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Showing results for "assessing".

  1. Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

    psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
    December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

  2. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet

    psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
    June 30, 2011 - Study Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Citation Text: Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…

  3. Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. | PSNet

    psnet.ahrq.gov/issue/incorrect-use-smart-infusion-pump-operating-room-or-leads-milrinone-overdose
    June 03, 2020 - Newspaper/Magazine Article Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. Citation Text: Incorrect use of smart infusion pump in the operating room (OR) leads to milrinone overdose. ISMP Medication Safety Alert! Acute care edition. May 7…

  4. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. | PSNet

    psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-2-efforts-keep-people-safe
    March 02, 2011 - Commentary COVID-19 and patient safety- lessons from 2 efforts to keep people safe. Citation Text: Wachter RM. COVID-19 and patient safety- lessons from 2 efforts to keep people safe. JAMA Intern Med. 2024;184(2):127-128. doi:10.1001/jamainternmed.2023.7527. Copy Citation Format: …

  5. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. | PSNet

    psnet.ahrq.gov/issue/measuring-errors-surgical-pathology-real-life-practice-defining-what-does-and-does-not-matter
    January 14, 2011 - Review Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Citation Text: Renshaw AA, Gould EW. Measuring errors in surgical pathology in real-life practice: defining what does and does not matter. Am J Clin Pathol. 2007;127(1):144-52. …

  6. 'The ABC of Handover': impact on shift handover in the emergency department. | PSNet

    psnet.ahrq.gov/issue/abc-handover-impact-shift-handover-emergency-department
    June 17, 2010 - Study 'The ABC of Handover': impact on shift handover in the emergency department. Citation Text: Farhan M, Brown R, Vincent CA, et al. The ABC of handover: impact on shift handover in the emergency department. Emerg Med J. 2012;29(12):947-53. doi:10.1136/emermed-2011-200201. Copy Ci…

  7. Sharing the process of diagnostic decision making. | PSNet

    psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
    January 19, 2022 - Commentary Sharing the process of diagnostic decision making. Citation Text: Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. Copy Citation Format: DOI Google Scholar PubMed …

  8. The cost of disruptive and unprofessional behaviors in health care. | PSNet

    psnet.ahrq.gov/issue/cost-disruptive-and-unprofessional-behaviors-health-care
    August 04, 2021 - Commentary The cost of disruptive and unprofessional behaviors in health care. Citation Text: Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009. Copy Citation …

  9. Fatal errors in nitrous oxide delivery. | PSNet

    psnet.ahrq.gov/issue/fatal-errors-nitrous-oxide-delivery
    March 02, 2011 - Review Fatal errors in nitrous oxide delivery. Citation Text: Herff H, Paal P, Von Goedecke A, et al. Fatal errors in nitrous oxide delivery. Anaesthesia. 2007;62(12):1202-1206. doi:10.1111/j.1365-2044.2007.05193.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3…

  10. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-interpretation-pediatric-musculoskeletal-radiographs-common-injury-sites
    August 02, 2015 - Study Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Citation Text: Bisset GS, Crowe J. Diagnostic errors in interpretation of pediatric musculoskeletal radiographs at common injury sites. Pediatr Radiol. 2014;44(5):552-7. doi:10.1007…

  11. Learning from samples of one or fewer. | PSNet

    psnet.ahrq.gov/issue/learning-samples-one-or-fewer
    December 21, 2017 - Review Classic Learning from samples of one or fewer. Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.) Copy Citation Save S…

  12. Eight rights of safe electronic health record use. | PSNet

    psnet.ahrq.gov/issue/eight-rights-safe-electronic-health-record-use
    December 06, 2023 - Commentary Eight rights of safe electronic health record use. Citation Text: Sittig DF, Singh H. Eight rights of safe electronic health record use. JAMA. 2009;302(10):1111-3. doi:10.1001/jama.2009.1311. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  13. Safety issues in combined gynecologic and plastic surgical procedures. | PSNet

    psnet.ahrq.gov/issue/safety-issues-combined-gynecologic-and-plastic-surgical-procedures
    January 06, 2018 - Review Safety issues in combined gynecologic and plastic surgical procedures. Citation Text: Kryger ZB, Dumanian GA, Howard MA. Safety issues in combined gynecologic and plastic surgical procedures. Int J Gynaecol Obstet. 2007;99(3):257-63. Copy Citation Format: Google Sc…

  14. Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose. | PSNet

    psnet.ahrq.gov/issue/implementing-obstetric-emergency-team-response-system-overcoming-barriers-and-sustaining
    January 16, 2010 - Study Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose. Citation Text: Richardson MG, Domaradzki KA, McWeeney DT. Implementing an Obstetric Emergency Team Response System: Overcoming Barriers and Sustaining Response Dose. Jt Comm …

  15. Surgical site signing and "time out": issues of compliance or complacence. | PSNet

    psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
    January 07, 2011 - Study Surgical site signing and "time out": issues of compliance or complacence. Citation Text: Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. Copy Citation …

  16. Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. | PSNet

    psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies
    May 18, 2022 - Study Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. Citation Text: Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…

  17. Managing health IT risks: reflections and recommendations. | PSNet

    psnet.ahrq.gov/issue/managing-health-it-risks-reflections-and-recommendations
    July 10, 2024 - Commentary Managing health IT risks: reflections and recommendations. Citation Text: Sujan M. Managing health IT risks: reflections and recommendations. J Innov Health Inform. 2018;25(1):952. doi:10.14236/jhi.v25i1.952. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  18. Ethics, oversight and quality improvement initiatives. | PSNet

    psnet.ahrq.gov/issue/ethics-oversight-and-quality-improvement-initiatives
    August 04, 2021 - Study Ethics, oversight and quality improvement initiatives. Citation Text: Taylor HA, Pronovost PJ, Sugarman J. Ethics, oversight and quality improvement initiatives. Quality and Safety in Health Care. 2010;19(4). doi:10.1136/qshc.2009.038034. Copy Citation Format: DOI G…

  19. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. | PSNet

    psnet.ahrq.gov/issue/how-radiation-oncologists-would-disclose-errors-results-survey-radiation-oncologists-and
    December 14, 2016 - Study How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Citation Text: Evans SB, Yu JB, Chagpar A. How radiation oncologists would disclose errors: results of a survey of radiation oncologists and trainees. Int J Radiat Oncol Bi…

  20. Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. | PSNet

    psnet.ahrq.gov/issue/standardized-postoperative-handover-process-improves-outcomes-intensive-care-unit-model
    June 21, 2015 - Study Standardized postoperative handover process improves outcomes in the intensive care unit: a model for operational sustainability and improved team performance. Citation Text: Bhakta RT, Stockwell DC. Transitions of care in the pediatric cardiac intensive care unit*. Crit Care Med…
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