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Showing results for "assessing".

  1. Case study: identifying potential problems at the human/technical interface in complex clinical systems. | PSNet

    psnet.ahrq.gov/issue/case-study-identifying-potential-problems-humantechnical-interface-complex-clinical-systems
    July 22, 2009 - Commentary Case study: identifying potential problems at the human/technical interface in complex clinical systems. Citation Text: Caudill-Slosberg M, Weeks WB. Case study: identifying potential problems at the human/technical interface in complex clinical systems. Am J Med Qual. 2005;…

  2. Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. | PSNet

    psnet.ahrq.gov/issue/free-harm-accelerating-patient-safety-improvement-fifteen-years-after-err-human
    November 15, 2016 - Book/Report Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Citation Text: Free From Harm: Accelerating Patient Safety Improvement Fifteen Years After To Err Is Human. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation …

  3. Elimination of emergency department medication errors due to estimated weights. | PSNet

    psnet.ahrq.gov/issue/elimination-emergency-department-medication-errors-due-estimated-weights
    July 08, 2020 - Commentary Elimination of emergency department medication errors due to estimated weights. Citation Text: Greenwalt M, Griffen D, Wilkerson J. Elimination of Emergency Department Medication Errors Due To Estimated Weights. BMJ Qual Improv Rep. 2017;6(1). doi:10.1136/bmjquality.u214416.w5…

  4. Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture-nursing-home-survey-user-database-report
    February 28, 2024 - Book/Report Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. Citation Text: Surveys on Patient Safety Culture Nursing Home Survey: User Database Report. Agency for Healthcare Research and Quality; 2011-2025. Copy Citation Save Save to y…

  5. Learning how to learn: compliance with patient safety alerts in the NHS. | PSNet

    psnet.ahrq.gov/issue/learning-how-learn-compliance-patient-safety-alerts-nhs
    September 01, 2021 - Government Resource Learning how to learn: compliance with patient safety alerts in the NHS. Citation Text: Learning how to learn: compliance with patient safety alerts in the NHS. Donaldson L. Chapter in: On the State of Public Health: Annual Report of the Chief Medical Officer. L…

  6. Hospital performance trends on national quality measures and the association with Joint Commission accreditation. | PSNet

    psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission
    September 20, 2011 - Study Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Citation Text: Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accre…

  7. Bad stars or guiding lights? Learning from disasters to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety
    June 08, 2011 - Commentary Bad stars or guiding lights? Learning from disasters to improve patient safety. Citation Text: Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008…

  8. Network of Patient Safety Databases Chartbook, 2019 | PSNet

    psnet.ahrq.gov/issue/network-patient-safety-databases-chartbook-2019
    October 23, 2019 - Book/Report Network of Patient Safety Databases Chartbook, 2019 Citation Text: Network of Patient Safety Databases Chartbook, 2019 Rockville, MD: Agency for Healthcare Research and Quality; December 2019. AHRQ Pub No 20-0023. Copy Citation Save Save to your librar…

  9. Nursing 2006 Patient-safety survey report. | PSNet

    psnet.ahrq.gov/issue/nursing-2006-patient-safety-survey-report
    March 01, 2023 - Study Nursing 2006 Patient-safety survey report. Citation Text: Manno M, Hogan P, Heberlein V, et al. Nursing 2006. Patient-safety survey report. Nursing (Brux). 2006;36(5):54-64. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  10. RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. | PSNet

    psnet.ahrq.gov/issue/rca2-improving-root-cause-analyses-and-actions-prevent-harm
    June 21, 2016 - Book/Report RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Citation Text: RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Copy Citation Save Save to your library Print …

  11. AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. | PSNet

    psnet.ahrq.gov/issue/ahrq-communication-and-optimal-resolution-candor-toolkit
    May 25, 2016 - Toolkit AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Citation Text: AHRQ Communication and Optimal Resolution (CANDOR) Toolkit. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. Copy Citation Save Save to your library Print …

  12. Factors associated with diagnostic error: an analysis of closed medical malpractice claims. | PSNet

    psnet.ahrq.gov/issue/factors-associated-diagnostic-error-analysis-closed-medical-malpractice-claims
    July 13, 2022 - Study Factors associated with diagnostic error: an analysis of closed medical malpractice claims. Citation Text: Grenon V, Szymonifka J, Adler-Milstein J, et al. Factors associated with diagnostic error: an analysis of closed medical malpractice claims. J Patient Saf. 2023;19(3):211-215.…

  13. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. | PSNet

    psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
    December 16, 2011 - Study The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. Citation Text: Vogus TJ, Sutcliffe K. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing…

  14. Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. | PSNet

    psnet.ahrq.gov/issue/society-interventional-radiology-ir-pre-procedure-patient-safety-checklist-safety-and-health
    July 13, 2010 - Commentary Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Committee. Citation Text: Rafiei P, Walser EM, Duncan JR, et al. Society of Interventional Radiology IR Pre-Procedure Patient Safety Checklist by the Safety and Health Commit…

  15. Intravenous infusion safety technology: return on investment. | PSNet

    psnet.ahrq.gov/issue/intravenous-infusion-safety-technology-return-investment
    October 29, 2017 - Study Intravenous infusion safety technology: return on investment. Citation Text: Danello SH, Maddox RR, Schaack GJ. Intravenous Infusion Safety Technology: Return on Investment. Hosp Pharm. 2010;44(8):680-688. doi:10.1310/hpj4408-680. Copy Citation Format: DOI Google Scho…

  16. Clinical reasoning as a core competency. | PSNet

    psnet.ahrq.gov/issue/clinical-reasoning-core-competency
    August 20, 2018 - Commentary Clinical reasoning as a core competency. Citation Text: Connor DM, Durning SJ, Rencic J. Clinical Reasoning as a Core Competency. Acad Med. 2020;95(8):1166-1171. doi:10.1097/acm.0000000000003027. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndN…

  17. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet

    psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
    November 18, 2015 - Book/Report Classic The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Citation Text: The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN…

  18. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. | PSNet

    psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
    July 29, 2020 - Commentary Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Citation Text: Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…

  19. ​Pediatric chest radiographs: common and less common errors. | PSNet

    psnet.ahrq.gov/issue/pediatric-chest-radiographs-common-and-less-common-errors
    September 02, 2020 - Commentary ​Pediatric chest radiographs: common and less common errors. Citation Text: Menashe SJ, Iyer RS, Parisi MT, et al. Pediatric Chest Radiographs: Common and Less Common Errors. AJR Am J Roentgenol. 2016;207(4):903-911. doi:10.2214/AJR.16.16449. Copy Citation Format: …

  20. Redesigning surgical decision making for high-risk patients. | PSNet

    psnet.ahrq.gov/issue/redesigning-surgical-decision-making-high-risk-patients
    July 20, 2016 - Commentary Redesigning surgical decision making for high-risk patients. Citation Text: Glance LG, Osler T, Neuman MD. Redesigning surgical decision making for high-risk patients. N Engl J Med. 2014;370(15):1379-1381. doi:10.1056/NEJMp1315538. Copy Citation Format: DOI Googl…
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