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Showing results for "methodology".

1401. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
      January 01, 2023 - • Applying root-cause-analysis (RCA) methodology, we can appreciate the complexity of the case and

1402. In Conversation With… Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lucian-leape-md
      June 12, 2019 - others that showed how remarkably successful the checklists were, were biased—either because of the methodology

1403. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867653/psn-pdf
      February 26, 2025 - Sarah Mossburg: How have organizations implemented and used the RCA2 methodology since its introduction

1404. In Conversation With... Freya Spielberg, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
      September 28, 2022 - Community-Oriented Primary Care at George Washington University and evolved a curriculum that teaches a methodology … understand barriers to implementing different parts of the model, so that is really part of the COQI methodology

1405. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35855/psn-pdf
      October 25, 2013 - HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO: HealthGrades; 2006. https://psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals- study This third annual report on the safety of hospitalized Medicare patien…

1406. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40634/psn-pdf
      September 20, 2011 - "July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review. September 20, 2011 Young JQ, Ranji SR, Wachter R, et al. "July effect": impact of the academic year-end changeover on patient outcomes: a systematic review. Ann Intern Med. 2011;155(5):309-15. doi:10.7326/0003-4819-1…

1407. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37437/psn-pdf
      June 03, 2010 - Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. June 3, 2010 Ranji SR, Auerbach AD, Hurd CJ, et al. Effects of rapid response systems on clinical outcomes: systematic review and meta-analysis. J Hosp Med. 2007;2(6):422-432. https://psnet.ahrq.gov/issue/effects-rapid-res…

1408. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38691/psn-pdf
      June 10, 2009 - Effects of shift length on quality of patient care and health provider outcomes: systematic review. June 10, 2009 Estabrooks CA, Cummings GG, Olivo SA, et al. Effects of shift length on quality of patient care and health provider outcomes: systematic review. Qual Saf Health Care. 2009;18(3):181-188. doi:10.1136/qs…

1409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41355/psn-pdf
      April 05, 2013 - Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. April 5, 2013 Etchells E, Koo M, Daneman N, et al. Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review. BMJ Qual Saf. 2012;21(6):448-56. doi:10.1136/bmjqs…

1410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36807/psn-pdf
      October 25, 2013 - HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. October 25, 2013 Denver, CO; Health Grades Inc; 2007. https://psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals- study This fourth annual report on the safety of hospitalized Medicar…

1411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43851/psn-pdf
      March 13, 2015 - Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hygiene. March 13, 2015 Davis R, Parand A, Pinto A, et al. Systematic review of the effectiveness of strategies to encourage patients to remind healthcare professionals about their hand hy…

1412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37363/psn-pdf
      February 03, 2011 - Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a children’s hospital. February 3, 2011 Sharek PJ, Parast L, Leong K, et al. Effect of a rapid response team on hospital-wide mortality and code rates outside the ICU in a Children's Hospital. JAMA. 2007;298(19):2267-74. h…

1413. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38120/psn-pdf
      June 16, 2011 - Organizational culture, team climate and diabetes care in small office-based practices. June 16, 2011 Bosch M, Dijkstra R, Wensing M, et al. Organizational culture, team climate and diabetes care in small office-based practices. BMC Health Serv Res. 2008;8:180. doi:10.1186/1472-6963-8-180. https://psnet.ahrq.gov/i…

1414. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44079/psn-pdf
      May 28, 2015 - Differences in the rates of patient safety events by payer: implications for providers and policymakers. May 28, 2015 Spencer CS, Roberts ET, Gaskin DJ. Differences in the rates of patient safety events by payer: implications for providers and policymakers. Med Care. 2015;53(6):524-9. doi:10.1097/MLR.00000000000003…

1415. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40893/psn-pdf
      November 02, 2011 - Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness. November 2, 2011 Ko HCH, Turner TJ, Finnigan MA. Systematic review of safety checklists for use by medical care teams in acute hospital settings--limited evidence of effectiveness. BMC…

1416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45116/psn-pdf
      February 15, 2017 - Postoperative adverse events inconsistently improved by the World Health Organization surgical safety checklist: a systematic literature review of 25 studies. February 15, 2017 de Jager E, McKenna C, Bartlett L, et al. Postoperative adverse events inconsistently improved by the World Health Organization surgical s…

1417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39788/psn-pdf
      April 21, 2011 - Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. April 21, 2011 Levine AC, Adusumilli J, Landrigan CP. Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. Sleep. 2010;33(8):1043-53. doi:10.1093/sleep/33.8.1043. https://psnet.ahrq.go…

1418. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43687/psn-pdf
      November 12, 2014 - Changes in medical errors after implementation of a handoff program. November 12, 2014 Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.1056/NEJMsa1405556. https://psnet.ahrq.gov/issue/changes-medical-er…

1419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45113/psn-pdf
      May 11, 2016 - Medical error—the third leading cause of death in the US. May 11, 2016 Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. https://psnet.ahrq.gov/issue/medical-error-third-leading-cause-death-us How many patients die each year due to preventabl…

1420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43042/psn-pdf
      December 18, 2014 - Introduction of surgical safety checklists in Ontario, Canada. December 18, 2014 Urbach DR, Govindarajan A, Saskin R, et al. Introduction of Surgical Safety Checklists in Ontario, Canada. New Engl J Med. 2014;370(11):1029-1038. doi:10.1056/nejmsa1308261. https://psnet.ahrq.gov/issue/introduction-surgical-safety-ch…