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Failure to Rescue | PSNet

psnet.ahrq.gov/primer/failure-rescue

September 15, 2024 - Failure to Rescue Citation Text: Tokareva I, Romano P. Failure to Rescue. … Failure to Rescue. PSNet [internet]. … lead to FTR – failure to recognize complications, failure to relay information regarding complications … , and failure to react in a timely and appropriate manner. … Failure to Rescue. PSNet [internet].

Failure to Reevaluate | PSNet

psnet.ahrq.gov/web-mm/failure-reevaluate

February 01, 2014 - Failure to Reevaluate Citation Text: Wong-Beringer A. Failure to Reevaluate. … Failure to Reevaluate. PSNet [internet]. … As a result of her renal failure, the patient rapidly developed non-anion gap metabolic acidosis and, … Urine and blood studies failed to identify a clear cause of her renal failure. … Failure to Reevaluate. PSNet [internet].

Failure and rescue. | PSNet

psnet.ahrq.gov/issue/failure-and-rescue

September 28, 2017 - Newspaper/Magazine Article Failure and rescue. … Citation Text: Failure and rescue. Gawande A. The New Yorker: News Desk. June 4, 2012. … This piece, originally delivered as a commencement speech, discusses the importance of recognizing failure … Linkedin Copy URL Cite Citation Citation Text: Failure

The Failure Issue. | PSNet

psnet.ahrq.gov/issue/failure-issue

October 20, 2015 - Special or Theme Issue The Failure Issue. … Citation Text: The Failure Issue. Harv Bus Rev. April 2011;89(4);1-140. … special issue explores business executives' experiences with recognizing, learning from , and avoiding failure … Linkedin Copy URL Cite Citation Citation Text: The Failure … January 8, 2020 The Gift of Failure: New Approaches to Analyzing and Learning from Events

Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization. | PSNet

psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart-failure

January 26, 2022 - Study Prescribing patterns of heart failure-exacerbating medications following a … heart failure hospitalization. … Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization … Various potentially inappropriately prescribed medications can exacerbate heart failure (HF) and lead … Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization

Strategies for learning from failure. | PSNet

psnet.ahrq.gov/issue/strategies-learning-failure

September 25, 2024 - Commentary Classic Strategies for learning from failure … Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137. … Strategies of learning from failure. Harv Bus Rev. 2011;89(4):48-55, 137.

DRESSed for Failure | PSNet

psnet.ahrq.gov/web-mm/dressed-failure

September 01, 2011 - DRESSed for Failure Citation Text: Abramson EL, Kaushal R. DRESSed for Failure. … DRESSed for Failure. PSNet [internet]. … DRESSed for Failure. PSNet [internet]. … WebM&M Cases Recurrent Hypoglycemia: A Care Transition Failure

Failure to Report | PSNet

psnet.ahrq.gov/web-mm/failure-report

July 01, 2008 - SPOTLIGHT CASE Failure to Report Citation Text: Spath P. Failure to Report. … Failure to Report. PSNet [internet]. … The nurse's failure to confirm the medication's identity prior to administration falls into the category … Failure to Report. PSNet [internet]. … Analysis July 1, 2008 Letter In response to "Failure

Failure to Latch | PSNet

psnet.ahrq.gov/web-mm/failure-latch

November 27, 2012 - Failure to Latch Citation Text: Rodriguez M, Mannel R, Frye DR. Failure to Latch. … Failure to Latch. PSNet [internet]. … Failure to Latch. PSNet [internet]. … Mesenteric Ischemia August 31, 2022 WebM&M Cases Failure … to Rescue the Mother July 2, 2019 Failure to rescue as a process measure to

The exaggerated benefits of failure. | PSNet

psnet.ahrq.gov/issue/exaggerated-benefits-failure

November 09, 2022 - Study The exaggerated benefits of failure. … The exaggerated benefits of failure. … Failure can be considered a learning opportunity under the right conditions and the right organizational … Respondents consistently overestimated the success rate following failure in each of the study scenarios … The exaggerated benefits of failure.

