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Total Results: over 10,000 records

Showing results for "failures".

6841. Making polypharmacy safer for children with medical complexity. | PSNet
      psnet.ahrq.gov/issue/making-polypharmacy-safer-children-medical-complexity
      May 11, 2019 - Commentary Making polypharmacy safer for children with medical complexity. Citation Text: Feinstein JA, Orth LE. Making polypharmacy safer for children with medical complexity. J Pediatr. 2023;254:4-10. doi:10.1016/j.jpeds.2022.10.012. Copy Citation Format: DOI Google Schol…

6842. Clinician factors associated with delayed diagnosis of appendicitis. | PSNet
      psnet.ahrq.gov/issue/clinician-factors-associated-delayed-diagnosis-appendicitis
      October 26, 2022 - Study Clinician factors associated with delayed diagnosis of appendicitis. Citation Text: Michelson KA, McGarghan FLE, Patterson EE, et al. Clinician factors associated with delayed diagnosis of appendicitis. Diagnosis (Berl). 2023;10(2):183-186. doi:10.1515/dx-2022-0119. Copy Citation…

6843. Priority patient safety issues identified by perioperative nurses. | PSNet
      psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
      June 19, 2013 - Study Priority patient safety issues identified by perioperative nurses. Citation Text: Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN J. 2013;97(4):402-18. doi:10.1016/j.aorn.2012.06.016. Copy Citation Format: …

6844. Checklists to reduce diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors
      September 18, 2024 - Commentary Checklists to reduce diagnostic errors. Citation Text: Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

6845. Narrowing the mindware gap in medicine. | PSNet
      psnet.ahrq.gov/issue/narrowing-mindware-gap-medicine
      July 31, 2013 - Commentary Narrowing the mindware gap in medicine. Citation Text: Croskerry P. Narrowing the mindware gap in medicine. Diagnosis (Berl). 2022;9(2):176-183. doi:10.1515/dx-2020-0128. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

6846. Bad stars or guiding lights? Learning from disasters to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/bad-stars-or-guiding-lights-learning-disasters-improve-patient-safety
      June 08, 2011 - Commentary Bad stars or guiding lights? Learning from disasters to improve patient safety. Citation Text: Hughes C, Travaglia JF, Braithwaite J. Bad stars or guiding lights? Learning from disasters to improve patient safety. Qual Saf Health Care. 2010;19(4):332-6. doi:10.1136/qshc.2008…

6847. From blaming to learning: re-framing organisational learning from adverse incidents. | PSNet
      psnet.ahrq.gov/issue/blaming-learning-re-framing-organisational-learning-adverse-incidents
      October 05, 2022 - Study From blaming to learning: re-framing organisational learning from adverse incidents. Citation Text: Gray D, Williams S. From blaming to learning: re‐framing organisational learning from adverse incidents. Learn Org. 2011;18(6):438-453. doi:10.1108/09696471111171295. Copy Citatio…

6848. Patterns and predictors of medication discrepancies in primary care. | PSNet
      psnet.ahrq.gov/issue/patterns-and-predictors-medication-discrepancies-primary-care
      October 19, 2022 - Study Patterns and predictors of medication discrepancies in primary care. Citation Text: Coletti DJ, Stephanou H, Mazzola N, et al. Patterns and predictors of medication discrepancies in primary care. J Eval Clin Pract. 2015;21(5):831-9. doi:10.1111/jep.12387. Copy Citation Format…

6849. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. | PSNet
      psnet.ahrq.gov/issue/complexity-bias-prevention-iatrogenic-injury-why-specific-harms-may-inhibit-performance
      September 23, 2020 - Commentary Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Citation Text: Padula WV, Armstrong DG, Goldman DP. Complexity bias in the prevention of iatrogenic injury: why specific harms may inhibit performance. Mayo Clin Proc. 2022;97(2…

6850. Social risk, health inequity, and patient safety. | PSNet
      psnet.ahrq.gov/issue/social-risk-health-inequity-and-patient-safety
      September 28, 2022 - Commentary Social risk, health inequity, and patient safety. Citation Text: Boisvert S. Social risk, health inequity, and patient safety. J Healthc Risk Manag. 2022;42(2):18-25. doi:10.1002/jhrm.21519. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…

