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Showing results for "processes".

  1. Test result communication in primary care: clinical and office staff perspectives. | PSNet

    psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
    November 20, 2015 - Study Test result communication in primary care: clinical and office staff perspectives. Citation Text: Litchfield I, Bentham L, Lilford RJ, et al. Test result communication in primary care: clinical and office staff perspectives. Fam Pract. 2014;31(5):592-7. doi:10.1093/fampra/cmu041. …

  2. Summary of Survey Findings | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-culture-survey-brazil-summary.html
    August 01, 2024 - Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Summary of Survey Findings Previous Page Next Page Table of Contents Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study Introdu…

  3. Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. | PSNet

    psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative
    September 25, 2024 - Study Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. Citation Text: Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…

  4. Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. | PSNet

    psnet.ahrq.gov/issue/stakeholder-perceptions-smart-infusion-pumps-and-drug-library-updates-multisite
    March 13, 2019 - Study Stakeholder perceptions of smart infusion pumps and drug library updates: a multisite, interdisciplinary study. Citation Text: DeLaurentis P, Walroth TA, Fritschle AC, et al. Stakeholder perceptions of smart infusion pumps and drug library updates: A multisite, interdisciplinary st…

  5. Medication errors in the care transition of trauma patients | PSNet

    psnet.ahrq.gov/issue/medication-errors-care-transition-trauma-patients
    September 02, 2020 - Study Medication errors in the care transition of trauma patients Citation Text: Martín Mª ÁP, García MM, Silveira ED, et al. Medication errors in the care transition of trauma patients. Eur J Clin Pharmacol. 2019;75(12):1739-1746. doi:10.1007/s00228-019-02757-3. Copy Citation Form…

  6. Disclosure and reporting of surgical complications: a double-edged sword? | PSNet

    psnet.ahrq.gov/issue/disclosure-and-reporting-surgical-complications-double-edged-sword
    December 21, 2014 - Study Disclosure and reporting of surgical complications: a double-edged sword? Citation Text: Stahel PF, Flierl MA, Smith WR, et al. Disclosure and reporting of surgical complications: a double-edged sword? Am J Med Qual. 2010;25(5):398-401. doi:10.1177/1062860610370989. Copy Citati…

  7. Case Studies | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-hpwpreport/clabsi-hpwp2.html
    August 01, 2015 - High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Previous Page Next Page Table of Contents High-Performance Work Practices in CLABSI Prevention Interventions Case Studies Key Findings Conclusions References Table 1. Case Study Sites Table 2. Summary of Ke…

  8. Discrepancies between home medications listed at hospital admission and reported medical conditions. | PSNet

    psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
    November 03, 2021 - Study Discrepancies between home medications listed at hospital admission and reported medical conditions. Citation Text: Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission and reported medical conditions. Am J Geriatr Pharmacother.…

  9. Adoption of health information technology for medication safety in US hospitals, 2006. | PSNet

    psnet.ahrq.gov/issue/adoption-health-information-technology-medication-safety-us-hospitals-2006
    August 07, 2013 - Study Adoption of health information technology for medication safety in US hospitals, 2006. Citation Text: Furukawa MF, Raghu TS, Spaulding TJ, et al. Adoption of health information technology for medication safety in U.S. Hospitals, 2006. Health Aff (Millwood). 2008;27(3):865-75. doi…

  10. Can patients report patient safety incidents in a hospital setting? A systematic review. | PSNet

    psnet.ahrq.gov/issue/can-patients-report-patient-safety-incidents-hospital-setting-systematic-review
    December 21, 2016 - Review Can patients report patient safety incidents in a hospital setting? A systematic review. Citation Text: Ward JK, Armitage G. Can patients report patient safety incidents in a hospital setting? A systematic review. BMJ Qual Saf. 2012;21(8):685-99. doi:10.1136/bmjqs-2011-000213. …

  11. Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. | PSNet

    psnet.ahrq.gov/issue/innovative-approach-reconstruct-bedside-handoff-using-simple-rules-complexity-science-promote
    November 16, 2022 - Commentary Innovative approach to reconstruct bedside handoff: using simple rules of complexity science to promote partnership with patients. Citation Text: Anthony MK, Kloos J, Beam P, et al. Innovative Approach to Reconstruct Bedside Handoff: Using Simple Rules of Complexity Science to…

  12. Contributing factors identified by hospital incident report narratives. | PSNet

    psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
    January 02, 2017 - Study Contributing factors identified by hospital incident report narratives. Citation Text: Nuckols TK, Bell DS, Paddock SM, et al. Contributing factors identified by hospital incident report narratives. Qual Saf Health Care. 2008;17(5):368-72. doi:10.1136/qshc.2007.023721. Copy Cit…

  13. Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. | PSNet

    psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
    June 30, 2011 - Review Where errors occur in the preparation and administration of intravenous medicines: a systematic review and Bayesian analysis. Citation Text: McDowell SE, Mt-Isa S, Ashby D, et al. Where errors occur in the preparation and administration of intravenous medicines: a systematic rev…

  14. A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. | PSNet

    psnet.ahrq.gov/issue/quality-initiative-decrease-pathology-specimen-labeling-errors-using-radiofrequency
    August 28, 2017 - Study A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center. Citation Text: Francis DL, Prabhakar S, Sanderson SO. A quality initiative to decrease pathology specimen-labeling errors using radiofrequenc…

  15. Imperfect practice makes perfect: error management training improves transfer of learning. | PSNet

    psnet.ahrq.gov/issue/imperfect-practice-makes-perfect-error-management-training-improves-transfer-learning
    May 19, 2019 - Study Imperfect practice makes perfect: error management training improves transfer of learning. Citation Text: Dyre L, Tabor A, Ringsted C, et al. Imperfect practice makes perfect: error management training improves transfer of learning. Med Educ. 2017;51(2):196-206. doi:10.1111/medu.13…

  16. The problems of detecting medication errors in hospitals. | PSNet

    psnet.ahrq.gov/issue/problems-detecting-medication-errors-hospitals
    February 01, 2012 - Study Classic The problems of detecting medication errors in hospitals. Citation Text: Barker KN, McConnell WE. The Problems of Detecting Medication Errors in Hospitals. Am J Health Syst Pharm. 1962;19(8):360-369. doi:10.1093/ajhp/19.8.360. Copy Citation …

  17. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. | PSNet

    psnet.ahrq.gov/issue/defining-critical-role-nurses-diagnostic-error-prevention-conceptual-framework-and-call
    October 28, 2020 - Review Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to action. Citation Text: Gleason KT, Davidson PM, Tanner EK, et al. Defining the critical role of nurses in diagnostic error prevention: a conceptual framework and a call to act…

  18. Patient safety goals for the proposed Federal Health Information Technology Safety Center. | PSNet

    psnet.ahrq.gov/issue/patient-safety-goals-proposed-federal-health-information-technology-safety-center
    November 30, 2011 - Commentary Classic Patient safety goals for the proposed Federal Health Information Technology Safety Center. Citation Text: Sittig DF, Classen D, Singh H. Patient safety goals for the proposed Federal Health Information Technology Safety Center. J Am Med Inform…

  19. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency
    May 15, 2024 - Study Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. Citation Text: Mangus CW, James TG, Parker SJ, et al. Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency dep…

  20. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/reported-medication-events-paediatric-emergency-research-network-sharing-improve-patient
    April 03, 2013 - Study Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Citation Text: Shaw KN, Lillis KA, Ruddy RM, et al. Reported medication events in a paediatric emergency research network: sharing to improve patient safety. Emerg Med J. 20…
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