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Showing results for "defining".

  1. Resilience and resilience engineering in health care. | PSNet

    psnet.ahrq.gov/issue/resilience-and-resilience-engineering-health-care
    September 19, 2013 - Commentary Resilience and resilience engineering in health care. Citation Text: Fairbanks RJ, Wears RL, Woods DD, et al. Resilience and resilience engineering in health care. Jt Comm J Qual Patient Saf. 2014;40(8):376-383. Copy Citation Format: Google Scholar PubMed BibTeX …

  2. Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. | PSNet

    psnet.ahrq.gov/issue/safety-risks-associated-physical-interactions-between-patients-and-caregivers-during
    January 09, 2018 - Review Safety risks associated with physical interactions between patients and caregivers during treatment and care delivery in home care settings: a systematic review. Citation Text: Hignett S, Otter ME, Keen C. Safety risks associated with physical interactions between patients and car…

  3. Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. | PSNet

    psnet.ahrq.gov/issue/addressing-delays-medication-administration-patients-transferred-hospital-nursing-home-pilot
    November 16, 2022 - Study Addressing delays in medication administration for patients transferred from the hospital to the nursing home: a pilot quality improvement project. Citation Text: Ward KT, Bates-Jensen B, Eslami MS, et al. Addressing delays in medication administration for patients transferred …

  4. Computerization can create safety hazards: a bar-coding near miss. | PSNet

    psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss
    March 11, 2011 - Commentary Classic Computerization can create safety hazards: a bar-coding near miss. Citation Text: McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6. Copy Citation Format: Google S…

  5. Human factors engineering in healthcare systems: the problem of human error and accident management. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
    June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human error and accident management. Citation Text: Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…

  6. A framework for classifying patient safety practices: results from an expert consensus process. | PSNet

    psnet.ahrq.gov/issue/framework-classifying-patient-safety-practices-results-expert-consensus-process
    September 20, 2011 - Study A framework for classifying patient safety practices: results from an expert consensus process. Citation Text: Dy SM, Taylor SL, Carr LH, et al. A framework for classifying patient safety practices: results from an expert consensus process. BMJ Qual Saf. 2011;20(7):618-24. doi:10…

  7. Why do hundreds of US women die annually in childbirth? | PSNet

    psnet.ahrq.gov/issue/why-do-hundreds-us-women-die-annually-childbirth
    June 14, 2019 - Commentary Why do hundreds of US women die annually in childbirth? Citation Text: Slomski A. Why Do Hundreds of US Women Die Annually in Childbirth? JAMA. 2019;321(13):1239-1241. doi:10.1001/jama.2019.0714. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  8. Association of emotional intelligence with malpractice claims: a review. | PSNet

    psnet.ahrq.gov/issue/association-emotional-intelligence-malpractice-claims-review
    August 02, 2015 - Review Association of emotional intelligence with malpractice claims: a review. Citation Text: Shouhed D, Beni C, Manguso N, et al. Association of Emotional Intelligence With Malpractice Claims: A Review. JAMA Surg. 2019;154(3):250-256. doi:10.1001/jamasurg.2018.5065. Copy Citation …

  9. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. | PSNet

    psnet.ahrq.gov/issue/markers-enhancing-team-cognition-complex-environments-power-team-performance-diagnosis
    August 30, 2006 - Review Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Citation Text: Salas E, Rosen MA, Burke S, et al. Markers for enhancing team cognition in complex environments: the power of team performance diagnosis. Aviat Space Environ Med…

  10. Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. | PSNet

    psnet.ahrq.gov/issue/reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-implementation
    October 23, 2024 - Study Reduction in warfarin adverse events requiring patient hospitalization after implementation of a pharmacist-managed anticoagulation service. Citation Text: Locke C, Ravnan SL, Patel R, et al. Reduction in warfarin adverse events requiring patient hospitalization after implementat…

  11. The thinking doctor: clinical decision making in contemporary medicine. | PSNet

    psnet.ahrq.gov/issue/thinking-doctor-clinical-decision-making-contemporary-medicine
    October 07, 2015 - Commentary The thinking doctor: clinical decision making in contemporary medicine. Citation Text: Trimble M, Hamilton P. The thinking doctor: clinical decision making in contemporary medicine. Clin Med (Lond). 2016;16(4):343-346. doi:10.7861/clinmedicine.16-4-343. Copy Citation For…

  12. The role of cognitive bias in breast radiology diagnostic and judgment errors. | PSNet

    psnet.ahrq.gov/issue/role-cognitive-bias-breast-radiology-diagnostic-and-judgment-errors
    April 24, 2018 - Commentary The role of cognitive bias in breast radiology diagnostic and judgment errors. Citation Text: Loving VA, Valencia EM, Patel B, et al. The role of cognitive bias in breast radiology diagnostic and judgment errors. J Breast Imag. 2020. doi:10.1093/jbi/wbaa023. Copy Citation …

  13. Interorganizational complexity and organizational accident risk: a literature review. | PSNet

    psnet.ahrq.gov/issue/interorganizational-complexity-and-organizational-accident-risk-literature-review
    June 02, 2021 - Review Interorganizational complexity and organizational accident risk: a literature review. Citation Text: Milch V, Laumann K. Interorganizational complexity and organizational accident risk: A literature review. Safety Sci. 2015;82:9-17. doi:10.1016/j.ssci.2015.08.010. Copy Citation …

  14. Standardised proformas improve patient handover: audit of trauma handover practice. | PSNet

    psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
    October 19, 2022 - Study Standardised proformas improve patient handover: audit of trauma handover practice. Citation Text: Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. C…

  15. The role of human factors in neonatal patient safety | PSNet

    psnet.ahrq.gov/issue/role-human-factors-neonatal-patient-safety
    August 04, 2021 - Journal Article The role of human factors in neonatal patient safety Citation Text: Yamada NK, Catchpole K, Salas E. The role of human factors in neonatal patient safety. Semin Perinatol. 2019;43(8):151174. doi:10.1053/j.semperi.2019.08.003. Copy Citation Format: DOI Google…

  16. The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  | PSNet

    psnet.ahrq.gov/issue/hospital-discharge-review-high-risk-care-transition-highlights-reengineered-discharge-process
    December 16, 2014 - Study The hospital discharge: a review of a high risk care transition with highlights of a reengineered discharge process.  Citation Text: Greenwald JL, Denham CR, Jack BW. The Hospital Discharge. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236916.94696.12. Copy Citation For…

  17. Quality: performance improvement, teamwork, information technology and protocols. | PSNet

    psnet.ahrq.gov/issue/quality-performance-improvement-teamwork-information-technology-and-protocols
    November 03, 2015 - Commentary Quality: performance improvement, teamwork, information technology and protocols. Citation Text: Coleman NE, Pon S. Quality: performance improvement, teamwork, information technology and protocols. Crit Care Clin. 2013;29(2):129-51. doi:10.1016/j.ccc.2012.11.002. Copy Citat…

  18. Apparent cause analysis: a safety tool. | PSNet

    psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool
    June 27, 2018 - Study Apparent cause analysis: a safety tool. Citation Text: Parikh K, Hochberg E, Cheng JJ, et al. Apparent cause analysis: a safety tool. Pediatrics. 2020;145(5):e20191819. doi:10.1542/peds.2019-1819. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

  19. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. | PSNet

    psnet.ahrq.gov/issue/steering-patients-safer-hospitals-effect-tiered-hospital-network-hospital-admissions
    April 01, 2010 - Study Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Citation Text: Scanlon D, Lindrooth R, Christianson JB. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions. Health Serv Res. 200…

  20. Ending extra payment for "never events"—stronger incentives for patients' safety. | PSNet

    psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
    November 13, 2024 - Commentary Ending extra payment for "never events"—stronger incentives for patients' safety. Citation Text: Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125. Copy Citation F…
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