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Showing results for "assessing".

  1. Notes on healing after a missed diagnosis. | PSNet

    psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
    May 18, 2022 - Commentary Notes on healing after a missed diagnosis. Citation Text: Fleming EA. Notes on healing after a missed diagnosis. JAMA. 2022;328(13):1297-1298. doi:10.1001/jama.2022.15724. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  2. Taking up the challenge to improve name and role recognition in the operating room. | PSNet

    psnet.ahrq.gov/issue/taking-challenge-improve-name-and-role-recognition-operating-room
    July 12, 2023 - Review Taking up the challenge to improve name and role recognition in the operating room. Citation Text: Thota B, Rabinowitz A, Guttman OT. Taking up the challenge to improve name and role recognition in the operating room. J Patient Saf. 2024;20(1):45-47. doi:10.1097/pts.00000000000011…

  3. Why even good physicians do not wash their hands. | PSNet

    psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands
    September 21, 2022 - Commentary Why even good physicians do not wash their hands. Citation Text: Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  4. Imitating incidents: how simulation can improve safety investigation and learning from adverse events. | PSNet

    psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
    February 28, 2024 - Commentary Imitating incidents: how simulation can improve safety investigation and learning from adverse events. Citation Text: Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…

  5. Comparison of potential risk factors for medication errors with and without patient harm. | PSNet

    psnet.ahrq.gov/issue/comparison-potential-risk-factors-medication-errors-and-without-patient-harm
    March 04, 2011 - Study Comparison of potential risk factors for medication errors with and without patient harm. Citation Text: Zaal RJ, van Doormaal JE, Lenderink AW, et al. Comparison of potential risk factors for medication errors with and without patient harm. Pharmacoepidemiol Drug Saf. 2010;19(8)…

  6. Placing Diagnosis Errors on the Policy Agenda. | PSNet

    psnet.ahrq.gov/issue/placing-diagnosis-errors-policy-agenda
    October 31, 2014 - Book/Report Placing Diagnosis Errors on the Policy Agenda. Citation Text: Placing Diagnosis Errors on the Policy Agenda. Berenson RA, Upadhyay D, Kaye DR. Washington, DC: Urban Institute. Princeton, NJ: Robert Wood Johnson Foundation; 2014. Copy Citation Save Save…

  7. Fatigue, performance and the work environment: a survey of registered nurses. | PSNet

    psnet.ahrq.gov/issue/fatigue-performance-and-work-environment-survey-registered-nurses
    November 18, 2020 - Study Fatigue, performance and the work environment: a survey of registered nurses. Citation Text: Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x. Copy Citation…

  8. Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. | PSNet

    psnet.ahrq.gov/issue/fatigue-hospital-nurses-supernurse-culture-barrier-addressing-problems-qualitative-interview
    July 08, 2020 - Study Fatigue in hospital nurses—'Supernurse' culture is a barrier to addressing problems: a qualitative interview study. Citation Text: Steege LM, Rainbow JG. Fatigue in hospital nurses - 'Supernurse' culture is a barrier to addressing problems: A qualitative interview study. Int J Nurs…

  9. Does an insulin double-checking procedure improve patient safety? | PSNet

    psnet.ahrq.gov/issue/does-insulin-double-checking-procedure-improve-patient-safety
    April 24, 2018 - Study Does an insulin double-checking procedure improve patient safety? Citation Text: Modic MB, Albert NM, Sun Z, et al. Does an Insulin Double-Checking Procedure Improve Patient Safety? J Nurs Adm. 2016;46(3):154-60. doi:10.1097/NNA.0000000000000314. Copy Citation Format: …

  10. The global burden of diagnostic errors in primary care. | PSNet

    psnet.ahrq.gov/issue/global-burden-diagnostic-errors-primary-care
    May 25, 2022 - Review The global burden of diagnostic errors in primary care. Citation Text: Singh H, Schiff G, Graber ML, et al. The global burden of diagnostic errors in primary care. BMJ Qual Saf. 2017;26(6):484-494. doi:10.1136/bmjqs-2016-005401. Copy Citation Format: DOI Google Schol…

