Results

Total Results: over 10,000 records

Showing results for "outcome".

9601. Medication error reporting in nursing homes: identifying targets for patient safety improvement. | PSNet
      psnet.ahrq.gov/issue/medication-error-reporting-nursing-homes-identifying-targets-patient-safety-improvement
      March 24, 2011 - Study Medication error reporting in nursing homes: identifying targets for patient safety improvement. Citation Text: Greene SB, Williams CE, Pierson S, et al. Medication error reporting in nursing homes: identifying targets for patient safety improvement. Qual Saf Health Care. 2010;19…

9602. Residents' intentions and actions after patient safety education. | PSNet
      psnet.ahrq.gov/issue/residents-intentions-and-actions-after-patient-safety-education
      June 08, 2011 - Study Residents' intentions and actions after patient safety education. Citation Text: Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. Copy Citation Format: D…

9603. Urban outpatient views on quality and safety in primary care. | PSNet
      psnet.ahrq.gov/issue/urban-outpatient-views-quality-and-safety-primary-care
      May 18, 2019 - Study Urban outpatient views on quality and safety in primary care. Citation Text: Dowell D, Manwell LB, Maguire A, et al. Urban outpatient views on quality and safety in primary care. Healthc Q. 2005;8(2):suppl 2-8. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

9604. ASHP guidelines on perioperative pharmacy services. | PSNet
      psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
      December 21, 2014 - Review ASHP guidelines on perioperative pharmacy services. Citation Text: Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. Copy Citation Format: DOI Google Sc…

9605. Duty-hours monitoring revisited: self-report may not be adequate. | PSNet
      psnet.ahrq.gov/issue/duty-hours-monitoring-revisited-self-report-may-not-be-adequate
      April 24, 2018 - Study Duty-hours monitoring revisited: self-report may not be adequate. Citation Text: Buum HAT, Duran-Nelson AM, Menk J, et al. Duty-hours monitoring revisited: self-report may not be adequate. Am J Med. 2013;126(4):362-5. doi:10.1016/j.amjmed.2012.12.003. Copy Citation Format: …

9606. Use of failure mode and effects analysis to improve emergency department handoff processes. | PSNet
      psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes
      October 19, 2022 - Commentary Use of failure mode and effects analysis to improve emergency department handoff processes. Citation Text: Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…

9607. Accuracy of radiographic readings in the emergency department. | PSNet
      psnet.ahrq.gov/issue/accuracy-radiographic-readings-emergency-department
      November 18, 2016 - Study Accuracy of radiographic readings in the emergency department. Citation Text: Petinaux B, Bhat R, Boniface K, et al. Accuracy of radiographic readings in the emergency department. Am J Emerg Med. 2011;29(1):18-25. doi:10.1016/j.ajem.2009.07.011. Copy Citation Format: …

9608. Intraoperative communications between pathologists and surgeons: do we understand each other? | PSNet
      psnet.ahrq.gov/issue/intraoperative-communications-between-pathologists-and-surgeons-do-we-understand-each-other
      June 28, 2023 - Study Intraoperative communications between pathologists and surgeons: do we understand each other? Citation Text: Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arp…

9609. Quality and the health system: becoming a high reliability organization. | PSNet
      psnet.ahrq.gov/issue/quality-and-health-system-becoming-high-reliability-organization
      November 16, 2022 - Review Quality and the health system: becoming a high reliability organization. Citation Text: Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. Copy Citation …

9610. Failures in communication and information transfer across the surgical care pathway: interview study. | PSNet
      psnet.ahrq.gov/issue/failures-communication-and-information-transfer-across-surgical-care-pathway-interview-study
      August 09, 2013 - Study Failures in communication and information transfer across the surgical care pathway: interview study. Citation Text: Nagpal K, Arora S, Vats A, et al. Failures in communication and information transfer across the surgical care pathway: interview study. BMJ Qual Saf. 2012;21(10):8…

9611. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-and-optimizing-nursing-teamwork-using-crew-resource-management
      March 13, 2013 - Study Improving patient safety and optimizing nursing teamwork using crew resource management techniques. Citation Text: West P, Sculli GL, Fore AM, et al. Improving patient safety and optimizing nursing teamwork using crew resource management techniques. J Nurs Adm. 2012;42(1):15-20. do…

9612. Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-critically-ill-defining-problem-and-exploring-next-steps-advance-intensive
      January 24, 2024 - Commentary Diagnostic error in the critically ill: defining the problem and exploring next steps to advance intensive care unit safety. Citation Text: Bergl PA, Nanchal RS, Singh H. Diagnostic Error in the Critically III: Defining the Problem and Exploring Next Steps to Advance Intensive…

9613. Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet
      psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
      March 06, 2005 - Study Sins of omission. Getting too little medical care may be the greatest threat to patient safety. Citation Text: Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…

9614. The occurrence of potential patient safety events among trauma patients: are they random? | PSNet
      psnet.ahrq.gov/issue/occurrence-potential-patient-safety-events-among-trauma-patients-are-they-random
      July 19, 2018 - Study The occurrence of potential patient safety events among trauma patients: are they random? Citation Text: Chang DC, Handly N, Abdullah F, et al. The occurrence of potential patient safety events among trauma patients: are they random? Ann Surg. 2008;247(2):327-34. doi:10.1097/SLA.…

9615. Practising safely in the foundation years. | PSNet
      psnet.ahrq.gov/issue/practising-safely-foundation-years
      February 04, 2015 - Commentary Practising safely in the foundation years. Citation Text: Long SJ, Neale G, Vincent CA. Practising safely in the foundation years. BMJ. 2009;338:b1046. doi:10.1136/bmj.b1046. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

9616. Insensible losses: when the medical community forgets the family. | PSNet
      psnet.ahrq.gov/issue/insensible-losses-when-medical-community-forgets-family
      January 17, 2024 - Commentary Insensible losses: when the medical community forgets the family. Citation Text: Elias P. Insensible losses: when the medical community forgets the family. Health Aff (Millwood). 2015;34(4):707-710. doi:10.1377/hlthaff.2014.0536. Copy Citation Format: DOI Google …

9617. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
      April 01, 2008 - judgment and errors in technique occurred, and the attending surgeon was ultimately responsible for the outcome … Approach to Improving Patient Safety Errors in both judgement and technique led to this adverse outcome … understandings about the allowable number and location of cannulation attempts, could also have improved the outcome … Following these best practices could have resulted in a much better outcome for the patient in this case

9618. Pregnant With Danger | PSNet
      psnet.ahrq.gov/web-mm/pregnant-danger
      January 12, 2011 - e.g., CT scan) might have detected the aortic dissection before the discharge and subsequent tragic outcome … The mother and fetus in this case suffered a tragic outcome at a hospital that appeared to lack a structured … It is unclear whether the outcome would have been different elsewhere. … Aortic dissection in pregnancy: analysis of risk factors and outcome.

9619. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49546/psn-pdf
      October 17, 2007 - https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references Luckily, this case has a good outcome … student or practicing team level through critical incident root cause analysis and http://www.acgme.org/outcome … Available at: http://www.acgme.org/outcome/. Accessed September 27, 2007. 13. … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9032162 http://www.acgme.org/outcome/ http://www.ama-assn.org

9620. Effectiveness of Toyota process redesign in reducing thyroid gland fine-needle aspiration error. | PSNet
      psnet.ahrq.gov/issue/effectiveness-toyota-process-redesign-reducing-thyroid-gland-fine-needle-aspiration-error
      June 14, 2011 - June 14, 2011 Frequency and outcome of cervical cancer prevention failures in the United