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Total Results: 8,190 records

Showing results for "failures".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46922/psn-pdf
    January 01, 2019 - Reducing interdisciplinary communication failures through secure text messaging: a quality improvement … Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. … https://psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text- … messaging-quality Communication failures are a key contributor to preventable adverse events. … https://psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality

62. Improving patient safety by identifying latent failures in successful operations. | PSNet
    psnet.ahrq.gov/issue/improving-patient-safety-identifying-latent-failures-successful-operations
    September 15, 2010 - Study Improving patient safety by identifying latent failures in successful operations … Improving patient safety by identifying latent failures in successful operations. … Improving patient safety by identifying latent failures in successful operations.

63. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/851651/psn-pdf
    July 26, 2023 - Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency … Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency … https://psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric … this study, FMEA was used in a psychiatric hospital emergency department (ED) to identify potential failures … https://psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital

64. Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project. | PSNet
    psnet.ahrq.gov/issue/reducing-interdisciplinary-communication-failures-through-secure-text-messaging-quality
    May 08, 2017 - Study Reducing interdisciplinary communication failures through secure text messaging … Reducing Interdisciplinary Communication Failures Through Secure Text Messaging. … Communication failures are a key contributor to preventable adverse events . … Reducing Interdisciplinary Communication Failures Through Secure Text Messaging.

65. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866195/psn-pdf
    June 26, 2024 - This article describes seven studies concerning people’s estimates of learning from previous failures … https://psnet.ahrq.gov/issue/strategies-learning-failure https://psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing … https://psnet.ahrq.gov/issue/using-trainee-failures-enhance-learning-qualitative-study-pediatric-hospitalists-allowing … https://psnet.ahrq.gov/issue/giving-learning-failures-examination-learning-ones-own-failures-context-heart-surgeons

66. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/864377/psn-pdf
    March 13, 2024 - Patients' experiences of dental diagnostic failures: a qualitative study using social media. … Patients' experiences of dental diagnostic failures: a qualitative study using social media. … https://psnet.ahrq.gov/issue/patients-experiences-dental-diagnostic-failures-qualitative-study-using-social … https://psnet.ahrq.gov/issue/patients-experiences-dental-diagnostic-failures-qualitative-study-using-social-media … https://psnet.ahrq.gov/issue/patients-experiences-dental-diagnostic-failures-qualitative-study-using-social-media

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73537/psn-pdf
    July 28, 2021 - Health literacy-related safety events: a qualitative study of health literacy failures in patient safety … Health literacy-related safety events: a qualitative study of health literacy failures in patient safety … https://psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures … e.g., unclear discharge medication instructions, conflicting instructions), system processes (e.g.., failures … https://psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72509/psn-pdf
    November 25, 2020 - Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice … Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice … https://psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence … systematic and narrative reviews from multiple perspectives discussing diagnostic test result communication failures … https://psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and

69. Preventing adverse events caused by emergency electrical power system failures. | PSNet
    psnet.ahrq.gov/issue/preventing-adverse-events-caused-emergency-electrical-power-system-failures
    July 31, 2023 - Event Alerts Preventing adverse events caused by emergency electrical power system failures … Citation Text: Preventing adverse events caused by emergency electrical power system failures. … Citation Citation Text: Preventing adverse events caused by emergency electrical power system failures

70. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/73066/psn-pdf
    March 24, 2021 - Patient harm resulting from medication reconciliation process failures: a study of serious events reported … Patient harm resulting from medication reconciliation process failures: a study of serious events reported … https://psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study- … The most common process failures contributing to patient harm occurred during order entry/transcription … https://psnet.ahrq.gov/issue/patient-harm-resulting-medication-reconciliation-process-failures-study-serious-events

71. Clinical Investigation Booking Systems Failures: Written Communications in Community Languages. | PSNet
    psnet.ahrq.gov/issue/clinical-investigation-booking-systems-failures-written-communications-community-languages
    May 17, 2023 - Book/Report Clinical Investigation Booking Systems Failures: Written Communications … Citation Text: Clinical Investigation Booking Systems Failures: Written Communications in Community … Cite Citation Citation Text: Clinical Investigation Booking Systems Failures

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/47502/psn-pdf
    June 02, 2019 - Failure to debrief after critical events in anesthesia is associated with failures in communication … Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication … https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures- communication-during … Debriefing after a critical event is a strategy drawn from high reliability industries to learn from failures … https://psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865807/psn-pdf
    May 08, 2024 - Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into … Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry into … https://psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned … https://psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry … https://psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry

74. Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet
    psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
    August 04, 2021 - Use of failure mode and effects analysis for proactive identification of communication and handoff failures … Use of failure mode and effects analysis for proactive identification of communication and handoff failures … Use of failure mode and effects analysis for proactive identification of communication and handoff failures … December 21, 2014 Deconstructing intraoperative communication failures.

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36021/psn-pdf
    September 24, 2016 - Operational failures and interruptions in hospital nursing. … Operational failures and interruptions in hospital nursing. … https://psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing This study discovered … that nurses experienced more than eight work system failures during an 8-hour shift. … The most frequent failures identified involved medications, orders, supplies, staffing, and equipment

76. Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events. | PSNet
    psnet.ahrq.gov/issue/health-literacy-related-safety-events-qualitative-study-health-literacy-failures-patient
    August 24, 2022 - Study Health literacy-related safety events: a qualitative study of health literacy failures … Health literacy-related safety events: a qualitative study of health literacy failures in patient safety … e.g., unclear discharge medication instructions, conflicting instructions), system processes (e.g.., failures … Health literacy-related safety events: a qualitative study of health literacy failures in patient safety

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60234/psn-pdf
    April 15, 2020 - Mistakes, Errors and Failures across Cultures. April 15, 2020 Vanderheiden E, Mayer C, eds. … ISBN 9783030355739 https://psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials … https://psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials https … https://psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern … https://psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74722/psn-pdf
    February 02, 2022 - Preventing and mitigating radiology system failures: a guide to disaster planning. … Preventing and mitigating radiology system failures: a guide to disaster planning. … https://psnet.ahrq.gov/issue/preventing-and-mitigating-radiology-system-failures-guide-disaster-planning … hospital executives, quality & safety professionals, and risk managers by assessing potential hazards or failures … https://psnet.ahrq.gov/issue/preventing-and-mitigating-radiology-system-failures-guide-disaster-planning

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/857452/psn-pdf
    December 06, 2023 - Improving patient safety governance and systems through learning from successes and failures: qualitative … Improving patient safety governance and systems through learning from successes and failures: qualitative … psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning- successes-and-failures … psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures … psnet.ahrq.gov/issue/improving-patient-safety-governance-and-systems-through-learning-successes-and-failures

80. Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice and patient perspectives. | PSNet
    psnet.ahrq.gov/issue/closing-loop-test-results-reduce-communication-failures-rapid-review-evidence-practice-and
    March 11, 2020 - Review Closing the loop on test results to reduce communication failures: a rapid … Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice … systematic and narrative reviews from multiple perspectives discussing diagnostic test result communication failures … Closing the loop on test results to reduce communication failures: a rapid review of evidence, practice