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Total Results: 2,647 records

Showing results for "analyzing".

  1. Near-misses are an opportunity to improve patient safety: adapting strategies of high reliability organizations to healthcare. | PSNet

    psnet.ahrq.gov/issue/near-misses-are-opportunity-improve-patient-safety-adapting-strategies-high-reliability
    July 01, 2011 - July 25, 2018 Analyzing and mitigating the risks of patient harm during operating room

  2. "Disruptive behavior" in the operating room: A prospective observational study of triggers and effects of tense communication episodes in surgical teams. | PSNet

    psnet.ahrq.gov/issue/disruptive-behavior-operating-room-prospective-observational-study-triggers-and-effects-tense
    October 29, 2014 - March 29, 2023 Analyzing and discussing human factors affecting surgical patient

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60547/psn-pdf
    May 28, 2020 - The Role of the FDA in Ensuring Device Safety May 28, 2020 Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety Introduction The Food and Drug Administration (FDA) plays a critical role in ensuring the …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50389/psn-pdf
    September 25, 2019 - substantial impact on diagnostic reasoning, and it is important to address the ecosystem of care when analyzing

  5. Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
    January 01, 2024 - products, as needed.7 24 Reporting/Systems Learning (1) • A growth mindset should prevail when analyzing

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60543/psn-pdf
    May 27, 2020 - techniques, effective methods for safely using VOs are essential.6    Approach to Improving Safety When analyzing

  7. Wandering Off the Floors: Safety and Security Risks of Patient Wandering | PSNet

    psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering
    August 21, 2007 - Analyzing missing patient events at the VA. TIPS (Topics in Patient Safety).

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33820/psn-pdf
    December 01, 2016 - Within a year of analyzing cases and implementing corrective actions using this method, there was a

  9. Sick and Pregnant | PSNet

    psnet.ahrq.gov/web-mm/sick-and-pregnant
    August 25, 2021 - August 21, 2024 Enhancing patient safety in prehospital environment: analyzing patient

  10. The Context Is the Intervention | PSNet

    psnet.ahrq.gov/perspective/context-intervention
    August 05, 2020 - theoretical perspectives, the social sciences also bring methods for systematically collecting and analyzing

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49829/psn-pdf
    May 01, 2018 - A systems approach to analyzing and preventing hospital adverse events.

  12. Dropping the Ball Despite an Integrated EMR | PSNet

    psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
    January 07, 2015 - goals, and software [ 11 ]) needs to do, and then designing new systems to achieve those goals, or analyzing

  13. The Missing Suction Tip | PSNet

    psnet.ahrq.gov/web-mm/missing-suction-tip
    January 01, 2006 - years of research on human performance in aviation and other industries.( 8 ) When investigating and analyzing

  14. Continuity Errors in Resident Clinic | PSNet

    psnet.ahrq.gov/web-mm/continuity-errors-resident-clinic
    October 02, 2019 - Residents should have a central role in analyzing and improving these processes.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing

  16. Are You Mrs. A? An Issue of Identification Over Telephone | PSNet

    psnet.ahrq.gov/web-mm/are-you-mrs-issue-identification-over-telephone
    January 01, 2016 - recommended strategies for reducing the risk of wrong patient errors based on expert consensus and analyzing

  17. Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. | PSNet

    psnet.ahrq.gov/issue/uncovering-system-errors-using-rapid-response-team-cross-coverage-caught-crossfire
    April 24, 2018 - Study Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire. Citation Text: Kaplan LJ, Maerz LL, Schuster KM, et al. Uncovering System Errors Using a Rapid Response Team: Cross-Coverage Caught in the Crossfire. The Journal of Trauma: Injury, Infect…

  18. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. | PSNet

    psnet.ahrq.gov/issue/common-contributing-factors-diagnostic-error-retrospective-analysis-109-serious-adverse-event
    September 14, 2022 - Study Common contributing factors of diagnostic error: a retrospective analysis of 109 serious adverse event reports from Dutch hospitals. Citation Text: Hooftman J, Dijkstra AC, Suurmeijer I, et al. Common contributing factors of diagnostic error: a retrospective analysis of 109 serious…

  19. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. | PSNet

    psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
    November 18, 2013 - Study Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. Citation Text: Ogdie AR, Reilly JB, Pang WG, et al. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic…

  20. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/using-patient-experience-surveys-identify-potential-diagnostic-safety-breakdowns-mixed
    October 30, 2024 - Study Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. Citation Text: Baker KM, Brahier M, Penne M, et al. Using patient experience surveys to identify potential diagnostic safety breakdowns: a mixed methods study. J Patient Saf.…
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