic harm resulting from well-intended assistance in residential long-term
-
psnet.ahrq.gov/issue/safety-home-healthcare-sector-development-new-household-safety-checklist
July 29, 2020 - This study reports on the development and pilot testing of a checklist intended to help home health
-
psnet.ahrq.gov/node/37113/psn-pdf
March 24, 2011 - arrests-hospital
Implementation of a rapid response system (RRS, also known as medical emergency team) is intended
-
psnet.ahrq.gov/node/39216/psn-pdf
January 13, 2010 - The AHRQ
Patient Safety Indicators (PSIs) are intended for use in screening medical records to identify
-
psnet.ahrq.gov/node/45115/psn-pdf
September 07, 2016 - The Food and Drug Administration Safety and Innovation Act of 2012 was intended to address
these shortages
-
psnet.ahrq.gov/node/43277/psn-pdf
June 18, 2014 - This commentary describes FDA efforts intended to
enhance safety of medical equipment use at home, including
-
psnet.ahrq.gov/issue/hidden-mistakes-hospitals
December 02, 2009 - This newspaper article reports that a Connecticut law intended to make hospital errors more transparent
-
psnet.ahrq.gov/issue/never-events-framework-200910
January 31, 2018 - This report from the United Kingdom is intended to guide Primary Care Trusts in implementing never events
-
psnet.ahrq.gov/issue/are-workarounds-ethical-managing-moral-problems-health-care-systems
March 09, 2016 - negative consequences , and reasons clinicians may be reluctant to discuss these deviations from intended
-
psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - only if there is identifiable patient harm (3); in others an error is any discrepancy
between the intended … conference
convened by the Anesthesia Patient Safety Foundation (8) has issued a set of recommendations intended … Proposals intended to reduce syringe swap errors include improvements in syringe labeling, standardized … 10)
The current case raises another issue: the drug accidentally injected IV, bupivacaine, had been intended