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AHRQ: Agency for Healthcare Research and Quality

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Total Results: 6,016 records

Showing results for "examined".

  1. Normalization of deviance is contrary to the principles of high reliability. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
    June 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…

  2. Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. | PSNet

    psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
    July 18, 2018 - Newspaper/Magazine Article Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Citation Text: Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Massey W, Keith …

  3. Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. | PSNet

    psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
    September 28, 2010 - Government Resource Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Citation Text: Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…

  4. Roundtable on public policy affecting patient safety. | PSNet

    psnet.ahrq.gov/issue/roundtable-public-policy-affecting-patient-safety
    June 15, 2016 - Commentary Roundtable on public policy affecting patient safety. Citation Text: Crane RM, Raymond B. Roundtable on Public Policy Affecting Patient Safety. J Patient Saf. 2011;7(1):5-10. doi:10.1097/pts.0b013e31820c98cd. Copy Citation Format: DOI Google Scholar BibTeX EndN…

  5. Nurses' sleep, work hours, and patient care quality, and safety | PSNet

    psnet.ahrq.gov/issue/nurses-sleep-work-hours-and-patient-care-quality-and-safety
    April 23, 2012 - Study Nurses' sleep, work hours, and patient care quality, and safety Citation Text: Nurses' sleep, work hours, and patient care quality, and safety Stimpfel AW, Fatehi F, Kovner C. Sleep Health. 2020;6(3):314-320. Copy Citation Save Save to your library P…

  6. TQIP Mortality Reporting System Case Reports. | PSNet

    psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
    March 23, 2022 - Special or Theme Issue TQIP Mortality Reporting System Case Reports. Citation Text: TQIP Mortality Reporting System Case Reports. ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. Copy Citation Save Save to your library Pri…

  7. Medication handling: towards a practical, human-centred approach. | PSNet

    psnet.ahrq.gov/issue/medication-handling-towards-practical-human-centred-approach
    September 23, 2020 - Commentary Medication handling: towards a practical, human-centred approach. Citation Text: Marshall SD, Chrimes N. Medication handling: towards a practical, human-centred approach. Anaesthesia. 2019;74(3):280-284. doi:10.1111/anae.14482. Copy Citation Format: DOI Google Sc…

  8. Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. | PSNet

    psnet.ahrq.gov/issue/using-ahrqs-sops-hospital-survey-and-workplace-safety-item-set-experiences-state-hospital
    March 22, 2024 - Meeting/Conference Proceedings Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. Citation Text: Using AHRQ’s SOPS Hospital Survey and Workplace Safety Item Set: Experiences From a State Hospital Association. Agency for Healthc…

  9. Health information technology and its effects on hospital costs, outcomes, and patient safety. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-and-its-effects-hospital-costs-outcomes-and-patient-safety
    January 29, 2018 - Study Health information technology and its effects on hospital costs, outcomes, and patient safety. Citation Text: Encinosa W, Bae J. Health information technology and its effects on hospital costs, outcomes, and patient safety. Inquiry. 2011;48(4):288-303. Copy Citation Format:…

  10. Patient safety: planting the seed. | PSNet

    psnet.ahrq.gov/issue/patient-safety-planting-seed
    February 09, 2011 - Commentary Patient safety: planting the seed. Citation Text: Poe SS. Patient safety: planting the seed. J Nurs Care Qual. 2005;20(3):198-202. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  11. How a series of errors led to recurrent hypoglycemia. | PSNet

    psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
    April 23, 2014 - Commentary How a series of errors led to recurrent hypoglycemia. Citation Text: Singh R. How a series of errors led to recurrent hypoglycemia. J Fam Pract. 2006;55(6):489-97. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  12. The development of a patient safety program across the continuum of care. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-program-across-continuum-care
    September 21, 2009 - Commentary The development of a patient safety program across the continuum of care. Citation Text: Wertenberger S, Wilson J. The development of a patient safety program across the continuum of care. Nurs Adm Q. 2005;29(4):303-307. Copy Citation Format: Google Scholar Pub…

  13. Interruptive communication patterns in the intensive care unit ward round. | PSNet

    psnet.ahrq.gov/issue/interruptive-communication-patterns-intensive-care-unit-ward-round
    December 22, 2010 - Study Interruptive communication patterns in the intensive care unit ward round. Citation Text: Alvarez G, Coiera E. Interruptive communication patterns in the intensive care unit ward round. Int J Med Inform. 2005;74(10):791-6. Copy Citation Format: Google Scholar PubMed B…

  14. Safe prescribing: an educational intervention for medical students. | PSNet

    psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-students
    September 24, 2010 - Study Safe prescribing: an educational intervention for medical students. Citation Text: Garbutt J, DeFer TM, Highstein G, et al. Safe prescribing: an educational intervention for medical students. Teach Learn Med. 2006;18(3):244-50. Copy Citation Format: Google Scholar P…

  15. Understanding the role of non-technical skills in patient safety. | PSNet

    psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
    August 28, 2024 - Commentary Understanding the role of non-technical skills in patient safety. Citation Text: White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  16. Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. | PSNet

    psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
    September 11, 2009 - Newspaper/Magazine Article Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. Citation Text: Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …

  17. The architecture of safety: hospital design. | PSNet

    psnet.ahrq.gov/issue/architecture-safety-hospital-design
    November 15, 2023 - Review The architecture of safety: hospital design. Citation Text: Joseph A, Rashid M. The architecture of safety: hospital design. Curr Opin Crit Care. 2007;13(6):714-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  18. Interdisciplinary communication: an uncharted source of medical error? | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
    September 24, 2016 - Review Interdisciplinary communication: an uncharted source of medical error? Citation Text: Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. Copy Citation Format: Google Scholar Pu…

  19. Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. | PSNet

    psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
    March 03, 2021 - Newspaper/Magazine Article Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. Citation Text: Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…

  20. Cultural diversity: what role does it play in patient safety? | PSNet

    psnet.ahrq.gov/issue/cultural-diversity-what-role-does-it-play-patient-safety
    June 15, 2011 - Commentary Cultural diversity: what role does it play in patient safety? Citation Text: Ardoin KB, Wilson KB. Cultural diversity: what role does it play in patient safety? Nurs Womens Health. 2010;14(4):322-6. doi:10.1111/j.1751-486X.2010.01563.x. Copy Citation Format: DO…
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