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Showing results for "failures".

1441. 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

1442. 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

1443. 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

1444. 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

1445. 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

1446. 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

1447. 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

1448. 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

1449. 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

1450. 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

1451. 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.

1452. 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

1453. 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

1454. 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

1455. 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

1456. 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

1457. 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

1458. 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

1459. 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.

1460. Causes of medication administration errors in hospitals: a systematic review of quantitative and qualitative evidence. | PSNet
      psnet.ahrq.gov/issue/causes-medication-administration-errors-hospitals-systematic-review-quantitative-and
      April 01, 2015 - September 29, 2017 Impact of interruptions, distractions, and cognitive load on procedure failures … March 13, 2013 Identifying the latent failures underpinning medication administration