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Showing results for "failures".

6581. Talking with Patients and Families about Medical Error: A Guide for Education and Practice. | PSNet
      psnet.ahrq.gov/issue/talking-patients-and-families-about-medical-error-guide-education-and-practice
      July 24, 2019 - Book/Report Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Citation Text: Talking with Patients and Families about Medical Error: A Guide for Education and Practice. Truog RD, Browning DM, Johnson JA, Gallagher TH. Baltimore, MD: Johns Hopkins…

6582. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. | PSNet
      psnet.ahrq.gov/issue/enhancing-healthcare-process-design-human-factors-engineering-and-reliability-science-part-1
      October 17, 2018 - Commentary Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the context. Citation Text: Boston-Fleischhauer C. Enhancing healthcare process design with human factors engineering and reliability science, part 1: setting the cont…

6583. Addressing electronic health record contributions to diagnostic error. | PSNet
      psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
      July 29, 2009 - Newspaper/Magazine Article Addressing electronic health record contributions to diagnostic error. Citation Text: Addressing electronic health record contributions to diagnostic error. Ratwani RM, Bates DW, Gold J. Health Affairs Forefront. April 25, 2024. Copy Citation …

6584. Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. | PSNet
      psnet.ahrq.gov/issue/staff-warned-about-lack-psychiatric-care-va-clinic-they-couldnt-prevent-tragedy
      December 12, 2018 - Newspaper/Magazine Article Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. Citation Text: Staff warned about the lack of psychiatric care at a VA clinic. They couldn’t prevent tragedy. McGrory K, Bedi N. ProPublica, January 6, 2024. Copy…

6585. Underdiagnosis of hypertension in children and adolescents. | PSNet
      psnet.ahrq.gov/issue/underdiagnosis-hypertension-children-and-adolescents
      January 04, 2012 - Study Underdiagnosis of hypertension in children and adolescents. Citation Text: Hansen M, Gunn PW, Kaelber DC. Underdiagnosis of hypertension in children and adolescents. JAMA. 2007;298(8):874-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

6586. Patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/patient-safety-emergency-department
      July 13, 2016 - Commentary Patient safety in the emergency department. Citation Text: Farmer B. Patient Safety in the Emergency Department. Emerg Med (N Y). 2016;48(9). doi:10.12788/emed.2016.0052. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

6587. Is myocardial infarction overdiagnosed? | PSNet
      psnet.ahrq.gov/issue/myocardial-infarction-overdiagnosed
      June 28, 2017 - Commentary Is myocardial infarction overdiagnosed? Citation Text: McCarthy CP, Wasfy JH, Januzzi JL. Is myocardial infarction overdiagnosed? JAMA. 2024;331(19):1623. doi:10.1001/jama.2024.5235. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

6588. Are national efforts to reduce drug name confusion paying off? | PSNet
      psnet.ahrq.gov/issue/are-national-efforts-reduce-drug-name-confusion-paying
      December 27, 2018 - Newspaper/Magazine Article Are national efforts to reduce drug name confusion paying off? Citation Text: Are national efforts to reduce drug name confusion paying off? ISMP Medication Safety Alert! Acute Care Edition. November 29, 2018;23:1-6. Copy Citation Save S…

6589. Errors in a stat laboratory: changes in type and frequency since 1996. | PSNet
      psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
      December 21, 2016 - Study Errors in a stat laboratory: changes in type and frequency since 1996. Citation Text: Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007;53(7):1338-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

6590. Whose responsibility is it to address bullying in health care? | PSNet
      psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care
      February 22, 2023 - Commentary Whose responsibility is it to address bullying in health care? Citation Text: Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

6591. Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. | PSNet
      psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
      July 26, 2023 - Book/Report Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Citation Text: Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…

6592. The National Database of Nursing Quality Indicators(TM) (NDNQI®). | PSNet
      psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir
      May 25, 2022 - Commentary The National Database of Nursing Quality Indicators(TM) (NDNQI®). Citation Text: The National Database of Nursing Quality Indicators(TM) (NDNQI®). Montalvo I. Online J Iss Nurs. 2007;12(3):Manuscript 2.  Copy Citation Save Save to …

6593. Testing a classification model for emergency department errors. | PSNet
      psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
      March 02, 2010 - Study Testing a classification model for emergency department errors. Citation Text: Henneman EA, Blank FSJ, Gattasso S, et al. Testing a classification model for emergency department errors. J Adv Nurs. 2006;55(1):90-9. Copy Citation Format: Google Scholar PubMed BibTeX …

6594. Learning from error: identifying contributory causes of medication errors in an Australian hospital. | PSNet
      psnet.ahrq.gov/issue/learning-error-identifying-contributory-causes-medication-errors-australian-hospital
      October 19, 2022 - Study Learning from error: identifying contributory causes of medication errors in an Australian hospital. Citation Text: Nichols P, Copeland T-S, Craib IA, et al. Learning from error: identifying contributory causes of medication errors in an Australian hospital. Med J Aust. 2008;188(…

6595. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. | PSNet
      psnet.ahrq.gov/issue/importance-establishing-regimen-concordance-preventing-medication-errors-anticoagulant-care
      January 02, 2017 - Study The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. Citation Text: Schillinger D, Wang F, Rodriguez M, et al. The importance of establishing regimen concordance in preventing medication errors in anticoagulant care. J Health C…

6596. The iatrogenic-harm cost equation and new technology. | PSNet
      psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
      January 24, 2024 - Commentary The iatrogenic-harm cost equation and new technology. Citation Text: Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

6597. Opioids for pain management in older adults: strategies for safe prescribing. | PSNet
      psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing
      January 26, 2022 - Commentary Opioids for pain management in older adults: strategies for safe prescribing. Citation Text: Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. Copy Citation Format: DOI Google Scholar BibTeX E…

6598. Emergency department communication links and patterns. | PSNet
      psnet.ahrq.gov/issue/emergency-department-communication-links-and-patterns
      October 23, 2013 - Study Emergency department communication links and patterns. Citation Text: Fairbanks RJ, Bisantz A, Sunm M. Emergency department communication links and patterns. Ann Emerg Med. 2007;50(4):396-406. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

6599. Wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/wrong-site-surgery-1
      September 02, 2020 - Commentary Wrong-site surgery. Citation Text: Engelhardt KE, Barnard C, Bilimoria KY. Wrong-Site Surgery. JAMA. 2017;318(20):2033-2034. doi:10.1001/jama.2017.17177. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

6600. Surgical adverse events: a systematic review. | PSNet
      psnet.ahrq.gov/issue/surgical-adverse-events-systematic-review
      June 01, 2012 - Review Surgical adverse events: a systematic review. Citation Text: Anderson O, Davis R, Hanna GB, et al. Surgical adverse events: a systematic review. Am J Surg. 2013;206(2):253-62. doi:10.1016/j.amjsurg.2012.11.009. Copy Citation Format: DOI Google Scholar PubMed BibTeX…