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Showing results for "assessed".

  1. Understanding complexity in a safety critical setting: a systems approach to medication administration. | PSNet

    psnet.ahrq.gov/issue/understanding-complexity-safety-critical-setting-systems-approach-medication-administration
    February 01, 2023 - Study Understanding complexity in a safety critical setting: a systems approach to medication administration. Citation Text: Stevens EL, Hulme A, Goode N, et al. Understanding complexity in a safety critical setting: a systems approach to medication administration. Appl Ergon. 2023;110:1…

  2. SEIPS 3.0: human-centered design of the patient journey for patient safety. | PSNet

    psnet.ahrq.gov/issue/seips-30-human-centered-design-patient-journey-patient-safety
    September 11, 2019 - Review Classic SEIPS 3.0: human-centered design of the patient journey for patient safety. Citation Text: Carayon P, Wooldridge AR, Hoonakker P, et al. SEIPS 3.0: human-centered design of the patient journey for patient safety. App Ergon. 2020;84:103033. doi:10…

  3. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. | PSNet

    psnet.ahrq.gov/issue/practical-guide-failure-mode-and-effects-analysis-health-care-making-most-team-and-its
    March 04, 2015 - Commentary A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. Citation Text: Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its …

  4. Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. | PSNet

    psnet.ahrq.gov/issue/case-34-2010-65-year-old-woman-incorrect-operation-left-hand
    March 13, 2013 - Commentary Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. Citation Text: Ring DC, Herndon JH, Meyer GS. Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. N Engl J Med. 201…

  5. Radiologist age and diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors
    March 02, 2022 - Study Radiologist age and diagnostic errors. Citation Text: Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

  6. Partnering to prevent falls: using a multimodal multidisciplinary team. | PSNet

    psnet.ahrq.gov/issue/partnering-prevent-falls-using-multimodal-multidisciplinary-team
    June 22, 2010 - Commentary Partnering to prevent falls: using a multimodal multidisciplinary team. Citation Text: Volz TM, Swaim J. Partnering to prevent falls: using a multimodal multidisciplinary team. J Nurs Adm. 2013;43(6):336-41. doi:10.1097/NNA.0b013e3182942c5a. Copy Citation Format: …

  7. Learning from errors and resilience. | PSNet

    psnet.ahrq.gov/issue/learning-errors-and-resilience
    December 18, 2019 - Review Learning from errors and resilience. Citation Text: Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

  8. Expert consensus on currently accepted measures of harm. | PSNet

    psnet.ahrq.gov/issue/expert-consensus-currently-accepted-measures-harm
    January 25, 2023 - Commentary Expert consensus on currently accepted measures of harm. Citation Text: Logan MS, Myers LC, Salmasian H, et al. Expert consensus on currently accepted measures of harm. J Patient Saf. 2021;17(8):e1726-e1731. doi:10.1097/pts.0000000000000754. Copy Citation Format: …

  9. Making electronic health records both SAFER and SMARTER. | PSNet

    psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter
    September 02, 2020 - Commentary Making electronic health records both SAFER and SMARTER. Citation Text: Johnson KB, Stead WW. Making electronic health records both SAFER and SMARTER. JAMA. 2022;328(6):523-524. doi:10.1001/jama.2022.12243. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  10. Opportunities for diagnostic improvement among pediatric hospital readmissions. | PSNet

    psnet.ahrq.gov/issue/opportunities-diagnostic-improvement-among-pediatric-hospital-readmissions
    August 30, 2023 - Study Opportunities for diagnostic improvement among pediatric hospital readmissions. Citation Text: Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157. Co…

  11. Improving medication management through the redesign of the hospital code cart medication drawer. | PSNet

    psnet.ahrq.gov/issue/improving-medication-management-through-redesign-hospital-code-cart-medication-drawer
    October 31, 2018 - Study Improving medication management through the redesign of the hospital code cart medication drawer. Citation Text: Rousek JB, Hallbeck MS. Improving Medication Management Through the Redesign of the Hospital Code Cart Medication Drawer. Human Factors: The Journal of the Human Facto…

