Results

Total Results: over 10,000 records

Showing results for "failures".

541. Making an infusion error: the second victims of infusion therapy-related medication errors. | PSNet
     psnet.ahrq.gov/issue/making-infusion-error-second-victims-infusion-therapy-related-medication-errors
     June 27, 2018 - December 21, 2017 Impact of interruptions, distractions, and cognitive load on procedure failures … August 20, 2014 Identifying the latent failures underpinning medication administration

542. Getting teams to talk: development and pilot implementation of a checklist to promote interprofessional communication in the OR. | PSNet
     psnet.ahrq.gov/issue/getting-teams-talk-development-and-pilot-implementation-checklist-promote-interprofessional
     April 06, 2011 - Download Citation Related Resources From the Same Author(s) Communication failures … a preoperative checklist and team briefing among surgeons, nurses, and anesthesiologists to reduce failures

543. Do safety checklists improve teamwork and communication in the operating room? A systematic review. | PSNet
     psnet.ahrq.gov/issue/do-safety-checklists-improve-teamwork-and-communication-operating-room-systematic-review
     January 19, 2016 - May 30, 2012 Surgical technology and operating-room safety failures: a systematic review … August 11, 2010 Failures in communication and information transfer across the surgical

544. 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

545. Predictors of unit-level medication administration accuracy: microsystem impacts on medication safety. | PSNet
     psnet.ahrq.gov/issue/predictors-unit-level-medication-administration-accuracy-microsystem-impacts-medication
     October 06, 2016 - April 24, 2018 Operational failures detected by frontline acute care nurses. … September 26, 2016 Operational failures and interruptions in hospital nursing.

546. Recovery from medical errors: the critical care nursing safety net. | PSNet
     psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursing-safety-net
     February 18, 2011 - June 29, 2009 Effect of reducing interns' weekly work hours on sleep and attentional failures … One Bronchoscopy, Two Errors January 1, 2019 Inattentional blindness and failures

547. 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

548. 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

549. 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

550. 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

551. 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

552. 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

553. 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

554. 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.

555. 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

556. 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

557. 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

558. 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.

559. 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

560. Modifying head nurse messages during daily conversations as leverage for safety climate improvement: a randomised field experiment. | PSNet
     psnet.ahrq.gov/issue/modifying-head-nurse-messages-during-daily-conversations-leverage-safety-climate-improvement
     August 26, 2011 - View More Related Resources Using incident reports to assess communication failures … October 27, 2016 Failures in communication through documents and documentation across