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Showing results for "failures".

  1. psnet.ahrq.gov/issue/association-between-implementation-intensivist-led-medical-emergency-team-and-mortality
    July 13, 2010 - Study Association between implementation of an intensivist-led medical emergency team and mortality. Citation Text: Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152…
  2. psnet.ahrq.gov/issue/comprehensive-quality-assurance-program-personnel-and-procedures-radiation-oncology-value
    November 18, 2020 - Study A comprehensive quality assurance program for personnel and procedures in radiation oncology: value of voluntary error reporting and checklists. Citation Text: Kalapurakal JA, Zafirovski A, Smith J, et al. A comprehensive quality assurance program for personnel and procedures in …
  3. psnet.ahrq.gov/issue/comparing-hospital-leadership-and-front-line-workers-perceptions-patient-safety-culture
    June 07, 2016 - Study Comparing hospital leadership and front-line workers' perceptions of patient safety culture: an unbalanced panel study. Citation Text: Forbes J, Arrieta A. Comparing hospital leadership and front-line workers’ perceptions of patient safety culture: an unbalanced panel study. BMJ Le…
  4. psnet.ahrq.gov/issue/using-video-assess-and-improve-patient-safety-during-simulated-and-actual-neonatal
    July 29, 2020 - Study Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Citation Text: Leone TA. Using video to assess and improve patient safety during simulated and actual neonatal resuscitation. Semin Perinatol. 2019;43(8):151179. doi:10.1053/j.semp…
  5. psnet.ahrq.gov/issue/errors-drug-computations-during-newborn-intensive-care
    December 15, 2021 - Study Errors in drug computations during newborn intensive care. Citation Text: Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. Copy Citation …
  6. psnet.ahrq.gov/issue/report-card-system-using-error-profile-analysis-and-concurrent-morbidity-and-mortality-review
    June 18, 2008 - Study A report card system using error profile analysis and concurrent morbidity and mortality review: surgical outcome analysis, part II. Citation Text: Antonacci AC, Lam S, Lavarias V, et al. A report card system using error profile analysis and concurrent morbidity and mortality rev…
  7. psnet.ahrq.gov/issue/design-and-implementation-tool-pharmacists-register-potential-errors-prescribed-medication
    March 09, 2022 - Study Design and implementation of a tool for pharmacists to register potential errors in prescribed medication. Citation Text: Frid S, Zapico V, Mansilla A, et al. Design and Implementation of a Tool for Pharmacists to Register Potential Errors in Prescribed Medication. Stud Health Tech…
  8. psnet.ahrq.gov/issue/human-error-and-problem-causality-analysis-accidents
    August 25, 2021 - Commentary Classic Human error and the problem of causality in analysis of accidents. Citation Text: Rasmussen J. Human error and the problem of causality in analysis of accidents. Philos Trans R Soc Lond B Biol Sci. 1990;327(1241):449-462. Copy Citation …
  9. psnet.ahrq.gov/issue/promoting-patient-safety-using-early-warning-scoring-system
    October 16, 2012 - Study Promoting patient safety using an early warning scoring system. Citation Text: Higgins Y, Maries-Tillott C, Quinton S, et al. Promoting patient safety using an early warning scoring system. Nurs Stand. 2008;22(44):35-40. Copy Citation Format: Google Scholar PubMed B…
  10. psnet.ahrq.gov/issue/organizational-and-safety-culture-canadian-intensive-care-units-relationship-size-intensive
    November 21, 2016 - Study Organizational and safety culture in Canadian intensive care units: relationship to size of intensive care unit and physician management model. Citation Text: Dodek P, Wong H, Jaswal D, et al. Organizational and safety culture in Canadian intensive care units: relationship to siz…
