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Showing results for "examining".

1921. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37760/psn-pdf
      May 14, 2008 - The role of continuous quality improvement and psychological safety in predicting work-arounds. May 14, 2008 Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. doi:10.1097/01.HMR.0000304505.04932.62.…

1922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46800/psn-pdf
      May 16, 2018 - Ireland investigates cervical cancer screening scandal. May 16, 2018 O'Loughlin E. New York Times. April 30, 2018. https://psnet.ahrq.gov/issue/ireland-investigates-cervical-cancer-screening-scandal Large-scale adverse events should lead to system examination and improvement. This newspaper article reports on misr…

1923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73327/psn-pdf
      January 25, 2022 - ISMP Medication Safety Self Assessment® for Perioperative Settings. January 25, 2022 Institute for Safe Medication Practices https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings The perioperative setting is a high-risk area for medication errors, should they occur. This asses…

1924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863224/psn-pdf
      February 28, 2024 - Special Section: IEA Health Care 2021. February 28, 2024 Hum Factors. 2024;66(3):633-769. https://psnet.ahrq.gov/issue/special-section-iea-health-care-2021 The ergonomics community has an established interest in medical error reduction. The 2021 International Ergonomics Association conference examined applications…

1925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35181/psn-pdf
      June 23, 2009 - Communication during trauma resuscitation: do we know what is happening? June 23, 2009 Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is happening? Injury. 2005;36(8):905-11. https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…

1926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46233/psn-pdf
      September 24, 2017 - Cutting-edge efforts in surgical patient safety. September 24, 2017 Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719- 720. doi:10.1001/jamasurg.2017.0858. https://psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety Implementation science examines me…

1927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867019/psn-pdf
      October 23, 2024 - Reports on Hospital and ASC Performance. October 23, 2024 Reports On Hospital And Asc Performance. Washington DC: The Leapfrog Group; September 2024. https://psnet.ahrq.gov/issue/reports-hospital-and-asc-performance Data collection and transparency are known to motivate change and drive improvement efforts. This se…

1928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843322/psn-pdf
      February 01, 2023 - A deadly epidural, delivered by a doctor with a history of mistakes. February 1, 2023 Goldstein J. New York Times. January 23, 2023. https://psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes Active errors are evident when they occur, yet systemic weaknesses, if not addressed, allow them to rep…

1929. Are Residency Duty Hour Rules Improving Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
      April 01, 2013 - Meta-analysis of studies examining patient mortality showed small but statistically significant decreases … however, these findings could also be attributed to secular trends.( 12 ) The largest single studies examining

1930. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
      April 01, 2013 - Meta-analysis of studies examining patient mortality showed small but statistically significant decreases … however, these findings could also be attributed to secular trends.( 12 ) The largest single studies examining

1931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35228/psn-pdf
      March 04, 2011 - Best practices for safe handling of products containing concentrated potassium. March 4, 2011 Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing concentrated potassium. BMJ. 2005;331(7511):274-7. https://psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing…

1932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43846/psn-pdf
      January 21, 2015 - Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. January 21, 2015 Carter JL, Coletti RJ, Harris RP. Quantifying and monitoring overdiagnosis in cancer screening: a systematic review of methods. BMJ. 2015;350:g7773. doi:10.1136/bmj.g7773. https://psnet.ahrq.gov/issue/qua…

1933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60041/psn-pdf
      March 11, 2020 - Supplement on Deepening our Understanding of Quality in Australia (DUQuA). March 11, 2020 Int J Qual Health Care. 2020;32(Supp1):1-105. https://psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua Quality and safety are often intertwined in large improvement efforts. This special iss…

1934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854639/psn-pdf
      October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…

1935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43334/psn-pdf
      July 16, 2014 - Changing our culture: adopting the military aviation safety system. July 16, 2014 Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. https://psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-sa…

1936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60554/psn-pdf
      June 03, 2020 - Artificial intelligence in health care: accountability and safety. June 3, 2020 Habli I, Lawton T, Porter Z. Artificial intelligence in health care: accountability and safety. Bull World Health Organ. 2020;98(4):251-256. doi:10.2471/blt.19.237487. https://psnet.ahrq.gov/issue/artificial-intelligence-health-care-ac…

1937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836864/psn-pdf
      April 06, 2022 - Improving the specificity of drug-drug interaction alerts: can it be done? April 6, 2022 Reese T, Wright A, Liu S, et al. Improving the specificity of drug-drug interaction alerts: Can it be done? Am J Health Syst Pharm. 2022;79(13):1086-1095. doi:10.1093/ajhp/zxac045. https://psnet.ahrq.gov/issue/improving-specif…

1938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45910/psn-pdf
      March 08, 2017 - Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety. March 8, 2017 Ottawa, ON: Canadian Agency for Drugs and Technologies in Health; 2016. https://psnet.ahrq.gov/issue…

1939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73971/psn-pdf
      October 13, 2021 - Safety culture as a patient safety practice for alarm fatigue. October 13, 2021 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. https://psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fati…

1940. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet
      psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
      September 09, 2015 - March 18, 2020 Examining causes and prevention strategies of adverse events in deceased