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psnet.ahrq.gov/issue/international-comparisons-focus-quality-care
December 04, 2019 - This report compared the quality of care in Canada with 34 other countries to identify areas in which … The country has strong measures of community care such as avoidable admissions and influenza vaccinations … Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. … The Report of the Independent Medicines and Medical Devices Safety Review. … May 12, 2010
Department of Defense Health Care Quality.
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psnet.ahrq.gov/node/49635/psn-pdf
September 01, 2011 - coding, but color coding itself has disadvantages
as a defense against error, as colors are not standardized … independently check for
accuracy (we already do this for high-risk drugs and surgery site marking in defense … double checks may represent a big disruption to an already stressed work force, they may be
our only defense … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/trend-analysis-radiation-therapy-incidents-over-seven-years
December 20, 2023 - December 20, 2023
Overnight stay in the emergency department and mortality in older patients … April 16, 2018
Accuracy of emergency department clinical findings for diagnosis of coronavirus … June 1, 2022
Error in intensive care: psychological repercussions and defense mechanisms … using the same vs different order for second readings of screening mammograms on rates of breast cancer … October 31, 2014
The use of human factors methods to identify and mitigate safety issues
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psnet.ahrq.gov/issue/point-care-medication-error-prevention-best-practices-action
December 24, 2007 - View more articles from the same authors. … The author describes the new generation of barcode technologies that support safe bedside medication … Copy Citation
Related Resources From the Same Author(s)
Safer Care for the … February 15, 2023
Variation in the reporting of elective surgeries and its influence … 2019 Department of Defense Patient Safety Culture Survey.
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psnet.ahrq.gov/issue/missed-diagnosis-critical-congenital-heart-disease
September 09, 2020 - View more articles from the same authors. … Same Author(s)
Sequential implementation of the EQUIPPED geriatric medication safety program … 2019 Department of Defense Patient Safety Culture Survey. … April 16, 2018
Missed ischemic stroke diagnosis in the emergency department by emergency … August 15, 2017
Application of the aviation black box principle in pediatric cardiac
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psnet.ahrq.gov/issue/patient-safety-intensive-care-unit
February 28, 2018 - context of evidence-based best practices and The Joint Commission requirements. … , Sustaining, and Improving a Culture of Safety in Health Care, Second Edition. … May 18, 2016
Improving Communication During Transitions of Care. … May 28, 2014
Pediatric Patient Safety in the Emergency Department. … July 22, 2020
Front Line of Defense: The Role of Nurses in Preventing Sentinel Events
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psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-and-recommendations-independent-review-maternity-services
April 27, 2022 - Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury … Report of the Ockenden Review. … – the Report of the Independent Investigation. … The Report of the Independent Medicines and Medical Devices Safety Review. … February 4, 2015
Department of Defense Health Care Quality.
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psnet.ahrq.gov/issue/influence-shift-duration-cognitive-performance-emergency-physicians-prospective-cross
November 07, 2018 - November 7, 2018
Overnight stay in the emergency department and mortality in older patients … March 20, 2015
Error in intensive care: psychological repercussions and defense mechanisms … emergency department. … April 16, 2018
Diagnostic error in the emergency department: follow up of patients with … April 26, 2017
Factors associated with medication errors in the pediatric emergency department
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psnet.ahrq.gov/issue/achieving-safe-and-reliable-healthcare-strategies-and-solutions
February 25, 2013 - The authors provide examples of tools and methods used to achieve a culture of safety in health care … February 25, 2013
Operating at the sharp end: the complexity of human error. … July 8, 2016
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries … August 20, 2012
Improving the Reliability of Health Care. … August 10, 2010
Department of Defense Health Care Quality.
