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Showing results for "processes".

  1. Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. | PSNet

    psnet.ahrq.gov/issue/association-hospital-participation-surgical-outcomes-monitoring-program-inpatient
    August 20, 2018 - Study Association of hospital participation in a surgical outcomes monitoring program with inpatient complications and mortality. Citation Text: Etzioni DA, Wasif N, Dueck AC, et al. Association of hospital participation in a surgical outcomes monitoring program with inpatient complicati…

  2. Developing a hospital-wide quality and safety dashboard: a qualitative research study. | PSNet

    psnet.ahrq.gov/issue/developing-hospital-wide-quality-and-safety-dashboard-qualitative-research-study
    August 18, 2021 - Study Developing a hospital-wide quality and safety dashboard: a qualitative research study. Citation Text: Weggelaar-Jansen AMJWM, Broekharst DSE, de Bruijne M. Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ Qual Saf. 2018;27(12):1000-1007. do…

  3. Electronic medication reconciliation and medication errors. | PSNet

    psnet.ahrq.gov/issue/electronic-medication-reconciliation-and-medication-errors
    November 16, 2022 - Study Electronic medication reconciliation and medication errors. Citation Text: Hron JD, Manzi S, Dionne R, et al. Electronic medication reconciliation and medication errors. Int J Qual Health Care. 2015;27(4):314-9. doi:10.1093/intqhc/mzv046. Copy Citation Format: DOI Goo…

  4. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. | PSNet

    psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving
    September 14, 2022 - Study Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…

  5. Medication order errors at hospital admission among children with medical complexity | PSNet

    psnet.ahrq.gov/issue/medication-order-errors-hospital-admission-among-children-medical-complexity
    July 20, 2022 - Study Medication order errors at hospital admission among children with medical complexity Citation Text: Blaine K, Wright J, Pinkham A, et al. Medication Order Errors at Hospital Admission Among Children With Medical Complexity. J Patient Saf. 2022;18(1):e156-e162. doi:10.1097/pts.00000…

  6. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. | PSNet

    psnet.ahrq.gov/issue/fast-forward-rounds-effective-method-teaching-medical-students-transition-patients-safely
    March 14, 2018 - Study Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. Citation Text: Ouchida K, LoFaso VM, Capello CF, et al. Fast forward rounds: an effective method for teaching medical students to transition patients safely …

  7. Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. | PSNet

    psnet.ahrq.gov/issue/drug-manufacturers-delayed-disclosure-serious-and-unexpected-adverse-events-us-food-and-drug
    July 10, 2017 - Study Drug manufacturers' delayed disclosure of serious and unexpected adverse events to the US Food and Drug Administration. Citation Text: Ma P, Marinovic I, Karaca-Mandic P. Drug Manufacturers' Delayed Disclosure of Serious and Unexpected Adverse Events to the US Food and Drug Adminis…

  8. Systematic review of clinical debriefing tools: attributes and evidence for use. | PSNet

    psnet.ahrq.gov/issue/systematic-review-clinical-debriefing-tools-attributes-and-evidence-use
    March 20, 2024 - Review Systematic review of clinical debriefing tools: attributes and evidence for use. Citation Text: Phillips EC, Smith SE, Tallentire VR, et al. Systematic review of clinical debriefing tools: attributes and evidence for use. BMJ Qual Saf. 2024;33(3):187-198. doi:10.1136/bmjqs-2022-01…

  9. The development and psychometric evaluation of a safety climate measure for primary care. | PSNet

    psnet.ahrq.gov/issue/development-and-psychometric-evaluation-safety-climate-measure-primary-care
    February 29, 2012 - Study The development and psychometric evaluation of a safety climate measure for primary care. Citation Text: de Wet C, Spence W, Mash R, et al. The development and psychometric evaluation of a safety climate measure for primary care. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2008.03…

  10. Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
    October 13, 2018 - Study Emerging Classic Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. Citation Text: Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …

  11. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-starting-points-and-presuppositions-case-study-hospitals-surgical
    September 25, 2024 - Study Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. Citation Text: Jaakkola M, Lemmetty S, Collin K, et al. Organizational learning starting points and presuppositions: a case study from a hospital’s surgical department. …

  12. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. | PSNet

    psnet.ahrq.gov/issue/clinicians-perceptions-medication-errors-opioids-cancer-and-palliative-care-services-priority
    June 01, 2016 - Commentary Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Citation Text: Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a prio…

  13. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. | PSNet

    psnet.ahrq.gov/issue/predicting-potential-postdischarge-adverse-drug-events-and-30-day-unplanned-hospital
    December 09, 2009 - Study Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity. Citation Text: Schoonover H, Corbett CF, Weeks DL, et al. Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readm…

  14. Disparities in patient safety voluntary event reporting: a scoping review. | PSNet

    psnet.ahrq.gov/issue/disparities-patient-safety-voluntary-event-reporting-scoping-review
    November 16, 2022 - Review Disparities in patient safety voluntary event reporting: a scoping review. Citation Text: Hoops K, Pittman E, Stockwell DC. Disparities in patient safety voluntary event reporting: a scoping review. Jt Comm J Qual Patient Saf. 2024;50(1):41-48. doi:10.1016/j.jcjq.2023.10.009. Co…

  15. Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. | PSNet

    psnet.ahrq.gov/issue/frequency-and-risk-factors-medication-errors-pharmacists-during-order-verification-tertiary
    January 23, 2013 - Study Frequency of and risk factors for medication errors by pharmacists during order verification in a tertiary care medical center. Citation Text: Gorbach C, Blanton L, Lukawski BA, et al. Frequency of and risk factors for medication errors by pharmacists during order verification in a…

  16. An observational study of adult admissions to a medical ICU due to adverse drug events. | PSNet

    psnet.ahrq.gov/issue/observational-study-adult-admissions-medical-icu-due-adverse-drug-events
    January 28, 2015 - Study An observational study of adult admissions to a medical ICU due to adverse drug events. Citation Text: Jolivot P-A, Pichereau C, Hindlet P, et al. An observational study of adult admissions to a medical ICU due to adverse drug events. Ann Intensive Care. 2016;6(1):9. doi:10.1186/s1…

  17. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. | PSNet

    psnet.ahrq.gov/issue/reduction-medication-errors-related-sliding-scale-insulin-introduction-standardized-order
    June 19, 2024 - Study Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet. Citation Text: Harada S, Suzuki A, Nishida S, et al. Reduction of medication errors related to sliding scale insulin by the introduction of a standardized order sheet.…

  18. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. | PSNet

    psnet.ahrq.gov/issue/electronic-error-reporting-systems-case-study-impact-nurse-reporting-medical-errors
    June 07, 2023 - Study Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Citation Text: Lederman R, Dreyfus S, Matchan J, et al. Electronic error-reporting systems: a case study into the impact on nurse reporting of medical errors. Nurs Outlook. 2013…

  19. Development of a trigger tool to identify adverse events and harm in emergency medical services. | PSNet

    psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services
    August 07, 2024 - Study Development of a trigger tool to identify adverse events and harm in emergency medical services. Citation Text: Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…

  20. The nature and causes of unintended events reported at 10 internal medicine departments. | PSNet

    psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-10-internal-medicine-departments
    August 17, 2016 - Study The nature and causes of unintended events reported at 10 internal medicine departments. Citation Text: Lubberding S, Zwaan L, Timmermans D, et al. The nature and causes of unintended events reported at 10 internal medicine departments. J Patient Saf. 2011;7(4):224-31. doi:10.109…
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