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Showing results for "applicable".

  1. Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery | PSNet

    psnet.ahrq.gov/issue/cognitive-engineering-improve-patient-safety-and-outcomes-cardiothoracic-surgery
    January 23, 2017 - Commentary Cognitive engineering to improve patient safety and outcomes in cardiothoracic surgery Citation Text: Zenati MA, Kennedy-Metz L, Dias RD. Cognitive Engineering to Improve Patient Safety and Outcomes in Cardiothoracic Surgery. Semin Thorac Cardiovasc Surg. 2019. doi:10.1053/j.s…

  2. Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-clinical-decision-support-long-term-care-setting-insights
    February 26, 2009 - Study Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care. Citation Text: Rochon P, Field T, Bates DW, et al. Computerized physician order entry with clinical decision support in the long-t…

  3. A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. | PSNet

    psnet.ahrq.gov/issue/review-healthcare-failure-mode-and-effects-analysis-hfmea-radiotherapy
    June 13, 2011 - Review A review of healthcare failure mode and effects analysis (HFMEA) in radiotherapy. Citation Text: Giardina M, Cantone MC, Tomarchio E, et al. A Review of Healthcare Failure Mode and Effects Analysis (HFMEA) in Radiotherapy. Health Phys. 2016;111(4):317-26. doi:10.1097/HP.0000000000…

  4. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. | PSNet

    psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
    April 12, 2011 - Study Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Citation Text: Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…

  5. Patient safety concerns arising from test results that return after hospital discharge. | PSNet

    psnet.ahrq.gov/issue/patient-safety-concerns-arising-test-results-return-after-hospital-discharge
    January 17, 2012 - Study Classic Patient safety concerns arising from test results that return after hospital discharge. Citation Text: Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;…

  6. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. | PSNet

    psnet.ahrq.gov/issue/icd-11-quality-and-safety-overview-who-quality-and-safety-topic-advisory-group
    February 17, 2017 - Commentary ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Citation Text: Ghali WA, Pincus HA, Southern DA, et al. ICD-11 for quality and safety: overview of the WHO Quality and Safety Topic Advisory Group. Int J Qual Health Care. 2013;25(6):62…

  7. Handoffs causing patient harm: a survey of medical and surgical house staff. | PSNet

    psnet.ahrq.gov/issue/handoffs-causing-patient-harm-survey-medical-and-surgical-house-staff
    July 10, 2008 - Study Handoffs causing patient harm: a survey of medical and surgical house staff. Citation Text: Kitch BT, Cooper JB, Zapol WM, et al. Handoffs causing patient harm: a survey of medical and surgical house staff. Jt Comm J Qual Patient Saf. 2008;34(10):563-70. Copy Citation Format:…

  8. Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet

    psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
    October 31, 2014 - Study Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. Citation Text: Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…

  9. Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet

    psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
    January 18, 2013 - Study Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? Citation Text: Rosen AK, Itani KMF, Cevasco M, et al. Validating the Patient Safety Indicators in the Veterans Health Administration. Med Care. 2011;50(…

  10. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. | PSNet

    psnet.ahrq.gov/issue/unintended-consequence-electronic-prescriptions-prevalence-and-impact-internal-discrepancies
    May 04, 2011 - Study An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. Citation Text: Palchuk MB, Fang EA, Cygielnik JM, et al. An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies. J Am Med Inform…

  11. Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. | PSNet

    psnet.ahrq.gov/issue/deviation-preoperative-surgical-and-anaesthetic-care-plan-associated-increased-risk-adverse
    August 20, 2018 - Study Deviation from a preoperative surgical and anaesthetic care plan is associated with increased risk of adverse intraoperative events in major abdominal surgery. Citation Text: Gauss T, Merckx P, Brasher C, et al. Deviation from a preoperative surgical and anaesthetic care plan is …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39345/psn-pdf
    March 03, 2010 - The normalization of deviance in healthcare delivery. March 3, 2010 Banja J. The normalization of deviance in healthcare delivery. Bus Horiz. 2010;53(2):139. https://psnet.ahrq.gov/issue/normalization-deviance-healthcare-delivery This article explains the concept of normalization of deviance and discusses its appli…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36689/psn-pdf
    June 14, 2011 - Root cause analysis. June 14, 2011 Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8. https://psnet.ahrq.gov/issue/root-cause-analysis The author provides an introduction to root cause analysis and its application to study and prevent medical error. https://psnet.ahrq.gov/issue/root-cause…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34141/psn-pdf
    November 02, 2014 - The National Patient Safety Foundation Research Program. November 2, 2014 National Patient Safety Foundation https://psnet.ahrq.gov/issue/national-patient-safety-foundation-research-program The projects funded by the National Patient Safety Foundation's (NPSF) research program from 1998 to the present are recappe…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40387/psn-pdf
    March 08, 2015 - Medication reconciliation only as good as the IT allows. March 8, 2015 Page D. Medication reconciliation only as good as the IT allows. Hospitals & health networks. 2011;85(3):48, 50. https://psnet.ahrq.gov/issue/medication-reconciliation-only-good-it-allows This piece describes the medication reconciliation proce…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39226/psn-pdf
    January 28, 2010 - Briefings, checklists, geese, and surgical safety. January 28, 2010 Karl R. Briefings, checklists, geese, and surgical safety. Ann Surg Oncol. 2010;17(1):8-11. doi:10.1245/s10434-009-0794-9. https://psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety This commentary discusses safety techniques of h…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35169/psn-pdf
    July 13, 2005 - Lay use of lasers fueling complications. July 13, 2005 Gagnon L. Dermatology Times. June 1, 2005. https://psnet.ahrq.gov/issue/lay-use-lasers-fueling-complications This article reports on inappropriate laser use by non-physicians for dermatological procedures. A study presented at the American Society for Laser Me…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35735/psn-pdf
    October 11, 2016 - Standardizing a Patient Safety Taxonomy. October 11, 2016 Washington, DC: National Quality Forum; 2006. https://psnet.ahrq.gov/issue/standardizing-patient-safety-taxonomy In this report, the National Quality Forum presents four consensus standards that support the application of the Joint Commission on Accreditati…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36435/psn-pdf
    December 06, 2011 - State of Healthcare 2008. December 6, 2011 The Healthcare Commission. London, UK: The Stationary Office; 2008. https://psnet.ahrq.gov/issue/state-healthcare-2006 This report shares findings from a 5-year analysis of the state of health care in the United Kingdom. It reveals that while awareness of patient safety h…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36253/psn-pdf
    November 28, 2018 - Medication Reconciliation Handbook, 2nd edition. November 28, 2018 American Society of Health-System Pharmacists, Joint Commission on Accreditation of Healthcare Organizations. Oakbrook Terrace IL; Joint Commission Resources: 2009. ISBN 9781599403090. https://psnet.ahrq.gov/issue/medication-reconciliation-handbook-…
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