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Showing results for "discussed".

  1. "Going solid": a model of system dynamics and consequences for patient safety. | PSNet

    psnet.ahrq.gov/issue/going-solid-model-system-dynamics-and-consequences-patient-safety
    August 01, 2018 - Commentary Classic "Going solid": a model of system dynamics and consequences for patient safety. Citation Text: Cook R, Rasmussen J. "Going solid": a model of system dynamics and consequences for patient safety. Qual Saf Health Care. 2005;14(2):130-4. Copy …

  2. Checklist implementation for office-based surgery: a team effort. | PSNet

    psnet.ahrq.gov/issue/checklist-implementation-office-based-surgery-team-effort
    August 13, 2014 - Commentary Checklist implementation for office-based surgery: a team effort. Citation Text: Shapiro FE, Punwani N, Urman RD. Checklist implementation for office-based surgery: a team effort. AORN J. 2013;98(3):305-9. doi:10.1016/j.aorn.2013.06.009. Copy Citation Format: …

  3. Safety culture as a patient safety practice for alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue
    July 07, 2021 - Commentary Safety culture as a patient safety practice for alarm fatigue. Citation Text: Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. Copy Citation Format: DOI Go…

  4. Guidelines for the prevention of intravascular catheter-related infections. | PSNet

    psnet.ahrq.gov/issue/guidelines-prevention-intravascular-catheter-related-infections
    January 22, 2014 - Clinical Guideline Guidelines for the prevention of intravascular catheter-related infections. Citation Text: O'Grady NP, Alexander M, Burns LA, et al. Guidelines for the prevention of intravascular catheter-related infections. American journal of infection control. 2011;39(4 Suppl 1):…

  5. The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. | PSNet

    psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving-health-care-quality
    February 29, 2012 - Commentary The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. Citation Text: Berwick DM, Calkins DR, McCannon CJ, et al. The 100 000 Lives Campaign. JAMA. 2006;295(3). doi:10.1001/jama.295.3.324. Copy Citation Format: DOI Google S…

  6. Beyond communication: the role of standardized protocols in a changing health care environment. | PSNet

    psnet.ahrq.gov/issue/beyond-communication-role-standardized-protocols-changing-health-care-environment
    October 12, 2011 - Study Beyond communication: the role of standardized protocols in a changing health care environment. Citation Text: Vardaman JM, Cornell P, Gondo MB, et al. Beyond communication: the role of standardized protocols in a changing health care environment.  Health Care Manage Rev. 2012;37…

  7. Adverse events in hospitals: the patient's point of view. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
    December 29, 2014 - Review Adverse events in hospitals: the patient's point of view. Citation Text: Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585. Copy Citation Format: DO…

  8. Resident Safety Practices in Nursing Home Settings. | PSNet

    psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
    July 27, 2018 - Book/Report Resident Safety Practices in Nursing Home Settings. Citation Text: Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…

  9. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
    February 12, 2019 - Toolkit Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Citation Text: Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …

  10. Critical conversations: a call for a nonprocedural "time out." | PSNet

    psnet.ahrq.gov/issue/critical-conversations-call-nonprocedural-time-out
    February 18, 2011 - Commentary Critical conversations: a call for a nonprocedural "time out." Citation Text: Sehgal NL, Fox M, Sharpe B, et al. Critical conversations: a call for a nonprocedural "time out". J Hosp Med. 2011;6(4):225-30. doi:10.1002/jhm.853. Copy Citation Format: DOI Google Sch…

  11. Nursing 2006 Patient-safety survey report. | PSNet

    psnet.ahrq.gov/issue/nursing-2006-patient-safety-survey-report
    March 01, 2023 - Study Nursing 2006 Patient-safety survey report. Citation Text: Manno M, Hogan P, Heberlein V, et al. Nursing 2006. Patient-safety survey report. Nursing (Brux). 2006;36(5):54-64. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  12. Impact of high-reliability education on adverse event reporting by registered nurses. | PSNet

    psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
    January 07, 2011 - Study Impact of high-reliability education on adverse event reporting by registered nurses. Citation Text: McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…

  13. The problem with medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/problem-medication-reconciliation
    May 08, 2017 - Commentary The problem with medication reconciliation. Citation Text: Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  14. Safety-I, Safety-II and resilience engineering. | PSNet

    psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering
    December 16, 2015 - Commentary Safety-I, Safety-II and resilience engineering. Citation Text: Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. Copy Citation Format: DOI Google…

  15. Missed nursing care: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/missed-nursing-care-concept-analysis
    January 19, 2022 - Commentary Missed nursing care: a concept analysis. Citation Text: Kalisch BJ, Landstrom GL, Hinshaw AS. Missed nursing care: a concept analysis. J Adv Nurs. 2009;65(7):1509-17. doi:10.1111/j.1365-2648.2009.05027.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  16. Apology laws and malpractice liability: what have we learned? | PSNet

    psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
    March 18, 2020 - Commentary Apology laws and malpractice liability: what have we learned? Citation Text: Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. Copy Citation Format: DOI G…

  17. High-Performance Work Systems in Health Care Management: Parts 1-5. | PSNet

    psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
    March 22, 2017 - Special or Theme Issue High-Performance Work Systems in Health Care Management: Parts 1-5. Citation Text: High-Performance Work Systems in Health Care Management: Parts 1-5. Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020. Copy Citation …

  18. IV push medications survey results—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
    December 12, 2018 - Newspaper/Magazine Article IV push medications survey results—part 1 and part 2. Citation Text: IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. Copy Citation Save …

  19. Medical Problem Solving: An Analysis of Clinical Reasoning. | PSNet

    psnet.ahrq.gov/issue/medical-problem-solving-analysis-clinical-reasoning
    July 18, 2018 - Book/Report Classic Medical Problem Solving: An Analysis of Clinical Reasoning. Citation Text: Medical Problem Solving: An Analysis of Clinical Reasoning. Elstein AS, ed. Cambridge, MA: Harvard University Press; 1978. ISBN: 9780674561250. Copy Citation …

  20. Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. | PSNet

    psnet.ahrq.gov/issue/documenting-diagnosis-exploring-impact-electronic-health-records-diagnostic-safety
    August 16, 2023 - Book/Report Documenting Diagnosis: Exploring the Impact of Electronic Health Records on Diagnostic Safety. Citation Text: Miller K, Ratwani R, Hose B-Z, et al. Documenting Diagnosis: Exploring The Impact Of Electronic Health Records On Diagnostic Safety. Rockville, MD: Agency for Healthc…
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