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Total Results: 7,834 records

Showing results for "failures".

  1. psnet.ahrq.gov/issue/medication-safety-amid-technological-change-usability-evaluation-inform-inpatient-nurses
    March 22, 2023 - Study Medication safety amid technological change: usability evaluation to inform inpatient nurses' electronic health record system transition. Citation Text: Reale C, Ariosto DA, Weinger MB, et al. Medication safety amid technological change: usability evaluation to inform inpatient nur…
  2. psnet.ahrq.gov/issue/factors-influencing-perception-feeling-safe-pre-hospital-emergency-care-mixed-methods
    February 14, 2024 - Review Factors influencing the perception of feeling safe in pre-hospital emergency care: a mixed-methods systematic review. Citation Text: Péculo‐Carrasco J‐A, Luque‐Hernández MJ, Rodríguez‐Ruiz H‐J, et al. Factors influencing the perception of feeling safe in pre‐hospital emergency car…
  3. psnet.ahrq.gov/issue/mortality-trends-after-voluntary-checklist-based-surgical-safety-collaborative
    September 24, 2017 - Study Classic Mortality trends after a voluntary checklist-based surgical safety collaborative. Citation Text: Haynes AB, Edmondson L, Lipsitz S, et al. Mortality Trends After a Voluntary Checklist-based Surgical Safety Collaborative. Ann Surg. 2017;266(6):923-9…
  4. psnet.ahrq.gov/issue/early-warning-systems-and-rapid-response-systems-prevention-patient-deterioration-acute-adult
    July 29, 2020 - Review Early warning systems and rapid response systems for the prevention of patient deterioration on acute adult hospital wards. Citation Text: McGaughey J, Fergusson DA, Van Bogaert P, et al. Early warning systems and rapid response systems for the prevention of patient deterioration …
  5. psnet.ahrq.gov/issue/scaling-diagnostic-pause-icu-ward-transition-exploration-barriers-and-facilitators
    July 19, 2019 - Study Scaling up a diagnostic pause at the ICU-to-ward transition: an exploration of barriers and facilitators to implementation of the ICU-PAUSE handoff tool. Citation Text: Cornell EG, Harris E, McCune E, et al. Scaling up a diagnostic pause at the ICU-to-ward transition: an exploratio…
  6. psnet.ahrq.gov/issue/disorganized-care-findings-iterative-depth-analysis-surgical-morbidity-and-mortality
    October 19, 2022 - Study Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. Citation Text: Anderson CI, Nelson CS, Graham CF, et al. Disorganized care: the findings of an iterative, in-depth analysis of surgical morbidity and mortality. J Surg Res. 201…
  7. psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
    February 25, 2015 - Study Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. Citation Text: Schiff G, Nieva HR, Griswold P, et al. Randomized Trial of Reducing Ambulatory Malpractice and Safety Risk: Results of the Massachusetts PROMISES Proje…
  8. psnet.ahrq.gov/issue/interplay-between-teamwork-clinicians-emotional-exhaustion-and-clinician-rated-patient-safety
    April 01, 2015 - Study Classic The interplay between teamwork, clinicians' emotional exhaustion, and clinician-rated patient safety: a longitudinal study. Citation Text: Welp A, Meier LL, Manser T. The interplay between teamwork, clinicians' emotional exhaustion, and clinician-r…
  9. psnet.ahrq.gov/issue/enhancing-safety-culture-through-improved-incident-reporting-case-study-translational
    March 10, 2021 - Commentary Enhancing safety culture through improved incident reporting: a case study in translational research. Citation Text: Flott K, Nelson D, Moorcroft T, et al. Enhancing Safety Culture Through Improved Incident Reporting: A Case Study In Translational Research. Health Aff (Millwoo…
  10. psnet.ahrq.gov/issue/systematic-review-effectiveness-interruptive-medication-prescribing-alerts-hospital-cpoe
    August 17, 2016 - Review A systematic review of the effectiveness of interruptive medication prescribing alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. Citation Text: Page N, Baysari MT, Westbrook JI. A systematic review of the effectiveness of interruptive medic…
  11. psnet.ahrq.gov/issue/signal-and-noise-applying-laboratory-trigger-tool-identify-adverse-drug-events-among-primary
    April 25, 2016 - Study Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. Citation Text: Brenner S, Detz A, Lopez A, et al. Signal and noise: applying a laboratory trigger tool to identify adverse drug events among primary care patients. B…
  12. psnet.ahrq.gov/issue/time-dependent-drug-drug-interaction-alerts-care-provider-order-entry-software-may-inhibit
    March 10, 2011 - Study Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions. Citation Text: van der Sijs H, Lammers L, van den Tweel A, et al. Time-dependent drug-drug interaction alerts in care provider order entry: software may inh…
  13. psnet.ahrq.gov/issue/effect-antiseptic-handwashing-vs-alcohol-sanitizer-health-care-associated-infections-neonatal
    July 30, 2014 - Study Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units. Citation Text: Larson EL, Cimiotti JP, Haas JP, et al. Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonat…
  14. psnet.ahrq.gov/issue/team-relations-and-role-perceptions-during-anesthesia-crisis-management-magnetic-resonance
    December 13, 2023 - Study Team relations and role perceptions during anesthesia crisis management in magnetic-resonance imaging settings: a mixed-methods exploration. Citation Text: Schroeck H, Whitty MA, Hatton B, et al. Team relations and role perceptions during anesthesia crisis management in magnetic-re…
  15. psnet.ahrq.gov/issue/complexities-communication-hospital-discharge-older-patients-qualitative-study-healthcare
    December 08, 2021 - Study The complexities of communication at hospital discharge of older patients: a qualitative study of healthcare professionals' views. Citation Text: Cam H, Wennlöf B, Gillespie U, et al. The complexities of communication at hospital discharge of older patients: a qualitative study of …
  16. psnet.ahrq.gov/issue/health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic
    March 01, 2023 - Review Health outcomes of deprescribing interventions among older residents in nursing homes: a systematic review and meta-analysis. Citation Text: Kua C-H, Mak VSL, Lee SWH. Health Outcomes of Deprescribing Interventions Among Older Residents in Nursing Homes: A Systematic Review and Me…
  17. psnet.ahrq.gov/issue/remember-patient-you-saw-last-week-characteristics-and-frequency-patients-experiencing
    March 10, 2021 - Study Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. Citation Text: Hoang R, Sampsel K, Willmore A, et al. Remember that patient you saw last week: characteristics and frequency o…
  18. psnet.ahrq.gov/issue/clinical-triggers-alternative-rapid-response-team
    December 21, 2014 - Study Clinical triggers: an alternative to a rapid response team. Citation Text: Moldenhauer K, Sabel A, Chu ES, et al. Clinical triggers: an alternative to a rapid response team. Jt Comm J Qual Patient Saf. 2009;35(3):164-74. Copy Citation Format: Google Scholar PubMed Bib…
  19. psnet.ahrq.gov/issue/primary-care-closed-claims-experience-massachusetts-malpractice-insurers
    August 14, 2017 - Study Classic Primary care closed claims experience of Massachusetts malpractice insurers. Citation Text: Schiff G, Puopolo AL, Huben-Kearney A, et al. Primary care closed claims experience of Massachusetts malpractice insurers. JAMA Intern Med. 2013;173(22):206…
  20. psnet.ahrq.gov/issue/hindsight-foresight-effect-outcome-knowledge-judgment-under-uncertainty
    July 08, 2020 - Study Classic Hindsight ≠ foresight: the effect of outcome knowledge on judgment under uncertainty. Citation Text: Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psycholo…

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