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Showing results for "failures".

  1. The growing role of the Patient Safety Officer: implications for risk managers. | PSNet

    psnet.ahrq.gov/issue/growing-role-patient-safety-officer-implications-risk-managers
    February 17, 2009 - Book/Report The growing role of the Patient Safety Officer: implications for risk managers. Citation Text: The growing role of the Patient Safety Officer: implications for risk managers. Chicago, IL: American Society of Healthcare Risk Management; 2004. Copy Citation Sa…

  2. The checklist. | PSNet

    psnet.ahrq.gov/issue/checklist
    September 28, 2017 - Newspaper/Magazine Article Classic The checklist. Citation Text: The checklist. Gawande A. New Yorker. December 10, 2007:86-95. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

  3. Dashboard Information | Agency for Healthcare Research and Quality

    www.ahrq.gov/npsd/data/dashboard/info.html
    June 01, 2019 - Dashboard Information NPSD Dashboards display data that follow the Common Formats for Event Reporting – Hospital Version (CFER-H) definitions of Adverse Events, i.e., the Common Formats Event Descriptions. There are 10 CFER-H modules: one Generic module applies to all reported events, and nine event-specific mo…

  4. Clues to better health care from old malpractice lawsuits. | PSNet

    psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits
    August 17, 2016 - Newspaper/Magazine Article Clues to better health care from old malpractice lawsuits. Citation Text: Clues to better health care from old malpractice lawsuits. Landro L. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  5. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-7
    November 16, 2015 - Book/Report Patient Safety. Citation Text: Patient Safety. Sixth Report of Session 2008–09. House of Commons Health Committee. London, England: The Stationery Office; July 3, 2009. Publication HC 151-I. Copy Citation Save Save to your library Print …

  6. Patient Safety in the Intensive Care Unit. | PSNet

    psnet.ahrq.gov/issue/patient-safety-intensive-care-unit
    February 28, 2018 - Book/Report Patient Safety in the Intensive Care Unit. Citation Text: Patient Safety in the Intensive Care Unit. Oak Brook, IL: Joint Commission Resources; 2010. ISBN: 9781599403144. Copy Citation Save Save to your library Print Download PDF Shar…

  7. Non-technical Skills and the Future of Teamwork in Healthcare Settings. | PSNet

    psnet.ahrq.gov/issue/non-technical-skills-and-future-teamwork-healthcare-settings
    January 30, 2013 - Book/Report Non-technical Skills and the Future of Teamwork in Healthcare Settings. Citation Text: Non-technical Skills and the Future of Teamwork in Healthcare Settings. Sevdalis N. London, UK: The Health Foundation; June 2013. Copy Citation Save Save to your…

  8. Human Error in Medicine. | PSNet

    psnet.ahrq.gov/issue/human-error-medicine
    July 06, 2011 - Book/Report Classic Human Error in Medicine. Citation Text: Human Error in Medicine. Bogner MSE, ed. Hillsdale, NJ: L. Erlbaum Associates; 1994. ISBN 9780805813852. Copy Citation Save Save to your library Print Download PDF …

  9. ASH Clinical Practice Guidelines on Venous Thromboembolism. | PSNet

    psnet.ahrq.gov/issue/ash-clinical-practice-guidelines-venous-thromboembolism
    September 14, 2007 - Clinical Guideline ASH Clinical Practice Guidelines on Venous Thromboembolism. Citation Text: ASH Clinical Practice Guidelines on Venous Thromboembolism. Washington DC; American Society of Hematology. Copy Citation Save Save to your library Print Downlo…

  10. Focus On: Health Care Policy and Quality. | PSNet

    psnet.ahrq.gov/issue/focus-health-care-policy-and-quality
    November 19, 2014 - Special or Theme Issue Focus On: Health Care Policy and Quality. Citation Text: Focus On: Health Care Policy and Quality. AJR Am J Roentgenol. 2017;209(5):965-1008;w333-w334. Copy Citation Save Save to your library Print Download PDF Share …

  11. Serious Safety Events: Getting to Zero. Second Edition. | PSNet

    psnet.ahrq.gov/issue/serious-safety-events-getting-zero-second-edition
    February 19, 2014 - Book/Report Serious Safety Events: Getting to Zero. Second Edition. Citation Text: Serious Safety Events: Getting to Zero. Second Edition. Hoppes M, Mitchell JL. Chicago, IL: American Society for Healthcare Risk Management; October 2014. Copy Citation Save Save to…

