Results

Total Results: 8,190 records

Showing results for "failures".

401. Assessment of DoD Wounded Warrior Matters: Managing Risks of Multiple Medications. | PSNet
     psnet.ahrq.gov/issue/assessment-dod-wounded-warrior-matters-managing-risks-multiple-medications
     March 16, 2022 - May 1, 2015 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with … Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures

402. Mandatory presuit mediation: 5-year results of a medical malpractice resolution program. | PSNet
     psnet.ahrq.gov/issue/mandatory-presuit-mediation-5-year-results-medical-malpractice-resolution-program
     February 02, 2022 - December 4, 2016 Failure to debrief after critical events in anesthesia is associated with failures … More Related Resources Frequency and nature of communication and handoff failures

403. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet
     psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
     November 16, 2022 - December 4, 2013 An observational study of the frequency, severity, and etiology of failures … September 20, 2012 Identifying the latent failures underpinning medication administration

404. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet
     psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
     August 24, 2022 - December 1, 2011 Frequency and nature of communication and handoff failures in medical … September 12, 2012 Identifying the latent failures underpinning medication administration

405. An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. | PSNet
     psnet.ahrq.gov/issue/evidence-synthesis-perioperative-handoffs-call-balanced-sociotechnical-solutions
     June 23, 2021 - From the Same Author(s) An observational study of postoperative handoff standardization failures … November 17, 2021 An observational study of postoperative handoff standardization failures

406. Understanding and responding to adverse events. | PSNet
     psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
     July 19, 2019 - July 15, 2015 Surgical technology and operating-room safety failures: a systematic review … April 12, 2011 An observational study of the frequency, severity, and etiology of failures

407. Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes. | PSNet
     psnet.ahrq.gov/issue/association-between-paediatric-intraoperative-anaesthesia-handover-and-adverse-postoperative
     July 21, 2021 - June 27, 2018 An observational study of postoperative handoff standardization failures … August 10, 2022 An observational study of postoperative handoff standardization failures

408. Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. | PSNet
     psnet.ahrq.gov/issue/quantifying-discharge-medication-reconciliation-errors-2-pediatric-hospitals
     October 20, 2021 - 2021 Health literacy-related safety events: a qualitative study of health literacy failures … December 21, 2017 Frequency and nature of communication and handoff failures in medical

409. Advancing patient safety through the clinical application of a framework focused on communication. | PSNet
     psnet.ahrq.gov/issue/advancing-patient-safety-through-clinical-application-framework-focused-communication
     December 02, 2020 - November 26, 2014 Using incident reports to assess communication failures and patient … June 1, 2012 A systematic review of failures in handoff communication during intrahospital

410. Potential uses of AI for perioperative nursing handoffs: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/potential-uses-ai-perioperative-nursing-handoffs-qualitative-study
     September 01, 2021 - September 1, 2021 An observational study of postoperative handoff standardization failures … April 26, 2023 An observational study of postoperative handoff standardization failures

411. A quality improvement initiative to improve pediatric discharge medication safety and efficiency. | PSNet
     psnet.ahrq.gov/issue/quality-improvement-initiative-improve-pediatric-discharge-medication-safety-and-efficiency
     May 20, 2020 - April 19, 2023 Operational failures in general practice: a consensus-building study on … Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures

412. Contextual errors in medical decision making: overlooked and understudied. | PSNet
     psnet.ahrq.gov/issue/contextual-errors-medical-decision-making-overlooked-and-understudied
     May 01, 2020 - October 29, 2012 Contextual errors and failures in individualizing patient care: a multicenter … Applying psychological theory to understanding failures in modern healthcare settings.

413. Errors in the administration of intravenous medication in Brazilian hospitals. | PSNet
     psnet.ahrq.gov/issue/errors-administration-intravenous-medication-brazilian-hospitals
     October 05, 2022 - May 30, 2018 Impact of interruptions, distractions, and cognitive load on procedure failures … September 12, 2012 Identifying the latent failures underpinning medication administration

414. ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. | PSNet
     psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey-results
     March 14, 2023 - May 7, 2018 Latent and active failures perfectly align to allow a preventable adverse … June 10, 2018 View More Related Resources Latent and active failures

415. Clinical perspective: creating an effective practice peer review process—a primer. | PSNet
     psnet.ahrq.gov/issue/clinical-perspective-creating-effective-practice-peer-review-process-primer
     November 16, 2022 - November 11, 2020 Effect of reducing interns' weekly work hours on sleep and attentional failures … The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures

416. Physician engagement in malpractice risk reduction: a UPHS case study. | PSNet
     psnet.ahrq.gov/issue/physician-engagement-malpractice-risk-reduction-uphs-case-study
     June 02, 2019 - Same Author(s) Failure to debrief after critical events in anesthesia is associated with failures … July 19, 2023 Operational failures detected by frontline acute care nurses.

417. Evaluation of an intervention aimed at improving voluntary incident reporting in hospitals. | PSNet
     psnet.ahrq.gov/issue/evaluation-intervention-aimed-improving-voluntary-incident-reporting-hospitals
     December 16, 2020 - April 14, 2011 Operational failures detected by frontline acute care nurses. … View More Related Resources Using incident reports to assess communication failures

418. Workarounds and Resiliency on the Front Lines of Health Care | PSNet
     psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
     August 01, 2009 - More importantly, operational failures disrupt patient care, leading to uncompleted tasks and medical … Identification of systems failures in successful paediatric cardiac surgery. … The impact of operational failures on hospital nurses and their patients. … Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41:643-662. … There's bank failures, corporate failures in the auto industry, and health care.

419. Roles and role ambiguity in patient- and caregiver-performed outpatient parenteral antimicrobial therapy. | PSNet
     psnet.ahrq.gov/issue/roles-and-role-ambiguity-patient-and-caregiver-performed-outpatient-parenteral-antimicrobial
     November 20, 2024 - April 24, 2024 Information management goals and process failures during home visits for … Related Resources An observational study of postoperative handoff standardization failures

420. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-297
     June 30, 2021 - Study An observational study of postoperative handoff standardization failures. … Study Classification of failures in the perception of conversational agents (CAs) and … Investigators used these CAs to detect errors and failures in calculating correct insulin doses. … Potential failures must be considered before deployment of CAs in safety-critical environments. … Investigations of all adverse events will help identify and correct system failures to improve patient