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Showing results for "barrier".

  1. Talking with Patients and Families about Medical Error: A Guide for Education and Practice. | PSNet

    psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
    July 24, 2019 - Book/Report Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Citation Text: Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins…

  2. Quest for the ideal: a redesign of the medication use system. | PSNet

    psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
    September 16, 2020 - Commentary Quest for the ideal: a redesign of the medication use system. Citation Text: Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19. Copy Citation Format: Google Scholar PubMed BibTeX En…

  3. Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. | PSNet

    psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high
    May 11, 2019 - Commentary Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Citation Text: Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Guttman O,…

  4. Disclosing harmful medical errors to patients: tackling three tough cases. | PSNet

    psnet.ahrq.gov/issue/disclosing-harmful-medical-errors-patients-tackling-three-tough-cases
    December 19, 2018 - Commentary Disclosing harmful medical errors to patients: tackling three tough cases. Citation Text: Gallagher TH, Bell SK, Smith KM, et al. Disclosing harmful medical errors to patients: tackling three tough cases. Chest. 2009;136(3):897-903. doi:10.1378/chest.09-0030. Copy Citation …

  5. Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. | PSNet

    psnet.ahrq.gov/issue/using-ventilator-splitters-during-covid-19-pandemic-letter-health-care-providers
    June 02, 2021 - Press Release/Announcement Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Citation Text: Using ventilator splitters during the COVID-19 pandemic--letter to health care providers. Silver Spring, MD: Division of Industry and Consumer Education, US…

  6. Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19. | PSNet

    psnet.ahrq.gov/issue/keeping-nursing-home-residents-and-staff-safe-era-covid-19
    November 11, 2020 - Meeting/Conference Proceedings Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19. Citation Text: Keeping Nursing Home Residents and Staff Safe in the Era of COVID-19. National Academy of Medicine. April-June 2020. Copy Citation Save Save to your…

  7. Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. | PSNet

    psnet.ahrq.gov/issue/cultures-caring-healthcare-scandals-inquiries-and-remaking-accountabilities
    September 07, 2022 - Commentary Cultures of caring: healthcare 'scandals', inquiries, and the remaking of accountabilities. Citation Text: Goodwin D. Cultures of caring: Healthcare 'scandals', inquiries, and the remaking of accountabilities. Soc Stud Sci. 2018;48(1):101-124. doi:10.1177/0306312717751051. C…

  8. Organizational factors that promote error reporting in healthcare: a scoping review. | PSNet

    psnet.ahrq.gov/issue/organizational-factors-promote-error-reporting-healthcare-scoping-review
    June 01, 2022 - Review Organizational factors that promote error reporting in healthcare: a scoping review. Citation Text: Wawersik D, Palaganas J. Organizational factors that promote error reporting in healthcare: a scoping review. J Healthc Manag. 2022;67(4):283-301. doi:10.1097/jhm-d-21-00166. Copy…

  9. Residency training in handoffs: a survey of program directors in psychiatry. | PSNet

    psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry
    January 01, 2019 - Study Residency training in handoffs: a survey of program directors in psychiatry. Citation Text: Arbuckle MR, Reardon CL, Young JQ. Residency training in handoffs: a survey of program directors in psychiatry. Acad Psychiatry. 2015;39(2):132-8. doi:10.1007/s40596-014-0167-y. Copy Citat…

  10. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. | PSNet

    psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
    June 23, 2021 - Review An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Citation Text: Abraham J, Duffy C, Kandasamy M, et al. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. Int J Med Inform. 2023;174:105038. d…

  11. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet

    psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
    November 01, 2008 - Health Care–Acquired Urinary Tract Infection: The Problem and Solutions Lindsay E. Nicolle, MD | November 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Nicolle LE. Health Care–Acquired Urinary Tract Infection: The Pr…

  12. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
    February 12, 2019 - Toolkit Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Citation Text: Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …

  13. Safety in EMS. | PSNet

    psnet.ahrq.gov/issue/safety-ems
    March 14, 2018 - Special or Theme Issue Safety in EMS. Citation Text: Safety in EMS. Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.   Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Lin…

  14. Emergency nursing and medical error—a survey of two states. | PSNet

    psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
    January 25, 2010 - Study Emergency nursing and medical error—a survey of two states. Citation Text: Emergency nursing and medical error—a survey of two states. Hohenhaus SM. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…

  15. Hidden mistakes in hospitals. | PSNet

    psnet.ahrq.gov/issue/hidden-mistakes-hospitals
    December 02, 2009 - Newspaper/Magazine Article Hidden mistakes in hospitals. Citation Text: Hidden mistakes in hospitals. Kauffman M, Altimari D. The Hartford Courant. November 15, 2009;Final:A1. Copy Citation Save Save to your library Print Download PDF Share F…

  16. Resilience Engineering: Concepts and Precepts. | PSNet

    psnet.ahrq.gov/issue/resilience-engineering-concepts-and-precepts
    January 12, 2011 - Book/Report Resilience Engineering: Concepts and Precepts. Citation Text: Resilience Engineering: Concepts and Precepts. Hollnagel E, Woods DD, Leveson N. Burlington, VT: Ashgate; 2006. ISBN: 978-0754649045. Copy Citation Save Save to your library Print …

  17. Operating at the sharp end: the complexity of human error. | PSNet

    psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error
    March 27, 2005 - Book/Report Classic Operating at the sharp end: the complexity of human error. Citation Text: Operating at the sharp end: the complexity of human error. Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Assoc…

  18. Engaging as partners in patient safety: the experience of librarians. | PSNet

    psnet.ahrq.gov/issue/engaging-partners-patient-safety-experience-librarians
    June 01, 2016 - Newspaper/Magazine Article Engaging as partners in patient safety: the experience of librarians. Citation Text: Engaging as partners in patient safety: the experience of librarians. Zipperer L, Sykes J. Patient Saf Qual Healthc. March/April 2009;6:28-30,32-33.  Copy Citation …

  19. Nurse leader attitudes and beliefs regarding medical errors. | PSNet

    psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors
    March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. Citation Text: Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. Copy Citation Format: DOI Google …

  20. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. | PSNet

    psnet.ahrq.gov/issue/perioperative-patient-safety-recommendations-systematic-review-clinical-practice-guidelines
    January 08, 2025 - Study Perioperative patient safety recommendations: systematic review of clinical practice guidelines. Citation Text: Martínez-Nicolas I, Arnal-Velasco D, Romero-García E, et al. Perioperative patient safety recommendations: systematic review of clinical practice guidelines. BJS Open. 20…
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