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Showing results for "examining".

  1. Medication errors and response bias: the tip of the iceberg. | PSNet

    psnet.ahrq.gov/issue/medication-errors-and-response-bias-tip-iceberg
    February 07, 2024 - Study Medication errors and response bias: the tip of the iceberg. Citation Text: Bar-Oz B, Goldman M, Lahat E, et al. Medication errors and response bias: the tip of the iceberg. Isr Med Assoc J. 2008;10(11):771-4. Copy Citation Format: Google Scholar PubMed BibTeX EndN…

  2. System weaknesses as contributing causes of accidents in health care. | PSNet

    psnet.ahrq.gov/issue/system-weaknesses-contributing-causes-accidents-health-care
    August 31, 2022 - Study System weaknesses as contributing causes of accidents in health care. Citation Text: Ternov S, Akselsson R. System weaknesses as contributing causes of accidents in health care. Int J Qual Health Care. 2005;17(1):5-13. Copy Citation Format: Google Scholar PubMed Bib…

  3. Impact of the Care Quality Commission on Provider Performance: Room for Improvement? | PSNet

    psnet.ahrq.gov/issue/impact-care-quality-commission-provider-performance-room-improvement
    November 18, 2015 - Book/Report Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Citation Text: Impact of the Care Quality Commission on Provider Performance: Room for Improvement? Smithson R, Richardson E, Roberts J, et al. The King's Fund, Alliance Manchester Business S…

  4. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. | PSNet

    psnet.ahrq.gov/issue/towards-organization-memory-exploring-organizational-generation-adverse-events-health-care
    February 22, 2010 - Commentary Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Citation Text: Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manag…

  5. Using fault trees to advance understanding of diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/using-fault-trees-advance-understanding-diagnostic-errors
    November 11, 2020 - Commentary Using fault trees to advance understanding of diagnostic errors. Citation Text: Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007. Copy Citation F…

  6. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. | PSNet

    psnet.ahrq.gov/issue/patient-safety-home-hemodialysis-quality-assurance-and-serious-adverse-events-home-setting
    January 23, 2017 - Commentary Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Citation Text: Pauly RP, Eastwood DO, Marshall MR. Patient safety in home hemodialysis: quality assurance and serious adverse events in the home setting. Hemodial Int. 2015;1…

  7. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. | PSNet

    psnet.ahrq.gov/issue/how-can-we-keep-patients-dementia-safe-our-acute-hospitals-review-challenges-and-solutions
    February 04, 2015 - Review How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. Citation Text: George J, Long SJ, Vincent CA. How can we keep patients with dementia safe in our acute hospitals? A review of challenges and solutions. J R Soc Med. 2013;1…

  8. Nursing handoffs: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/nursing-handoffs-systematic-review-literature
    January 08, 2025 - Review Nursing handoffs: a systematic review of the literature. Citation Text: Riesenberg LA, Leitzsch J, Cunningham JM. Nursing handoffs: a systematic review of the literature. Am J Nurs. 2010;110(4):24-34; quiz 35-6. doi:10.1097/01.NAJ.0000370154.79857.09. Copy Citation Format:…

  9. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. | PSNet

    psnet.ahrq.gov/issue/surgical-simulation-curriculum-senior-medical-students-based-teamstepps
    December 21, 2014 - Study A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Citation Text: Meier AH, Boehler ML, McDowell CM, et al. A surgical simulation curriculum for senior medical students based on TeamSTEPPS. Arch Surg. 2012;147(8):761-6. doi:10.1001/archsurg.2012.1340.…

  10. Factors influencing preceptors' responses to medical errors: a factorial survey. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
    September 10, 2009 - Study Factors influencing preceptors' responses to medical errors: a factorial survey. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92. Copy Citation Format: …

