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Total Results: 6,011 records

Showing results for "examining".

2001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38925/psn-pdf
      September 16, 2009 - A literature review of the individual and systems factors that contribute to medication errors in nursing practice. September 16, 2009 Brady A-M, Malone A-M, Fleming S. A literature review of the individual and systems factors that contribute to medication errors in nursing practice. J Nurs Manag. 2009;17(6):679-97…

2002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47940/psn-pdf
      May 01, 2019 - Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. May 1, 2019 Giles SJ, Parveen S, Hernan AL. Validation of the Primary Care Patient Measure of Safety (PC PMOS) questionnaire. BMJ Qual Saf. 2019;28(5):389-396. doi:10.1136/bmjqs-2018-007988. https://psnet.ahrq.gov/issue/validation-pr…

2003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866201/psn-pdf
      June 26, 2024 - Systemic: How Racism Is Making Us Ill. June 26, 2024 Liverpool L. New York, NY: Astra Publishing House; 2024. ISBN?: ?9781662601675. https://psnet.ahrq.gov/issue/systemic-how-racism-making-us-ill People of color are routinely affected by biased decision making in health care. This book examines the phenomenon of d…

2004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863003/psn-pdf
      February 21, 2024 - Positive Patient Identification. February 21, 2024 Healthcare Safety Investigation Branch (HSIB), Dorset, UK:  Health Services Safety Investigations Body; February 2024. https://psnet.ahrq.gov/issue/positive-patient-identification Patient misidentification can result in medication administration errors, …

2005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838327/psn-pdf
      October 12, 2022 - Diagnoses Without Names: Challenges for Medical Care, Research, and Policy. October 12, 2022 Lockshin MD, Crow MK, Barbhaiya M, eds. Springer Nature: Cham, Switzerland; 2022.  ISBN 9783031049347.  https://psnet.ahrq.gov/issue/diagnoses-without-names-challenges-medical-care-research-and-policy Clinicians…

2006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861287/psn-pdf
      January 24, 2024 - Organizational resilience as paradox management: a systematic review of the literature. January 24, 2024 Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi:10.1111/1468-5973.12495. https:…

2007. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42880/psn-pdf
      January 22, 2014 - Applying ethnography to the study of context in healthcare quality and safety. January 22, 2014 Leslie M, Paradis E, Gropper MA, et al. Applying ethnography to the study of context in healthcare quality and safety. BMJ Qual Saf. 2014;23(2):99-105. doi:10.1136/bmjqs-2013-002335. https://psnet.ahrq.gov/issue/applyin…

2008. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836834/psn-pdf
      March 30, 2022 - Dying for Care. March 30, 2022 Stein L, Fraser J, Penzenstadler N et al. USA Today. March 10, 2022. https://psnet.ahrq.gov/issue/dying-care Nursing home residents, staff, and care processes were particularly vulnerable to COVID-19. This collection of resources examines data and documentation involving one nursing …

2009. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35022/psn-pdf
      June 22, 2009 - The investigation and analysis of critical incidents and adverse events in healthcare. June 22, 2009 Woloshynowych M, Rogers S, Taylor-Adams S, et al. The investigation and analysis of critical incidents and adverse events in healthcare. Health Technol Assess. 2005;9(19):1-143, iii. https://psnet.ahrq.gov/issue/in…

2010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40764/psn-pdf
      December 29, 2014 - Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. December 29, 2014 Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.1093/intqhc/mzr045. https://psnet…

2011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34799/psn-pdf
      December 23, 2008 - Drug related admissions to a cardiology department; frequency and avoidability. December 23, 2008 Hallas J, Haghfelt T, Gram LF, et al. Drug related admissions to a cardiology department; frequency and avoidability. J Intern Med. 1990;228(4):379-84. https://psnet.ahrq.gov/issue/drug-related-admissions-cardiology-d…

2012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47244/psn-pdf
      August 01, 2018 - The Second Society for Simulation in Healthcare Research Summit: Beyond Our Boundaries. August 1, 2018 Simul Healthc. 2018;13(3S suppl 1):S1-S55. https://psnet.ahrq.gov/issue/second-society-simulation-healthcare-research-summit-beyond-our-boundaries Simulation strategies can help examine team interaction and care …

2013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37399/psn-pdf
      March 28, 2012 - Factors affecting incident reporting by registered nurses: the relationship of perceptions of the environment for reporting errors, knowledge of the Nursing Practice Act, and demographics on intent to report errors. March 28, 2012 Throckmorton T, Etchegaray J. Factors affecting incident reporting by registered nur…

2014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50580/psn-pdf
      October 23, 2019 - Suspicious insulin injections, nearly a dozen deaths: inside an unfolding investigation at a VA hospital in West Virginia. October 23, 2019 Rein L. Washington Post. October 5, 2019. https://psnet.ahrq.gov/issue/suspicious-insulin-injections-nearly-dozen-deaths-inside-unfolding- investigation-va-hospital The Vete…

2015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34744/psn-pdf
      January 07, 2019 - Judgment under Uncertainty: Heuristics and Biases. January 7, 2019 Kahneman D, Slovic P, Tversky A, eds. Cambridge, NY: Cambridge University Press; 1982. ISBN: 0521284147. https://psnet.ahrq.gov/issue/judgment-under-uncertainty-heuristics-and-biases Judgement is an inherently human activity tha…

2016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46804/psn-pdf
      January 01, 2021 - Retained guidewires in the Veterans Health Administration: getting to the root of the problem. May 9, 2018 Cherara L, Sculli GL, Paull DE, et al. Retained Guidewires in the Veterans Health Administration: Getting to the Root of the Problem. J Patient Saf. 2021;17(8):e991-e928. doi:10.1097/PTS.0000000000000475. htt…

2017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39676/psn-pdf
      February 01, 2011 - Patient empowerment and multimodal hand hygiene promotion: a win–win strategy. February 1, 2011 McGuckin M, Storr J, Longtin Y, et al. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. Am J Med Qual. 2011;26(1):10-7. doi:10.1177/1062860610373138. https://psnet.ahrq.gov/issue/patient-em…

2018. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45551/psn-pdf
      November 30, 2016 - Parents' perspectives on "keeping their children safe" in the hospital. November 30, 2016 Rosenberg RE, Rosenfeld P, Williams E, et al. Parents' Perspectives on "Keeping Their Children Safe" in the Hospital. J Nurs Care Qual. 2016;31(4):318-326. doi:10.1097/NCQ.0000000000000193. https://psnet.ahrq.gov/issue/parent…

2019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847550/psn-pdf
      April 12, 2023 - What's changed 1 year after RaDonda Vaught's conviction? April 12, 2023 Bean M, Carbajal E. Becker's Hospital Review. March 29, 2023. https://psnet.ahrq.gov/issue/whats-changed-1-year-after-radonda-vaughts-conviction The RaDonda Vaught conviction reverberated throughout health care and marked weaknesses in systems…

2020. 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