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Total Results: 133 records

Showing results for "cross cutting".

21. Involuntary automaticity: a work-system induced risk to safe health care. | PSNet
    psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
    June 22, 2009 - perception of patient safety during pre-hospital health care from emergency medical services: a multi-center cross-sectional … May 4, 2012 Cutting out human error.

22. Why don't nurses consistently take patient respiratory rates? | PSNet
    psnet.ahrq.gov/issue/why-dont-nurses-consistently-take-patient-respiratory-rates
    October 10, 2012 - June 28, 2017 Recognising and responding to 'cutting corners' when providing nursing … The occurrence of adverse events potentially attributable to nursing care in medical units: cross

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50768/psn-pdf
    December 27, 2019 - They are actually cross cutting issues that affect all six of the quality domains identified in the … Health literacy was actually one of two cross-cutting national priority issues identified in the IOM … www.ncbi.nlm.nih.gov/pmc/articles/PMC5091811/ https://www.ncbi.nlm.nih.gov/pubmed/10477481 skills needed to work cross-culturally … CB: A cultural broker is someone who understands two different cultures and mediates in cross-cultural … There’s also the cross-cultural communication component of the Communication Climate Assessment Toolkit

24. Crisis checklists for the operating room: development and pilot testing. | PSNet
    psnet.ahrq.gov/issue/crisis-checklists-operating-room-development-and-pilot-testing
    April 21, 2015 - 2012 Factors associated with the use of cognitive aids in operating room crises: a cross-sectional … September 20, 2011 Cutting out human error.

25. Hospital safety scores: do grades really matter? | PSNet
    psnet.ahrq.gov/issue/hospital-safety-scores-do-grades-really-matter
    September 24, 2017 - RIS Download Citation Related Resources From the Same Author(s) Cutting-edge … application of a novel national indicator for assessing the relative safety of hospital care using a cross-sectional

26. An overview of research priorities in surgical simulation: what the literature shows has been achieved during the 21st century and what remains. | PSNet
    psnet.ahrq.gov/issue/overview-research-priorities-surgical-simulation-what-literature-shows-has-been-achieved
    June 17, 2015 - August 27, 2017 Raising the alarm: a cross-sectional study exploring the factors affecting … June 3, 2013 Cutting out human error.

27. 'Whatever you cut, I can fix it': clinical supervisors' interview accounts of allowing trainee failure while guarding patient safety. | PSNet
    psnet.ahrq.gov/issue/whatever-you-cut-i-can-fix-it-clinical-supervisors-interview-accounts-allowing-trainee
    November 24, 2021 - A two-stage cross-sectional study.

28. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-299
    July 28, 2021 - hierarchical levels (active errors, situational factors, local working conditions, and latent factors) and two cross-cutting … hierarchical levels (active errors, situational factors, local working conditions, and latent factors) and two cross-cutting

29. Lost in Transitions of Care: Managing an Opioid-Dependent Patient with Frequent Hospitalizations | PSNet
    psnet.ahrq.gov/web-mm/lost-transitions-care-managing-opioid-dependent-patient-frequent-hospitalizations
    October 27, 2022 - For many patients, cutting tablets is a significant inconvenience and even a barrier to use as prescribed … When tablets are scored to enable cutting, they are usually only scored across the middle. … order entry systems with clinical decision support should suggest alternatives that do not involve cutting … Not accounting for incomplete cross tolerance may increase risks for adverse effects. … Incomplete cross-tolerance between methadone and other opioids makes dosing during opioid conversion

30. Patient, protect thyself. | PSNet
    psnet.ahrq.gov/issue/patient-protect-thyself
    November 01, 2017 - November 4, 2015 Hospitals cutting nurses' long shifts. … identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33694/psn-pdf
    April 01, 2010 - Eliminating health disparities is a cross-cutting goal that should be addressed in each of the six priority

32. Trainees' perceptions of being allowed to fail in clinical training: a sense-making model. | PSNet
    psnet.ahrq.gov/issue/trainees-perceptions-being-allowed-fail-clinical-training-sense-making-model
    November 24, 2021 - A cross-sectional study of urology trainees. … Self-reported patient safety competence among Canadian medical students and postgraduate trainees: a cross-sectional

33. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_lost_in_transitions_of_care_09.22.2021_final.pdf
    January 01, 2021 - • For many patients, cutting tablets is a significant inconvenience and even a barrier to use as … prescribed. – When tablets are scored to enable cutting, they are usually only scored across the middle … out, clinicians may want to reduce the newly calculated dose by 25 to 50% to account for incomplete cross … Not accounting for incomplete cross tolerance may increase risks for adverse effects. … – Incomplete cross-tolerance between methadone and other opioids makes dosing during opioid conversion

34. Coming clean on medical mistakes. | PSNet
    psnet.ahrq.gov/issue/coming-clean-medical-mistakes
    February 20, 2019 - June 22, 2015 Effective Board Governance of Safe Care: A (Theoretically Underpinned) Cross-sectioned

35. In Conversation With... Cindy Brach | PSNet
    psnet.ahrq.gov/perspective/conversation-cindy-brach
    December 27, 2019 - They are actually cross cutting issues that affect all six of the quality domains identified in the IOM … Health literacy was actually one of two cross-cutting national priority issues identified in the IOM … To me, being culturally competent is about having the skills needed to work cross-culturally. … CB : A cultural broker is someone who understands two different cultures and mediates in cross-cultural … There’s also the cross-cultural communication component of the Communication Climate Assessment Toolkit

36. Overreaction. | PSNet
    psnet.ahrq.gov/issue/overreaction
    November 15, 2023 - From the Same Author(s) Alarm burden and the nursing care environment: a 213-hospital cross-sectional

37. Use systems redesign and the law to prevent medical errors and accidents. | PSNet
    psnet.ahrq.gov/issue/use-systems-redesign-and-law-prevent-medical-errors-and-accidents
    August 26, 2020 - 2007 Evaluating the safety of mental health-related prescribing in UK primary care: a cross-sectional

38. Laboratory results that should be ignored. | PSNet
    psnet.ahrq.gov/issue/laboratory-results-should-be-ignored
    August 19, 2009 - July 23, 2019 Uncovering system errors using a rapid response team: cross-coverage caught

39. The relationship between hospital patient safety culture and performance on Centers for Medicare & Medicaid Services value-based purchasing metrics. | PSNet
    psnet.ahrq.gov/issue/relationship-between-hospital-patient-safety-culture-and-performance-centers-medicare
    December 11, 2024 - This cross-sectional study examined the association between hospital patient safety culture and performance

40. Point-of-care testing, medical error, and patient safety: a 2007 assessment. | PSNet
    psnet.ahrq.gov/issue/point-care-testing-medical-error-and-patient-safety-2007-assessment
    February 01, 2017 - February 15, 2010 Identifying cross contaminants and specimen mix-ups in surgical pathology