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Showing results for "processes".

  1. What can we learn from coroners’ reports on preventable deaths? | PSNet

    psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
    October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  2. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-chemotherapy-and-biotherapy
    September 07, 2016 - Organizational Policy/Guidelines ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Citation Text: Goldspiel B, Hoffman JM, Griffith NL, et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy. Am J Health Syst Pharm. 2015;72…

  3. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet

    psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
    April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. Citation Text: Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…

  4. Cognitive balanced model: a conceptual scheme of diagnostic decision making. | PSNet

    psnet.ahrq.gov/issue/cognitive-balanced-model-conceptual-scheme-diagnostic-decision-making
    July 10, 2013 - Study Cognitive balanced model: a conceptual scheme of diagnostic decision making. Citation Text: Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x. Copy Cit…

  5. Underreporting of robotic surgery complications. | PSNet

    psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications
    November 21, 2017 - Study Underreporting of robotic surgery complications. Citation Text: Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual. 2015;37(2):133-8. doi:10.1111/jhq.12036. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  6. The thinking doctor: clinical decision making in contemporary medicine. | PSNet

    psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
    October 07, 2015 - Commentary The thinking doctor: clinical decision making in contemporary medicine. Citation Text: Trimble M, Hamilton P. The thinking doctor: clinical decision making in contemporary medicine. Clin Med (Lond). 2016;16(4):343-346. doi:10.7861/clinmedicine.16-4-343. Copy Citation For…

  7. Year in review: medication mishaps in the elderly. | PSNet

    psnet.ahrq.gov/issue/year-review-medication-mishaps-elderly
    August 15, 2012 - Review Year in review: medication mishaps in the elderly. Citation Text: Peron EP, Marcum ZA, Boyce R, et al. Year in review: medication mishaps in the elderly. Am J Geriatr Pharmacother. 2011;9(1):1-10. doi:10.1016/j.amjopharm.2011.01.003. Copy Citation Format: DOI Googl…

  8. Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. | PSNet

    psnet.ahrq.gov/issue/indian-health-service-actions-needed-improve-use-data-adverse-events
    September 07, 2016 - Book/Report Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Citation Text: Indian Health Service: Actions Needed to Improve Use of Data on Adverse Events. Washington, DC: United States Government Accounting Office; July 10, 2023.  Publication GAO-23-1…

  9. Checklists to reduce diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
    September 18, 2024 - Commentary Checklists to reduce diagnostic errors. Citation Text: Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  10. Leveraging the electronic health record to improve quality and safety in rheumatology. | PSNet

    psnet.ahrq.gov/issue/leveraging-electronic-health-record-improve-quality-and-safety-rheumatology
    June 12, 2019 - Review Leveraging the electronic health record to improve quality and safety in rheumatology. Citation Text: Schmajuk G, Yazdany J. Leveraging the electronic health record to improve quality and safety in rheumatology. Rheumatol Int. 2017;37(10):1603-1610. doi:10.1007/s00296-017-3804-4. …

  11. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
    September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

  12. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. | PSNet

    psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
    April 30, 2014 - Study Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. Citation Text: Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…

  13. Opportunities to improve informed consent with AHRQ training modules. | PSNet

    psnet.ahrq.gov/issue/opportunities-improve-informed-consent-ahrq-training-modules
    December 31, 2014 - Study Opportunities to improve informed consent with AHRQ training modules. Citation Text: Shoemaker SJ, Brach C, Edwards A, et al. Opportunities to Improve Informed Consent with AHRQ Training Modules. Jt Comm J Qual Patient Saf. 2018;44(6):343-352. doi:10.1016/j.jcjq.2017.11.010. Copy…

  14. Standardization of compounded oral liquids for pediatric patients in Michigan. | PSNet

    psnet.ahrq.gov/issue/standardization-compounded-oral-liquids-pediatric-patients-michigan
    December 16, 2020 - Study Standardization of compounded oral liquids for pediatric patients in Michigan. Citation Text: Engels MJ, Ciarkowski SL, Rood J, et al. Standardization of compounded oral liquids for pediatric patients in Michigan. Am J Health Syst Pharm. 2016;73(13):981-990. doi:10.2146/150471. C…

  15. Increasing physician reporting of diagnostic learning opportunities. | PSNet

    psnet.ahrq.gov/issue/increasing-physician-reporting-diagnostic-learning-opportunities
    March 23, 2022 - Study Increasing physician reporting of diagnostic learning opportunities. Citation Text: Marshall TL, Ipsaro AJ, Le M, et al. Increasing physician reporting of diagnostic learning opportunities. Pediatrics. 2021;147(1):e20192400. doi:10.1542/peds.2019-2400. Copy Citation Format: …

  16. The CARE approach to reducing diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/care-approach-reducing-diagnostic-errors
    November 06, 2013 - Commentary The CARE approach to reducing diagnostic errors. Citation Text: Rush JL, Helms SE, Mostow EN. The CARE approach to reducing diagnostic errors. Int J Dermatol. 2017;56(6):669-673. doi:10.1111/ijd.13532. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  17. Matt's story: learning from heartbreak. | PSNet

    psnet.ahrq.gov/issue/matts-story-learning-heartbreak
    August 07, 2024 - Commentary Matt's story: learning from heartbreak. Citation Text: Miller K, Dastoli A. Matt's story: learning from heartbreak. Int J Qual Health Care. 2018;30(8):654-657. doi:10.1093/intqhc/mzy076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  18. Legality of technicians' involvement in medication reconciliation not clear. | PSNet

    psnet.ahrq.gov/issue/legality-technicians-involvement-medication-reconciliation-not-clear
    June 13, 2011 - Newspaper/Magazine Article Legality of technicians' involvement in medication reconciliation not clear. Citation Text: Thompson CA. Legality of technicians' involvement in medication reconciliation not clear. American journal of health-system pharmacy : AJHP : official journal of the A…

  19. Eight recommendations for policies for communicating abnormal test results. | PSNet

    psnet.ahrq.gov/issue/eight-recommendations-policies-communicating-abnormal-test-results
    March 10, 2011 - Commentary Eight recommendations for policies for communicating abnormal test results. Citation Text: Singh H, Vij MS. Eight recommendations for policies for communicating abnormal test results. Jt Comm J Qual Patient Saf. 2010;36(5):226-232. Copy Citation Format: Google Sc…

  20. ASHP guidelines on preventing medication errors in hospitals. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals-0
    May 09, 2014 - Organizational Policy/Guidelines Emerging Classic ASHP guidelines on preventing medication errors in hospitals. Citation Text: Billstein-Leber M, Carrillo CJD, Cassano AT, et al. ASHP Guidelines on Preventing Medication Errors in Hospitals. Am J Health-Syst Phar…
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