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Showing results for "operations".

  1. 2. Description of the Intervention | Agency for Healthcare Research and Quality

    www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2.html
    April 01, 2018 - Health Care Systems for Tracking Colorectal Cancer Screening Tests 2. Description of the Intervention Previous Page Next Page Table of Contents Health Care Systems for Tracking Colorectal Cancer Screening Tests Executive Summary 1. Introduction 2. Description of the Intervention 2. Descripti…

  2. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet

    psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
    March 15, 2023 - SPOTLIGHT CASE False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. Citation Text: Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy.. PSNet [internet]. Rockville (MD): Agency for …

  3. Abdominal Pain in Early Pregnancy | PSNet

    psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
    November 13, 2024 - SPOTLIGHT CASE Abdominal Pain in Early Pregnancy Citation Text: Kilpatrick CC. Abdominal Pain in Early Pregnancy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibT…

  4. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
    August 28, 2024 - the ability of a system to adjust its functioning prior to, during, or following events to sustain operations

  5. Application of Safety-II Principles | PSNet

    psnet.ahrq.gov/perspective/application-safety-ii-principles
    August 28, 2024 - the ability of a system to adjust its functioning prior to, during, or following events to sustain operations

  6. Outcome Measures Framework: Literature Review Findings and Implications (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/registry-of-patient-registries_research.pdf
    April 15, 2019 - harmonization and creation of common data elements, both within clinical research and health care operations

  7. CDSiC Stakeholder Center Quarterly Report, January to June 2022 | CDSiC

    cdsic.ahrq.gov/cdsic/stakeholder-center-quarterly-report-january-june%202022
    July 01, 2022 - : Skip to main content HHS.gov Menu Main navigation CDS Home CDS Innovation Collaborative An official website of the Department of Health & Human Services …

  8. Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. | PSNet

    psnet.ahrq.gov/issue/learning-lawsuits-using-malpractice-claims-data-develop-care-transitions-planning-tools
    January 21, 2019 - Study Learning from lawsuits: using malpractice claims data to develop care transitions planning tools. Citation Text: Arbaje AI, Werner NE, Kasda EM, et al. Learning From Lawsuits: Using Malpractice Claims Data to Develop Care Transitions Planning Tools. J Patient Saf. 2020;16(1):52-57.…

  9. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. | PSNet

    psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-missed-test-results-stepped-wedge-cluster
    May 12, 2021 - Study A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized clinical trial. Citation Text: Zubkoff L, Zimolzak AJ, Meyer AND, et al. A virtual breakthrough series collaborative for missed test results: a stepped-wedge cluster-randomized c…

  10. Application of human factors methods to understand missed follow-up of abnormal test results. | PSNet

    psnet.ahrq.gov/issue/application-human-factors-methods-understand-missed-follow-abnormal-test-results
    December 16, 2020 - Study Application of human factors methods to understand missed follow-up of abnormal test results. Citation Text: Rogith D, Satterly T, Singh H, et al. Application of human factors methods to understand missed follow-up of abnormal test results. Appl Clin Inform. 2020;11(05):692-698. do…

  11. Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. | PSNet

    psnet.ahrq.gov/issue/patterns-potential-opioid-misuse-and-subsequent-adverse-outcomes-medicare-2008-2012
    June 30, 2021 - Study Patterns of potential opioid misuse and subsequent adverse outcomes in Medicare, 2008 to 2012. Citation Text: Carey CM, Jena AB, Barnett ML. Patterns of Potential Opioid Misuse and Subsequent Adverse Outcomes in Medicare, 2008 to 2012. Ann Intern Med. 2018;168(12):837-845. doi:10.7…

  12. Errors during resuscitation: the impact of perceived authority on delivery of care. | PSNet

    psnet.ahrq.gov/issue/errors-during-resuscitation-impact-perceived-authority-delivery-care
    April 03, 2019 - Study Errors during resuscitation: the impact of perceived authority on delivery of care. Citation Text: Delaloye NJ, Tobler K, OʼNeill T, et al. Errors during resuscitation: the impact of perceived authority on delivery of care. J Patient Saf. 2020;16(1). doi:10.1097/pts.000000000000035…

  13. The collapse of sensemaking in organizations: the Mann Gulch disaster. | PSNet

    psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster
    May 21, 2019 - Commentary Classic The collapse of sensemaking in organizations: the Mann Gulch disaster. Citation Text: Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. Copy Citation Fo…

  14. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. | PSNet

    psnet.ahrq.gov/issue/evaluation-problem-specific-sbar-tool-improve-after-hours-nurse-physician-phone-communication
    December 30, 2014 - Study Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a randomized trial. Citation Text: Joffe E, Turley JP, Hwang KO, et al. Evaluation of a problem-specific SBAR tool to improve after-hours nurse-physician phone communication: a ra…

  15. Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. | PSNet

    psnet.ahrq.gov/issue/toward-constructive-change-after-making-medical-error-recovery-situations-error-theory
    March 04, 2015 - Review Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. Citation Text: Harrison R, Johnson J, Mcmullan RD, et al. Toward constructive change after making a medical error: recovery from situat…

  16. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. | PSNet

    psnet.ahrq.gov/issue/personality-traits-and-traumatic-outcome-symptoms-registered-nurses-aftermath-patient-safety
    October 06, 2021 - Study Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety incident. Citation Text: Stovall MC, Firkins J, Hansen L, et al. Personality traits and traumatic outcome symptoms in registered nurses in the aftermath of a patient safety i…

  17. To expand the evidence base about harms from tests and treatments. | PSNet

    psnet.ahrq.gov/issue/expand-evidence-base-about-harms-tests-and-treatments
    May 19, 2021 - Commentary To expand the evidence base about harms from tests and treatments. Citation Text: Korenstein D, Harris RP, Elshaug AG, et al. To expand the evidence base about harms from tests and treatments. J Gen Intern Med. 2021;36(7):2105-2110. doi:10.1007/s11606-021-06597-9. Copy Citat…

  18. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. | PSNet

    psnet.ahrq.gov/issue/evolving-curriculum-quality-improvement-and-patient-safety-undergraduate-and-graduate-medical
    October 05, 2022 - Review The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review. Citation Text: Li CJ, Nash DB. The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a …

  19. Patient perceptions of mistakes in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
    July 29, 2015 - Study Patient perceptions of mistakes in ambulatory care. Citation Text: Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. Copy Citation Format: DOI Google …

  20. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. | PSNet

    psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events-hospitalized-patients-across-two-time-periods
    December 14, 2011 - Study Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Citation Text: Fanikos J, Tawfik Y, Almheiri D, et al. Anticoagulation-associated adverse drug events in hospitalized patients across two time periods. Am J Med. 2023;136(9):927-936. do…
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