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Total Results: 197 records

Showing results for "extensive".

61. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. | PSNet
    psnet.ahrq.gov/issue/use-audit-feedback-implementation-strategy-promote-medication-error-reporting-nurses
    March 24, 2021 - Study Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. Citation Text: Hutchinson A, Brotto V, Chapman A, et al. Use of an audit with feedback implementation strategy to promote medication error reporting by nurses. J Clin Nurs. 2020;2…

62. Haste Makes Care Unsafe | PSNet
    psnet.ahrq.gov/web-mm/haste-makes-care-unsafe
    January 07, 2015 - implementation is a complex sociotechnical process that requires a robust culture of safety as well as extensive

63. Supplement on Deepening our Understanding of Quality in Australia (DUQuA). | PSNet
    psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua
    February 04, 2009 - Special or Theme Issue Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Citation Text: Supplement on Deepening our Understanding of Quality in Australia (DUQuA). Int J Qual Health Care. 2020;32(Supp1):1-105. Copy Citation Save Save t…

64. High-Performance Work Systems in Health Care Management: Parts 1-5. | PSNet
    psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
    March 22, 2017 - Special or Theme Issue High-Performance Work Systems in Health Care Management: Parts 1-5. Citation Text: High-Performance Work Systems in Health Care Management: Parts 1-5. Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020. Copy Citation …

65. Language proficiency and adverse events in US hospitals: a pilot study. | PSNet
    psnet.ahrq.gov/issue/language-proficiency-and-adverse-events-us-hospitals-pilot-study
    January 23, 2012 - Study Language proficiency and adverse events in US hospitals: a pilot study. Citation Text: Divi C, Koss RG, Schmaltz SP, et al. Language proficiency and adverse events in US hospitals: a pilot study. Int J Qual Health Care. 2007;19(2):60-67. doi:10.1093/intqhc/mzl069. Copy Citation…

66. The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/aspects-healthcare-quality-are-important-health-professionals-and-patients-qualitative-study
    September 08, 2021 - Study The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Citation Text: Hannawa AF, Wu AW, Kolyada A, et al. The aspects of healthcare quality that are important to health professionals and patients: a qualitative study. Patien…

67. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. | PSNet
    psnet.ahrq.gov/issue/presence-and-potential-impact-psychological-safety-healthcare-setting-evidence-synthesis
    October 20, 2021 - Review The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. Citation Text: Grailey KE, Murray E, Reader T, et al. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. BMC Health …

68. A randomized trial of a multifactorial strategy to prevent serious fall injuries. | PSNet
    psnet.ahrq.gov/issue/randomized-trial-multifactorial-strategy-prevent-serious-fall-injuries
    August 04, 2021 - Study A randomized trial of a multifactorial strategy to prevent serious fall injuries. Citation Text: Bhasin S, Gill TM, Reuben DB, et al. A randomized trial of a multifactorial strategy to prevent serious fall injuries. N Engl J Med. 2020;383(2):129-140. doi:10.1056/nejmoa2002183. C…

69. Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature. | PSNet
    psnet.ahrq.gov/issue/interventions-promoting-employee-speaking-within-healthcare-workplaces-systematic-narrative
    May 19, 2021 - Review Classic Interventions promoting employee "speaking-up" within healthcare workplaces: a systematic narrative review of the international literature. Citation Text: Jones A, Blake J, Adams M, et al. Interventions promoting employee “speaking-up” within heal…

70. An Inadvertent Bolus of Norepinephrine. | PSNet
    psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
    December 04, 2016 - SPOTLIGHT CASE An Inadvertent Bolus of Norepinephrine. Citation Text: Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation F…

71. Timely diagnosis of esophageal perforation | PSNet
    psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
    September 27, 2023 - repair, even if the perforation were unrecognized for more than 24 hours. 9   Certain factors, such as extensive

72. Misreading injectable medications—causes and solutions: an integrative literature review. | PSNet
    psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
    May 04, 2010 - Review Misreading injectable medications—causes and solutions: an integrative literature review. Citation Text: Borradale H, Andersen P, Wallis M, et al. Misreading injectable medications—causes and solutions: an integrative literature review. J Patient Saf. 2020. doi:10.1016/j.jcjq.2020…

73. Prescription opioid exposures among children and adolescents in the United States: 2000–2015. | PSNet
    psnet.ahrq.gov/issue/prescription-opioid-exposures-among-children-and-adolescents-united-states-2000-2015
    December 21, 2017 - Study Prescription opioid exposures among children and adolescents in the United States: 2000–2015. Citation Text: Allen JD, Casavant MJ, Spiller HA, et al. Prescription Opioid Exposures Among Children and Adolescents in the United States: 2000-2015. Pediatrics. 2017;139(4). doi:10.1542/…

74. Barriers to speaking up about patient safety concerns. | PSNet
    psnet.ahrq.gov/issue/barriers-speaking-about-patient-safety-concerns
    September 01, 2018 - Study Barriers to speaking up about patient safety concerns. Citation Text: Etchegaray JM, Ottosen MJ, Dancsak T, et al. Barriers to speaking up about patient safety concerns. J Patient Saf. 2020;16(4):e230-e234. doi:10.1097/pts.0000000000000334. Copy Citation Format: DOI G…

75. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture | PSNet
    psnet.ahrq.gov/web-mm/under-pressure-tracheostomy-cuff-over-inflation-leading-tissue-necrosis-and-cuff-rupture
    March 15, 2023 - SPOTLIGHT CASE Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture Citation Text: Gould E, Carlsen K, Trask J, et al. Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture.. PSNet [internet]. Rockville (MD): Agency fo…

76. Communication Error in a Closed ICU | PSNet
    psnet.ahrq.gov/web-mm/communication-error-closed-icu
    July 01, 2016 - After extensive discussion, his family eventually decided to pursue comfort measures only, and he died

77. Multidisciplinary approaches to reducing error and risk in a patient care setting. | PSNet
    psnet.ahrq.gov/issue/multidisciplinary-approaches-reducing-error-and-risk-patient-care-setting
    January 05, 2017 - Study Classic Multidisciplinary approaches to reducing error and risk in a patient care setting. Citation Text: Connor M, Ponte PR, Conway JB. Multidisciplinary approaches to reducing error and risk in a patient care setting. Crit Care Nurs Clin North Am. 2002…

78. Health Care Data Science for Quality Improvement and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
    October 01, 2016 - The extensive customization that is a feature of many EHRs invites clinicians to record the same information … One is the extensive customization of EHRs that leads to problematic nonstandardization.

79. Families as partners in hospital error and adverse event surveillance. | PSNet
    psnet.ahrq.gov/issue/families-partners-hospital-error-and-adverse-event-surveillance
    December 19, 2018 - Study Classic Families as partners in hospital error and adverse event surveillance. Citation Text: Khan A, Coffey M, Litterer KP, et al. Families as Partners in Hospital Error and Adverse Event Surveillance. JAMA Pediatr. 2017;171(4):372-381. doi:10.1001/jamape…

80. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. | PSNet
    psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient
    December 29, 2014 - Study A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. Citation Text: Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety…