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Showing results for "operations".

  1. Inter-hospital transfer is an independent risk factor for hospital-associated infection. | PSNet

    psnet.ahrq.gov/issue/inter-hospital-transfer-independent-risk-factor-hospital-associated-infection
    August 26, 2011 - Study Inter-hospital transfer is an independent risk factor for hospital-associated infection. Citation Text: Gardner C, Rubinfeld IS, Gupta AH, et al. Inter-hospital transfer is an independent risk factor for hospital-associated infection. Surg Infect (Larchmt). 2024;25(2):125-132. doi:…

  2. How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? | PSNet

    psnet.ahrq.gov/issue/how-valid-icd-9-cm-based-ahrq-patient-safety-indicator-postoperative-venous-thromboembolism
    April 03, 2017 - Study How valid is the ICD-9-CM based AHRQ Patient Safety Indicator for postoperative venous thromboembolism? Citation Text: White RH, Sadeghi B, Tancredi DJ, et al. How Valid is the ICD-9-CM Based AHRQ Patient Safety Indicator for Postoperative Venous Thromboembolism? Med Care. 2009;4…

  3. Adverse events involving telehealth in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/adverse-events-involving-telehealth-veterans-health-administration
    October 26, 2022 - Review Adverse events involving telehealth in the Veterans Health Administration. Citation Text: Mills PD, Tomolo A, Yackel EE. Adverse events involving telehealth in the Veterans Health Administration. Jt Comm J Qual Patient Saf. 2024;Epub Dec 20. doi:10.1016/j.jcjq.2024.12.002. Copy …

  4. Trust and medical AI: the challenges we face and the expertise needed to overcome them. | PSNet

    psnet.ahrq.gov/issue/trust-and-medical-ai-challenges-we-face-and-expertise-needed-overcome-them
    July 22, 2020 - Commentary Emerging Classic Trust and medical AI: the challenges we face and the expertise needed to overcome them. Citation Text: Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J A…

  5. Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. | PSNet

    psnet.ahrq.gov/issue/evolving-quality-improvement-support-strategies-improve-plan-do-study-act-cycle-fidelity
    March 17, 2014 - Study Emerging Classic Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study. Citation Text: McNicholas C, Lennox L, Woodcock T, et al. Evolving quality improvement support strategies to …

  6. Pediatric obesity and safety in inpatient settings: a systematic literature review. | PSNet

    psnet.ahrq.gov/issue/pediatric-obesity-and-safety-inpatient-settings-systematic-literature-review
    November 12, 2014 - Review Pediatric obesity and safety in inpatient settings: a systematic literature review. Citation Text: Halvorson EE, Irby MB, Skelton JA. Pediatric obesity and safety in inpatient settings: a systematic literature review. Clin Pediatr (Phila). 2014;53(10):975-87. doi:10.1177/000992281…

  7. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. | PSNet

    psnet.ahrq.gov/issue/use-prospective-risk-analysis-method-improve-safety-cancer-chemotherapy-process
    May 29, 2019 - Study Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Citation Text: Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the safety of the cancer chemotherapy process. Int J Qual Health Care…

  8. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. | PSNet

    psnet.ahrq.gov/issue/error-intensive-care-psychological-repercussions-and-defense-mechanisms-among-health
    November 29, 2023 - Study Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Citation Text: Laurent A, Aubert L, Chahraoui K, et al. Error in intensive care: psychological repercussions and defense mechanisms among health professionals. Crit Care Med. 201…

  9. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. | PSNet

    psnet.ahrq.gov/issue/can-medical-students-identify-potentially-serious-acetaminophen-dosing-error-simulated
    March 30, 2011 - Study Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? A case control study. Citation Text: Dudas RA, Barone MA. Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control…

  10. Internal reporting system to improve a pharmacy's medication distribution process. | PSNet

    psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
    October 31, 2017 - Study Internal reporting system to improve a pharmacy's medication distribution process. Citation Text: Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. Cop…

  11. The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. | PSNet

    psnet.ahrq.gov/issue/impact-standardized-incident-reporting-system-perioperative-setting-single-center-experience
    February 09, 2022 - Study The impact of a standardized incident reporting system in the perioperative setting: a single center experience on 2,563 'near-misses' and adverse events. Citation Text: Heideveld-Chevalking AJ, Calsbeek H, Damen J, et al. The impact of a standardized incident reporting system in t…

  12. Reducing near miss medication events using an evidence-based approach. | PSNet

    psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-evidence-based-approach
    July 07, 2021 - Study Reducing near miss medication events using an evidence-based approach. Citation Text: Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630. Copy Citation Format: DOI…

  13. COVID-19 and patient safety: time to tap into our investment in high reliability. | PSNet

    psnet.ahrq.gov/issue/covid-19-and-patient-safety-time-tap-our-investment-high-reliability
    July 21, 2021 - Commentary COVID-19 and patient safety: time to tap into our investment in high reliability. Citation Text: Adelman JS, Gandhi TK. COVID-19 and patient safety: time to tap into our investment in high reliability. J Patient Saf. 2021;17(4):331-333. doi:10.1097/pts.0000000000000843. Copy…

  14. Patient safety issues from information overload in electronic medical records. | PSNet

    psnet.ahrq.gov/issue/patient-safety-issues-information-overload-electronic-medical-records
    May 04, 2022 - Review Patient safety issues from information overload in electronic medical records. Citation Text: Nijor S, Rallis G, Lad N, et al. Patient safety issues from information overload in electronic medical records. J Patient Saf. 2022;18(6):e999-e1003. doi:10.1097/pts.0000000000001002. C…

  15. "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. | PSNet

    psnet.ahrq.gov/issue/i-wish-i-had-seen-test-result-earlier-dissatisfaction-test-result-management-systems-primary
    February 15, 2011 - Study "I wish I had seen this test result earlier!": dissatisfaction with test result management systems in primary care. Citation Text: Poon EG, Gandhi TK, Sequist TD, et al. "I wish I had seen this test result earlier!": Dissatisfaction with test result management systems in primary ca…

  16. Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
    March 14, 2022 - Review Emerging Classic Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. Citation Text: Powers EM, Shiffman RN, Melnick ER, et al. Efficacy and unintended consequences of hard-stop alerts in elect…

  17. Patterns of communication breakdowns resulting in injury to surgical patients. | PSNet

    psnet.ahrq.gov/issue/patterns-communication-breakdowns-resulting-injury-surgical-patients
    March 03, 2011 - Study Classic Patterns of communication breakdowns resulting in injury to surgical patients. Citation Text: Greenberg CC, Regenbogen SE, Studdert DM, et al. Patterns of communication breakdowns resulting in injury to surgical patients. J Am Coll Surg. 2007;204…

  18. Summary and frequency of barriers to adoption of CPOE in the US. | PSNet

    psnet.ahrq.gov/issue/summary-and-frequency-barriers-adoption-cpoe-us
    March 17, 2021 - Review Summary and frequency of barriers to adoption of CPOE in the US. Citation Text: Kruse CS, Goetz K. Summary and frequency of barriers to adoption of CPOE in the U.S. J Med Syst. 2015;39(2):15. doi:10.1007/s10916-015-0198-2. Copy Citation Format: DOI Google Scholar Pub…

  19. Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. | PSNet

    psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
    January 25, 2023 - Study Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. Citation Text: Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…

  20. Making communication and resolution programmes mission critical in healthcare organisations. | PSNet

    psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations
    September 09, 2020 - Commentary Making communication and resolution programmes mission critical in healthcare organisations. Citation Text: Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):87…
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