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Showing results for "failures".

  1. The SBAR communication technique: teaching nursing students professional communication skills. | PSNet

    psnet.ahrq.gov/issue/sbar-communication-technique-teaching-nursing-students-professional-communication-skills
    June 22, 2022 - Commentary The SBAR communication technique: teaching nursing students professional communication skills. Citation Text: Thomas CM, Bertram E, Johnson D. The SBAR communication technique: teaching nursing students professional communication skills. Nurse Educ. 2009;34(4):176-80. doi:10.…

  2. MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006). | PSNet

    psnet.ahrq.gov/issue/medmarx-data-report-report-relationship-drug-names-and-medication-errors-response-institute
    March 21, 2007 - Press Release/Announcement MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006). Citation Text: MEDMARX Data Report: A Report on the Relationship of Drug N…

  3. Effective Health Care (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0430_04-22-2011.pdf
    January 01, 2011 - Effective Health Care Topic Number: 0359 Document Completion Date: 11-21-11 1 Results of Topic Selection Process & Next Steps  Urinary retention will go forward for refinement as a systematic review. The scope of this topic, including populations, interventions, comparators, and outcomes, wi…

  4. Canadian Incident Analysis Framework. | PSNet

    psnet.ahrq.gov/issue/canadian-incident-analysis-framework
    December 04, 2016 - Book/Report Canadian Incident Analysis Framework. Citation Text: Canadian Incident Analysis Framework. Incident Analysis Collaborating Parties. Edmonton, AB: Canadian Patient Safety Institute; 2012. ISBN: 9781926541440. Copy Citation Save Save to your library …

  5. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet

    psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
    September 29, 2021 - Newspaper/Magazine Article RaDonda Vaught says some system practices contributed to fatal mistake. Citation Text: RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024. Copy Citation Save Save to…

  6. A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. | PSNet

    psnet.ahrq.gov/issue/multifaceted-approach-improve-patient-safety-prevent-medical-errors-and-resolve-professional
    June 12, 2008 - Commentary A multifaceted approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Citation Text: Weinstein L. A multifacited approach to improve patient safety, prevent medical errors and resolve the professional liability crisis. Am J …

  7. Sleep deprivation: a call for institutional rules. | PSNet

    psnet.ahrq.gov/issue/sleep-deprivation-call-institutional-rules
    June 27, 2018 - Commentary Sleep deprivation: a call for institutional rules. Citation Text: McKenna L, Kodner IJ, Healy GB, et al. Sleep deprivation: a call for institutional rules. Surgery. 2013;154(1):118-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

  8. TQIP Mortality Reporting System Case Reports. | PSNet

    psnet.ahrq.gov/issue/tqip-mortality-reporting-system-case-reports
    March 23, 2022 - Special or Theme Issue TQIP Mortality Reporting System Case Reports. Citation Text: TQIP Mortality Reporting System Case Reports. ACS TQIP Mortality Reporting System Writing Group. J Trauma Acute Care Surg. 2023. Copy Citation Save Save to your library Pri…

  9. Exhibit 2.5 Circulatory Conditions

    hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_5b.jsp
    January 01, 2005 - Exhibit 2.5 Circulatory Conditions Exhibit 2.5 Circulatory Conditions Discharges per 100,000 Population for Principal Diagnoses of Circulatory Conditions by Sex,* Ordered by the Prevalence of Male Discharges per 100,000 Population, 2005 Principal Diagnosis CCS Condition Category and Name Male F…

  10. The day Joy died. | PSNet

    psnet.ahrq.gov/issue/day-joy-died
    August 20, 2018 - Newspaper/Magazine Article The day Joy died. Citation Text: Brandeland GP. The day Joy died. Medical economics. 2006;83(20):50, 52-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  11. Key principles in quality and safety in radiology. | PSNet

    psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology
    September 09, 2009 - Review Key principles in quality and safety in radiology. Citation Text: Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. Copy Citation Format: DOI Google Sc…

  12. | Agency for Healthcare Research and Quality

    www.ahrq.gov/es/programs/index.html?page=4
    Digital Healthcare Research Advancing healthcare quality, safety, and effectiveness through the evolving digital healthcare ecosystem. More PSNet Discover the latest literature, news, and expert commentary on patient safety topics. More CAHPS The CAHPS program aims to advance our scientific …

  13. A practical tool to learn from defects in patient care. | PSNet

    psnet.ahrq.gov/issue/practical-tool-learn-defects-patient-care
    September 28, 2010 - Commentary A practical tool to learn from defects in patient care. Citation Text: Pronovost P, Holzmueller CG, Martinez EA, et al. A practical tool to learn from defects in patient care. Jt Comm J Qual Patient Saf. 2006;32(2):102-108. Copy Citation Format: Google Scholar …

  14. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. | PSNet

    psnet.ahrq.gov/issue/counterheroism-common-knowledge-and-ergonomics-concepts-aviation-could-improve-patient-safety
    November 03, 2015 - Commentary Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. Citation Text: Lewis GH, Vaithianathan R, Hockey PM, et al. Counterheroism, common knowledge, and ergonomics: concepts from aviation that could improve patient safety. M…

  15. Teamwork and team training in the ICU: where do the similarities with aviation end? | PSNet

    psnet.ahrq.gov/issue/teamwork-and-team-training-icu-where-do-similarities-aviation-end
    March 28, 2012 - Commentary Teamwork and team training in the ICU: where do the similarities with aviation end? Citation Text: Reader TW, Cuthbertson BH. Teamwork and team training in the ICU: Where do the similarities with aviation end? Crit Care. 2011;15(6). doi:10.1186/cc10353. Copy Citation F…

  16. HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
    September 12, 2012 - Book/Report HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006. Copy Citation Save Save to your l…

  17. Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. | PSNet

    psnet.ahrq.gov/issue/learning-candour-and-accountability-review-way-nhs-trusts-review-and-investigate-deaths
    January 23, 2019 - Book/Report Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. Citation Text: Learning, Candour and Accountability. A Review of the Way NHS Trusts Review and Investigate the Deaths of Patients in England. Newcast…

  18. Errors and analysis of errors. | PSNet

    psnet.ahrq.gov/issue/errors-and-analysis-errors
    August 28, 2019 - Commentary Errors and analysis of errors. Citation Text: Mulligan MA, Nechodom P. Errors and analysis of errors. Clin Obstet Gynecol. 2008;51(4):656-65. doi:10.1097/GRF.0b013e3181899a5a. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  19. The drive toward transparency: enhancing openness and accountability. | PSNet

    psnet.ahrq.gov/issue/drive-toward-transparency-enhancing-openness-and-accountability
    July 24, 2013 - Newspaper/Magazine Article The drive toward transparency: enhancing openness and accountability. Citation Text: Cohen SS. The drive toward transparency: enhancing openness and accountability. Healthcare executive. 2005;20(4):16-20. Copy Citation Format: Google Scholar PubMe…

  20. Teaching the diagnostic process as a model to improve medical education. | PSNet

    psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
    September 20, 2012 - Commentary Teaching the diagnostic process as a model to improve medical education. Citation Text: Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481. Copy Citation Format: DOI Google…
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