Results

Total Results: over 10,000 records

Showing results for "failures".

1281. Patient safety attitudes and behaviors of graduating medical students. | PSNet
      psnet.ahrq.gov/issue/patient-safety-attitudes-and-behaviors-graduating-medical-students
      June 01, 2016 - November 16, 2022 Decreasing handoff-related care failures in children's hospitals. … October 31, 2018 Trainees' perceptions of patient safety practices: recounting failures

1282. Introducing the safety score audit for staff member and patient safety. | PSNet
      psnet.ahrq.gov/issue/introducing-safety-score-audit-staff-member-and-patient-safety
      April 16, 2014 - April 16, 2014 Operational failures in general practice: a consensus-building study on … August 20, 2018 Impacts of operational failures on primary care physicians' work: a critical

1283. Team communication during patient handover from the operating room: more than facts and figures. | PSNet
      psnet.ahrq.gov/issue/team-communication-during-patient-handover-operating-room-more-facts-and-figures
      December 16, 2009 - April 3, 2013 Deconstructing intraoperative communication failures. … Use of failure mode and effects analysis for proactive identification of communication and handoff failures

1284. The nexus of nursing leadership and a culture of safer patient care. | PSNet
      psnet.ahrq.gov/issue/nexus-nursing-leadership-and-culture-safer-patient-care
      January 18, 2018 - September 3, 2011 Operational failures detected by frontline acute care nurses. … October 4, 2017 Failures in communication through documents and documentation across

1285. Patient safety in otolaryngology: a descriptive review. | PSNet
      psnet.ahrq.gov/issue/patient-safety-otolaryngology-descriptive-review
      July 14, 2010 - January 14, 2014 Surgical technology and operating-room safety failures: a systematic … August 13, 2013 Deconstructing intraoperative communication failures.

1286. Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet
      psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
      June 21, 2016 - November 12, 2014 Decreasing handoff-related care failures in children's hospitals. … Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures

1287. Usability and feasibility of consumer-facing technology to reduce unsafe medication use by older adults. | PSNet
      psnet.ahrq.gov/issue/usability-and-feasibility-consumer-facing-technology-reduce-unsafe-medication-use-older
      February 17, 2011 - Same Author(s) Effect of reducing interns' weekly work hours on sleep and attentional failures … March 6, 2019 Multiple latent failures align to allow a serious drug interaction to harm

1288. Nurses' perceived skills and attitudes about updated safety concepts: impact on medication administration errors and practices. | PSNet
      psnet.ahrq.gov/issue/nurses-perceived-skills-and-attitudes-about-updated-safety-concepts-impact-medication
      January 03, 2017 - September 27, 2017 Impact of interruptions, distractions, and cognitive load on procedure failures … July 2, 2014 Identifying the latent failures underpinning medication administration errors

1289. Liability associated with obstetric anesthesia: a closed claims analysis. | PSNet
      psnet.ahrq.gov/issue/liability-associated-obstetric-anesthesia-closed-claims-analysis
      July 13, 2010 - June 23, 2009 Communication failures contributing to patient injury in anaesthesia malpractice … September 21, 2022 Communication failures contributing to patient injury in anaesthesia

1290. Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet
      psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
      November 30, 2016 - November 30, 2016 Operational failures detected by frontline acute care nurses. … July 5, 2017 Participating in a multisite study exploring operational failures encountered

1291. Checking the lists: a systematic review of electronic checklist use in health care. | PSNet
      psnet.ahrq.gov/issue/checking-lists-systematic-review-electronic-checklist-use-health-care
      August 08, 2018 - Related Resources From the Same Author(s) Identification and characterization of failures … July 17, 2019 Reducing interdisciplinary communication failures through secure text messaging

1292. Safety through redundancy: a case study of in-hospital patient transfers. | PSNet
      psnet.ahrq.gov/issue/safety-through-redundancy-case-study-hospital-patient-transfers
      November 03, 2015 - November 3, 2015 Syndromic surveillance for health information system failures: a feasibility … December 21, 2014 A systematic review of failures in handoff communication during intrahospital

1293. Automated identification of extreme-risk events in clinical incident reports. | PSNet
      psnet.ahrq.gov/issue/automated-identification-extreme-risk-events-clinical-incident-reports
      November 03, 2015 - November 3, 2015 Syndromic surveillance for health information system failures: a feasibility … November 2, 2010 A systematic review of failures in handoff communication during intrahospital

1294. Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet
      psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
      November 03, 2015 - November 3, 2015 Syndromic surveillance for health information system failures: a feasibility … November 2, 2010 A systematic review of failures in handoff communication during intrahospital

1295. Factors influencing perioperative nurses' error reporting preferences. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-perioperative-nurses-error-reporting-preferences
      June 23, 2010 - December 8, 2010 Communication failures in the operating room: an observational classification … August 14, 2019 Using incident reports to assess communication failures and patient outcomes

1296. Quality of Care in Cranial Implant Surgeries at James A. Haley VA Medical Center, Tampa, Florida. | PSNet
      psnet.ahrq.gov/issue/quality-care-cranial-implant-surgeries-james-haley-va-medical-center-tampa-florida
      June 13, 2012 - Care Network Credentialing Process of a Former VA Surgeon and Veterans Health Administration Oversight Failures … July 27, 2022 Multiple Failures in Test Results Follow-up for a Patient Diagnosed with

1297. Practical challenges of introducing WHO surgical checklist: UK pilot experience. | PSNet
      psnet.ahrq.gov/issue/practical-challenges-introducing-who-surgical-checklist-uk-pilot-experience
      September 26, 2012 - RIS Download Citation Related Resources From the Same Author(s) Failures … May 6, 2015 An observational study of the frequency, severity, and etiology of failures

1298. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
      February 01, 2014 - medication errors Describe a model for a systems approach to error analysis Identify weaknesses or failures … Approach to Medication Errors The goal of a systems-based analysis of errors is to identify system failures … errors should use the ISMP model (see slide 10) Applying the framework to this case reveals numerous failures … id=51 20 This Case This case highlights the multiple systems failures.

1299. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49688/psn-pdf
      August 21, 2013 - This commentary will review key factors that hinder communication, the implications of failures in this … adverse events and unnecessary health care resource utilization.(1-3) Unfortunately, communication failures … these patient populations and some evidence suggests similar patterns.(6) The origin of communication failures … In the featured case, it is evident that many of these factors played a role in the communication failures … verbal interactions were inadequate and, therefore, failed to uncover or address existing communication failures

1300. Risks of complications by attending physicians after performing nighttime procedures. | PSNet
      psnet.ahrq.gov/issue/risks-complications-attending-physicians-after-performing-nighttime-procedures
      February 14, 2018 - July 10, 2008 Effect of reducing interns' weekly work hours on sleep and attentional failures … September 21, 2022 Communication failures contributing to patient injury in anaesthesia