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psnet.ahrq.gov/issue/utility-clinical-examination-diagnosis-emergency-department-patients-admitted-department
April 06, 2022 - Study
Utility of clinical examination in the diagnosis of emergency department patients … admitted to the department of medicine of an academic hospital. … Utility of clinical examination in the diagnosis of emergency department patients admitted to the department … The authors found that four out of five internal medicine patients in the emergency department could … Utility of clinical examination in the diagnosis of emergency department patients admitted to the department
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psnet.ahrq.gov/issue/adverse-events-toolkit-medical-record-review-methodology
July 19, 2023 - Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July 2023 … Washington, DC: US Department of Health and Human Services, Office of the Inspector General; July … November 16, 2022
Defense Health Agency Processes for Responding to Provider Quality … September 7, 2016
Final Report of the Commission on Care.
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psnet.ahrq.gov/issue/examining-copy-and-paste-function-use-electronic-health-records
October 21, 2015 - Book/Report
Examining the Copy and Paste Function in the Use of Electronic Health … Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce … Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce … Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce … May 30, 2018
Defense Health Agency Should Improve Tracking of Serious Adverse Medical
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psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
January 12, 2011 - The authors discuss the TeamSTEPPS training program—a collaboration of the US Department of Defense … Same Author(s)
Effects of teamwork training on adverse outcomes and process of care in … November 24, 2021
The science of safety improvement: learning while doing. … December 22, 2010
The intensive care unit, patient safety, and the Agency for Healthcare … July 19, 2023
Reinforcing the Value and Roles of Nurses in Diagnostic Safety: Pragmatic
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psnet.ahrq.gov/issue/have-you-met-future-better-patient-safety
November 13, 2024 - Have you M.E.T. the future of better patient safety? … Have you M.E.T. the future of better patient safety? … emergency department. … January 23, 2017
Peer feedback, learning, and improvement: answering the call of the … defense in adverse event surveillance.
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psnet.ahrq.gov/issue/edgeware-insights-complexity-science-health-care-leaders
June 23, 2021 - June 23, 2021
On the Edge: Nursing in the Age of Complexity. … July 14, 2009
Review of reported adverse events occurring among the homeless veteran … : the case of urine drug screening and opioid-patient suicide- and overdose-related events in the Veterans … a comprehensive review in the context of high-reliability health care. … August 9, 2013
Department of Defense Health Care Quality.
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … by defense counsel. … The data seems pretty clear that a joint defense approach is way more efficient. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/issue/effect-computerisation-quality-and-safety-chemotherapy-prescription
December 29, 2014 - Study
Effect of computerisation on the quality and safety of chemotherapy prescription … Effect of computerisation on the quality and safety of chemotherapy prescription. … the use of a computerized physician order entry system. … Effect of computerisation on the quality and safety of chemotherapy prescription. … August 15, 2018
Overnight stay in the emergency department and mortality in older patients
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psnet.ahrq.gov/issue/technical-evaluation-testing-and-validation-usability-electronic-health-records-empirically
March 01, 2017 - Book/Report
Technical Evaluation, Testing, and Validation of the Usability of Electronic … Gaithersburg, MD: US Department of Commerce, National Institute of Standards and Technology; October … Gaithersburg, MD: US Department of Commerce, National Institute of Standards and Technology; October … Gaithersburg, MD: US Department of Commerce, National Institute of Standards and Technology; October … March 6, 2019
Defense Health Agency Should Improve Tracking of Serious Adverse Medical
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psnet.ahrq.gov/issue/crossing-quality-chasm-new-health-system-21st-century
July 08, 2016 - Following up on the 1999 Institute of Medicine report, To Err is Human , this report outlines a strategy … for improving quality through redesign of the entire health care system. … changes needed to improve the quality of American health care. … July 8, 2013
Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. … April 1, 2009
Department of Defense Health Care Quality.
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psnet.ahrq.gov/issue/introduction-checklists-daily-progress-notes-improves-patient-care-among-gynecological
October 19, 2022 - Introduction of checklists at daily progress notes improves patient care among the gynecological oncology … Introduction of checklists at daily progress notes improves patient care among the gynecological oncology … February 17, 2011
Predictive power of the "trigger tool" for the detection of adverse … April 26, 2023
Training safer surgeons: how do patients view the role of simulation in … 2019 Department of Defense Patient Safety Culture Survey.