  12. Reducing alarm hazards: selection and implementation of alarm notification systems. | PSNet

    psnet.ahrq.gov/issue/reducing-alarm-hazards-selection-and-implementation-alarm-notification-systems
    June 27, 2018 - Newspaper/Magazine Article Reducing alarm hazards: selection and implementation of alarm notification systems. Citation Text: Reducing alarm hazards: selection and implementation of alarm notification systems. Gee T, Moorman BA. Patient Saf Qual Healthc. March/April 2011;8:14-17. Copy …

  13. Medication errors occurring with the use of bar-code administration technology. | PSNet

    psnet.ahrq.gov/issue/medication-errors-occurring-use-bar-code-administration-technology
    March 18, 2010 - Newspaper/Magazine Article Medication errors occurring with the use of bar-code administration technology. Citation Text: Medication errors occurring with the use of bar-code administration technology. PA-PSRS Patient Saf Advis. December 2008;5:122-126. Copy Citation …

  14. Fluorouracil error ends tragically, but application of lessons learned will save lives. | PSNet

    psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives
    June 10, 2018 - Newspaper/Magazine Article Fluorouracil error ends tragically, but application of lessons learned will save lives. Citation Text: Fluorouracil error ends tragically, but application of lessons learned will save lives. ISMP Medication Safety Alert! Acute care edition. September 20, 2007. …

  15. Errors with injectable medications: unlabeled syringes are surprisingly common! | PSNet

    psnet.ahrq.gov/issue/errors-injectable-medications-unlabeled-syringes-are-surprisingly-common
    December 27, 2018 - Newspaper/Magazine Article Errors with injectable medications: unlabeled syringes are surprisingly common! Citation Text: Errors with injectable medications: unlabeled syringes are surprisingly common! ISMP Medication Safety Alert! Acute care edition. November 15, 2007. Copy Citation …

  16. Safety management in different high-risk domains--all the same? | PSNet

    psnet.ahrq.gov/issue/safety-management-different-high-risk-domains-all-same
    September 11, 2024 - Commentary Safety management in different high-risk domains--all the same? Citation Text: Grote G. Safety management in different high-risk domains – All the same? Safety Sci. 2011;50(10):1983-1992. doi:10.1016/j.ssci.2011.07.017. Copy Citation Format: DOI Google Scholar B…

  17. Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3). | PSNet

    psnet.ahrq.gov/issue/disclosure-unanticipated-events-creating-effective-patient-communication-policy-part-2-3
    January 13, 2016 - Book/Report Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3). Citation Text: Disclosure of unanticipated events: creating an effective patient communication policy (part 2 of 3). American Society of Healthcare Risk Management; ASHRM C…

  18. Risk Management Pearls on Disclosure of Adverse Events. | PSNet

    psnet.ahrq.gov/issue/risk-management-pearls-disclosure-adverse-events
    July 05, 2017 - Book/Report Risk Management Pearls on Disclosure of Adverse Events. Citation Text: Risk Management Pearls on Disclosure of Adverse Events. Amori GH. Chicago, IL: American Society for Healthcare Risk Management; 2006. Copy Citation Save Save to your library …

  19. Patients taking their own medications while in the hospital. | PSNet

    psnet.ahrq.gov/issue/patients-taking-their-own-medications-while-hospital
    March 14, 2012 - Newspaper/Magazine Article Patients taking their own medications while in the hospital. Citation Text: Patients taking their own medications while in the hospital. PA-PSRS Patient Saf Advis. June 2012;9:50-57.  Copy Citation Save Save to your library …

  20. Improvement of Pennsylvania healthcare consumers' awareness of patient safety. | PSNet

    psnet.ahrq.gov/issue/improvement-pennsylvania-healthcare-consumers-awareness-patient-safety
    March 30, 2016 - Newspaper/Magazine Article Improvement of Pennsylvania healthcare consumers' awareness of patient safety. Citation Text: Improvement of Pennsylvania healthcare consumers' awareness of patient safety. Munn J. PA-PSRS Patient Saf Advis. March 2014;11:23-29. Copy Citation …
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