Results

Total Results: 4,238 records

Showing results for "limitations".

381. Removing Insult from Injury: Disclosing Adverse Events. | PSNet
     psnet.ahrq.gov/issue/removing-insult-injury-disclosing-adverse-events
     November 07, 2012 - February 3, 2011 The effects of work-hour limitations on resident well-being, patient

382. Evaluation of the contributions of an electronic web-based reporting system: enabling action. | PSNet
     psnet.ahrq.gov/issue/evaluation-contributions-electronic-web-based-reporting-system-enabling-action
     March 21, 2017 - The limitations of standard incident reporting systems have been well documented. 

383. Hospital safety climate and safety outcomes: is there a relationship in the VA? | PSNet
     psnet.ahrq.gov/issue/hospital-safety-climate-and-safety-outcomes-there-relationship-va
     October 14, 2009 - Despite limitations in the use of PSIs to measure performance, the study found that the dimensions

384. Risks of complications by attending physicians after performing nighttime procedures. | PSNet
     psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
     February 14, 2018 - Limitations on housestaff duty hours were implemented with the intent of protecting patients by reducing

385. The frequency and significance of discrepancies in the surgical count. | PSNet
     psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count
     March 02, 2011 - This study used direct observation to address these questions, and revealed some limitations of the counting

386. Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children. | PSNet
     psnet.ahrq.gov/issue/racial-ethnic-and-socioeconomic-disparities-patient-safety-events-hospitalized-children
     August 14, 2018 - An accompanying editorial reviews study limitations and highlights the need to develop risk-prediction

387. Factors influencing incident reporting in surgical care. | PSNet
     psnet.ahrq.gov/issue/factors-influencing-incident-reporting-surgical-care
     March 03, 2011 - Despite the noted limitations in IR and the poor correlation to actual quality- or safety-related

388. How event reporting by US hospitals has changed from 2005 to 2009. | PSNet
     psnet.ahrq.gov/issue/how-event-reporting-us-hospitals-has-changed-2005-2009
     April 21, 2010 - However, prior research has extensively documented the limitations of such systems.

389. Taking the pulse of health care systems: experiences of patients with health problems in six countries. | PSNet
     psnet.ahrq.gov/issue/taking-pulse-health-care-systems-experiences-patients-health-problems-six-countries
     December 23, 2012 - States, for instance, seemed to suffer from fragmentation of care and inadequate insurance as well as limitations

390. Structuring patient and family involvement in medical error event disclosure and analysis. | PSNet
     psnet.ahrq.gov/issue/structuring-patient-and-family-involvement-medical-error-event-disclosure-and-analysis
     September 01, 2018 - these findings and felt that patient involvement was desirable, but they identified many concerns and limitations

391. Establishing a global learning community for incident-reporting systems. | PSNet
     psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
     May 24, 2012 - A sizable body of research has characterized the limitations of such systems, but they remain a cornerstone

392. Effect of nonpayment for preventable infections in U.S. hospitals. | PSNet
     psnet.ahrq.gov/issue/effect-nonpayment-preventable-infections-us-hospitals
     July 03, 2016 - The benefits and limitations of the CMS policy are discussed in an AHRQ WebM&M interview with Dr.

393. The value from investments in health information technology at the U.S. Department of Veterans Affairs. | PSNet
     psnet.ahrq.gov/issue/value-investments-health-information-technology-us-department-veterans-affairs
     February 10, 2015 - Their discussion, including the limitations of applying the VA system learnings more broadly, is timely

394. Surgeon information transfer and communication: factors affecting quality and efficiency of inpatient care. | PSNet
     psnet.ahrq.gov/issue/surgeon-information-transfer-and-communication-factors-affecting-quality-and-efficiency
     December 21, 2014 - The institution of duty hour limitations for housestaff has led to fundamental changes in the structure

395. Interventions to reduce pediatric medication errors: a systematic review. | PSNet
     psnet.ahrq.gov/issue/interventions-reduce-pediatric-medication-errors-systematic-review
     December 04, 2016 - to determine the effectiveness of interventions to reduce pediatric medication errors, though many limitations

396. Overestimation of clinical diagnostic performance caused by low necropsy rates. | PSNet
     psnet.ahrq.gov/issue/overestimation-clinical-diagnostic-performance-caused-low-necropsy-rates
     February 09, 2011 - The authors point out that many missed diagnoses may represent limitations of current technology or atypical

397. Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs. | PSNet
     psnet.ahrq.gov/issue/harmful-medication-errors-involving-unfractionated-and-low-molecular-weight-heparin-three
     October 23, 2018 - organizations as a tool to identify, track, and potentially prevent adverse events despite their known limitations

398. Exploring health care professionals' perceptions of incidents and incident reporting in rehabilitation settings. | PSNet
     psnet.ahrq.gov/issue/exploring-health-care-professionals-perceptions-incidents-and-incident-reporting
     August 28, 2013 - The limitations of standard incident reporting systems have been well documented .

399. Five system barriers to achieving ultrasafe health care. | PSNet
     psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
     September 29, 2017 - The authors summarize five primary barriers: accepting limitations on maximum performance, abandoning

400. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet
     psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety
     January 23, 2017 - 185 of the 657 PSIs initially identified, citing the two main reasons for reversal to be algorithm limitations