  11. Health Care Quality and Disparities: Lessons from the First National Reports. | PSNet

    psnet.ahrq.gov/issue/health-care-quality-and-disparities-lessons-first-national-reports
    April 03, 2005 - Special or Theme Issue Health Care Quality and Disparities: Lessons from the First National Reports. Citation Text: Health Care Quality and Disparities: Lessons from the First National Reports. Kelley E, Moy E, Dayton E, et al. Med Care. 2005:43(3):I1-I88. Copy Citation …

  12. Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. | PSNet

    psnet.ahrq.gov/issue/implementing-world-health-organization-surgical-safety-checklist-model-future-perioperative
    March 30, 2022 - Commentary Implementing the World Health Organization surgical safety checklist: a model for future perioperative initiatives. Citation Text: Styer KA, Ashley SW, Schmidt I, et al. Implementing the World Health Organization surgical safety checklist: a model for future perioperative in…

  13. Five new ways to advance diagnostic safety in your clinical practice. | PSNet

    psnet.ahrq.gov/issue/five-new-ways-advance-diagnostic-safety-your-clinical-practice
    June 30, 2021 - Commentary Five new ways to advance diagnostic safety in your clinical practice. Citation Text: Five new ways to advance diagnostic safety in your clinical practice. Bradford A, Goeschel C, Shofer M, et al. Am Fam Physician. 2023;108(1):14-16. Copy Citation Save …

  14. Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events. | PSNet

    psnet.ahrq.gov/issue/adolescent-use-insulin-and-patient-controlled-analgesia-pump-technology-10-year-food-and-drug
    February 13, 2008 - Study Adolescent use of insulin and patient-controlled analgesia pump technology: a 10-year Food and Drug Administration retrospective study of adverse events. Citation Text: Cope JU, Morrison AE, Samuels-Reid J. Adolescent use of insulin and patient-controlled analgesia pump technolog…

  15. Adverse event protocol for interventional pain medicine: the importance of an organized response. | PSNet

    psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response
    January 12, 2022 - Study Adverse event protocol for interventional pain medicine: the importance of an organized response. Citation Text: Sitzman BT. Adverse Event Protocol for Interventional Pain Medicine: The Importance of an Organized Response. Pain Medicine. 2008;9(suppl 1). doi:10.1111/j.1526-4637.2…

  16. Medical students' experiences with medical errors: an analysis of medical student essays. | PSNet

    psnet.ahrq.gov/issue/medical-students-experiences-medical-errors-analysis-medical-student-essays
    June 22, 2022 - Study Medical students' experiences with medical errors: an analysis of medical student essays. Citation Text: Martinez W, Lo B. Medical students' experiences with medical errors: an analysis of medical student essays. Med Educ. 2008;42(7):733-41. doi:10.1111/j.1365-2923.2008.03109.x. …

  17. Residual anaesthesia drugs in intravenous lines—a silent threat? | PSNet

    psnet.ahrq.gov/issue/residual-anaesthesia-drugs-intravenous-lines-silent-threat
    July 13, 2010 - Commentary Residual anaesthesia drugs in intravenous lines—a silent threat? Citation Text: Bowman S, Raghavan K, Walker IA. Residual anaesthesia drugs in intravenous lines--a silent threat? Anaesthesia. 2013;68(6):557-61. doi:10.1111/anae.12287. Copy Citation Format: DOI G…

  18. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. | PSNet

    psnet.ahrq.gov/issue/characteristics-patients-misdiagnosed-alzheimers-disease-and-their-medication-use-analysis
    June 16, 2011 - Study Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. Citation Text: Gaugler JE, Ascher-Svanum H, Roth DL, et al. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use:…

  19. Using the ABCs of situational awareness for patient safety. | PSNet

    psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety
    November 16, 2022 - Commentary Using the ABCs of situational awareness for patient safety. Citation Text: Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. Copy Citation Format: DOI Google Scholar…

  20. From heroism to safe design: leveraging technology. | PSNet

    psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
    August 17, 2017 - Commentary From heroism to safe design: leveraging technology. Citation Text: Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. Copy Citation Format: DOI Google S…
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