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Showing results for "addressing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38014/psn-pdf
    March 02, 2011 - The frequency and significance of discrepancies in the surgical count. March 2, 2011 Greenberg CC, Regenbogen SE, Lipsitz SR, et al. The Frequency and Significance of Discrepancies in the Surgical Count. Ann Surg. 2009;248(2). doi:10.1097/sla.0b013e318181c9a3. https://psnet.ahrq.gov/issue/frequency-and-significanc…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45348/psn-pdf
    September 14, 2016 - Integrating teamwork, clinician occupational well-being and patient safety—development of a conceptual framework based on a systematic review. September 14, 2016 Welp A, Manser T. Integrating teamwork, clinician occupational well-being and patient safety - development of a conceptual framework based on a systemati…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50795/psn-pdf
    January 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis. January 15, 2020 Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37131/psn-pdf
    October 04, 2011 - Supplemental nurse staffing in hospitals and quality of care. October 4, 2011 Aiken LH, Xue Y, Clarke SP, et al. Supplemental Nurse Staffing in Hospitals and Quality of Care. JONA: The Journal of Nursing Administration. 2007;37(7). doi:10.1097/01.nna.0000285119.53066.ae. https://psnet.ahrq.gov/issue/supplemental-n…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43808/psn-pdf
    April 22, 2015 - Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. April 22, 2015 Beaudoin FL, Merchant RC, Janicki A, et al. Preventing iatrogenic overdose: a review of in-emergency department opioid-related adverse drug events and medication errors. Ann …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50945/psn-pdf
    February 26, 2020 - She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it. February 26, 2020 Chuck E, Assefa H. NBC News. February 8, 2020. https://psnet.ahrq.gov/issue/she-hoped-shine-light-maternal-mortality-among-native-americans-instead- she-became-statistic Maternal morbi…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37448/psn-pdf
    January 06, 2017 - Patient safety rounds in a pediatric tertiary care center. January 6, 2017 Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center Executive walk…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72856/psn-pdf
    March 17, 2021 - The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. March 17, 2021 Paradis KC, Naheedy KW, Matuszak MM, et al. The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. Pract Radiat Oncol. 2020;1…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43809/psn-pdf
    February 25, 2015 - Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pediatric cardiac operating room. February 25, 2015 Bowermaster R, Miller M, Ashcraft T, et al. Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures in the pedia…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46623/psn-pdf
    July 02, 2019 - Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. July 2, 2019 Tolley CL, Forde NE, Coffey KL, et al. Factors contributing to medication errors made when using computerized order entry in pediatrics: a systematic review. J Am Med Info Assoc. 2017…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34680/psn-pdf
    February 09, 2011 - Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. February 9, 2011 Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA. 2001;286(4):415-20. https://psnet.ahrq.gov/issue/estimating-hospital-deaths-du…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36743/psn-pdf
    June 16, 2011 - Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version. June 16, 2011 Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--ambulatory version. J Gen Intern Med. 2007;22(1):1-5. https://psnet.ahrq…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73465/psn-pdf
    July 07, 2021 - Identifying health information technology usability issues contributing to medication errors across medication process stages. July 7, 2021 Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to medication errors across medication process stages. J Patient Saf…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44741/psn-pdf
    January 20, 2016 - System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. January 20, 2016 Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43796/psn-pdf
    June 02, 2015 - Embedding quality and safety in otolaryngology–head and neck surgery education. June 2, 2015 McCormick ME, Stadler ME, Shah RK. Embedding quality and safety in otolaryngology-head and neck surgery education. Otolaryngol Head Neck Surg. 2015;152(5):778-782. doi:10.1177/0194599814561601. https://psnet.ahrq.gov/issue…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46017/psn-pdf
    July 11, 2017 - Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. July 11, 2017 Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxillofac Surg. 2017;55(5):449-453. do…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837672/psn-pdf
    July 13, 2022 - Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. July 13, 2022 Leland NE, Lekovitch C, Martínez J, et al. Optimizing post-acute care patient safety: a scoping review of multifactorial fall prevention interventions for older adults. J Appl…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47768/psn-pdf
    February 27, 2019 - Challenging authority and speaking up in the operating room environment: a narrative synthesis. February 27, 2019 Pattni N, Arzola C, Malavade A, et al. Challenging authority and speaking up in the operating room environment: a narrative synthesis. Br J Anaesth. 2019;122(2):233-244. doi:10.1016/j.bja.2018.10.056. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45734/psn-pdf
    January 23, 2017 - Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? January 23, 2017 Voepel-Lewis T, Malviya S, Tait AR. Inappropriate Opioid Dosing and Prescribing for Children: An Unintended Consequence of the Clinical Pain Score? JAMA Pediatr. 2017;171(1):5-6. doi:10.…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35516/psn-pdf
    February 03, 2011 - Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. February 3, 2011 Belda J, Aguilera L, de la Asunción JG, et al. Supplemental perioperative oxygen and the risk of surgical wound infection: a randomized controlled trial. JAMA. 2005;294(16):2035-42. https://p…
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