  12. A 3-year study of medication incidents in an acute general hospital. | PSNet

    psnet.ahrq.gov/issue/3-year-study-medication-incidents-acute-general-hospital
    July 15, 2020 - Study A 3-year study of medication incidents in an acute general hospital. Citation Text: Song L, Chui WCM, Lau CP, et al. A 3-year study of medication incidents in an acute general hospital. J Clin Pharm Ther. 2008;33(2):109-14. doi:10.1111/j.1365-2710.2007.00880.x. Copy Citation …

  13. Preventing wrong site, procedure, and patient events using a common cause analysis. | PSNet

    psnet.ahrq.gov/issue/preventing-wrong-site-procedure-and-patient-events-using-common-cause-analysis
    October 03, 2017 - Study Preventing wrong site, procedure, and patient events using a common cause analysis. Citation Text: Mallett R, Conroy M, Saslaw LZ, et al. Preventing wrong site, procedure, and patient events using a common cause analysis. Am J Med Qual. 2012;27(1):21-9. doi:10.1177/10628606114120…

  14. Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. | PSNet

    psnet.ahrq.gov/issue/same-behavior-different-provider-american-medical-students-attitudes-toward-reporting-risky
    May 12, 2021 - Study Same behavior, different provider: American medical students' attitudes toward reporting risky behaviors committed by doctors, nurses, and classmates. Citation Text: Aggarwal S, Kheriaty A. Same behavior, different provider: American medical students' attitudes toward reporting ris…

  15. Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. | PSNet

    psnet.ahrq.gov/issue/using-modified-a3-lean-framework-identify-ways-increase-students-reporting-mistreatment
    May 25, 2010 - Commentary Using a modified A3 lean framework to identify ways to increase students' reporting of mistreatment behaviors. Citation Text: Ross PT, Abdoler E, Flygt LA, et al. Using a Modified A3 Lean Framework to Identify Ways to Increase Students' Reporting of Mistreatment Behaviors. Aca…

  16. Improving team members' attention during the OR briefing or time out. | PSNet

    psnet.ahrq.gov/issue/improving-team-members-attention-during-or-briefing-or-time-out
    November 10, 2021 - Study Improving team members' attention during the OR briefing or time out. Citation Text: Braverman A. Improving team members' attention during the OR briefing or time out. AORN Journal. 2024;119(6):421-427. doi:10.1002/aorn.14144. Copy Citation Format: DOI Google Scholar …

  17. Incidence and preventability of adverse drug events in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-events-hospitalized-patients
    May 27, 2011 - Study Classic Incidence and preventability of adverse drug events in hospitalized patients. Citation Text: Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294. Copy Ci…

  18. Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/shift-shift-handoff-effects-patient-safety-and-outcomes-systematic-review
    January 22, 2016 - Review Shift-to-shift handoff effects on patient safety and outcomes: a systematic review. Citation Text: Mardis M, Davis JJ, Benningfield B, et al. Shift-to-Shift Handoff Effects on Patient Safety and Outcomes. Am J Med Qual. 2017;32(1):34-42. doi:10.1177/1062860615612923. Copy Citati…

  19. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-lawsuits-involving-trainees-obstetrics-and-gynecology-usa
    February 15, 2023 - Study Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Citation Text: Ghaith S, Campbell RL, Pollock JR, et al. Medical malpractice lawsuits involving trainees in obstetrics and gynecology in the USA. Healthcare (Basel). 2022;10(7):1328. doi:10.339…

  20. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. | PSNet

    psnet.ahrq.gov/issue/clean-care-safer-care-global-patient-safety-challenge-2005-2006
    November 13, 2024 - Commentary 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Citation Text: Pittet D, Allegranzi B, Storr J, et al. 'Clean Care is Safer Care': the Global Patient Safety Challenge 2005-2006. Int J Infect Dis. 2006;10(6):419-24. Copy Citation Format: …
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