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Showing results for "understanding".

  1. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. | PSNet

    psnet.ahrq.gov/issue/comparing-process-and-outcome-oriented-approaches-voluntary-incident-reporting-two-hospitals
    June 15, 2011 - Study Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Citation Text: Nuckols TK, Bell D, Paddock SM, et al. Comparing process- and outcome-oriented approaches to voluntary incident reporting in two hospitals. Jt Comm J Qual Patient Saf…

  2. Measuring patient safety climate: a review of surveys. | PSNet

    psnet.ahrq.gov/issue/measuring-patient-safety-climate-review-surveys
    June 14, 2011 - Review Classic Measuring patient safety climate: a review of surveys. Citation Text: Colla JB, Bracken AC, Kinney LM, et al. Measuring patient safety climate: a review of surveys. Qual Saf Health Care. 2005;14(5):364-6. Copy Citation Format: Goog…

  3. Responding to health information technology reported safety events: insights from patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/responding-health-information-technology-reported-safety-events-insights-patient-safety-event
    June 30, 2019 - Study Responding to health information technology reported safety events: insights from patient safety event reports. Citation Text: Responding to health information technology reported safety events: insights from patient safety event reports. Adams KT, Kim TC, Fong A, et al. J Patient …

  4. Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. | PSNet

    psnet.ahrq.gov/issue/widespread-misinterpretation-advance-directives-and-portable-orders-life-sustaining
    December 18, 2019 - Commentary Widespread misinterpretation of advance directives and Portable Orders for Life-Sustaining Treatments threatens patient safety and causes undertreatment and overtreatment. Citation Text: Mirarchi FL, Pope TM. Widespread misinterpretation of advance directives and Portable Orde…

  5. Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. | PSNet

    psnet.ahrq.gov/issue/application-human-factors-analysis-and-classification-system-methodology-cardiovascular
    January 06, 2012 - Study Application of the human factors analysis and classification system methodology to the cardiovascular surgery operating room. Citation Text: Elbardissi AW, Wiegmann DA, Dearani JA, et al. Application of the human factors analysis and classification system methodology to the cardi…

  6. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. | PSNet

    psnet.ahrq.gov/issue/narrative-review-safety-concerns-deprescribing-older-adults-and-strategies-mitigate-potential
    December 19, 2018 - Review A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potential harms. Citation Text: Reeve E, Moriarty F, Nahas R, et al. A narrative review of the safety concerns of deprescribing in older adults and strategies to mitigate potentia…

  7. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? | PSNet

    psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
    May 19, 2021 - Study Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Citation Text: Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Sensors (Basel). 2022;22(9):…

  8. Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. | PSNet

    psnet.ahrq.gov/issue/integrating-teamwork-clinician-occupational-well-being-and-patient-safety-development
    February 14, 2017 - Review Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. Citation Text: Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development of a conceptual …

  9. 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…

  10. Five system barriers to achieving ultrasafe health care. | PSNet

    psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care
    September 29, 2017 - Commentary Classic Five system barriers to achieving ultrasafe health care. Citation Text: Amalberti R, Auroy Y, Berwick D, et al. Five system barriers to achieving ultrasafe health care. Ann Intern Med. 2005;142(9):756-64. Copy Citation Format: …

  11. Cause and effect analysis of closed claims in obstetrics and gynecology. | PSNet

    psnet.ahrq.gov/issue/cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
    April 05, 2017 - Study Cause and effect analysis of closed claims in obstetrics and gynecology. Citation Text: White AA, Pichert JW, Bledsoe SH, et al. Cause and effect analysis of closed claims in obstetrics and gynecology. Obstet Gynecol. 2005;105(5 Pt 1):1031-1038. Copy Citation Format: …

  12. Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. | PSNet

    psnet.ahrq.gov/issue/artificial-intelligence-anesthetic-care-survey-physician-anesthesiologists
    March 15, 2016 - Study Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. Citation Text: Estrada Alamo CE, Diatta F, Monsell SE, et al. Artificial intelligence in anesthetic care: a survey of physician anesthesiologists. Anesth Analg. 2024;138(5):938-950. doi:10.1213/ane…

  13. Value_Proposition_Flyer_Midwest (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/results/research/value-proposition-flyer-mw.pdf
    June 02, 2025 - Value_Proposition_Flyer_Midwest Why Participate? Participation in H3 may help your practice: • Strengthen prevention for heart disease and stroke by focusing on the ABCS – Aspirin, Blood pressure control, Cholesterol management and Smoking cessation; • Build or enhance its infrastructure to report and use quality d…

  14. Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. | PSNet

    psnet.ahrq.gov/issue/increasing-trainee-reporting-adverse-events-monthly-trainee-directed-review-adverse-events
    July 01, 2017 - Study Increasing trainee reporting of adverse events with monthly, trainee-directed review of adverse events. Citation Text: Smith A, Hatoun J, Moses J. Increasing Trainee Reporting of Adverse Events With Monthly Trainee-Directed Review of Adverse Events. Acad Pediatr. 2017;17(8):902-906…

  15. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. | PSNet

    psnet.ahrq.gov/issue/associations-between-hospitalist-shift-busyness-diagnostic-confidence-and-resource
    September 16, 2020 - Study Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. Citation Text: Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J …

  16. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? | PSNet

    psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating-knowledge-sharing-and
    July 02, 2008 - Study An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? Citation Text: Waring J, Currie G, Crompton A, et al. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing …

  17. Operational failures and interruptions in hospital nursing. | PSNet

    psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
    November 03, 2021 - Study Operational failures and interruptions in hospital nursing. Citation Text: Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  18. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. | PSNet

    psnet.ahrq.gov/issue/teamwork-matters-team-situation-awareness-build-high-performing-healthcare-teams-narrative
    August 23, 2023 - Review Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Citation Text: Weller JM, Mahajan R, Fahey-Williams K, et al. Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. Br J An…

  19. Safety II behavior in a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
    January 12, 2022 - Study Safety II behavior in a pediatric intensive care unit. Citation Text: Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics. 2018;141(6):e20180018. doi:10.1542/peds.2018-0018. Copy Citation Format: DOI Google Scholar …

  20. Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. | PSNet

    psnet.ahrq.gov/issue/researching-adverse-events-hospital-deaths-good-way-describe-patient-safety-hospitals
    March 18, 2013 - Study Is researching adverse events in hospital deaths a good way to describe patient safety in hospitals: a retrospective patient record review study. Citation Text: Baines RJ, Langelaan M, de Bruijne M, et al. Is researching adverse events in hospital deaths a good way to describe pati…
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