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Showing results for "failures".

6681. Before you make that big decision... | PSNet
      psnet.ahrq.gov/issue/you-make-big-decision
      March 05, 2025 - Commentary Before you make that big decision... Citation Text: Kahneman D, Lovallo D, Sibony O. Before you make that big decision.. Harv Bus Rev. 2011;89(6):50-60, 137. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

6682. Becoming a high-reliability organization through shared learning of safety events | PSNet
      psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
      February 12, 2020 - Newspaper/Magazine Article Becoming a high-reliability organization through shared learning of safety events Citation Text: Becoming a high-reliability organization through shared learning of safety events Klenklen J. Patient Saf Qual HCare. December 19, 2019. Copy Citation …

6683. Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/use-ehr-metadata-assess-hospital-discharge-planning-post-acute-transitions
      January 31, 2025 - Use of Electronic Health Record Metadata to Assess Hospital Discharge Planning for Post-Acute Transitions Project Description Publications Analyzing electronic health record metadata may help health systems identify gaps, inconsistencies, and inefficiencies in discharge p…

6684. Folic Acid Supplementation to Prevent Neural Tube Defects (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/o_ShfFEXnZSZ7bfsDWvjCx
      August 01, 2023 - Folic Acid Supplementation to Prevent Neural Tube Defects USPSTF Clinician Summary of USPSTF Recommendation Folic Acid Supplementation to Prevent Neural Tube Defects August 2023 What does the USPSTF recommend? A Grade Persons who plan to or could become pregnant: Take a daily supplement containing 0.4 to 0.8 mg …

6685. Commission of Inquiry on Hormone Receptor Testing. | PSNet
      psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
      May 26, 2021 - Book/Report Commission of Inquiry on Hormone Receptor Testing. Citation Text: Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.   Copy Citation Save Save to y…

6686. Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. | PSNet
      psnet.ahrq.gov/issue/rethinking-high-reliability-healthcare-role-error-management-theory-towards-advancing-high
      May 11, 2019 - Commentary Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Citation Text: Rethinking high reliability in healthcare: the role of error management theory towards advancing high reliability organizing. Guttman O,…

6687. Changing our culture: adopting the military aviation safety system. | PSNet
      psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
      November 21, 2021 - Commentary Changing our culture: adopting the military aviation safety system. Citation Text: Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. Copy Citation Format: DOI …

6688. Beyond FMEA: the structured what-if technique (SWIFT). | PSNet
      psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
      February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…

6689. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. | PSNet
      psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes
      January 01, 2015 - Commentary The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection, anticipation. Citation Text: Eichhorn JH. The Anesthesia Patient Safety Foundation at 25: a pioneering success in safety, 25th anniversary provokes reflection,…

6690. You Can Quit Smoking | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/guidelines/tobacco/clinicians/tearsheets/prenatal.html
      October 01, 2014 - You Can Quit Smoking Support and Advice From Your Prenatal Care Provider en español Now Is a Good Time to Quit for You and Your Baby Both you and your baby benefit when you quit smoking. The benefits for both or you are explained below, as are the key steps to quitting successfully. All information is b…

6691. You Can Quit Smoking (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/clinicians-providers/guidelines-recommendations/tobacco/clinicians/tearsheets/prenatal.pdf
      September 01, 2008 - You Can Quit Smoking GOOD THINGS HAPPEN AS SOON AS YOU QUIT FOR YOUR BABY: Your baby will be healthier. Your baby will get more oxygen. Your baby will be less likely to be born too soon. Your baby will be more likely to come home from the hospital with you. Your baby will have fewer colds and ear infections. Your …

6692. Emergency Medical Service Responders Use Health IT to Improve Cardiac Care (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesSelker2010.pdf
      January 01, 2010 - Emergency Medical Service Responders Use Health IT to Improve Cardiac Care                                                                                                                                                                                                                                                …

6693. Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. | PSNet
      psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
      March 10, 2021 - Commentary Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. Citation Text: Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. …

6694. Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians. | PSNet
      psnet.ahrq.gov/issue/aging-gracefully-patient-safety-advocates-call-ongoing-skills-assessments-older-physicians
      June 07, 2023 - Commentary Aging gracefully? Patient safety advocates call for ongoing skills assessments for older physicians. Citation Text: McKenna M. Aging gracefully?: patient safety advocates call for ongoing skills assessments for older physicians. Ann Emerg Med. 2011;58(3):A15-A17. Copy Citati…

6695. Preventing vincristine administration errors: does evidence support minibag infusions? | PSNet
      psnet.ahrq.gov/issue/preventing-vincristine-administration-errors-does-evidence-support-minibag-infusions
      January 01, 2008 - Commentary Preventing vincristine administration errors: does evidence support minibag infusions? Citation Text: Mahon SM, Schulmeister L. Preventing Vincristine Administration Errors: Does Evidence Support Minibag Infusions? Clin J Oncol Nurs. 2006;10(2). doi:10.1188/06.cjon.271-273. …

6696. Performing an inadvertent procedure. | PSNet
      psnet.ahrq.gov/issue/performing-inadvertent-procedure
      October 16, 2019 - Commentary Performing an inadvertent procedure. Citation Text: Gupta A, Jain S, Croft C. Performing an Inadvertent Procedure. JAMA. 2019;321(5):504-505. doi:10.1001/jama.2018.21438. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

6697. Effect of computerisation on the quality and safety of chemotherapy prescription. | PSNet
      psnet.ahrq.gov/issue/effect-computerisation-quality-and-safety-chemotherapy-prescription
      December 29, 2014 - Study Effect of computerisation on the quality and safety of chemotherapy prescription. Citation Text: Voeffray M, Pannatier A, Stupp R, et al. Effect of computerisation on the quality and safety of chemotherapy prescription. Qual Saf Health Care. 2006;15(6):418-21. Copy Citation …

6698. Do not put medication safety "on hold" with boarded patients. | PSNet
      psnet.ahrq.gov/issue/do-not-put-medication-safety-hold-boarded-patients
      September 24, 2010 - Commentary Do not put medication safety "on hold" with boarded patients. Citation Text: Paparella S. Do not put medication safety "on hold" with boarded patients. J Emerg Nurs. 2010;36(4):347-9. doi:10.1016/j.jen.2010.03.008. Copy Citation Format: DOI Google Scholar PubMe…

6699. The nurse's role in the causation of compensable injury. | PSNet
      psnet.ahrq.gov/issue/nurses-role-causation-compensable-injury
      March 24, 2011 - Study The nurse's role in the causation of compensable injury. Citation Text: Painter LM, Dudjak LA, Kidwell KM, et al. The Nurse's Role in the Causation of Compensable Injury. J Nurs Care Qual. 2011;26(4):311-319. doi:10.1097/ncq.0b013e31820f9576. Copy Citation Format: D…

6700. Incidence of Adverse Events in Indian Health Service Hospitals. | PSNet
      psnet.ahrq.gov/issue/incidence-adverse-events-indian-health-service-hospitals
      May 20, 2020 - Book/Report Incidence of Adverse Events in Indian Health Service Hospitals. Citation Text: Incidence of Adverse Events in Indian Health Service Hospitals. Office of the Inspector General: Washington DC; December 2020. OIG report OEI-06-17-00530. Copy Citation Sav…