Results

Total Results: 8,190 records

Showing results for "failures".

541. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42443/psn-pdf
     January 07, 2015 - This review examines design, implementation, and standardization concerns related to alarm-associated failures

542. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37455/psn-pdf
     January 09, 2008 - teamwork-and-communication-surgical-teams-implications-patient-safety https://psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps

543. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38215/psn-pdf
     November 14, 2011 - could-it-happen-here-learning-other-organizations-safety-errors This brief article explains step-by-step how health care leadership can learn from failures

544. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40261/psn-pdf
     March 02, 2011 - doctors-handovers-hospitals-literature-review This review explored patient transfer in hospitals to identify common areas for communication failures

545. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38250/psn-pdf
     June 10, 2018 - hearing reports of errors at other institutions and explains the importance of learning from such failures

546. Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. | PSNet
     psnet.ahrq.gov/issue/effect-distractions-operative-performance-and-ability-multitask-case-deliberate-practice
     September 15, 2010 - Improving patient safety governance and systems through learning from successes and failures … Application of the aviation black box principle in pediatric cardiac surgery: tracking all failures

547. A novel ICU hand-over tool: the glass door of the patient room. | PSNet
     psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-patient-room
     October 12, 2009 - October 12, 2009 An observational study of postoperative handoff standardization failures … flowsheet to document communication with advanced providers provide a mechanism to detect pulse oximetry failures

548. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. | PSNet
     psnet.ahrq.gov/issue/point-care-testing-error-sources-and-amplifiers-taxonomy-prevention-strategies-and-detection
     January 08, 2016 - June 14, 2011 Frequency and outcome of cervical cancer prevention failures in the United … December 14, 2022 Information management goals and process failures during home visits

549. Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. | PSNet
     psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement
     August 26, 2011 - View More Related Resources Using incident reports to assess communication failures … October 27, 2016 Failures in communication through documents and documentation across

550. Resident physicians' advice seeking and error making: a social networks approach. | PSNet
     psnet.ahrq.gov/issue/resident-physicians-advice-seeking-and-error-making-social-networks-approach
     July 13, 2010 - October 6, 2010 View More Related Resources Using trainee failures … June 10, 2018 Trainees' perceptions of patient safety practices: recounting failures

551. Test result communication in primary care: clinical and office staff perspectives. | PSNet
     psnet.ahrq.gov/issue/test-result-communication-primary-care-clinical-and-office-staff-perspectives
     November 20, 2015 - Download Citation Related Resources From the Same Author(s) Routine failures … August 3, 2022 Routine failures in the process for blood testing and the communication

552. Experiences with diagnostic delay among underserved racial and ethnic patients: a systematic review of the qualitative literature. | PSNet
     psnet.ahrq.gov/issue/experiences-diagnostic-delay-among-underserved-racial-and-ethnic-patients-systematic-review
     November 03, 2015 - March 14, 2022 Syndromic surveillance for health information system failures: a feasibility … December 21, 2014 A systematic review of failures in handoff communication during intrahospital

553. "Mr Smith's been our problem child today...": anticipatory management communication (AMC) in VA end-of-shift medicine and nursing handoffs. | PSNet
     psnet.ahrq.gov/issue/mr-smiths-been-our-problem-child-today-anticipatory-management-communication-amc-va-end-shift
     January 22, 2016 - January 7, 2015 Frequency and outcome of cervical cancer prevention failures in the United … April 22, 2020 Using incident reports to assess communication failures and patient outcomes

554. Risks of complications by attending physicians after performing nighttime procedures. | PSNet
     psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
     February 14, 2018 - July 10, 2008 Effect of reducing interns' weekly work hours on sleep and attentional failures … September 21, 2022 Communication failures contributing to patient injury in anaesthesia

555. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. | PSNet
     psnet.ahrq.gov/issue/causes-medication-administration-errors-hospitals-systematic-review-quantitative-and
     April 01, 2015 - September 29, 2017 Impact of interruptions, distractions, and cognitive load on procedure failures … March 13, 2013 Identifying the latent failures underpinning medication administration

556. Pediatric anesthesiology fellows' perception of quality of attending supervision and medical errors. | PSNet
     psnet.ahrq.gov/issue/pediatric-anesthesiology-fellows-perception-quality-attending-supervision-and-medical-errors
     September 07, 2016 - June 28, 2023 Using trainee failures to enhance learning: a qualitative study of pediatric … 26, 2019 Failure to debrief after critical events in anesthesia is associated with failures

557. Extended work duration and the risk of self-reported percutaneous injuries in interns. | PSNet
     psnet.ahrq.gov/issue/extended-work-duration-and-risk-self-reported-percutaneous-injuries-interns
     January 07, 2011 - Impact of extended-duration shifts on medical errors, adverse events, and attentional failures … January 10, 2017 Effect of reducing interns' weekly work hours on sleep and attentional failures

558. Racial and ethnic disparities in patient safety. | PSNet
     psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety
     March 03, 2011 - January 6, 2017 Process of care failures in breast cancer diagnosis. … Delayed workup of rectal bleeding in adult primary care: examining process-of-care failures

559. Using FDA reports to inform a classification for health information technology safety problems. | PSNet
     psnet.ahrq.gov/issue/using-fda-reports-inform-classification-health-information-technology-safety-problems
     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

560. Locum doctor working and quality and safety: a qualitative study in English primary and secondary care. | PSNet
     psnet.ahrq.gov/issue/locum-doctor-working-and-quality-and-safety-qualitative-study-english-primary-and-secondary
     November 25, 2015 - April 24, 2018 When things go wrong: how health care organizations deal with major failures … January 8, 2025 Operational failures in general practice: a consensus-building study