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Total Results: 395 records

Showing results for "the department of defense".

181. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
     April 01, 2009 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Health Commissioner and chair of the department of health policy at Mt. … Department of Health and Human Services. … Department of Health and Human Services.

182. Radiologic errors and malpractice: a blurry distinction. | PSNet
     psnet.ahrq.gov/issue/radiologic-errors-and-malpractice-blurry-distinction
     October 23, 2018 - February 2, 2011 The effect of race and sex on physicians' recommendations for cardiac … A content analysis of accreditation reports. … department. … October 7, 2011 Errors in the MRI evaluation of musculoskeletal tumors and tumorlike … July 15, 2010 Hidden danger, obvious opportunity: error and risk in the management of

183. Errors and Malpractice in Radiology. | PSNet
     psnet.ahrq.gov/issue/errors-and-malpractice-radiology
     June 26, 2013 - View more articles from the same authors. … June 26, 2013 Eight CT lessons that we learned the hard way: an analysis of current patterns … September 28, 2022 Detection of missed fractures of hand and forearm in whole-body CT … interpreter use in a clinical trial comparing telephonic and video interpretation in a pediatric emergency department … July 7, 2021 Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound

184. Will saying "I'm sorry" prevent a malpractice lawsuit? | PSNet
     psnet.ahrq.gov/issue/will-saying-im-sorry-prevent-malpractice-lawsuit
     October 23, 2018 - In the context of a malpractice lawsuit filed after a communication error was discovered and disclosed … March 4, 2015 The effect of race and sex on physicians' recommendations for cardiac catheterization … A content analysis of accreditation reports. … department. … May 7, 2008 A mediation skills model to manage disclosure of errors and adverse events

185. The Role of Bar Coding and Smart Pumps in Safety | PSNet
     psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
     September 01, 2008 - last line of defense in the medication use process, administration errors at the point of care often … of patient defense in detecting patient deterioration and protecting patients by recovering errors caused … Barcoded medication administration: a last line of defense. JAMA. 2008;299:2200-2202. … Department of Health and Human Services. … Department of Health and Human Services.

186. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49664/psn-pdf
     January 01, 2013 - Given the dynamic nature of most handoff situations, a defense-in-depth strategy might also be worthy … Interventions should be multifaceted, resilient, and offer defense-in-depth (i.e., utilize multiple … Surgical Safety and Human Factors Research Department of Surgery Cedars-Sinai Medical Center   … Department of Health and Human Services. … Department of Health and Human Services.

187. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-383
     March 15, 2023 - 2019 Department of Defense Patient Safety Culture Survey. … This Department of Defense study used the AHRQ Hospital Survey on Patient Safety Culture to determine … Study The accuracy of the Global Trigger Tool is higher for the identification … Review Prosocial voice in the hierarchy of healthcare professionals: the role of … department visits or hospitalization, and the types and prevalence of ADEs and implicated drugs.

188. Empty Handoff | PSNet
     psnet.ahrq.gov/web-mm/empty-handoff
     August 01, 2017 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Given the dynamic nature of most handoff situations, a defense-in-depth strategy might also be worthy … Department of Health and Human Services. … Department of Health and Human Services.

189. Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. | PSNet
     psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections
     July 28, 2023 - Missed or delayed diagnoses accounted for 21% of 55,377 claims analyzed, and the majority of these cases … Investigators found that three groups of diagnoses accounted for the majority of closed claims and high-severity … A previous PSNet perspective discussed momentum in the field of diagnostic error over the past several … June 3, 2020 Missed acute myocardial infarction in the emergency department-standardizing … measurement of misdiagnosis-related harms using the SPADE method.

190. Human factors considerations relevant to CPOE implementations. | PSNet
     psnet.ahrq.gov/issue/human-factors-considerations-relevant-cpoe-implementations
     October 23, 2024 - Department of Veterans Affairs: a qualitative analysis. … October 11, 2023 Demonstrating the value of postgraduate fellowships for physicians in … October 19, 2011 Evaluating the medication process in the context of CPOE use: the significance … of working around the system. … June 13, 2011 The impact of computerized provider order entry systems on inpatient clinical

191. Reducing medical error in the Military Health System: how can team training help? | PSNet
     psnet.ahrq.gov/issue/reducing-medical-error-military-health-system-how-can-team-training-help
     March 29, 2007 - This article describes the development of the US Department of Defense's team training program for military … turnover of personnel and the need to adapt to the cultures of specific military services. … Same Author(s) The role of teamwork in the professional education of physicians: current … February 15, 2011 The anatomy of health care team training and the state of practice: … June 12, 2019 Teams of psychologists helping teams: the evolution of the science of team

192. Beyond negligence: avoidability and medical injury compensation. | PSNet
     psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation
     February 17, 2011 - This article draws on the experiences of Sweden, Denmark, and New Zealand , three nations where health … April 21, 2015 Missed and delayed diagnoses in the ambulatory setting: a study of closed … March 2, 2011 Missed and delayed diagnoses in the emergency department: a study of closed … April 24, 2019 Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law … November 30, 2016 Criminalization of medical error: who draws the line?

193. Apology laws and malpractice liability: what have we learned? | PSNet
     psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
     March 18, 2020 - This article discusses the state of the evidence on apology laws   and methodological limitations which … December 2, 2020 National surveillance of emergency department visits for outpatient … July 20, 2022 The role of apology laws in medical malpractice. … July 7, 2021 The paradoxes of defensive medicine. … of Diagnosis.

194. Regret among primary care physicians: a survey of diagnostic decisions. | PSNet
     psnet.ahrq.gov/issue/regret-among-primary-care-physicians-survey-diagnostic-decisions
     November 13, 2019 - Healthcare providers may feel regret when the care they provide falls short   of expectations. … Regardless whether the diagnostic error resulted in patient harm, the vast majority (27/29) of providers … expressed feelings of regret, highlighting the need for peer-support to deal with the emotional impact … : development and initial evaluation of the patients' perceptions of safety culture scale. … February 19, 2020 Risk factors for wrong-patient medication orders in the emergency department

195. The evolving literature on safety WalkRounds: emerging themes and practical messages. | PSNet
     psnet.ahrq.gov/issue/evolving-literature-safety-walkrounds-emerging-themes-and-practical-messages
     February 25, 2015 - However, this review includes a number of cautionary notes about the limitations of safety rounds and … prior research on the efficacy of these programs. … John Wittington stressed the importance of involving hospital leadership in quality and safety efforts … August 26, 2020 Care at the point of impact: insights into the second-victim experience … January 14, 2014 A framework for patient safety: a defense nuclear industry-based high-reliability

196. "Health courts" and accountability for patient safety. | PSNet
     psnet.ahrq.gov/issue/health-courts-and-accountability-patient-safety
     February 17, 2011 - Health courts would use evidence-based standards to determine the preventability of medical injuries, … and appropriately compensate patients based on the degree of preventability of the error(s) patients … March 2, 2011 Missed and delayed diagnoses in the emergency department: a study of closed … March 17, 2010 Medical malpractice in the People's Republic of China: the 2002 regulation … on the handling of medical accidents.

197. Efficacy and unintended consequences of hard-stop alerts in electronic health record systems: a systematic review. | PSNet
     psnet.ahrq.gov/issue/efficacy-and-unintended-consequences-hard-stop-alerts-electronic-health-record-systems
     March 14, 2022 - March 12, 2025 Tolerance of uncertainty and the practice of emergency medicine. … July 15, 2020 Complexity and challenges of the clinical diagnosis and management of Long … October 19, 2022 The impact of nursing skill-mix on adverse events in intensive care: … June 1, 2022 Dropping the baton during the handoff from emergency department to primary … May 8, 2017 The effectiveness of integrated health information technologies across the

198. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? | PSNet
     psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self
     October 23, 2018 - March 4, 2015 The effect of race and sex on physicians' recommendations for cardiac catheterization … A content analysis of accreditation reports. … department. … April 12, 2014 Anatomy of an incident disclosure: the importance of dialogue. … November 8, 2012 Stepping out further from the shadows: disclosure of harmful radiologic

199. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33714/psn-pdf
     July 01, 2011 - technology software company, a partner at Ernst & Whinney, the director of the Department of Defense … department to engage in Patient Safety Activities, reviewing the quality and safety of care. … at the point of care, leaving a degree of freedom in terms of what gets reported at the local level … In other words, none of them, at least to the best of my knowledge, address the issues of privilege … Department of Health and Human Services as well as the Department of Defense and the Department of

200. Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. | PSNet
     psnet.ahrq.gov/issue/developing-and-evaluating-success-family-activated-medical-emergency-team-quality-improvement
     December 02, 2014 - Study Developing and evaluating the success of a family activated medical emergency … Developing and evaluating the success of a family activated medical emergency team: a quality improvement … This study reports on the experience of family-activated MET calls over a 6-year period at an academic … defense in adverse event surveillance. … January 2, 2017 The impact of implementation of family-initiated escalation of care for