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Showing results for "methodology".

  1. From Possible to Probable to Sure to Wrong—Premature Closure and Anchoring in a Complicated Case | PSNet

    psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
    October 02, 2013 - look-forward analysis with administrative claims data using Symptom-Disease Pair Analysis of Diagnostic Error methodology

  2. Intubation Mishap | PSNet

    psnet.ahrq.gov/web-mm/intubation-mishap
    April 26, 2023 - January 17, 2018 An objective methodology for task analysis and workload assessment in

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867651/psn-pdf
    February 26, 2025 - Therefore, Safety II cannot be employed as a methodology to mitigate error or even reduce harm: it is

  4. 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…

  5. 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…

  6. 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…

  7. 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…

  8. 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…

  9. 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…

  10. Artificial Intelligence and Diagnostic Errors | PSNet

    psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors
    January 31, 2020 - Therefore, AI systems may unknowingly apply programmed methodology for assessment inappropriately, resulting

  11. The Evolution of Patient Safety in Surgery | PSNet

    psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
    August 01, 2017 - As people accept the idea of measurement, do they buy that the methodology is good enough—both in the

  12. Health Care Data Science for Quality Improvement and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
    October 01, 2016 - The training focuses on methodology and technical skills that are broadly applicable but, frankly, technical

  13. 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…

  14. 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…

  15. Diagnostic Delay in the Emergency Department | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
    September 18, 2024 - SPOTLIGHT CASE Diagnostic Delay in the Emergency Department Citation Text: Marshall K, Singh H. Diagnostic Delay in the Emergency Department. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format:…

  16. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet

    psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
    March 27, 2024 - Annual Perspective Ensuring Patient and Workforce Safety Culture in Healthcare John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg | March 27, 2024  View more articles from the same authors. Citation Text: Murray J, Sorra J, Gale B, et al. Ensuring Patient…

  17. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet

    psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
    July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery Citation Text: Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - Retained Surgical Items: Causation and Prevention February 26, 2025 Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention Background A retained surgical item (RSI) is a surgical patient safety pro…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33728/psn-pdf
    May 01, 2012 - In Conversation With…David C. Classen, MD, MS May 1, 2012 In Conversation With…David C. Classen, MD, MS. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms Editor's note: David C. Classen, MD, MS, is Chief Medical Information Officer for Pascal Metrics and an Associa…

  20. 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…
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