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Showing results for "examined".

  1. Quest for the ideal: a redesign of the medication use system. | PSNet

    psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
    September 16, 2020 - Commentary Quest for the ideal: a redesign of the medication use system. Citation Text: Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19. Copy Citation Format: Google Scholar PubMed BibTeX En…

  2. Advancing the research agenda for diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error-reduction
    May 25, 2022 - Review Advancing the research agenda for diagnostic error reduction. Citation Text: Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. Copy Citation Format: DOI G…

  3. Aviation tools to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/aviation-tools-improve-patient-safety
    June 19, 2024 - Commentary Aviation tools to improve patient safety. Citation Text: Ross J. Aviation tools to improve patient safety. J Perianesth Nurs. 2014;29(6):508-10. doi:10.1016/j.jopan.2014.09.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  4. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
    September 12, 2018 - Commentary When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. Citation Text: Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. d…

  5. Fatal mistakes: why do ten-fold medication errors in children keep happening? | PSNet

    psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
    April 21, 2021 - Newspaper/Magazine Article Fatal mistakes: why do ten-fold medication errors in children keep happening? Citation Text: Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal.  April 22 2021. Copy Citation …

  6. Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. | PSNet

    psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
    February 21, 2024 - Book/Report Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Citation Text: Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…

  7. Early warnings, weak signals and learning from healthcare disasters. | PSNet

    psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters
    February 28, 2024 - Commentary Early warnings, weak signals and learning from healthcare disasters. Citation Text: Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685. Copy Citation Format: DOI Google Scho…

  8. Guideline implementation: prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
    October 23, 2024 - Commentary Guideline implementation: prevention of retained surgical items. Citation Text: Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005. Copy Citation Format: DOI Google Scholar PubMed B…

  9. Communication failure: basic components, contributing factors, and the call for structure. | PSNet

    psnet.ahrq.gov/issue/communication-failure-basic-components-contributing-factors-and-call-structure
    March 04, 2011 - Commentary Communication failure: basic components, contributing factors, and the call for structure. Citation Text: Dayton E, Henriksen K. Communication failure: basic components, contributing factors, and the call for structure. Jt Comm J Qual Patient Saf. 2007;33(1):34-47. Copy Ci…

  10. Impact of a successful speaking up program on health-care worker hand hygiene behavior. | PSNet

    psnet.ahrq.gov/issue/impact-successful-speaking-program-health-care-worker-hand-hygiene-behavior
    February 11, 2015 - Commentary Impact of a successful speaking up program on health-care worker hand hygiene behavior. Citation Text: Impact of a successful speaking up program on health-care worker hand hygiene behavior. Linam MW; Honeycutt MD; Gilliam CH; Wisdom CM; Deshpande JK. Copy Citation …

  11. Checking In on the Checklist. | PSNet

    psnet.ahrq.gov/issue/checking-checklist
    July 11, 2023 - Book/Report Checking In on the Checklist. Citation Text: Checking In on the Checklist. Buissonniere M. Brooklyn NY: Lifebox and Ariadne Labs; 2020. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

  12. Is it time to move beyond errors in clinical reasoning and discuss accuracy? | PSNet

    psnet.ahrq.gov/issue/it-time-move-beyond-errors-clinical-reasoning-and-discuss-accuracy
    September 26, 2016 - Commentary Is it time to move beyond errors in clinical reasoning and discuss accuracy? Citation Text: Wood TJ. Is it time to move beyond errors in clinical reasoning and discuss accuracy? Adv Health Sci Educ Theory Pract. 2014;19(3):403-407. doi:10.1007/s10459-014-9498-4. Copy Citatio…

  13. Pump up the volume: tips for increasing error reporting and decreasing patient harm. | PSNet

    psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
    January 27, 2021 - Newspaper/Magazine Article Pump up the volume: tips for increasing error reporting and decreasing patient harm. Citation Text: Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…

  14. FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication | PSNet

    psnet.ahrq.gov/issue/fda-funding-available-research-aimed-reducing-preventable-harm-medication
    October 28, 2020 - Grant Announcement FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Citation Text: FDA Funding Available for Research Aimed at Reducing Preventable Harm from Medication Silver Spring, MD; US Food and Drug Administration: October 4, 2019. Copy Citati…

  15. Patient handoffs. | PSNet

    psnet.ahrq.gov/issue/patient-handoffs
    June 17, 2014 - Newspaper/Magazine Article Patient handoffs. Citation Text: Runy LA. Patient handoffs. Hospitals & health networks. 2008;82(5):7 p following 40, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

  16. Apologies and medical error. | PSNet

    psnet.ahrq.gov/issue/apologies-and-medical-error
    November 16, 2022 - Commentary Apologies and medical error. Citation Text: Robbennolt JK. Apologies and medical error. Clin Orthop Relat Res. 2009;467(2):376-82. doi:10.1007/s11999-008-0580-1. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  17. Improving the Emergency Department Discharge Process. | PSNet

    psnet.ahrq.gov/issue/improving-emergency-department-discharge-process
    April 23, 2014 - Book/Report Improving the Emergency Department Discharge Process. Citation Text: Improving the Emergency Department Discharge Process. Boonyasai RT, Ijagbemi OM, Pham JC, et al. Rockville, MD: Agency for Healthcare Research and Quality; December 2014. AHRQ Publication No. 14(15)-0067-EF.…

  18. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet

    psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

  19. Ashamed to admit it: owning up to medical error. | PSNet

    psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
    April 03, 2019 - Commentary Ashamed to admit it: owning up to medical error. Citation Text: Ofri D. Ashamed to admit it: owning up to medical error. Health Aff (Millwood). 2010;29(8):1549-51. doi:10.1377/hlthaff.2009.0946. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  20. Improving patient care. My right knee. | PSNet

    psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
    August 04, 2021 - Commentary Improving patient care. My right knee. Citation Text: Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
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