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Showing results for "failures".

6621. (Mis)understanding safety culture and its relationship to safety management. | PSNet
      psnet.ahrq.gov/issue/misunderstanding-safety-culture-and-its-relationship-safety-management
      May 10, 2014 - Commentary (Mis)understanding safety culture and its relationship to safety management. Citation Text: Guldenmund FW. (Mis)understanding Safety Culture and Its Relationship to Safety Management. Risk Anal. 2010;30(10):1466-80. doi:10.1111/j.1539-6924.2010.01452.x. Copy Citation F…

6622. Establishing a simulation center for surgical skills: what to do and how to do it. | PSNet
      psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
      January 18, 2012 - Meeting/Conference Proceedings Establishing a simulation center for surgical skills: what to do and how to do it. Citation Text: Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and how to do it. Copy Citation Format: …

6623. Event reporting: the value of a nonpunitive approach. | PSNet
      psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
      June 16, 2011 - Commentary Event reporting: the value of a nonpunitive approach. Citation Text: Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05. Copy Citation Format: DOI Google Scholar PubMed Bi…

6624. Top 10 patient safety issues: what more can we do? | PSNet
      psnet.ahrq.gov/issue/top-10-patient-safety-issues-what-more-can-we-do
      May 08, 2013 - Commentary Top 10 patient safety issues: what more can we do? Citation Text: Steelman VM, Graling PR. Top 10 patient safety issues: what more can we do? AORN J. 2013;97(6):679-98, quiz 699-701. doi:10.1016/j.aorn.2013.04.012. Copy Citation Format: DOI Google Scholar PubMed…

6625. Commonly used, easily confused: let's eliminate hyper and hypo. | PSNet
      psnet.ahrq.gov/issue/commonly-used-easily-confused-lets-eliminate-hyper-and-hypo
      April 18, 2018 - Commentary Commonly used, easily confused: let's eliminate hyper and hypo. Citation Text: Frankel A, Vecchio P. Commonly used, easily confused: let's eliminate hyper and hypo. BMJ. 2010;341:c5867. doi:10.1136/bmj.c5867. Copy Citation Format: DOI Google Scholar PubMed BibT…

6626. Detecting drug interactions using personal digital assistants in an out-patient clinic. | PSNet
      psnet.ahrq.gov/issue/detecting-drug-interactions-using-personal-digital-assistants-out-patient-clinic
      March 28, 2011 - Study Detecting drug interactions using personal digital assistants in an out-patient clinic. Citation Text: Dallenbach F, Bovier PA, Desmeules J. Detecting drug interactions using personal digital assistants in an out-patient clinic. QJM. 2007;100(11):691-7. Copy Citation Format…

6627. Organizational silence and hidden threats to patient safety. | PSNet
      psnet.ahrq.gov/issue/organizational-silence-and-hidden-threats-patient-safety
      September 27, 2010 - Commentary Organizational silence and hidden threats to patient safety. Citation Text: Henriksen K, Dayton E. Organizational Silence and Hidden Threats to Patient Safety. Health Serv Res. 2006;41(4p2). doi:10.1111/j.1475-6773.2006.00564.x. Copy Citation Format: DOI Google…

6628. Ripped apart: medical misdiagnosis and malpractice. | PSNet
      psnet.ahrq.gov/issue/ripped-apart-medical-misdiagnosis-and-malpractice
      August 25, 2021 - Audiovisual Presentation Ripped apart: medical misdiagnosis and malpractice. Citation Text: Ripped apart: medical misdiagnosis and malpractice. Kast S, Gerr M, Black D, et al. “On the Record.” WYPR. August 3, 2021 Copy Citation Save Save to your library …

6629. Safety cultural preconditions for organizational learning in high-risk organizations. | PSNet
      psnet.ahrq.gov/issue/safety-cultural-preconditions-organizational-learning-high-risk-organizations
      June 17, 2009 - Commentary Safety cultural preconditions for organizational learning in high-risk organizations. Citation Text: Naevestad T-O. Safety Cultural Preconditions for Organizational Learning in High-Risk Organizations. J Contingencies Crisis Manage. 2008;16(3):154-163. doi:10.1111/j.1468-5973.…