6851. Best practices in medication administration: preventing adverse drug events in perinatal settings. | PSNet
      psnet.ahrq.gov/issue/best-practices-medication-administration-preventing-adverse-drug-events-perinatal-settings
      July 16, 2009 - Commentary Best practices in medication administration: preventing adverse drug events in perinatal settings. Citation Text: Mahlmeister LR. Best practices in medication administration: preventing adverse drug events in perinatal settings. J Perinat Neonatal Nurs. 2007;21(1):6-8. Cop…

6852. The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. | PSNet
      psnet.ahrq.gov/issue/triangle-model-evaluating-effect-health-information-technology-healthcare-quality-and-safety
      May 25, 2010 - Commentary The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety. Citation Text: Ancker JS, Kern LM, Abramson EL, et al. The Triangle Model for evaluating the effect of health information technology on healthcare quality and safety…

6853. COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. | PSNet
      psnet.ahrq.gov/issue/covid-19-and-healthcare-facilities-decalogue-design-strategies-resilient-hospitals
      February 23, 2022 - Commentary COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Citation Text: COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Capolongo S, Gola M, Brambilla A, et al. Acta Biomed. 2020;91(9-s):50-60.&…

6854. EHR Go Live Planning Checklist (pdf file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_go_live_planning_checklist.pdf
      January 01, 2006 - EHR Go Live Planning Checklist EHR Go Live Planning Checklist Note: Your EHR project team should review this list and add any items that might be specific to your practice. Staff Has been trained on new EHR policies and procedures and has signed off indicating that they understand the new policies and …

6855. The aging surgeon. | PSNet
      psnet.ahrq.gov/issue/aging-surgeon
      February 22, 2019 - Review The aging surgeon. Citation Text: Katlic MR, Coleman JA. The Aging Surgeon. Adv Surg. 2016;50(1):93-103. doi:10.1016/j.yasu.2016.03.008. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

6856. What can we learn from coroners’ reports on preventable deaths? | PSNet
      psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
      October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

6857. Video technology to advance safety in the operating room and perioperative environment. | PSNet
      psnet.ahrq.gov/issue/video-technology-advance-safety-operating-room-and-perioperative-environment
      April 27, 2010 - Commentary Video technology to advance safety in the operating room and perioperative environment. Citation Text: Xiao Y, Schimpff S, Mackenzie CF, et al. Video technology to advance safety in the operating room and perioperative environment. Surg Innov. 2007;14(1):52-61. Copy Citati…

6858. Beyond crisis resource management: new frontiers in human factors training for acute care medicine. | PSNet
      psnet.ahrq.gov/issue/beyond-crisis-resource-management-new-frontiers-human-factors-training-acute-care-medicine
      September 01, 2021 - Review Beyond crisis resource management: new frontiers in human factors training for acute care medicine. Citation Text: Petrosoniak A, Hicks CM. Beyond crisis resource management: new frontiers in human factors training for acute care medicine. Curr Opin Anaesthesiol. 2013;26(6):699-…

6859. What is the effectiveness of reporting systems in promoting learning in healthcare? | PSNet
      psnet.ahrq.gov/issue/what-effectiveness-reporting-systems-promoting-learning-healthcare
      September 23, 2020 - Review What is the effectiveness of reporting systems in promoting learning in healthcare? Citation Text: Sehgal A. What is the effectiveness of reporting systems in promoting learning in healthcare? Br J Hosp Med (Lond). 2024;85(4):1-9. doi:10.12968/hmed.2023.0444. Copy Citation F…

6860. Developing a team performance framework for the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/developing-team-performance-framework-intensive-care-unit
      December 01, 2011 - Review Developing a team performance framework for the intensive care unit. Citation Text: Reader TW, Flin R, Mearns K, et al. Developing a team performance framework for the intensive care unit. Crit Care Med. 2009;37(5):1787-1793. doi:10.1097/CCM.0b013e31819f0451. Copy Citation …