Results

Total Results: 8,190 records

Showing results for "failures".

441. Management of the difficult airway: a closed claims analysis. | PSNet
     psnet.ahrq.gov/issue/management-difficult-airway-closed-claims-analysis
     July 13, 2010 - July 13, 2010 Communication failures contributing to patient injury in anaesthesia malpractice … February 8, 2023 Communication failures contributing to patient injury in anaesthesia

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49814/psn-pdf
     December 01, 2017 - web-mm/miscommunication-or-leads-anticoagulation-mishap As highlighted by this case, communication failures … In one study exploring OR communication failures, researchers found that they were present in approximately … optimal safety culture is challenging: no single intervention can address all communication-related failures … Communication failures in the operating room: an observational classification of recurrent types and … Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79:186-194.

443. Introducing the safety score audit for staff member and patient safety. | PSNet
     psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
     April 16, 2014 - April 16, 2014 Operational failures in general practice: a consensus-building study on … August 20, 2018 Impacts of operational failures on primary care physicians' work: a critical

444. Practical challenges of introducing WHO surgical checklist: UK pilot experience. | PSNet
     psnet.ahrq.gov/issue/practical-challenges-introducing-who-surgical-checklist-uk-pilot-experience
     September 26, 2012 - RIS Download Citation Related Resources From the Same Author(s) Failures … May 6, 2015 An observational study of the frequency, severity, and etiology of failures

445. Patient safety in otolaryngology: a descriptive review. | PSNet
     psnet.ahrq.gov/issue/patient-safety-otolaryngology-descriptive-review
     July 14, 2010 - January 14, 2014 Surgical technology and operating-room safety failures: a systematic … August 13, 2013 Deconstructing intraoperative communication failures.

446. Team communication during patient handover from the operating room: more than facts and figures. | PSNet
     psnet.ahrq.gov/issue/team-communication-during-patient-handover-operating-room-more-facts-and-figures
     December 16, 2009 - April 3, 2013 Deconstructing intraoperative communication failures. … Use of failure mode and effects analysis for proactive identification of communication and handoff failures

447. Checking the lists: a systematic review of electronic checklist use in health care. | PSNet
     psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care
     August 08, 2018 - Related Resources From the Same Author(s) Identification and characterization of failures … July 17, 2019 Reducing interdisciplinary communication failures through secure text messaging

448. Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. | PSNet
     psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach
     March 03, 2011 - April 11, 2009 Surgical technology and operating-room safety failures: a systematic review … June 1, 2016 Failures in communication and information transfer across the surgical care

449. Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet
     psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
     November 03, 2015 - November 3, 2015 Syndromic surveillance for health information system failures: a feasibility … November 2, 2010 A systematic review of failures in handoff communication during intrahospital

450. Safety through redundancy: a case study of in-hospital patient transfers. | PSNet
     psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers
     November 03, 2015 - November 3, 2015 Syndromic surveillance for health information system failures: a feasibility … December 21, 2014 A systematic review of failures in handoff communication during intrahospital

451. Using a computerized sign-out system to improve physician–nurse communication. | PSNet
     psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication
     September 28, 2016 - August 21, 2019 Using incident reports to assess communication failures and patient outcomes … January 23, 2017 Failures in communication through documents and documentation across

452. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. | PSNet
     psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional
     April 06, 2011 - Download Citation Related Resources From the Same Author(s) Communication failures … a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures

453. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. | PSNet
     psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
     October 19, 2012 - Related Resources From the Same Author(s) Deconstructing intraoperative communication failures … July 2, 2014 Failures in communication and information transfer across the surgical care

454. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. | PSNet
     psnet.ahrq.gov/issue/predictors-unit-level-medication-administration-accuracy-microsystem-impacts-medication
     October 06, 2016 - April 24, 2018 Operational failures detected by frontline acute care nurses. … September 26, 2016 Operational failures and interruptions in hospital nursing.

455. Making an infusion error: the second victims of infusion therapy-related medication errors. | PSNet
     psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors
     June 27, 2018 - December 21, 2017 Impact of interruptions, distractions, and cognitive load on procedure failures … August 20, 2014 Identifying the latent failures underpinning medication administration

456. Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. | PSNet
     psnet.ahrq.gov/issue/nurses-perceived-skills-and-attitudes-about-updated-safety-concepts-impact-medication
     January 03, 2017 - September 27, 2017 Impact of interruptions, distractions, and cognitive load on procedure failures … July 2, 2014 Identifying the latent failures underpinning medication administration errors

457. Just culture: it's more than policy. | PSNet
     psnet.ahrq.gov/issue/just-culture-its-more-policy
     July 05, 2017 - Download Citation Related Resources From the Same Author(s) Operational failures … 11, 2018 Failure to debrief after critical events in anesthesia is associated with failures

458. Recovery from medical errors: the critical care nursing safety net. | PSNet
     psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursing-safety-net
     February 18, 2011 - June 29, 2009 Effect of reducing interns' weekly work hours on sleep and attentional failures … One Bronchoscopy, Two Errors January 1, 2019 Inattentional blindness and failures

459. The nexus of nursing leadership and a culture of safer patient care. | PSNet
     psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
     January 18, 2018 - September 3, 2011 Operational failures detected by frontline acute care nurses. … October 4, 2017 Failures in communication through documents and documentation across

460. Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet
     psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
     June 21, 2016 - November 12, 2014 Decreasing handoff-related care failures in children's hospitals. … Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures