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Showing results for "accountability".

  1. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. | PSNet

    psnet.ahrq.gov/issue/effect-facility-complexity-perceptions-safety-climate-operating-room-size-matters
    December 21, 2014 - Study The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Citation Text: Carney BT, West P, Neily J, et al. The effect of facility complexity on perceptions of safety climate in the operating room: size matters. Am J Med Qual. 2010;25…

  2. Recommendations to improve the usability of drug–drug interaction clinical decision support alerts. | PSNet

    psnet.ahrq.gov/issue/recommendations-improve-usability-drug-drug-interaction-clinical-decision-support-alerts
    February 14, 2024 - Commentary Recommendations to improve the usability of drug–drug interaction clinical decision support alerts. Citation Text: Payne TH, Hines LE, Chan RC, et al. Recommendations to improve the usability of drug-drug interaction clinical decision support alerts. J Am Med Inform Assoc. 201…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846922/psn-pdf
    March 29, 2023 - Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes March 29, 2023 https://psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions- and-improve-health Summary With increasing recognition that health is linked to the condit…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33835/psn-pdf
    June 01, 2017 - In Conversation With… Paul Aylin, MBChB June 1, 2017 In Conversation With… Paul Aylin, MBChB. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-paul-aylin-mbchb Editor's note: Professor Aylin is Professor of Epidemiology and Public Health at Imperial College London, where he is also Co-Direc…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49803/psn-pdf
    January 01, 2018 - Point-of-care Mixup: 1 Shot Turns Into 3 August 1, 2017 Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3 The Case A 2-month-old boy was brought in for a routine 2-month well-child visit. The exam was completed and the app…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49487/psn-pdf
    August 21, 2005 - Surprise Wire August 21, 2005 Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/surprise-wire The Case A 39-year-old man with a history of liver disease presented to the emergency department (ED) with gastrointestinal bleeding and altered mental status. Due to his clinic…

  7. Patient Safety Amid Nursing Workforce Challenges | PSNet

    psnet.ahrq.gov/perspective/patient-safety-amid-nursing-workforce-challenges
    April 24, 2024 - Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, Merton Lee, PharmD, PhD, Sarah E. Mossburg, RN, PhD | April 24, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Leary KB, L…

  8. In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges | PSNet

    psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
    April 24, 2024 - In Conversation with...Katie Boston-Leary about Patient Safety Amid Nursing Workforce Challenges Katie Boston-Leary, PhD, MBA, MHA, RN, NEA-BC, CCT | April 24, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Leary KB. In Con…

  9. Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. | PSNet

    psnet.ahrq.gov/issue/are-interventions-reduce-interruptions-and-errors-during-medication-administration-effective
    August 28, 2024 - Review Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. Citation Text: Raban MZ, Westbrook JI. Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review. BMJ …

  10. Medication overdoses leading to emergency department visits among children. | PSNet

    psnet.ahrq.gov/issue/medication-overdoses-leading-emergency-department-visits-among-children
    March 05, 2008 - Study Medication overdoses leading to emergency department visits among children. Citation Text: Schillie SF, Shehab N, Thomas KE, et al. Medication overdoses leading to emergency department visits among children. Am J Prev Med. 2009;37(3):181-7. doi:10.1016/j.amepre.2009.05.018. Cop…

  11. A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement. | PSNet

    psnet.ahrq.gov/issue/cross-sectional-observational-study-high-override-rates-drug-allergy-alerts-inpatient-and
    July 02, 2019 - Study A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement. Citation Text: Slight SP, Beeler PE, Seger DL, et al. A cross-sectional observational study of high override rates of drug al…

  12. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. | PSNet

    psnet.ahrq.gov/issue/influence-external-assessment-quality-and-safety-surgery-qualitative-study-surgeons
    June 28, 2023 - Study Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. Citation Text: Øyri SF, Wiig S, Tjomsland O. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons’ perspectives. BMJ Open …

  13. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. | PSNet

    psnet.ahrq.gov/issue/covid-19-crisis-safe-reopening-simulation-centres-and-new-normal-food-thought
    September 30, 2020 - Commentary COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Citation Text: Ingrassia PL, Capogna G, Diaz-Navarro C, et al. COVID-19 crisis, safe reopening of simulation centres and the new normal: food for thought. Adv Simul (Lond). 2020;5:13. d…

  14. Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. | PSNet

    psnet.ahrq.gov/issue/outsourcing-health-care-services-private-sector-and-treatable-mortality-rates-england-2013-20
    October 21, 2020 - Study Outsourcing health-care services to the private sector and treatable mortality rates in England, 2013-20: an observational study of NHS privatisation. Citation Text: Goodair B, Reeves A. Outsourcing health-care services to the private sector and treatable mortality rates in England…

  15. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet

    psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
    June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…

  16. Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/finnish-emergency-medical-services-managers-and-medical-directors-perceptions-collaborating
    December 02, 2020 - Study Finnish emergency medical services managers' and medical directors' perceptions of collaborating with patients concerning patient safety issues: a qualitative study. Citation Text: Venesoja A, Tella S, Castrén M, et al. Finnish emergency medical services managers’ and medical direc…

  17. Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. | PSNet

    psnet.ahrq.gov/issue/rate-diagnostic-errors-and-serious-misdiagnosis-related-harms-major-vascular-events
    July 28, 2023 - Study Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular events, infections, and cancers: toward a national incidence estimate using the “Big Three”. Citation Text: Newman-Toker DE, Wang Z, Zhu Y, et al. Rate of diagnostic errors and serious misdiagnosis…

  18. Discrimination, abuse, harassment, and burnout in surgical residency training. | PSNet

    psnet.ahrq.gov/issue/discrimination-abuse-harassment-and-burnout-surgical-residency-training
    May 06, 2020 - Study Classic Discrimination, abuse, harassment, and burnout in surgical residency training. Citation Text: Hu Y-Y, Ellis RJ, Hewitt B, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. New Engl J Med. 2019;381(18):1741-1752. …

  19. Burden of serious harms from diagnostic error in the USA. | PSNet

    psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
    June 03, 2020 - Study Burden of serious harms from diagnostic error in the USA. Citation Text: Newman-Toker DE, Nassery N, Schaffer AC, et al. Burden of serious harms from diagnostic error in the USA. BMJ Qual Saf. 2024;33(2):109-120. doi:10.1136/bmjqs-2021-014130. Copy Citation Format: DO…

  20. Consequences of inadequate sign-out for patient care. | PSNet

    psnet.ahrq.gov/issue/consequences-inadequate-sign-out-patient-care
    November 07, 2012 - Study Classic Consequences of inadequate sign-out for patient care. Citation Text: Horwitz LI, Moin T, Krumholz HM, et al. Consequences of inadequate sign-out for patient care. Arch Intern Med. 2008;168(16):1755-60. doi:10.1001/archinte.168.16.1755. Copy Cit…
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