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Showing results for "failures".

  1. 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

  2. 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

  3. 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

  4. 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

  5. Factors influencing diagnostic accuracy among intensive care unit clinicians - an observational study. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-diagnostic-accuracy-among-intensive-care-unit-clinicians-observational
    October 24, 2018 - April 28, 2021 Failures in the respectful care of critically ill patients. … June 19, 2019 Inattentional blindness and failures to rescue the deteriorating patient

  6. Surgical crisis management skills training and assessment: a stimulation-based approach to enhancing operating room performance. | PSNet

    psnet.ahrq.gov/issue/surgical-crisis-management-skills-training-and-assessment-stimulation-based-approach
    March 03, 2011 - April 11, 2009 Surgical technology and operating-room safety failures: a systematic review … June 1, 2016 Failures in communication and information transfer across the surgical care

  7. 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

  8. 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

  9. 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

  10. 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

  11. 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.

  12. Using a computerized sign-out system to improve physician–nurse communication. | PSNet

    psnet.ahrq.gov/issue/using-computerized-sign-out-system-improve-physician-nurse-communication
    September 28, 2016 - August 21, 2019 Using incident reports to assess communication failures and patient outcomes … January 23, 2017 Failures in communication through documents and documentation across

  13. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. | PSNet

    psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
    October 19, 2012 - Related Resources From the Same Author(s) Deconstructing intraoperative communication failures … July 2, 2014 Failures in communication and information transfer across the surgical care

  14. Just culture: it's more than policy. | PSNet

    psnet.ahrq.gov/issue/just-culture-its-more-policy
    July 05, 2017 - Download Citation Related Resources From the Same Author(s) Operational failures … 11, 2018 Failure to debrief after critical events in anesthesia is associated with failures

  15. A systematic proactive risk assessment of hazards in surgical wards: a quantitative study. | PSNet

    psnet.ahrq.gov/issue/systematic-proactive-risk-assessment-hazards-surgical-wards-quantitative-study
    August 15, 2013 - April 27, 2019 View More Related Resources Reducing failures in … Use of failure mode and effects analysis for proactive identification of communication and handoff failures

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38050/psn-pdf
    July 28, 2013 - psnet.ahrq.gov/issue/scariest-hospital-risks This article discusses common medical complications and care failures

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42478/psn-pdf
    August 07, 2013 - psnet.ahrq.gov/issue/guide-hcas-safe-patient-transfers https://psnet.ahrq.gov/issue/systematic-review-failures-handoff-communication-during-intrahospital-transfers

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37560/psn-pdf
    March 28, 2018 - https://psnet.ahrq.gov/issue/learning-investigations Analyzing health care failures from 2004-2007 in

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38827/psn-pdf
    January 23, 2019 - explains how shifting liability from individual physicians to hospitals could deter systems-based failures

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42181/psn-pdf
    April 10, 2013 - psnet.ahrq.gov/issue/think-you-cant-make-medication-errors This article describes examples of medication safety failures
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