6630. Surgical accountability in the 1880s: the death of Susan Nixon. | PSNet
      psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
      November 16, 2022 - Commentary Surgical accountability in the 1880s: the death of Susan Nixon. Citation Text: Watters GR, Walker DR. Surgical accountability in the 1880s: the death of Susan Nixon. ANZ J Surg. 2005;75(8). doi:10.1111/j.1445-2197.2005.03501.x. Copy Citation Format: DOI Google …

6631. Using an MET service to manage an acute thromboembolic stroke. | PSNet
      psnet.ahrq.gov/issue/using-met-service-manage-acute-thromboembolic-stroke
      January 05, 2017 - Commentary Using an MET service to manage an acute thromboembolic stroke. Citation Text: Jones D, Bellomo R, Leong T. Using an MET service to manage an acute thromboembolic stroke. Jt Comm J Qual Patient Saf. 2006;32(7):361-5, 357. Copy Citation Format: Google Scholar PubMe…

6632. Perinatal clinical decision support system: a documentation tool for patient safety. | PSNet
      psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety
      December 12, 2014 - Commentary Perinatal clinical decision support system: a documentation tool for patient safety. Citation Text: Provost C, Gray M. Perinatal clinical decision support system: a documentation tool for patient safety. Nurs Womens Health. 2007;11(4):407-10. Copy Citation Format: …

6633. Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? | PSNet
      psnet.ahrq.gov/issue/accidents-claiming-and-regional-subcultures-are-medical-errors-and-malpractice-lawsuits
      October 16, 2024 - Study Accidents, claiming, and regional subcultures: are medical errors and malpractice lawsuits related to social capital? Citation Text: Williams J. Accidents, claiming, and regional subcultures: Are medical errors and malpractice lawsuits related to social capital? J Safety Res. 200…

6634. Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. | PSNet
      psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
      September 21, 2022 - Newspaper/Magazine Article Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. Citation Text: Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. Donovan-Smith O. Spokesman Review. March 15,…

6635. The meaning of justice in safety incident reporting. | PSNet
      psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
      April 11, 2011 - Commentary The meaning of justice in safety incident reporting. Citation Text: Weiner BJ, Hobgood C, Lewis MA. The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

6636. When public health goes wrong: toward a new concept of public health error. | PSNet
      psnet.ahrq.gov/issue/when-public-health-goes-wrong-toward-new-concept-public-health-error
      September 02, 2020 - Commentary When public health goes wrong: toward a new concept of public health error. Citation Text: Bavli I. When public health goes wrong: toward a new concept of public health error. J Law Med Ethics. 2023;51(2):385-402. doi:10.1017/jme.2023.67. Copy Citation Format: DO…

6637. Prescription for error: process defects in a community retail pharmacy. | PSNet
      psnet.ahrq.gov/issue/prescription-error-process-defects-community-retail-pharmacy
      October 19, 2022 - Study Prescription for error: process defects in a community retail pharmacy. Citation Text: Witte D, Dundes L. Prescription for Error. J Patient Saf. 2008;3(4). doi:10.1097/pts.0b013e31815a613e. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

6638. A safe haven for nurses to report medication errors? Clarian and Spectrum Health Systems prove it is possible! | PSNet
      psnet.ahrq.gov/issue/safe-haven-nurses-report-medication-errors-clarian-and-spectrum-health-systems-prove-it
      September 24, 2010 - Commentary A safe haven for nurses to report medication errors? Clarian and Spectrum Health Systems prove it is possible! Citation Text: Paparella S. A Safe Haven for Nurses to Report Medication Errors? Clarian and Spectrum Health Systems Prove It Is Possible!. J Emerg Nurs. 2005;31(4)…

6639. Counting matters: lessons from the root cause analysis of a retained surgical item. | PSNet
      psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
      January 02, 2017 - Commentary Counting matters: lessons from the root cause analysis of a retained surgical item. Citation Text: Agrawal A. Counting matters: lessons from the root cause analysis of a retained surgical item. Jt Comm J Qual Patient Saf. 2012;38(12):566-574. Copy Citation Format: …

6640. Are you using checklists? Check! | PSNet
      psnet.ahrq.gov/issue/are-you-using-checklists-check
      September 13, 2010 - Commentary Are you using checklists? Check! Citation Text: McNellis B, AAPA QCC of the. Are you using checklists? Check!. JAAPA. 2010;23(7):24-6, 31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…