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Showing results for "descriptions".

  1. Readiness for organisational change among general practice staff. | PSNet

    psnet.ahrq.gov/issue/readiness-organisational-change-among-general-practice-staff
    April 24, 2018 - Study Readiness for organisational change among general practice staff. Citation Text: Christl B, Harris MF, Jayasinghe UW, et al. Readiness for organisational change among general practice staff. Qual Saf Health Care. 2010;19(5):e12. doi:10.1136/qshc.2009.033373. Copy Citation F…

  2. The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors. | PSNet

    psnet.ahrq.gov/issue/relationship-between-nursing-experience-and-education-and-occurrence-reported-pediatric
    October 02, 2013 - Study The relationship between nursing experience and education and the occurrence of reported pediatric medication administration errors. Citation Text: Sears K, O'Brien-Pallas L, Stevens B, et al. The Relationship Between Nursing Experience and Education and the Occurrence of Reported …

  3. Making residents part of the safety culture: improving error reporting and reducing harms. | PSNet

    psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
    April 24, 2018 - Commentary Making residents part of the safety culture: improving error reporting and reducing harms. Citation Text: Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…

  4. Strategies to reduce patient harm from infusion-associated medication errors: a scoping review. | PSNet

    psnet.ahrq.gov/issue/strategies-reduce-patient-harm-infusion-associated-medication-errors-scoping-review
    August 10, 2016 - Review Strategies to reduce patient harm from infusion-associated medication errors: a scoping review. Citation Text: Wolf ZR. Strategies to Reduce Patient Harm From Infusion-Associated Medication Errors: A Scoping Review. J Infus Nurs. 2018;36(1):58-65. doi:10.1097/NAN.0000000000000263.…

  5. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

    psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care
    June 15, 2011 - Study Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. Citation Text: Snijders C, Kollen BJ, van Lingen RA, et al. Which aspects of safety culture predict incident reporting behavior in neonatal intensive care …

  6. Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. | PSNet

    psnet.ahrq.gov/issue/deficits-discharge-documentation-patients-transferred-rehabilitation-facilities
    October 28, 2009 - Study Deficits in discharge documentation in patients transferred to rehabilitation facilities on anticoagulation: results of a systemwide evaluation. Citation Text: Gandara E, Moniz TT, Ungar J, et al. Deficits in discharge documentation in patients transferred to rehabilitation facilit…

  7. Carers' medication administration errors in the domiciliary setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review
    December 18, 2017 - Review Carers' medication administration errors in the domiciliary setting: a systematic review. Citation Text: Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/j…

  8. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. | PSNet

    psnet.ahrq.gov/issue/operating-manual-based-usability-evaluation-medical-devices-effective-patient-safety
    September 24, 2016 - Study Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Citation Text: Turley JP, Johnson TR, Smith DP, et al. Operating manual-based usability evaluation of medical devices: an effective patient safety screening method. Jt Comm…

  9. Implementing SBAR across a large multihospital health system. | PSNet

    psnet.ahrq.gov/issue/implementing-sbar-across-large-multihospital-health-system
    November 23, 2014 - Study Implementing SBAR across a large multihospital health system. Citation Text: Compton J, Copeland K, Flanders S, et al. Implementing SBAR across a large multihospital health system. Jt Comm J Qual Patient Saf. 2012;38(6):261-8. Copy Citation Format: Google Scholar PubM…

  10. Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. | PSNet

    psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
    July 24, 2013 - Commentary Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. Citation Text: Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867389/psn-pdf
    December 18, 2024 - Identifying missed care in pediatric nursing: a scoping review. December 18, 2024 Maffeo M, Parente E, Ciofi D. Identifying missed care in pediatric nursing: a scoping review. J Pediatr Nurs. 2024;80:115-120. doi:10.1016/j.pedn.2024.11.017. https://psnet.ahrq.gov/issue/identifying-missed-care-pediatric-nursing-sco…

  12. IHI Patient Safety and Quality for Emerging Leaders | PSNet

    psnet.ahrq.gov/training-catalog/ihi-patient-safety-and-quality-emerging-leaders
    March 03, 2025 - IHI Patient Safety and Quality for Emerging Leaders Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Institute for Healthcare Improvement (IHI) …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838144/psn-pdf
    September 21, 2022 - Eliminating Unintentionally Retained Surgical Items - Special Report. September 21, 2022 Saver C. AORN J. 2022;116(2):111-132. https://psnet.ahrq.gov/issue/eliminating-unintentionally-retained-surgical-items-special-report Retained surgical items (RSI) are regarded as “never events” but are a persistent cause of p…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60820/psn-pdf
    August 19, 2020 - Nurses' experiences of organizational learning. August 19, 2020 Lyman B, Biddulph ME, Hopper VG, et al. Nurses' experiences of organisational learning: a qualitative descriptive study. J Nurs Manag. 2020;28(6):1241-1249. doi:10.1111/jonm.13070. https://psnet.ahrq.gov/issue/nurses-experiences-organizational-learning…

  15. Diagnostic Safety Improvement | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
    July 21, 2025 - Investigators examined adverse event reports from patients and families over a 6-year period and found 184 descriptions

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863217/psn-pdf
    February 28, 2024 - Interpreting and coding causal relationships for quality and safety using ICD-11. February 28, 2024 Januel J-M, Southern DA, Ghali WA. Interpreting and coding causal relationships for quality and safety using ICD-11. BMC Med Inform Decis Mak. 2023;21(Suppl 6):385. doi:10.1186/s12911-023-02363-5. https://psnet.ahrq…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852448/psn-pdf
    January 01, 2024 - A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. August 16, 2023 Cleary E, Bloomfield J, Frotjold A, et al. A realist synthesis of interprofessional patient safety activities and healthcare student attitudes towards patient safety. J Interp…

  18. Surgeon and surgical trainee experiences after adverse patient events. | PSNet

    psnet.ahrq.gov/issue/surgeon-and-surgical-trainee-experiences-after-adverse-patient-events
    January 09, 2019 - Study Surgeon and surgical trainee experiences after adverse patient events. Citation Text: Ginzberg SP, Gasior JA, Passman JE, et al. Surgeon and surgical trainee experiences after adverse patient events. JAMA Netw Open. 2024;7(6):e2414329. doi:10.1001/jamanetworkopen.2024.14329. Copy…

  19. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. | PSNet

    psnet.ahrq.gov/issue/barriers-and-success-factors-implementation-multi-site-prospective-adverse-event-surveillance
    November 15, 2017 - Study Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Citation Text: Backman C, Forster AJ, Vanderloo S. Barriers and success factors to the implementation of a multi-site prospective adverse event surveillance system. Int…

  20. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. | PSNet

    psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy
    April 01, 2010 - Study Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. Citation Text: Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1…
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