  11. Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. | PSNet

    psnet.ahrq.gov/issue/patient-safety-implications-electronic-alerts-and-alarms-maternal-fetal-status-during-labor
    January 19, 2022 - Review Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor. Citation Text: Simpson KR, Lyndon A, Davidson LA. Patient Safety Implications of Electronic Alerts and Alarms of Maternal - Fetal Status During Labor. Nurs Womens Health. 2016;20(4):…

  12. Building comprehensive strategies for obstetric safety: simulation drills and communication. | PSNet

    psnet.ahrq.gov/issue/building-comprehensive-strategies-obstetric-safety-simulation-drills-and-communication
    May 08, 2019 - Commentary Building comprehensive strategies for obstetric safety: simulation drills and communication. Citation Text: Austin N, Goldhaber-Fiebert SN, Daniels K, et al. Building Comprehensive Strategies for Obstetric Safety: Simulation Drills and Communication. Anesth Analg. 2016;123(5):…

  13. Coaching to improve the quality of communication during briefings and debriefings. | PSNet

    psnet.ahrq.gov/issue/coaching-improve-quality-communication-during-briefings-and-debriefings
    March 02, 2022 - Study Coaching to improve the quality of communication during briefings and debriefings. Citation Text: Kleiner C, Link T, Maynard T, et al. Coaching to improve the quality of communication during briefings and debriefings. AORN J. 2014;100(4):358-68. doi:10.1016/j.aorn.2014.03.012. Co…

  14. Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet

    psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
    September 01, 2018 - Study Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Citation Text: Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…

  15. Is excessive resource utilization an adverse event? | PSNet

    psnet.ahrq.gov/issue/excessive-resource-utilization-adverse-event
    February 02, 2022 - Commentary Is excessive resource utilization an adverse event? Citation Text: Zapata JA, Lai AR, Moriates C. Is Excessive Resource Utilization an Adverse Event? JAMA. 2017;317(8):849-850. doi:10.1001/jama.2017.0698. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  16. Review of the Australian Incident Monitoring System. | PSNet

    psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
    July 23, 2008 - Study Review of the Australian Incident Monitoring System. Citation Text: Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  17. Quality initiatives: developing a radiology quality and safety program: a primer. | PSNet

    psnet.ahrq.gov/issue/quality-initiatives-developing-radiology-quality-and-safety-program-primer
    March 04, 2015 - Commentary Quality initiatives: developing a radiology quality and safety program: a primer. Citation Text: Johnson D, Krecke KN, Miranda R, et al. Quality initiatives: developing a radiology quality and safety program: a primer. Radiographics. 2009;29(4):951-9. doi:10.1148/rg.29409500…

  18. When systems fail. | PSNet

    psnet.ahrq.gov/issue/when-systems-fail
    February 10, 2011 - Commentary When systems fail. Citation Text: Roberts KH, Bea RG. When systems fail. Organ Dyn. 2002;29(3):179-191. doi:10.1016/s0090-2616(01)00025-0. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  19. Achieving a climate for patient safety by focusing on relationships. | PSNet

    psnet.ahrq.gov/issue/achieving-climate-patient-safety-focusing-relationships
    December 19, 2017 - Study Achieving a climate for patient safety by focusing on relationships. Citation Text: Manojlovich M, Kerr M, Davies B, et al. Achieving a climate for patient safety by focusing on relationships. Int J Qual Health Care. 2014;26(6):579-84. doi:10.1093/intqhc/mzu068. Copy Citation …

  20. Surgeon's vigilance in the operating room. | PSNet

    psnet.ahrq.gov/issue/surgeons-vigilance-operating-room
    November 12, 2014 - Study Surgeon's vigilance in the operating room. Citation Text: Zheng B, Tien G, Atkins SM, et al. Surgeon's vigilance in the operating room. Am J Surg. 2011;201(5):673-7. doi:10.1016/j.amjsurg.2011.01.016. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…
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