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Total Results: 7,834 records

Showing results for "failures".

61. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. | PSNet
    psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
    June 22, 2017 - Study Using failure mode and effect analysis to identify potential failures in a … Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency … this study, FMEA was used in a psychiatric hospital emergency department (ED) to identify potential failures … Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency

62. 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

63. Evaluation of a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures in communication. | PSNet
    psnet.ahrq.gov/issue/evaluation-preoperative-checklist-and-team-briefing-among-surgeons-nurses-and
    August 28, 2013 - a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures … a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Failures … Structured communication tools are being used increasingly to prevent critical communication failures … a Preoperative Checklist and Team Briefing Among Surgeons, Nurses, and Anesthesiologists to Reduce Failures … August 28, 2013 Using trainee failures to enhance learning: a qualitative study of pediatric

64. 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

65. 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

66. 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

67. Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. | PSNet
    psnet.ahrq.gov/issue/impact-extended-duration-shifts-medical-errors-adverse-events-and-attentional-failures
    February 02, 2011 - Impact of extended-duration shifts on medical errors, adverse events, and attentional failures … Impact of extended-duration shifts on medical errors, adverse events, and attentional failures. … extended shifts were much more likely to report both significant preventable errors and attentional failures … 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

68. Surgical technology and operating-room safety failures: a systematic review of quantitative studies. | PSNet
    psnet.ahrq.gov/issue/surgical-technology-and-operating-room-safety-failures-systematic-review-quantitative-studies
    May 06, 2015 - Review Surgical technology and operating-room safety failures: a systematic review … Surgical technology and operating-room safety failures: a systematic review of quantitative studies. … Surgical equipment failures have been implicated as a significant contributor to errors and delays … Surgical technology and operating-room safety failures: a systematic review of quantitative studies. … October 19, 2022 An observational study of the frequency, severity, and etiology of failures

69. 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

70. 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

71. 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

72. 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

73. 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

74. Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis. | PSNet
    psnet.ahrq.gov/issue/communication-failures-patient-sign-out-and-suggestions-improvement-critical-incident
    April 16, 2008 - Study Communication failures in patient sign-out and suggestions for improvement: … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis … The authors interviewed interns to understand communication failures with patient transfer processes. … Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis

75. 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.

76. 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

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. Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville, Arkansas VA. | PSNet
    psnet.ahrq.gov/issue/pathology-oversight-failures-veterans-health-care-system-ozarks-fayetteville-arkansas-va
    July 14, 2021 - Book/Report Pathology Oversight Failures at the Veterans Health Care System of the … Citation Text: Pathology Oversight Failures at the Veterans Health Care System of the Ozarks in Fayetteville … URL Cite Citation Citation Text: Pathology Oversight Failures … July 26, 2023 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with … February 10, 2021 Failures in Care Coordination and Reviewing a Patient's Death at the

79. Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. | PSNet
    psnet.ahrq.gov/issue/failure-debrief-after-critical-events-anesthesia-associated-failures-communication-during
    September 24, 2018 - Emerging Classic Failure to debrief after critical events in anesthesia is associated with failures … Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during … Debriefing after a critical event is a strategy drawn from high reliability industries to learn from failures … Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during

80. 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.