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Showing results for "factor".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50795/psn-pdf
    January 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis. January 15, 2020 Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44876/psn-pdf
    February 10, 2016 - The Texas Health Presbyterian Hospital Ebola Crisis: A Perfect Storm of Human Errors, System Failures and Lack of Mindfulness. February 10, 2016 Anderson-Fletcher E, Vera D, Abbott J. Houston, TX: Hobbs Center for Public Policy, University of Houston; 2015. https://psnet.ahrq.gov/issue/texas-health-presbyterian-h…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47655/psn-pdf
    March 27, 2019 - Endorsements of surgeon punishment and patient compensation in rested and sleep-restricted individuals. March 27, 2019 Nguyen S, Corrington A, Hebl MR, et al. Endorsements of Surgeon Punishment and Patient Compensation in Rested and Sleep-Restricted Individuals. JAMA Surg. 2019;154(6):555-557. doi:10.1001/jamasurg…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50945/psn-pdf
    February 26, 2020 - She hoped to shine a light on maternal mortality among Native Americans. Instead, she became a statistic of it. February 26, 2020 Chuck E, Assefa H. NBC News. February 8, 2020. https://psnet.ahrq.gov/issue/she-hoped-shine-light-maternal-mortality-among-native-americans-instead- she-became-statistic Maternal morbi…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43656/psn-pdf
    September 01, 2016 - Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard. September 1, 2016 Simpao AF, Ahumada LM, Desai BR, et al. Optimization of drug-drug interaction alert rules in a pediatric hospital's electronic health record system using…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35802/psn-pdf
    January 02, 2017 - Reconciliation failures lead to medication errors. January 2, 2017 Santell JP. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9. https://psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors Medication reconciliation represents an active effort of hospita…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866738/psn-pdf
    September 18, 2024 - 'Safer, not safe': service users' experiences of psychological safety in inpatient mental health wards in the United Kingdom. September 18, 2024 Vogt K S, Baker J, Kendal S, et al. 'Safer, not safe': service users' experiences of psychological safety in inpatient mental health wards in the United Kingdom. Int J Me…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/856590/psn-pdf
    November 29, 2023 - Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. November 29, 2023 Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(1):1224. doi:10.1186/s12913-023…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866313/psn-pdf
    July 17, 2024 - Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. July 17, 2024 Ayre MJ, Lewis PJ, Phipps DL, et al. Towards understanding and improving medication safety for patients with mental illness in primary care: a multimethod study. Health Expect.…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854380/psn-pdf
    October 11, 2023 - Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. October 11, 2023 Gupta AB, Greene MT, Fowler KE, et al. Associations between hospitalist shift busyness, diagnostic confidence, and resource utilization: a pilot study. J Patient Saf. 2023;19(7):447-452…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46288/psn-pdf
    August 23, 2017 - Supporting nursing, midwifery and allied health professional students to raise concerns with the quality of care: a review of the research literature. August 23, 2017 Milligan F, Wareing M, Preston-Shoot M, et al. "Supporting nursing, midwifery and allied health professional students to raise concerns with the qua…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72776/psn-pdf
    February 24, 2021 - Mental health of staff working in intensive care during COVID-19. February 24, 2021 Greenberg N, Weston D, Hall C, et al. Mental health of staff working in intensive care during COVID-19. Occup Med (Lond). 2020;71(2):62-67. doi:10.1093/occmed/kqaa220. https://psnet.ahrq.gov/issue/mental-health-staff-working-intens…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867751/psn-pdf
    March 12, 2025 - Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. March 12, 2025 Mahajan P, White E, Shaw KN, et al. Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Acad Emerg Med. 2025;Epub Jan 15. doi:10.1111/acem.15087. https://psnet.…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73168/psn-pdf
    April 21, 2021 - Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. April 21, 2021 Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 2021;17(2):e71-e75. doi:10.1097/pts.0…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34863/psn-pdf
    June 12, 2007 - Internal Bleeding: The Truth Behind America's Terrifying Epidemic of Medical Mistakes. Updated edition. June 12, 2007 Wachter R, Shojania K. New York: Rugged Land; 2005. ISBN: 9781590710739. https://psnet.ahrq.gov/issue/internal-bleeding-truth-behind-americas-terrifying-epidemic-medical-mistakes- updated-edition …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73534/psn-pdf
    July 28, 2021 - "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. July 28, 2021 Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. J Surg Educ. 2021;78(6):2020-2…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60757/psn-pdf
    August 05, 2020 - Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. August 5, 2020 Lindblad M, Unbeck M, Nilsson L, et al. Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology. BMC Health Serv Res. 2020;20(1):289. doi:10.1186/s12913-020-05139-z…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73312/psn-pdf
    May 26, 2021 - Healthcare professionals experience of psychological safety, voice, and silence. May 26, 2021 O'Donovan R, De Brún A, McAuliffe E. Healthcare professionals experience of psychological safety, voice, and silence. Front Psychol. 2021;12:626689. doi:10.3389/fpsyg.2021.626689. https://psnet.ahrq.gov/issue/healthcare-p…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865707/psn-pdf
    May 01, 2024 - Department of anesthesiology skilled peer support program outcomes: second victim perceptions. May 1, 2024 Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):442-448. doi:10.1016/j.jcjq.2024.03.00…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46017/psn-pdf
    July 11, 2017 - Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. July 11, 2017 Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxillofac Surg. 2017;55(5):449-453. do…
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