-
psnet.ahrq.gov/node/38649/psn-pdf
May 20, 2009 - provides a framework of potential steps for health care professionals to take after a medical error occurs
-
psnet.ahrq.gov/node/866902/psn-pdf
October 09, 2024 - This narrative review
characterized how, why, and under what circumstances unprofessional behavior occurs
-
psnet.ahrq.gov/node/866525/psn-pdf
August 14, 2024 - stakeholder-perceptions-and-attitudes-towards-problematic-polypharmacy-
and-prescribing
An unintentional prescribing cascade occurs
-
www.ahrq.gov/hai/cusp/modules/patient-family-engagement/sl-pat-fam.html
September 01, 2013 - What if an Adverse Event Occurs on the Unit?
Slide 21. Engagement Strategies
Slide 22. … What if an Adverse Event Occurs on the Unit?
Return to Contents
Slide 21. … When an adverse even occurs, it can be difficult for a health care worker to take ownership and communicate
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-rr-webcast-011124-brown.pdf
January 01, 2000 - 2000, survey response rates in the published literature have
decreased by more than 30 points
► Trend occurs
-
digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/comms-usage-diagram
January 01, 2023 - The diagram also includes information about how and why the communication occurs, the specific technology
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship3.html
August 01, 2024 - selection, performance, and interpretation. 11 , 16-19 In many healthcare organizations, a disconnect occurs
-
psnet.ahrq.gov/node/36878/psn-pdf
August 31, 2011 - cohort of noninstitutionalized elderly
and found that inappropriate medication use in this population occurs
-
psnet.ahrq.gov/node/46494/psn-pdf
January 24, 2018 - issue explore complications in anesthesia, including how
providers can respond when a complication occurs
-
psnet.ahrq.gov/node/42284/psn-pdf
May 22, 2013 - This occurs despite a consensus that such punitive
measures are unlikely to improve patient safety.
-
psnet.ahrq.gov/node/836985/psn-pdf
April 27, 2022 - issue/standardized-assessment-medication-reconciliation-post-acute-care
Medication reconciliation (MR) occurs
-
psnet.ahrq.gov/node/841477/psn-pdf
December 14, 2022 - health-system-redesign-cardiac-monitoring-oversight-optimize-alarm-
management-safety-and
Alert fatigue occurs
-
psnet.ahrq.gov/node/50375/psn-pdf
September 25, 2019 - ethical, legal, and clinical reasons for health
care to examine how to respond when such a situation occurs
-
psnet.ahrq.gov/node/864854/psn-pdf
March 20, 2024 - mortality-and-risk-factors-associated-misdiagnosis-acute-aortic-syndrome-ontario-canada
https://psnet.ahrq.gov/issue/misdiagnosis-thoracic-aortic-emergencies-occurs-frequently-among-transfers-aortic-referral
-
psnet.ahrq.gov/node/865920/psn-pdf
May 22, 2024 - role-knowledge-and-reasoning-processes-predictors-resident-physicians-
susceptibility
Anchoring bias occurs
-
psnet.ahrq.gov/node/862600/psn-pdf
February 14, 2024 - effect-computerised-decision-support-alerts-tailored-intensive-care-
administration-high-risk
Alert fatigue occurs
-
digital.ahrq.gov/ahrq-funded-projects/closing-feedback-loop-improve-diagnostic-quality/annual-summary/2011
January 01, 2011 - diagnoses to be considered whenever there is a lack of response to therapy or when an adverse event occurs … diagnosis may not be discovered until a later date when a biopsy, autopsy, hospital stay, or adverse event occurs
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruhealing/saworksheet.html
December 01, 2017 - For every meeting that occurs at your facility, indicate how often it occurs, who leads the meeting,
-
psnet.ahrq.gov/node/837512/psn-pdf
January 01, 2024 - This qualitative study
explores how team cognition occurs during care transitions and interprofessional
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P2T7-Checklist_for_Identifying_Nursing_Home_Specific_Antibiogram_Modifications_Phase_2.pdf
May 01, 2014 - Phase 2
Checklist for Identifying Nursing Home Specific
Antibiogram Modifications
Wide variation occurs