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Total Results: 3,479 records

Showing results for "managing".

3221. Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/validity-agency-healthcare-research-and-quality-patient-safety-indicators-and-centers
      June 14, 2017 - Review Classic Validity of the Agency for Healthcare Research and Quality Patient Safety Indicators and the Centers for Medicare and Medicaid Hospital-acquired Conditions: a systematic review and meta-analysis. Citation Text: Winters BD, Bharmal A, Wilson RF, et…

3222. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. | PSNet
      psnet.ahrq.gov/issue/why-test-results-are-still-getting-lost-follow-qualitative-study-implementation-gaps
      June 22, 2022 - Study Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. Citation Text: Zimolzak AJ, Shahid U, Giardina TD, et al. Why test results are still getting "lost" to follow-up: a qualitative study of implementation gaps. J Gen Intern Med. 2022;3…

3223. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
      psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
      July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. Citation Text: Miller K, Mims M, Paull DE, et al. Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149(8):774-9. doi:10.1001/jamasurg.2014.146. Copy Citation Format: …

3224. Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/hemodialysis-bleeding-events-and-deaths-18-year-retrospective-analysis-patient-safety-and
      June 23, 2021 - Study Hemodialysis bleeding events and deaths: an 18-year retrospective analysis of patient safety and root cause analysis reports in the Veterans Health Administration. Citation Text: Walton E, Charles M, Morrish W, et al. Hemodialysis bleeding events and deaths: an 18-year retrospectiv…

3225. Procedural Mishap: Learning Curve? | PSNet
      psnet.ahrq.gov/web-mm/procedural-mishap-learning-curve
      April 28, 2021 - Procedural Mishap: Learning Curve? Citation Text: Gibbs VC, Leape L. Procedural Mishap: Learning Curve?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

3226. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet
      psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
      March 27, 2024 - Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation Citation Text: Kulig CE, Ebong IA. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation …

3227. The Unintended Consequences of Florida Medical Liability Legislation | PSNet
      psnet.ahrq.gov/perspective/unintended-consequences-florida-medical-liability-legislation
      February 01, 2003 - The Unintended Consequences of Florida Medical Liability Legislation Paul Barach, MD, MPH | December 1, 2005  View more articles from the same authors. Citation Text: Barach P. The Unintended Consequences of Florida Medical Liability Legislation. PSNet [internet].…

3228. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-473
      March 25, 2025 - March 5, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …

3229. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet
      psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
      November 30, 2021 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. Citation Text: Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and …

3230. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. | PSNet
      psnet.ahrq.gov/web-mm/be-picky-about-your-piccs-fragmented-care-and-poor-communication-discharge-leads-picc
      July 19, 2023 - Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan. Citation Text: Marti CS, Reese SK, Brown-McManus M. Be Picky about your PICCs—Fragmented Care and Poor Communication at Discharge Leads to a PICC without a Plan.. PSNet [internet]. Rockville (MD): A…

3231. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851389/psn-pdf
      July 31, 2023 - Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023 https://psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer Summary Concern over patient safety issues associated with inadequate tracking of test results has grown over the last decade, a…

3232. In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 | PSNet
      psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
      February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 Monika Haugstetter, MHA, MSN, RN, CPHQ; Stephen Hines, PhD | February 28, 2024  Also Read the Essay Citation Text: In Conversation With..Stephen Hines, PhD an…

3233. EMS Perils from Hospital Overcrowding | PSNet
      psnet.ahrq.gov/web-mm/ems-perils-hospital-overcrowding
      November 25, 2020 - EMS Perils from Hospital Overcrowding Citation Text: Brown S, Rose JS, Barnes DK. EMS Perils from Hospital Overcrowding. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar BibTeX E…

3234. In Conversation With… Harlan Krumholz, MD, SM | PSNet
      psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
      April 01, 2018 - In Conversation With… Harlan Krumholz, MD, SM April 1, 2018  Also Read an Essay Citation Text: In Conversation With… Harlan Krumholz, MD, SM. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

3235. Lesson from the VA's Team Training Program | PSNet
      psnet.ahrq.gov/perspective/lesson-vas-team-training-program
      November 01, 2011 - Lesson from the VA's Team Training Program Julia Neily, RN, MS, MPH; Peter D. Mills, PhD, MS; Lisa M. Mazzia, MD; and Douglas E. Paull,MD | November 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Neily J, Mills PD, Pa…

3236. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet
      psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
      February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training Monika Haugstetter, MHA, MSN, RN, CPHQ; Stephen Hines, PhD; Zoe Sousane, BS; Sarah Mossburg, RN, PhD | February 28, 2024  Also Read the Conversation View more articles from the same authors. …

3237. Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. | PSNet
      psnet.ahrq.gov/issue/changes-medication-safety-indicators-england-throughout-covid-19-pandemic-using-opensafely
      October 19, 2022 - Study Changes in medication safety indicators in England throughout the covid-19 pandemic using OpenSAFELY: population based, retrospective cohort study of 57 million patients using federated analytics. Citation Text: Fisher L, Hopcroft LEM, Rodgers S, et al. Changes in medication safety…

3238. Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. | PSNet
      psnet.ahrq.gov/issue/health-disparities-impact-health-disparities-and-treatment-decision-making-biases-cancer
      October 14, 2020 - Commentary Health disparities: impact of health disparities and treatment decision-making biases on cancer adverse effects among black cancer survivors. Citation Text: Vo J, Gillman A, Mitchell K, et al. Health disparities: impact of health disparities and treatment decision-making biase…

3239. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. | PSNet
      psnet.ahrq.gov/issue/workarounds-hospital-electronic-prescribing-systems-qualitative-study-english-hospitals
      December 21, 2022 - Study Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. Citation Text: Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551…

3240. Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. | PSNet
      psnet.ahrq.gov/issue/failure-utilize-functions-electronic-prescribing-system-and-subsequent-generation-technically
      February 15, 2012 - Study Failure to utilize functions of an electronic prescribing system and the subsequent generation of 'technically preventable' computerized alerts. Citation Text: Baysari M, Reckmann MH, Li L, et al. Failure to utilize functions of an electronic prescribing system and the subsequent g…