Failure mode and effects analysis: an empirical comparison of failure mode scoring procedures. | PSNet

psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-empirical-comparison-failure-mode-scoring-procedures

January 03, 2017 - Study Failure mode and effects analysis: an empirical comparison of failure mode … Failure Mode and Effects Analysis. … This study empirically demonstrated that different failure mode effect analysis (FMEA) scoring procedures … Failure Mode and Effects Analysis. … March 28, 2011 Failure mode and effect analysis: a technique to prevent chemotherapy

Risk, society and system failure. | PSNet

psnet.ahrq.gov/issue/risk-society-and-system-failure

November 29, 2023 - Commentary Risk, society and system failure. … Risk, society and system failure. … Risk, society and system failure.

Interactions between the context of a health-care organisation and failure: the situational impact of failure on organisational learning. | PSNet

psnet.ahrq.gov/issue/interactions-between-context-health-care-organisation-and-failure-situational-impact-failure

May 17, 2012 - Review Interactions between the context of a health-care organisation and failure … : the situational impact of failure on organisational learning. … Interactions between the context of a health-care organisation and failure: the situational impact of … failure on organisational learning. … failure on organisational learning.

Failure to Rescue the Mother | PSNet

psnet.ahrq.gov/web-mm/failure-rescue-mother

September 23, 2020 - Failure to Rescue the Mother Citation Text: Vivero A, Klapper EB, Gregory KD, et al. … Failure to Rescue the Mother. PSNet [internet]. … Failure to Rescue the Mother. PSNet [internet]. … to order a complete blood count on admission, failure to ensure blood availability for the surgery, … Failure to Rescue the Mother. PSNet [internet].

Active Error (or Active Failure) | PSNet

psnet.ahrq.gov/glossary/active-error-or-active-failure

September 13, 2021 - Active Error (or Active Failure) September 13, 2021 Anonymous (not verified) The terms active

Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure. | PSNet

psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing

December 14, 2022 - Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure … Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure … In this study, pediatric hospitalists describe potential benefits and risks of allowing failure, the … process of allowing or interrupting failure, and how they decide to allow failure to happen. … Using trainee failures to enhance learning: a qualitative study of pediatric hospitalists on allowing failure

Failure to rescue in neonatal care. | PSNet

psnet.ahrq.gov/issue/failure-rescue-neonatal-care

July 06, 2011 - Commentary Failure to rescue in neonatal care. … Failure to rescue in neonatal care. … This commentary suggests numerous strategies to reduce the incidence of failure to rescue in the neonatal … Failure to rescue in neonatal care. … September 7, 2011 Reducing failure to rescue rates in a paediatric in-patient setting

Communication failure in the operating room. | PSNet

psnet.ahrq.gov/issue/communication-failure-operating-room

February 25, 2009 - Study Communication failure in the operating room. … Communication failure in the operating room. … to assess the incidence, types, and consequences of surgical communication problems, and found that failure … Communication failure in the operating room.

Communication Failure—Who's in Charge? | PSNet

psnet.ahrq.gov/web-mm/communication-failure-whos-charge

April 01, 2018 - Communication Failure—Who's in Charge? Citation Text: Fackler J, Schwartz JM. … Communication Failure—Who's in Charge?. PSNet [internet]. … Communication Failure—Who's in Charge?. PSNet [internet]. … Failure of the intensivist to grab the baton and effectively conduct was, in this case, lethal. … Communication Failure—Who's in Charge?. PSNet [internet].

Diagnostic Failure: The Growing Deficit | PSNet

psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit

June 01, 2005 - Diagnostic Failure: The Growing Deficit Citation Text: Chang R, Flanders S. … Diagnostic Failure: The Growing Deficit. PSNet [internet]. … Diagnostic Failure: The Growing Deficit. PSNet [internet]. … fast) thinking (so-called cognitive debiasing) has been suggested as method of mitigating diagnostic failure … Diagnostic Failure: The Growing Deficit. PSNet [internet].

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