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Showing results for "deaths".

  1. TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. | PSNet

    psnet.ahrq.gov/issue/teamstepps-strategies-and-tools-enhance-performance-and-patient-safety
    December 24, 2008 - Toolkit Classic TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Citation Text: TeamSTEPPS: Strategies and Tools to Enhance Performance and Patient Safety. Department of Health and Human Services, Agency for Healthcare Research and Qua…

  2. To err is human, to apologize is hard. | PSNet

    psnet.ahrq.gov/issue/err-human-apologize-hard
    September 28, 2022 - Commentary To err is human, to apologize is hard. Citation Text: Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  3. Examples of Medical Device Misconnections. | PSNet

    psnet.ahrq.gov/issue/examples-medical-device-misconnections
    March 04, 2015 - Multi-use Website Examples of Medical Device Misconnections. Citation Text: Examples of Medical Device Misconnections. Food and Drug Administration. February 23. 2023. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  4. EAU policy on live surgery events. | PSNet

    psnet.ahrq.gov/issue/eau-policy-live-surgery-events
    December 29, 2014 - Review EAU policy on live surgery events. Citation Text: Artibani W, Ficarra V, Challacombe BJ, et al. EAU policy on live surgery events. Eur Urol. 2014;66(1):87-97. doi:10.1016/j.eururo.2014.01.028. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  5. Abandon the term "second victim." | PSNet

    psnet.ahrq.gov/issue/abandon-term-second-victim
    October 09, 2024 - Commentary Emerging Classic Abandon the term "second victim." Citation Text: Clarkson MD, Haskell H, Hemmelgarn C, et al. Abandon the term "second victim". BMJ. 2019;364:l1233. doi:10.1136/bmj.l1233. Copy Citation Format: DOI Google Scholar PubMed …

  6. Becoming a high-reliability organization through shared learning of safety events | PSNet

    psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
    February 12, 2020 - Newspaper/Magazine Article Becoming a high-reliability organization through shared learning of safety events Citation Text: Becoming a high-reliability organization through shared learning of safety events Klenklen J. Patient Saf Qual HCare. December 19, 2019. Copy Citation …

  7. National Report of Findings 2016: Issue Brief No. 2: Patient Safety. | PSNet

    psnet.ahrq.gov/issue/national-report-findings-2016-issue-brief-no-2-patient-safety
    November 18, 2020 - Book/Report National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Citation Text: National Report of Findings 2016: Issue Brief No. 2: Patient Safety. Clinical Learning Environment Review. Chicago, IL: Accreditation Council for Graduate Medical Education; 2016. Copy Citat…

  8. Temporarily holding medication orders safely in order to prevent patient harm. | PSNet

    psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
    March 14, 2023 - Newspaper/Magazine Article Temporarily holding medication orders safely in order to prevent patient harm. Citation Text: Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. Copy Ci…

  9. Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. | PSNet

    psnet.ahrq.gov/issue/agency-information-collection-activities-nursing-home-survey-patient-safety-culture-database
    June 16, 2021 - Press Release/Announcement Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. Citation Text: Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. Agency for Healt…

  10. A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. | PSNet

    psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
    September 09, 2020 - Newspaper/Magazine Article A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Citation Text: A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Linnane R, Diedrich J. Milwaukee Journal Sentinel. F…

  11. Wise before the event. | PSNet

    psnet.ahrq.gov/issue/wise-event
    October 09, 2024 - Commentary Wise before the event. Citation Text: Watts G. Patient safety. Wise before the event. BMJ. 2010;340:c1378. doi:10.1136/bmj.c1378. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download …

  12. Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. | PSNet

    psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
    July 26, 2023 - Book/Report Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Citation Text: Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…

  13. Thinking fast and slow in medicine. | PSNet

    psnet.ahrq.gov/issue/thinking-fast-and-slow-medicine
    June 21, 2017 - Commentary Thinking fast and slow in medicine. Citation Text: Michel JB. Thinking fast and slow in medicine. Baylor U Med Center Proceed. 2019;33(1):123-125. doi:10.1080/08998280.2019.1674043. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

  14. Improving patient safety by shifting power from health professionals to patients. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
    June 01, 2014 - Special or Theme Issue Improving patient safety by shifting power from health professionals to patients. Citation Text: Improving patient safety by shifting power from health professionals to patients. BMJ. 2023(383):2219, 2278, 2319, 2331. Copy Citation Save Save…

  15. Condition concern: an innovative response system for enhancing hospitalized patient care and safety. | PSNet

    psnet.ahrq.gov/issue/condition-concern-innovative-response-system-enhancing-hospitalized-patient-care-and-safety
    April 24, 2018 - Commentary Condition concern: an innovative response system for enhancing hospitalized patient care and safety. Citation Text: Baird SK, Turbin LB. Condition concern: an innovative response system for enhancing hospitalized patient care and safety. J Nurs Care Qual. 2011;26(3):199-207. d…

  16. The rate and costs attributable to intravenous patient-controlled analgesia errors. | PSNet

    psnet.ahrq.gov/issue/rate-and-costs-attributable-intravenous-patient-controlled-analgesia-errors
    April 29, 2010 - Study The rate and costs attributable to intravenous patient-controlled analgesia errors. Citation Text: Meissner B, Nelson W, Hicks R (R), et al. The rate and costs attributable to intravenous patient-controlled analgesia errors. Hosp Pharm. 2010;44(4):312-324. doi:10.1310/hpj4404-312. …

  17. Characteristics of medication errors made by students during the administration phase: a descriptive study. | PSNet

    psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
    July 13, 2009 - Study Characteristics of medication errors made by students during the administration phase: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…

  18. Five Medication Safety Tips for Older Adults. | PSNet

    psnet.ahrq.gov/issue/five-medication-safety-tips-older-adults
    April 23, 2012 - Fact Sheet/FAQs Five Medication Safety Tips for Older Adults. Citation Text: Five Medication Safety Tips for Older Adults. FDA Consumer Health Information. Silver Spring, MD: US Food and Drug Administration; February 15, 2024. Copy Citation Save Save to your libra…

  19. Wide heart monitor use tied to missed alarms. | PSNet

    psnet.ahrq.gov/issue/wide-heart-monitor-use-tied-missed-alarms
    July 19, 2023 - Newspaper/Magazine Article Wide heart monitor use tied to missed alarms. Citation Text: Funk M, Winkler CG, May JL, et al. Unnecessary arrhythmia monitoring and underutilization of ischemia and QT interval monitoring in current clinical practice: baseline results of the Practical Use o…

  20. Mistakes, Errors and Failures across Cultures. | PSNet

    psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
    January 20, 2021 - Book/Report Mistakes, Errors and Failures across Cultures. Citation Text: Mistakes, Errors and Failures across Cultures. Vanderheiden E, Mayer C, eds. Springer Nature. Cham, Switzerland: 2020. ISBN 9783030355739 Copy Citation Save Save to your library P…
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