  11. psnet.ahrq.gov/issue/evaluating-new-rapid-response-team-np-led-versus-intensivist-led-comparisons
    October 19, 2022 - Study Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. Citation Text: Scherr K, Wilson DM, Wagner J, et al. Evaluating a new rapid response team: NP-led versus intensivist-led comparisons. AACN Adv Crit Care. 2012;23(1):32-42. doi:10.1097/NCI.0b013e31824…
  12. psnet.ahrq.gov/issue/impact-nighttime-rapid-response-team-activation-outcomes-hospitalized-patients-acute
    April 06, 2022 - Study Impact of nighttime rapid response team activation on outcomes of hospitalized patients with acute deterioration. Citation Text: Fernando SM, Reardon PM, Bagshaw SM, et al. Impact of nighttime Rapid Response Team activation on outcomes of hospitalized patients with acute deteriorat…
  13. psnet.ahrq.gov/issue/accidents-and-incidents-related-intravenous-drug-administration-pre-post-study-following
    September 24, 2016 - Study Accidents and incidents related to intravenous drug administration: a pre-post study following implementation of smart pumps in a teaching hospital. Citation Text: Guérin A, Tourel J, Delage E, et al. Accidents and Incidents Related to Intravenous Drug Administration: A Pre-Post St…
  14. psnet.ahrq.gov/issue/review-patient-safety-incidents-submitted-critical-care-units-england-wales-uk-national
    July 16, 2008 - Study Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency. Citation Text: Thomas AN, Panchagnula U, Taylor RJ. Review of patient safety incidents submitted from Critical Care Units in England & Wales to the U…
  15. psnet.ahrq.gov/issue/parents-perspectives-navigating-work-speaking-nicu
    December 04, 2016 - Study Parents' perspectives on navigating the work of speaking up in the NICU. Citation Text: Lyndon A, Wisner K, Holschuh C, et al. Parents' Perspectives on Navigating the Work of Speaking Up in the NICU. J Obstet Gynecol Neonatal Nurs. 2017;46(5):716-726. doi:10.1016/j.jogn.2017.06.009…
  16. psnet.ahrq.gov/issue/active-surveillance-vaccine-safety-system-detect-early-signs-adverse-events
    March 29, 2010 - Study Active surveillance of vaccine safety: a system to detect early signs of adverse events. Citation Text: Davis RL, Kolczak M, Lewis E, et al. Active surveillance of vaccine safety: a system to detect early signs of adverse events. Epidemiology. 2005;16(3):336-41. Copy Citation …
  17. psnet.ahrq.gov/issue/development-trigger-tool-identify-adverse-events-and-harm-emergency-medical-services
    August 07, 2024 - Study Development of a trigger tool to identify adverse events and harm in emergency medical services. Citation Text: Howard IL, Bowen JM, Shaikh LAHA, et al. Development of a trigger tool to identify adverse events and harm in Emergency Medical Services. Emerg Med J. 2017;34(6):391-397.…
  18. psnet.ahrq.gov/issue/simulation-based-assessment-identifies-longitudinal-changes-cognitive-skills-anesthesiology
    August 11, 2021 - Study Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program. Citation Text: Sidi A, Gravenstein N, Vasilopoulos T, et al. Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesth…
  19. psnet.ahrq.gov/issue/what-does-safety-commitment-mean-leaders-multi-method-investigation
    September 11, 2024 - Study What does safety commitment mean to leaders? A multi-method investigation. Citation Text: Fruhen LS, Griffin MA, Andrei DM. What does safety commitment mean to leaders? A multi-method investigation. J Safety Res. 2019;68:203-214. doi:10.1016/j.jsr.2018.12.011. Copy Citation F…
  20. psnet.ahrq.gov/issue/increasing-rate-detection-wrong-patient-radiographs-use-photographs-obtained-time-radiography
    June 13, 2015 - Study Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography. Citation Text: Tridandapani S, Ramamurthy S, Galgano SJ, et al. Increasing Rate of Detection of Wrong-Patient Radiographs: Use of Photographs Obtained at Time of Radiograp…

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