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Total Results: 9,160 records

Showing results for "discussed".

7341. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. | PSNet
      psnet.ahrq.gov/issue/predictors-unit-level-medication-administration-accuracy-microsystem-impacts-medication
      October 06, 2016 - Study Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. Citation Text: Donaldson N, Aydin C, Fridman M. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. J Nurs Adm. 2014;44(6):353-6…

7342. Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-neonatal-intensive-care-unit-state-science-and-new-directions
      March 23, 2022 - Review Diagnostic errors in the neonatal intensive care unit: state of the science and new directions. Citation Text: Shafer G, Singh H, Suresh G. Diagnostic errors in the neonatal intensive care unit: State of the science and new directions. Semin Perinatol. 2019;43(8):151175. doi:10.10…

7343. Quality gaps identified through mortality review. | PSNet
      psnet.ahrq.gov/issue/quality-gaps-identified-through-mortality-review
      November 11, 2015 - Study Quality gaps identified through mortality review. Citation Text: Kobewka DM, van Walraven C, Turnbull J, et al. Quality gaps identified through mortality review. BMJ Qual Saf. 2017;26(2):141-149. doi:10.1136/bmjqs-2015-004735. Copy Citation Format: DOI Google Scholar …

7344. Gaps in the continuity of care and progress on patient safety. | PSNet
      psnet.ahrq.gov/issue/gaps-continuity-care-and-progress-patient-safety
      January 16, 2017 - Commentary Classic Gaps in the continuity of care and progress on patient safety. Citation Text: Cook RI, Render M, Woods DD. Gaps in the continuity of care and progress on patient safety. BMJ. 2000;320(7237):791-4. Copy Citation Format: Google Sch…

7345. A novel process audit for standardized perioperative handoff protocols. | PSNet
      psnet.ahrq.gov/issue/novel-process-audit-standardized-perioperative-handoff-protocols
      June 27, 2018 - Commentary A novel process audit for standardized perioperative handoff protocols. Citation Text: Pallekonda V, Scholl AT, McKelvey GM, et al. A Novel Process Audit for Standardized Perioperative Handoff Protocols. Jt Comm J Qual Patient Saf. 2017;43(11):611-618. doi:10.1016/j.jcjq.2017.…

7346. Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. | PSNet
      psnet.ahrq.gov/issue/persistence-unsafe-practice-everyday-work-exploration-organizational-and-psychological
      April 06, 2011 - Study Persistence of unsafe practice in everyday work: an exploration of organizational and psychological factors constraining safety in the operating room. Citation Text: Espin S, Lingard L, Baker GR, et al. Persistence of unsafe practice in everyday work: an exploration of organizati…

7347. Patient and family empowerment as agents of ambulatory care safety and quality. | PSNet
      psnet.ahrq.gov/issue/patient-and-family-empowerment-agents-ambulatory-care-safety-and-quality
      December 15, 2021 - Commentary Patient and family empowerment as agents of ambulatory care safety and quality. Citation Text: Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. C…

7348. Root cause analysis of transfusion error: identifying causes to implement changes. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
      August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…

7349. Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet
      psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
      January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

7350. Learning from litigation. The role of claims analysis in patient safety. | PSNet
      psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
      November 21, 2018 - Study Learning from litigation. The role of claims analysis in patient safety. Citation Text: Vincent CA, Davy C, Esmail A, et al. Learning from litigation. The role of claims analysis in patient safety. J Eval Clin Pract. 2006;12(6):665-74. Copy Citation Format: Google S…

7351. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. | PSNet
      psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
      August 03, 2017 - Commentary Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Citation Text: Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…

7352. COVID-19 pandemic and the tension between the need to act and the need to know. | PSNet
      psnet.ahrq.gov/issue/covid-19-pandemic-and-tension-between-need-act-and-need-know
      July 28, 2021 - Commentary COVID-19 pandemic and the tension between the need to act and the need to know. Citation Text: Scott IA. COVID-19 pandemic and the tension between the need to act and the need to know. Intern Med J. 2020;50(8):904-909. doi:10.1111/imj.14929. Copy Citation Format: …

7353. Rapid response systems in adult academic medical centers. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-adult-academic-medical-centers
      February 16, 2011 - Study Rapid response systems in adult academic medical centers. Citation Text: Wood KA, Ranji SR, Ide B, et al. Rapid response systems in adult academic medical centers. Jt Comm J Qual Patient Saf. 2009;35(9):475-82, 437. Copy Citation Format: Google Scholar PubMed BibTeX E…

7354. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. | PSNet
      psnet.ahrq.gov/issue/diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias
      November 03, 2021 - Commentary Diagnostic challenges in primary care: identifying and avoiding cognitive bias. Citation Text: Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. Copy Citati…

7355. Am I safe here? Improving patients' perceptions of safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
      June 25, 2010 - Study Am I safe here? Improving patients' perceptions of safety in hospitals. Citation Text: Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40. Copy Citation Format: Google Schol…

7356. Error traps in pediatric patient blood management in the perioperative period. | PSNet
      psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
      January 12, 2022 - Commentary Error traps in pediatric patient blood management in the perioperative period. Citation Text: Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683. Copy C…

7357. Prevention of opioid overdose. | PSNet
      psnet.ahrq.gov/issue/prevention-opioid-overdose
      July 18, 2018 - Review Emerging Classic Prevention of opioid overdose. Citation Text: Babu KM, Brent J, Juurlink DN. Prevention of opioid overdose.  N Engl J Med. 2019;380(23):2246-2255. doi:10.1056/NEJMra1807054. Copy Citation Format: DOI Google Scholar PubMed Bi…

7358. The safe day call: reducing silos in health care through frontline risk assessment. | PSNet
      psnet.ahrq.gov/issue/safe-day-call-reducing-silos-health-care-through-frontline-risk-assessment
      May 25, 2016 - Commentary The safe day call: reducing silos in health care through frontline risk assessment. Citation Text: Paterson C, Miller K, Benden M, et al. The Safe Day Call: Reducing Silos in Health Care Through Frontline Risk Assessment. Jt Comm J Qual Patient Saf. 2014;40(10):476-481. Copy…

7359. Considering human factors and developing systems-thinking behaviours to ensure patient safety. | PSNet
      psnet.ahrq.gov/issue/considering-human-factors-and-developing-systems-thinking-behaviours-ensure-patient-safety
      March 01, 2023 - Newspaper/Magazine Article Considering human factors and developing systems-thinking behaviours to ensure patient safety. Citation Text: Considering human factors and developing systems-thinking behaviours to ensure patient safety. Vosper H; Lim R; Knight C; et al; CIEHF Pharmaceutical H…

7360. Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. | PSNet
      psnet.ahrq.gov/issue/disruptive-physician-behavior-importance-recognition-and-intervention-and-its-impact-patient
      January 26, 2022 - Commentary Disruptive physician behavior: the importance of recognition and intervention and its impact on patient safety. Citation Text: John PR, Heitt MC. Disruptive Physician Behavior: The Importance of Recognition and Intervention and Its Impact on Patient Safety. J Hosp Med. 2018;13…