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Showing results for "operations".

  1. 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…

  2. 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…

  3. 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…

  4. 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…

  5. 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…

  6. Improving medication error reporting in hospice care. | PSNet

    psnet.ahrq.gov/issue/improving-medication-error-reporting-hospice-care
    June 22, 2022 - Study Improving medication error reporting in hospice care. Citation Text: Boyer R, McPherson ML, Deshpande G, et al. Improving medication error reporting in hospice care. Am J Hosp Palliat Care. 2009;26(5):361-7. doi:10.1177/1049909109335145. Copy Citation Format: DOI Go…

  7. 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. …

  8. 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…

  9. 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…

  10. 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…

  11. 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…

  12. 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 …

  13. State and Regional Demonstrations in Health Information Technology - 2010 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstrations-health-information-technology/annual-summary/2010
    January 01, 2010 - State and Regional Demonstrations in Health Information Technology - 2010 Project Name State and Regional Demonstration in Health Information Technology: Tennessee Principal Investigator Frisse, Mark E. Organization Vanderbilt Center for Better Health Contract Number …

  14. A text mining approach to categorize patient safety event reports by medication error type. | PSNet

    psnet.ahrq.gov/issue/text-mining-approach-categorize-patient-safety-event-reports-medication-error-type
    December 07, 2022 - Study A text mining approach to categorize patient safety event reports by medication error type. Citation Text: Boxley C, Fujimoto M, Ratwani RM, et al. A text mining approach to categorize patient safety event reports by medication error type. Sci Rep. 2023;13(1):18354. doi:10.1038/s41…

  15. Development of a preliminary patient safety classification system for generative AI. | PSNet

    psnet.ahrq.gov/issue/development-preliminary-patient-safety-classification-system-generative-ai
    December 21, 2022 - Study Development of a preliminary patient safety classification system for generative AI. Citation Text: Hose B-Z, Handley JL, Biro J, et al. Development of a preliminary patient safety classification system for generative AI. BMJ Qual Saf. 2025;34(2):130-132. doi:10.1136/bmjqs-2024-017…

  16. Slide 1 (ppt file)

    digital.ahrq.gov/sites/default/files/docs/page/KING_3_II.ppt
    June 16, 2021 - Slide 1 Volunteer eHealth Initiative The Challenges of Aggregating Patient Data from Multiple Sites Janet King Technical Project Manager Regional Health Initiatives Vanderbilt Center for Better Health Funding: AHRQ Contract 290-04-0006; State of Tennessee; Vanderbilt University. This presentation has not been …

  17. HCUP Facts and Figures 2009: Statistics on Hospital-Based Care in the United States

    hcup-us.ahrq.gov/reports/factsandfigures/2009/sources_methods.jsp
    January 01, 2009 - HCUP Facts and Figures 2009: Statistics on Hospital-Based Care in the United States An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact …

  18. Alt Tags – Nationwide Summary

    digital.ahrq.gov/sites/default/files/docs/page/alt-tags-nationwide-summary.html
    June 16, 2021 - Alt Tags – Nationwide Summary Figure 3-1 is titled "Membership of Project Work Groups." It is a bar graph, showing 12 distinct stakeholder groups on the horizontal axis and the percentage of states reporting representation from each stakeholder group on the vertical axis. For each stakeholder ca…

  19. 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…

  20. Check the Bags | PSNet

    psnet.ahrq.gov/web-mm/check-bags
    January 03, 2017 - Check the Bags Citation Text: Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …
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