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Total Results: over 10,000 records

Showing results for "responsible".

7101. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, | PSNet
      psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
      February 01, 2023 - Study The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, Citation Text: Duzyj CM, Boyle C, Mahoney K, et al. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, f…

7102. What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. | PSNet
      psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
      March 02, 2022 - Study What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. Citation Text: Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…

7103. Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. | PSNet
      psnet.ahrq.gov/issue/assessment-attitudes-toward-deprescribing-older-medicare-beneficiaries-united-states
      June 30, 2021 - Study Classic Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. Citation Text: Reeve E, Wolff JL, Skehan M, et al. Assessment of Attitudes Toward Deprescribing in Older Medicare Beneficiaries in the United States.…

7104. Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. | PSNet
      psnet.ahrq.gov/issue/systematically-improving-physician-assignment-during-hospital-transitions-care-enhancing
      March 14, 2022 - Study Systematically improving physician assignment during in-hospital transitions of care by enhancing a preexisting hospital electronic health record. Citation Text: Zsenits B, Polashenski WA, Sterns RH, et al. Systematically improving physician assignment during in-hospital transiti…

7105. Incident and error reporting systems in intensive care: a systematic review of the literature. | PSNet
      psnet.ahrq.gov/issue/incident-and-error-reporting-systems-intensive-care-systematic-review-literature
      November 10, 2015 - Review Incident and error reporting systems in intensive care: a systematic review of the literature. Citation Text: Brunsveld-Reinders AH, Arbous S, De Vos R, et al. Incident and error reporting systems in intensive care: a systematic review of the literature. Int J Qual Health Care. 20…

7106. Patterns of error in interpretive pathology. | PSNet
      psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
      April 07, 2021 - Study Patterns of error in interpretive pathology. Citation Text: Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

7107. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet
      psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
      February 02, 2022 - Book/Report Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. Citation Text: Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …

7108. Deployment of a second victim peer support program: a replication study. | PSNet
      psnet.ahrq.gov/issue/deployment-second-victim-peer-support-program-replication-study
      January 12, 2022 - Study Deployment of a second victim peer support program: a replication study. Citation Text: Merandi J, Liao NN, Lewe D, et al. Deployment of a second victim peer support program: a replication study. Pediatr Qual Saf. 2019;2(4):e031. doi:10.1097/pq9.0000000000000031. Copy Citation …

7109. Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. | PSNet
      psnet.ahrq.gov/issue/deficiencies-emergent-and-outpatient-care-patient-alcohol-use-disorder-richard-l-roudebush-va
      July 13, 2022 - Book/Report Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Roudebush VA Medical Center in Indianapolis, Indiana. Citation Text: Deficiencies in Emergent and Outpatient Care of a Patient with Alcohol Use Disorder at the Richard L. Rou…

7110. Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. | PSNet
      psnet.ahrq.gov/issue/learning-experience-qualitative-study-surgeons-perspectives-reporting-and-dealing-serious
      June 12, 2024 - Study Learning from experience: a qualitative study of surgeons' perspectives on reporting and dealing with serious adverse events. Citation Text: Øyri SF, Søreide K, Søreide E, et al. Learning from experience: a qualitative study of surgeons’ perspectives on reporting and dealing with s…

7111. Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership. | PSNet
      psnet.ahrq.gov/issue/patient-safety-climate-psc-perceptions-frontline-staff-acute-care-hospitals-examining-role
      March 28, 2012 - Study Patient safety climate (PSC) perceptions of frontline staff in acute care hospitals: examining the role of ease of reporting, unit norms of openness, and participative leadership. Citation Text: Zaheer S, Ginsburg LR, Chuang Y-T, et al. Patient safety climate (PSC) perceptions of f…

7112. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. | PSNet
      psnet.ahrq.gov/issue/are-bad-outcomes-questionable-clinical-decisions-preventable-medical-errors-case-cascade
      February 24, 2011 - Study Classic Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cascade iatrogenesis. Citation Text: Hofer TP, Hayward RA. Are bad outcomes from questionable clinical decisions preventable medical errors? A case of cas…

7113. Improving physician's hand over among oncology staff using standardized communication tool. | PSNet
      psnet.ahrq.gov/issue/improving-physicians-hand-over-among-oncology-staff-using-standardized-communication-tool
      November 11, 2020 - Commentary Improving physician's hand over among oncology staff using standardized communication tool. Citation Text: Alolayan A, Alkaiyat M, Ali Y, et al. Improving physician's hand over among oncology staff using standardized communication tool. BMJ Qual Improv Rep. 2017;6(1). doi:10.1…

7114. It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. | PSNet
      psnet.ahrq.gov/issue/its-sending-message-bottle-qualitative-study-consequences-one-way-communication-technologies
      December 02, 2020 - Study It's like sending a message in a bottle: a qualitative study of the consequences of one-way communication technologies in hospitals. Citation Text: Lafferty M, Harrod M, Krein SL, et al. It’s like sending a message in a bottle: a qualitative study of the consequences of one-way com…

7115. Prevalence and nature of adverse medical device events in hospitalized children. | PSNet
      psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
      October 05, 2011 - Study Prevalence and nature of adverse medical device events in hospitalized children. Citation Text: Brady PW, Varadarajan K, Peterson LE, et al. Prevalence and nature of adverse medical device events in hospitalized children. J Hosp Med. 2013;8(7):390-3. doi:10.1002/jhm.2058. Copy …

7116. Get Ready | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/getready.html
      October 01, 2017 - Pressure Injury Prevention Program Implementation Guide Get Ready Previous Page Next Page Table of Contents Pressure Injury Prevention Program Implementation Guide Overview Get Ready Pressure Injury Prevention Program Phases Appendix A. RACI Chart Appendix B. Prioritize Opportunities for I…

7117. Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. | PSNet
      psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors
      September 29, 2017 - Study Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot. Citation Text: Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability …

7118. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/opportunities-improve-diagnosis-emergency-transfers-pediatric-intensive-care-unit
      June 28, 2023 - Study Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. Citation Text: Mehta SD, Congdon M, Phillips CA, et al. Opportunities to improve diagnosis in emergency transfers to the pediatric intensive care unit. J Hosp Med. 2023;18(6):509-518. do…

7119. The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet
      psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
      October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …

7120. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. | PSNet
      psnet.ahrq.gov/issue/orders-file-no-labs-drawn-investigation-machine-and-human-errors-caused-interface
      April 29, 2018 - Commentary Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy. Citation Text: Schreiber R, Sittig DF, Ash JS, et al. Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncras…