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Showing results for "descriptions".

  1. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. | PSNet

    psnet.ahrq.gov/issue/accuracy-spinal-anesthesia-drug-concentrations-mixtures-prepared-anesthetists
    September 21, 2022 - Study Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. Citation Text: Heesen M, Steuer C, Wiedemeier P, et al. Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists. J Patient Saf. 2022;18(8):e1226-e1230. doi:10.1097…

  2. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. | PSNet

    psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
    September 15, 2021 - Commentary Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Citation Text: Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of t…

  3. The role of feedback in emergency ambulance services: a qualitative interview study. | PSNet

    psnet.ahrq.gov/issue/role-feedback-emergency-ambulance-services-qualitative-interview-study
    April 06, 2022 - Study The role of feedback in emergency ambulance services: a qualitative interview study. Citation Text: Wilson C, Howell A-M, Janes G, et al. The role of feedback in emergency ambulance services: a qualitative interview study. BMC Health Serv Res. 2022;22(1):296. doi:10.1186/s12913-022…

  4. Why do doctors make mistakes? A study of the role of salient distracting clinical features. | PSNet

    psnet.ahrq.gov/issue/why-do-doctors-make-mistakes-study-role-salient-distracting-clinical-features
    July 03, 2014 - Study Why do doctors make mistakes? A study of the role of salient distracting clinical features. Citation Text: Mamede S, Van Gog T, Van den Berge K, et al. Why do doctors make mistakes? A study of the role of salient distracting clinical features. Acad Med. 2014;89(1):114-20. doi:10.10…

  5. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. | PSNet

    psnet.ahrq.gov/issue/prospective-risk-analysis-health-care-processes-systematic-evaluation-use-hfmea-dutch-health
    March 10, 2010 - Study Prospective risk analysis of health care processes: a systematic evaluation of the use of HFMEA in Dutch health care. Citation Text: Habraken MMP, van der Schaaf TW, Leistikow IP, et al. Prospective risk analysis of health care processes: a systematic evaluation of the use of HFM…

  6. Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet

    psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
    March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

  7. Innovation in patient safety: a new task design in reducing patient falls. | PSNet

    psnet.ahrq.gov/issue/innovation-patient-safety-new-task-design-reducing-patient-falls
    January 04, 2010 - Study Innovation in patient safety: a new task design in reducing patient falls. Citation Text: Tzeng H-M, Yin C-Y. Innovation in patient safety: a new task design in reducing patient falls. J Nurs Care Qual. 2008;23(1):34-42. doi:10.1097/01.NCQ.0000303803.07457.e5. Copy Citation …

  8. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. | PSNet

    psnet.ahrq.gov/issue/locum-doctor-working-and-quality-and-safety-qualitative-study-english-primary-and-secondary
    November 25, 2015 - Study Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. Citation Text: Ferguson J, Stringer G, Walshe K, et al. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. BMJ Qual Saf. 2024…

  9. Development and validation of a taxonomy of adverse handover events in hospital settings. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-taxonomy-adverse-handover-events-hospital-settings
    March 05, 2014 - Study Development and validation of a taxonomy of adverse handover events in hospital settings. Citation Text: Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1).…

  10. Confronting safety gaps across labor and delivery teams. | PSNet

    psnet.ahrq.gov/issue/confronting-safety-gaps-across-labor-and-delivery-teams
    December 04, 2013 - Study Confronting safety gaps across labor and delivery teams. Citation Text: Maxfield DG, Lyndon A, Kennedy HP, et al. Confronting safety gaps across labor and delivery teams. Am J Obstet Gynecol. 2013;209(5). doi:10.1016/j.ajog.2013.07.013. Copy Citation Format: DOI Googl…

  11. Medication errors reported by US family physicians and their office staff. | PSNet

    psnet.ahrq.gov/issue/medication-errors-reported-us-family-physicians-and-their-office-staff
    June 11, 2008 - Study Medication errors reported by US family physicians and their office staff. Citation Text: Kuo GM, Phillips RL, Graham D, et al. Medication errors reported by US family physicians and their office staff. Quality and Safety in Health Care. 2008;17(4). doi:10.1136/qshc.2007.024869. …

  12. The relationship between physician practice characteristics and physician adoption of electronic health records. | PSNet

    psnet.ahrq.gov/issue/relationship-between-physician-practice-characteristics-and-physician-adoption-electronic
    November 13, 2013 - Study The relationship between physician practice characteristics and physician adoption of electronic health records. Citation Text: Bramble JD, Galt KA, Siracuse M, et al. The relationship between physician practice characteristics and physician adoption of electronic health records.…

  13. The next step in learning from sentinel events in healthcare. | PSNet

    psnet.ahrq.gov/issue/next-step-learning-sentinel-events-healthcare
    June 12, 2024 - Commentary The next step in learning from sentinel events in healthcare. Citation Text: Bos K, Dongelmans DA, Greuters S, et al. The next step in learning from sentinel events in healthcare. BMJ Open Qual. 2020;9(1):e000739. doi:10.1136/bmjoq-2019-000739. Copy Citation Format: …

  14. Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/knowledge-attitudes-and-expectations-medical-staff-toward-medical-error-management-policies
    December 23, 2020 - Study Knowledge, attitudes, and expectations of medical staff toward medical error management policies in humanitarian medicine: a qualitative study. Citation Text: Biquet J-M, Schopper D, Sprumont D, et al. Knowledge, attitudes, and Expectations of Medical Staff Toward Medical Error Ma…

  15. Implementing online medication reconciliation at a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/implementing-online-medication-reconciliation-large-academic-medical-center
    January 23, 2019 - Commentary Implementing online medication reconciliation at a large academic medical center. Citation Text: Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. Copy Citatio…

  16. Evaluating patient identification practices during intrahospital transfers: a human factors approach. | PSNet

    psnet.ahrq.gov/issue/evaluating-patient-identification-practices-during-intrahospital-transfers-human-factors
    August 18, 2021 - Study Evaluating patient identification practices during intrahospital transfers: a human factors approach. Citation Text: Suclupe S, Kitchin J, Sivalingam R, et al. Evaluating patient identification practices during intrahospital transfers: a human factors approach. J Patient Saf. 2023;…

  17. Institution of just culture physician peer review in an academic medical center. | PSNet

    psnet.ahrq.gov/issue/institution-just-culture-physician-peer-review-academic-medical-center
    October 20, 2021 - Study Institution of just culture physician peer review in an academic medical center. Citation Text: Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.00000000000…

  18. Medication errors in the homes of children with chronic conditions. | PSNet

    psnet.ahrq.gov/issue/medication-errors-homes-children-chronic-conditions
    April 27, 2010 - Study Medication errors in the homes of children with chronic conditions. Citation Text: Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions. Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479. Copy Citation Format: …

  19. Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. | PSNet

    psnet.ahrq.gov/issue/analysis-adverse-events-pediatric-surgery-using-criteria-validated-adult-population
    May 06, 2009 - Study Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures. Citation Text: Rice-Townsend S, Hall M, Jenkins KJ, et al. Analysis of adverse events in pediatric surgery using criteri…

  20. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. | PSNet

    psnet.ahrq.gov/issue/patient-safety-perspectives-providers-and-nurses-experience-rural-ambulatory-care-practice
    January 13, 2010 - Study Patient safety perspectives of providers and nurses: the experience of a rural ambulatory care practice using an EHR with e-prescribing. Citation Text: Bramble JD, Abbott AA, Fuji KT, et al. Patient safety perspectives of providers and nurses: the experience of a rural ambulatory …
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