-
psnet.ahrq.gov/issue/how-prevalent-are-hazardous-attitudes-among-orthopaedic-surgeons
March 14, 2018 - The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question
-
psnet.ahrq.gov/issue/standardized-handoff-simulation-promotes-recovery-auditory-distractions-resident-physicians
March 09, 2016 - Improving Diagnostic Safety and Quality
April 26, 2023
Listening and question-asking
-
psnet.ahrq.gov/issue/systematic-review-literature-evaluation-handoff-tools-implications-research-and-practice
May 23, 2012 - March 21, 2018
Listening and question-asking behaviors in resident and nurse handoff
-
psnet.ahrq.gov/issue/critical-errors-infrequently-performed-trauma-procedures-after-training
June 27, 2018 - March 1, 2023
Does a suggested diagnosis in a general practitioners' referral question
-
psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
January 12, 2022 - We added the question “was this event related to COVID-19,” which enabled us to identify specific COVID … This question helps identify events, such as a process change because of COVID-19, which resulted in … RD: For me, this is too big a question for one single answer because the pandemic has been hugely impactful … KH: And I think that fits in nicely with the next question. … outbreak and caring for COVID-19 patients have been of high priority, there has also been the ongoing question
-
psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
January 12, 2022 - outbreak and caring for COVID-19 patients have been of high priority, there has also been the ongoing question … We added the question “was this event related to COVID-19,” which enabled us to identify specific COVID … This question helps identify events, such as a process change because of COVID-19, which resulted in … RD: For me, this is too big a question for one single answer because the pandemic has been hugely impactful … KH: And I think that fits in nicely with the next question.
-
psnet.ahrq.gov/node/33708/psn-pdf
March 01, 2011 - VA: It's a great question. … And the fourth question
that I've added is, Is this the first time the receiver is hearing about a patient … That's the common ground
question. … That's a really difficult question to answer objectively
because the handoff research field suffers
-
psnet.ahrq.gov/periodic-issue/periodic-issue-473
March 25, 2025 - Dutch neurology/neurosurgery ward, found that nurses struggle to define “report-worthy” events and question … This activity calls into question resident autonomy to decline medications as well as safety for medications
-
psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - RW : Back to the question before about transparency for patients versus creating a safe environment for … The question is always: Can that bad example person be trained to be at least good enough? … For example, take the question of when residents should be able to operate independently. … Today, this question would be viewed through the lens of competency assessment, accompanied by a discussion
-
psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - I share a case, a clinical presentation, my clinical
question. … It's like a Q&A
around that clinical question. … SN: That's a great question. It's not a core principle. … care doctor in a rural community who doesn't have access to a
gastroenterologist logs on and asks the question
-
psnet.ahrq.gov/node/33760/psn-pdf
February 01, 2014 - The
question is: do they or are we kidding ourselves?
EC: We're often kidding ourselves. … frequent in a unit, then one can
create an alternate information source to avoid having to ask the question … RW: The question is this balancing act of what if it was about a patient in another ward who was sick … For the last decade and a half whenever I talk about interruption,
the first question I get from clinicians
-
psnet.ahrq.gov/node/33686/psn-pdf
August 01, 2009 - SS: Fair question. … It's not a question of union workers. … It is very funny that you asked this question because I was on the phone last night with a software company … The way to phrase the reform question is: How do you provide better
care to more people in less time
-
psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
March 01, 2007 - training sessions offered by the Maryland Patient Safety Center are taught to ask a simple, yet powerful question … The answer to this question points to the latent conditions that also must be resolved to reduce the
-
psnet.ahrq.gov/issue/discrepancy-between-emergency-department-admission-diagnosis-and-hospital-discharge-diagnosis
December 08, 2021 - The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question
-
psnet.ahrq.gov/issue/patient-and-public-co-creation-healthcare-safety-and-healthcare-system-resilience-case-covid
February 16, 2022 - August 19, 2020
COVID-19: to be or not to be; that is the diagnostic question.
-
psnet.ahrq.gov/issue/what-medication-iatrogenic-risk-elderly-outpatients-chronic-pain
February 12, 2020 - February 12, 2020
COVID-19: to be or not to be; that is the diagnostic question.
-
psnet.ahrq.gov/issue/missed-acute-myocardial-infarction-emergency-department-standardizing-measurement
May 12, 2021 - The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question
-
psnet.ahrq.gov/innovation/implicit-bias-and-patient-care-mitigating-bias-preventing-harm
September 22, 2021 - February 22, 2023
Does a suggested diagnosis in a general practitioners' referral question
-
psnet.ahrq.gov/issue/rate-sepsis-hospitalizations-after-misdiagnosis-adult-emergency-department-patients-look
December 08, 2021 - The AHRQ Report on Diagnostic Errors in the Emergency Department: the wrong answer to the wrong question
-
psnet.ahrq.gov/node/49695/psn-pdf
October 01, 2013 - Lastly, the community pharmacy did not question the 500 mg
TID dosing regimen. … receiving alerts were often not the ones who were responsible for
deciding to prescribe the medication in question