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Showing results for "reviews".

  1. VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. | PSNet

    psnet.ahrq.gov/issue/va-health-care-improvements-needed-processes-used-address-providers-actions-contribute
    October 12, 2022 - Book/Report VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Citation Text: VA Health Care: Improvements Needed in Processes Used to Address Providers' Actions That Contribute to Adverse Events. Draper D. Washington,…

  2. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet

    psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
    March 31, 2021 - Commentary Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Citation Text: Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …

  3. Identifying the latent failures underpinning medication administration errors: an exploratory study. | PSNet

    psnet.ahrq.gov/issue/identifying-latent-failures-underpinning-medication-administration-errors-exploratory-study
    December 21, 2016 - Study Identifying the latent failures underpinning medication administration errors: an exploratory study. Citation Text: Lawton R, Carruthers S, Gardner P, et al. Identifying the latent failures underpinning medication administration errors: an exploratory study. Health Serv Res. 2012…

  4. Using root cause analysis to reduce falls with injury in the psychiatric unit. | PSNet

    psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-psychiatric-unit
    September 18, 2019 - Study Using root cause analysis to reduce falls with injury in the psychiatric unit. Citation Text: Lee A, Mills PD, Watts B. Using root cause analysis to reduce falls with injury in the psychiatric unit. Gen Hosp Psychiatry. 2012;34(3):304-11. doi:10.1016/j.genhosppsych.2011.12.007. …

  5. Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events. | PSNet

    psnet.ahrq.gov/issue/managing-near-miss-reporting-hospitals-dynamics-between-staff-members-willingness-report-and
    March 30, 2016 - Study Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events. Citation Text: Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff members’ willing…

  6. Retrospective analysis of medication incidents reported using an on-line reporting system. | PSNet

    psnet.ahrq.gov/issue/retrospective-analysis-medication-incidents-reported-using-line-reporting-system
    April 01, 2015 - Study Retrospective analysis of medication incidents reported using an on-line reporting system. Citation Text: Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-…

  7. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. | PSNet

    psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors
    May 10, 2017 - Study Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Citation Text: Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med …

  8. A new perspective on blame culture: an experimental study. | PSNet

    psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study
    July 10, 2013 - Study A new perspective on blame culture: an experimental study. Citation Text: Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture: an experimental study. J Eval Clin Pract. 2012;18(3):671-5. doi:10.1111/j.1365-2753.2012.01831.x. Copy Citation Format: …

  9. The rise of the medical scribe industry: implications for the advancement of electronic health records. | PSNet

    psnet.ahrq.gov/issue/rise-medical-scribe-industry-implications-advancement-electronic-health-records
    January 12, 2022 - Commentary The rise of the medical scribe industry: implications for the advancement of electronic health records. Citation Text: Gellert GA, Ramirez R, Webster L. The rise of the medical scribe industry: implications for the advancement of electronic health records. JAMA. 2015;313(13):1…

  10. Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. | PSNet

    psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error
    August 03, 2017 - Study Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. Citation Text: Tyynismaa L, Honkala A, Airaksinen M, et al. Identifying High-alert Medications in a University Hospital by Applying Data From the Medication Erro…

  11. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. | PSNet

    psnet.ahrq.gov/issue/retrieval-medicine-review-and-guide-uk-practitioners-part-2-safety-patient-retrieval-systems
    March 09, 2016 - Commentary Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Citation Text: Hearns S, Shirley PJ. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Emerg Med J. 2006;23(12):9…

  12. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. | PSNet

    psnet.ahrq.gov/issue/review-patient-safety-incidents-reported-critical-care-units-north-west-england-2009-and-2010
    December 02, 2009 - Study Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. Citation Text: Thomas AN, Taylor RJ. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. Anaesthesia. 2012;67(7):7…

  13. The safety of Australian healthcare: 10 years after QAHCS. | PSNet

    psnet.ahrq.gov/issue/safety-australian-healthcare-10-years-after-qahcs
    January 12, 2022 - Commentary The safety of Australian healthcare: 10 years after QAHCS. Citation Text: Wilson RML, Van Der Weyden MB. The safety of Australian healthcare: 10 years after QAHCS. Med J Aust. 2005;182(6):260-1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  14. Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet

    psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
    September 10, 2014 - Study Improved incident reporting following the implementation of a standardized emergency department peer review process. Citation Text: Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …

  15. Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. | PSNet

    psnet.ahrq.gov/issue/prospective-daily-review-discharge-medications-pharmacists-effects-measures-safety-and
    July 14, 2010 - Commentary Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency. Citation Text: Craynon R, Hager DR, Reed M, et al. Prospective daily review of discharge medications by pharmacists: Effects on measures of safety and efficiency. Am…

  16. Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? | PSNet

    psnet.ahrq.gov/issue/healthcare-scandals-and-failings-doctors-do-official-inquiries-hold-profession-account
    November 13, 2019 - Review Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account? Citation Text: Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126. C…

  17. Expanding what we know about off-peak mortality in hospitals. | PSNet

    psnet.ahrq.gov/issue/expanding-what-we-know-about-peak-mortality-hospitals
    July 09, 2008 - Study Expanding what we know about off-peak mortality in hospitals. Citation Text: Hamilton P, Mathur S, Gemeinhardt G, et al. Expanding what we know about off-peak mortality in hospitals. J Nurs Adm. 2010;40(3):124-8. doi:10.1097/NNA.0b013e3181d0426e. Copy Citation Format: …

  18. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. | PSNet

    psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations
    September 14, 2022 - Commentary The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. Citation Text: Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and…

  19. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. | PSNet

    psnet.ahrq.gov/issue/reflections-implementing-hospital-wide-provider-based-electronic-inpatient-mortality-review
    August 12, 2020 - Study Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons learnt. Citation Text: Mendu ML, Lu Y, Petersen A, et al. Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lesson…

  20. Frontiers in measuring structural racism and its health effects. | PSNet

    psnet.ahrq.gov/issue/frontiers-measuring-structural-racism-and-its-health-effects
    April 06, 2022 - Commentary Frontiers in measuring structural racism and its health effects. Citation Text: Brown TH, Homan PA. Frontiers in measuring structural racism and its health effects. Health Serv Res. 2022;57(3):443-447. doi:10.1111/1475-6773.13978. Copy Citation Format: DOI Google…
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