Results

Total Results: 6,859 records

Showing results for "operational".

5761. The association between nurse staffing and omissions in nursing care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/association-between-nurse-staffing-and-omissions-nursing-care-systematic-review
      July 19, 2019 - Review Classic The association between nurse staffing and omissions in nursing care: a systematic review. Citation Text: Griffiths P, Recio-Saucedo A, Dall'Ora C, et al. The association between nurse staffing and omissions in nursing care: A systematic review. J…

5762. Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. | PSNet
      psnet.ahrq.gov/issue/assessment-patient-medication-adherence-medical-record-accuracy-and-medication-blood
      April 15, 2019 - Study Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications. Citation Text: Sutherland JJ, Morrison RD, McNaughton CD, et al. Assessment of Patient Medication Adherence, Medical Record Ac…

5763. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. | PSNet
      psnet.ahrq.gov/issue/designing-human-centered-ai-prevent-medication-dispensing-errors-focus-group-study
      August 31, 2022 - Study Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. Citation Text: Zheng Y, Rowell B, Chen Q, et al. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. JMIR Form Res. 2023;7:e…

5764. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. | PSNet
      psnet.ahrq.gov/issue/contributors-diagnostic-error-or-delay-acute-care-setting-survey-clinical-stakeholders
      May 26, 2021 - Study Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Citation Text: Redmond S, Barwise A, Zornes S, et al. Contributors to diagnostic error or delay in the acute care setting: a survey of clinical stakeholders. Health Serv Insights…

5765. Interventions targeted at reducing diagnostic error: systematic review. | PSNet
      psnet.ahrq.gov/issue/interventions-targeted-reducing-diagnostic-error-systematic-review
      March 10, 2021 - Review Interventions targeted at reducing diagnostic error: systematic review. Citation Text: Dave N, Bui S, Morgan C, et al. Interventions targeted at reducing diagnostic error: systematic review. BMJ Qual Saf. 2022;31(4):297-307. doi:10.1136/bmjqs-2020-012704. Copy Citation Forma…

5766. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. | PSNet
      psnet.ahrq.gov/issue/ahrq-report-diagnostic-errors-emergency-department-wrong-answer-wrong-question
      September 23, 2020 - Commentary The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. Citation Text: Kelen GD, Kaji AH, Schreyer KE, et al. The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question. Ann Emerg M…

5767. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital | PSNet
      psnet.ahrq.gov/issue/improving-quality-insulin-prescribing-people-diabetes-being-discharged-hospital
      November 16, 2022 - Journal Article Improving the quality of insulin prescribing for people with diabetes being discharged from hospital Citation Text: Bain A, Silcock J, Kavanagh S, et al. Improving the quality of insulin prescribing for people with diabetes being discharged from hospital. BMJ Open Qual. 2…

5768. Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany. | PSNet
      psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term
      April 21, 2021 - Study Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany. Citation Text: Gerber A, Kohaupt I, Lauterbach KW, et al. Quantification and classification of errors associated with hand-repackaging of medicat…

5769. Medication errors among adults and children with cancer in the outpatient setting. | PSNet
      psnet.ahrq.gov/issue/medication-errors-among-adults-and-children-cancer-outpatient-setting
      January 16, 2010 - Study Medication errors among adults and children with cancer in the outpatient setting. Citation Text: Walsh KE, Dodd KS, Seetharaman K, et al. Medication errors among adults and children with cancer in the outpatient setting. J Clin Oncol. 2009;27(6):891-6. doi:10.1200/JCO.2008.18.60…

5770. Performance variability in perioperative sentinel events: report on a nationwide data set. | PSNet
      psnet.ahrq.gov/issue/performance-variability-perioperative-sentinel-events-report-nationwide-data-set
      November 04, 2020 - Study Performance variability in perioperative sentinel events: report on a nationwide data set. Citation Text: Reijmerink IM, Bos K, Leistikow IP, et al. Performance variability in perioperative sentinel events: report on a nationwide data set. Br J Surg. 2022;109(7):573-575. doi:10.109…

5771. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. | PSNet
      psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
      January 02, 2017 - Study Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Citation Text: Mills PD, DeRosier JM, Ballot BA, et al. Inpatient suicide and suicide attempts in Veterans Affairs hospitals. Jt Comm J Qual Patient Saf. 2008;34(8):482-488. Copy Citation Format: Go…

5772. System issues leading to "found-on-floor" incidents: a multi-incident analysis. | PSNet
      psnet.ahrq.gov/issue/system-issues-leading-found-floor-incidents-multi-incident-analysis
      August 04, 2021 - Study System issues leading to "found-on-floor" incidents: a multi-incident analysis. Citation Text: Shaw J, Bastawrous M, Burns S, et al. System Issues Leading to “Found-on-Floor” Incidents: A Multi-Incident Analysis. J Patient Saf. 2021;17(1):30-35. doi:10.1097/pts.0000000000000294. …

5773. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. | PSNet
      psnet.ahrq.gov/issue/remote-patient-monitoring-during-covid-19-unexpected-patient-safety-benefit
      July 20, 2022 - Commentary Remote patient monitoring during COVID-19: an unexpected patient safety benefit. Citation Text: Pronovost PJ, Cole MD, Hughes RM. Remote patient monitoring during COVID-19: an unexpected patient safety benefit. JAMA. 2022;327(12):1125-1126. doi:10.1001/jama.2022.2040. Copy C…

5774. Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. | PSNet
      psnet.ahrq.gov/issue/learning-mistakes-easier-said-done-group-and-organizational-influences-detection-and
      September 25, 2024 - Study Classic Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. Citation Text: Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences o…

5775. Creating a safer health care system: finding the constraint. | PSNet
      psnet.ahrq.gov/issue/creating-safer-health-care-system-finding-constraint
      February 24, 2011 - Commentary Creating a safer health care system: finding the constraint. Citation Text: Pauker SG, Zane EM, Salem D. Creating a safer health care system: finding the constraint. JAMA. 2005;294(22):2906-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

5776. Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. | PSNet
      psnet.ahrq.gov/issue/association-clinical-specialty-symptoms-burnout-and-career-choice-regret-among-us-resident
      December 21, 2018 - Study Classic Association of clinical specialty with symptoms of burnout and career choice regret among US resident physicians. Citation Text: Dyrbye LN, Burke SE, Hardeman RR, et al. Association of Clinical Specialty With Symptoms of Burnout and Career Choice R…

5777. Triggers contributing to health care clinicians' disruptive behaviors. | PSNet
      psnet.ahrq.gov/issue/triggers-contributing-health-care-clinicians-disruptive-behaviors
      June 24, 2020 - Study Triggers contributing to health care clinicians' disruptive behaviors. Citation Text: Bae S-H, Dang D, Karlowicz KA, et al. Triggers contributing to health care clinicians' disruptive behaviors. J Patient Saf. 2020;16(3):e148-e155. doi:10.1097/pts.0000000000000288. Copy Citation …

5778. Insert Omission | PSNet
      psnet.ahrq.gov/web-mm/insert-omission
      May 09, 2014 - Insert Omission Citation Text: Darney P. Insert Omission. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

5779. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867655/psn-pdf
      February 26, 2025 - Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/learning-health-systems-patient-safety Despite an observable decrease in adverse events in health care over time, rat…

5780. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33821/psn-pdf
      December 01, 2016 - Errors and Near Misses: What Health Care Could Learn From Aviation December 1, 2016 Macrae C. Errors and Near Misses: What Health Care Could Learn From Aviation. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation Perspective Some of the most urg…