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Showing results for "failures".

6641. Injury to research volunteers—the clinical-research nightmare. | PSNet
      psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare
      December 19, 2017 - Commentary Injury to research volunteers—the clinical-research nightmare. Citation Text: Wood AJJ, Darbyshire J. Injury to research volunteers--the clinical-research nightmare. N Engl J Med. 2006;354(18):1869-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

6642. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? | PSNet
      psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self
      October 23, 2018 - Commentary To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Citation Text: Berlin L. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Radiology. 2013;268(1):4-7. doi…

6643. Mother claims hospital error kept her from newborn daughter. | PSNet
      psnet.ahrq.gov/issue/mother-claims-hospital-error-kept-her-newborn-daughter
      June 13, 2011 - Newspaper/Magazine Article Mother claims hospital error kept her from newborn daughter. Citation Text: Mother claims hospital error kept her from newborn daughter. Barbella M. Drug Topics. October 8, 2007. Copy Citation Save Save to your library Print …

6644. Rapid response systems: should we still question their implementation? | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-should-we-still-question-their-implementation
      January 06, 2017 - Commentary Rapid response systems: should we still question their implementation? Citation Text: Winters BD, Pronovost P. Rapid response systems: should we still question their implementation? J Hosp Med. 2013;8(5):278-81. doi:10.1002/jhm.2050. Copy Citation Format: DOI G…

6645. Error reduction through team leadership: applying aviation's CRM model in the OR. | PSNet
      psnet.ahrq.gov/issue/error-reduction-through-team-leadership-applying-aviations-crm-model-or
      September 25, 2013 - Commentary Error reduction through team leadership: applying aviation's CRM model in the OR. Citation Text: Healy GB, Barker J, Madonna G. Error reduction through team leadership: applying aviation's CRM model in the OR. Bull Am Coll Surg. 2006;91(2):10-5. Copy Citation Format: …

6646. Patient safety: honoring advanced directives. | PSNet
      psnet.ahrq.gov/issue/patient-safety-honoring-advanced-directives
      June 23, 2009 - Commentary Patient safety: honoring advanced directives. Citation Text: Tice MA. Patient safety: honoring advanced directives. Home Healthc Nurse. 2007;25(2):79-81. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

6647. A serious threat to patient safety: the unintended misuse of FentaNYL patches. | PSNet
      psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
      September 24, 2010 - Commentary A serious threat to patient safety: the unintended misuse of FentaNYL patches. Citation Text: Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007. Copy Citation Form…

6648. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. | PSNet
      psnet.ahrq.gov/issue/office-based-anesthesia-new-frontiers-better-outcomes-and-emphasis-safety
      March 10, 2011 - Review Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Citation Text: Desai MS. Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety. Curr Opin Anaesthesiol. 2008;21(6):699-703. doi:10.1097/ACO.0b013e328313e879. Copy Citat…

6649. The perinatal safety nurse: exemplar of transformational leadership. | PSNet
      psnet.ahrq.gov/issue/perinatal-safety-nurse-exemplar-transformational-leadership
      August 20, 2018 - Commentary The perinatal safety nurse: exemplar of transformational leadership. Citation Text: Raab CA, Palmer-Byfield R. The perinatal safety nurse: exemplar of transformational leadership. MCN Am J Matern Child Nurs. 2011;36(5):280-7; quiz 288-9. doi:10.1097/NMC.0b013e31822631ec. C…

6650. Rethinking peer review: what aviation can teach radiology about performance improvement. | PSNet
      psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement
      July 01, 2017 - Commentary Rethinking peer review: what aviation can teach radiology about performance improvement. Citation Text: Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222. …

6651. Recurrent wrong-route drug error – a professional shame. | PSNet
      psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame
      July 22, 2020 - Commentary Recurrent wrong-route drug error – a professional shame. Citation Text: Bell D. Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

6652. Healthcare management strategies: interdisciplinary team factors. | PSNet
      psnet.ahrq.gov/issue/healthcare-management-strategies-interdisciplinary-team-factors
      November 13, 2011 - Review Healthcare management strategies: interdisciplinary team factors. Citation Text: Andreatta P, Marzano D. Healthcare management strategies: interdisciplinary team factors. Curr Opin Obstet Gynecol. 2012;24(6):445-52. doi:10.1097/GCO.0b013e328359f007. Copy Citation Format: …

6653. Applying the Toyota Production System: using a patient safety alert system to reduce error. | PSNet
      psnet.ahrq.gov/issue/applying-toyota-production-system-using-patient-safety-alert-system-reduce-error
      June 21, 2015 - Commentary Applying the Toyota Production System: using a patient safety alert system to reduce error. Citation Text: Furman C, Caplan RA. Applying the Toyota Production System: using a patient safety alert system to reduce error. Jt Comm J Qual Patient Saf. 2007;33(7):376-386. Copy …

6654. To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed consent. | PSNet
      psnet.ahrq.gov/issue/tell-truth-whole-truth-may-do-patients-harm-problem-nocebo-effect-informed-consent
      October 03, 2018 - Commentary To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed consent. Citation Text: Wells RE, Kaptchuk TJ. To tell the truth, the whole truth, may do patients harm: the problem of the nocebo effect for informed consent. Am J Bioeth…

6655. Human factors of complex sociotechnical systems. | PSNet
      psnet.ahrq.gov/issue/human-factors-complex-sociotechnical-systems
      June 09, 2021 - Commentary Human factors of complex sociotechnical systems. Citation Text: Carayon P. Human factors of complex sociotechnical systems. Appl Ergon. 2006;37(4):525-35. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

6656. Time-out: the professional and organizational ethics of speaking up in the OR. | PSNet
      psnet.ahrq.gov/issue/time-out-professional-and-organizational-ethics-speaking-or
      November 08, 2017 - Commentary Time-out: the professional and organizational ethics of speaking up in the OR. Citation Text: Berlinger N, Dietz E. Time-out: The Professional and Organizational Ethics of Speaking Up in the OR. AMA J Ethics. 2016;18(9):925-32. doi:10.1001/journalofethics.2016.18.9.stas1-1609.…

6657. The cost of harm and savings through safety: using simulated patients for leadership decision support. | PSNet
      psnet.ahrq.gov/issue/cost-harm-and-savings-through-safety-using-simulated-patients-leadership-decision-support
      November 10, 2015 - Study The cost of harm and savings through safety: using simulated patients for leadership decision support. Citation Text: Denham CR, Guilloteau FR. The cost of harm and savings through safety: using simulated patients for leadership decision support. J Patient Saf. 2012;8(3):89-96. …

6658. Deaths due to medical error: jumbo jets or just small propeller planes? | PSNet
      psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
      June 22, 2022 - Commentary Deaths due to medical error: jumbo jets or just small propeller planes? Citation Text: Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368. Copy Citation Format: DOI Google S…

6659. Understanding the role of non-technical skills in patient safety. | PSNet
      psnet.ahrq.gov/issue/understanding-role-non-technical-skills-patient-safety
      August 28, 2024 - Commentary Understanding the role of non-technical skills in patient safety. Citation Text: White N. Understanding the role of non-technical skills in patient safety. Nurs Stand. 2012;26(26):43-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

6660. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. | PSNet
      psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
      November 03, 2015 - Review Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist. Citation Text: O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…