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Total Results: 7,834 records

Showing results for "failures".

6561. EMR Entry Error: Not So Benign | PSNet
      psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
      July 01, 2012 - blaming clinicians' character flaws for the tepid adoption of EMRs, vendors should look to their own failures

6562. Medication Reconciliation With a Twist (or Dare We Say, a Patch?) | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-twist-or-dare-we-say-patch
      April 03, 2024 - March 28, 2011 Operational failures detected by frontline acute care nurses.

6563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33680/psn-pdf
      March 22, 2009 - to be the public hospital patient, because this patient would never have spoken up to overcome the failures

6564. Transfer Troubles | PSNet
      psnet.ahrq.gov/web-mm/transfer-troubles
      December 29, 2014 - guidelines for safe transportation, technical problems occurring during transport (e.g., equipment failures

6565. The Empty Bag | PSNet
      psnet.ahrq.gov/web-mm/empty-bag
      June 01, 2018 - to as involuntary automaticity), sapping any potential benefit from the process.( 8 ) All of these failures

6566. In Conversation With... John G. Reiling, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-john-g-reiling-phd
      June 01, 2014 - We ultimately chose 9 active failures and about 9 latent conditions.

6567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49753/psn-pdf
      February 01, 2016 - Device failures associated with patient injuries during robot- assisted laparoscopic surgeries: a comprehensive

6568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33770/psn-pdf
      August 01, 2014 - ambulatory patient safety, including missed and delayed diagnosis, adverse drug events, and monitoring failures

6569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33635/psn-pdf
      July 01, 2006 - And, how do you keep the organization's enthusiasm up when there are glaring failures that we all experience

6570. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
      April 01, 2008 - Complications and failures of subclavian-vein catheterization. 

6571. Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. | PSNet
      psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
      January 27, 2016 - Study Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine. Citation Text: Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…

6572. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. | PSNet
      psnet.ahrq.gov/issue/validity-unplanned-admission-intensive-care-unit-measure-patient-safety-surgical-patients
      May 26, 2021 - Study Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Citation Text: Haller G, Myles PS, Wolfe R, et al. Validity of unplanned admission to an intensive care unit as a measure of patient safety in surgical patients. Anesthe…

6573. Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. | PSNet
      psnet.ahrq.gov/issue/clinical-supervision-general-practice-training-interweaving-supervisor-trainee-and-patient
      October 13, 2021 - Study Clinical supervision in general practice training: the interweaving of supervisor, trainee and patient entrustment with clinical oversight, patient safety and trainee learning. Citation Text: Sturman N, Parker M, Jorm C. Clinical supervision in general practice training: the interw…

6574. Parent perceptions of children's hospital safety climate. | PSNet
      psnet.ahrq.gov/issue/parent-perceptions-childrens-hospital-safety-climate
      December 22, 2018 - Study Parent perceptions of children's hospital safety climate. Citation Text: Cox E, Carayon P, Hansen KW, et al. Parent perceptions of children's hospital safety climate. BMJ Qual Saf. 2013;22(8):664-71. doi:10.1136/bmjqs-2012-001727. Copy Citation Format: DOI Google Sc…

6575. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. | PSNet
      psnet.ahrq.gov/issue/understanding-missed-opportunities-more-timely-diagnosis-cancer-symptomatic-patients-after
      February 17, 2021 - Study Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. Citation Text: Lyratzopoulos G, Vedsted P, Singh H. Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation. …

6576. Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN). | PSNet
      psnet.ahrq.gov/issue/barriers-and-motivators-making-error-reports-family-medicine-offices-report-american-academy
      July 14, 2010 - Study Barriers and motivators for making error reports from family medicine offices: a report from the American Academy of Family Physicians National Research Network (AAFP NRN). Citation Text: Elder NC, Graham D, Brandt E, et al. Barriers and motivators for making error reports from f…

6577. Implementing medication reconciliation in outpatient pediatrics. | PSNet
      psnet.ahrq.gov/issue/implementing-medication-reconciliation-outpatient-pediatrics
      September 23, 2020 - Study Implementing medication reconciliation in outpatient pediatrics. Citation Text: Rappaport DI, Collins B, Koster A, et al. Implementing medication reconciliation in outpatient pediatrics. Pediatrics. 2011;128(6):e1600-7. doi:10.1542/peds.2011-0993. Copy Citation Format: …

6578. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. | PSNet
      psnet.ahrq.gov/issue/simulating-quality-centralized-quality-improvement-and-patient-safety-simulation-curriculum
      January 03, 2017 - Study Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for residents and fellows. Citation Text: Luty JT, Oldham H, Smeraglio A, et al. Simulating for quality: a centralized quality improvement and patient safety simulation curriculum for…

6579. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/using-event-reports-real-time-identify-and-mitigate-patient-safety-concerns-during-covid-19
      March 23, 2022 - Commentary Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic. Citation Text: Kasda EM, Robson C, Saunders J, et al. Using event reports in real-time to identify and mitigate patient safety concerns during the COVID-19 pandemic.…

6580. Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. | PSNet
      psnet.ahrq.gov/issue/engineering-care-transitions-clinician-perceptions-barriers-safe-medication-management-during
      July 20, 2022 - Study Engineering care transitions: clinician perceptions of barriers to safe medication management during transitions of patient care. Citation Text: Hannum SM, Abebe E, Xiao Y, et al. Engineering care transitions: clinician perceptions of barriers to safe medication management during t…