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Showing results for "failures".

  1. Eight critical factors in creating and implementing a successful simulation program. | PSNet

    psnet.ahrq.gov/issue/eight-critical-factors-creating-and-implementing-successful-simulation-program
    August 27, 2014 - Commentary Eight critical factors in creating and implementing a successful simulation program. Citation Text: Lazzara EH, Benishek LE, Dietz AS, et al. Eight critical factors in creating and implementing a successful simulation program. Jt Comm J Qual Patient Saf. 2014;40(1):21-29. …

  2. Interventions to reduce medication errors in pediatric intensive care. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-medication-errors-pediatric-intensive-care
    March 12, 2014 - Review Interventions to reduce medication errors in pediatric intensive care. Citation Text: Manias E, Kinney S, Cranswick N, et al. Interventions to reduce medication errors in pediatric intensive care. Ann Pharmacother. 2014;48(10):1313-31. doi:10.1177/1060028014543795. Copy Citation…

  3. Underdiagnosis of hypertension using electronic health records. | PSNet

    psnet.ahrq.gov/issue/underdiagnosis-hypertension-using-electronic-health-records
    November 16, 2022 - Study Underdiagnosis of hypertension using electronic health records. Citation Text: Banerjee D, Chung S, Wong EC, et al. Underdiagnosis of hypertension using electronic health records. Am J Hypertens. 2012;25(1):97-102. doi:10.1038/ajh.2011.179. Copy Citation Format: DOI…

  4. Compensation of chief executive officers at nonprofit US hospitals. | PSNet

    psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
    December 18, 2018 - Study Compensation of chief executive officers at nonprofit US hospitals. Citation Text: Joynt KE, Le ST, Orav J, et al. Compensation of chief executive officers at nonprofit US hospitals. JAMA Intern Med. 2014;174(1):61-7. doi:10.1001/jamainternmed.2013.11537. Copy Citation Format…

  5. Mandatory pharmacy residencies: one way to reduce medication errors. | PSNet

    psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
    July 23, 2008 - Commentary Mandatory pharmacy residencies: one way to reduce medication errors. Citation Text: Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138. Copy Citation …

  6. Medical overuse as a physician cognitive error: looking under the hood. | PSNet

    psnet.ahrq.gov/issue/medical-overuse-physician-cognitive-error-looking-under-hood
    September 25, 2019 - Commentary Medical overuse as a physician cognitive error: looking under the hood. Citation Text: Korenstein D. Medical overuse as a physician cognitive error: looking under the hood. JAMA Intern Med. 2019;179(1):26-27. doi:10.1001/jamainternmed.2018.5136. Copy Citation Format: …

  7. Critical phase distractions in anaesthesia and the sterile cockpit concept. | PSNet

    psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
    April 24, 2018 - Study Critical phase distractions in anaesthesia and the sterile cockpit concept. Citation Text: Broom MA, Capek AL, Carachi P, et al. Critical phase distractions in anaesthesia and the sterile cockpit concept. Anaesthesia. 2011;66(3):175-179. doi:10.1111/j.1365-2044.2011.06623.x. Copy…

  8. Strategies for preventing distractions and interruptions in the OR. | PSNet

    psnet.ahrq.gov/issue/strategies-preventing-distractions-and-interruptions-or
    January 23, 2008 - Study Strategies for preventing distractions and interruptions in the OR. Citation Text: Clark GJ. Strategies for preventing distractions and interruptions in the OR. AORN J. 2013;97(6):702-707. doi:10.1016/j.aorn.2013.01.018. Copy Citation Format: DOI Google Scholar PubMed…

  9. Taking a closer look at medication errors that involve oxytocin. | PSNet

    psnet.ahrq.gov/issue/taking-closer-look-medication-errors-involve-oxytocin
    July 18, 2018 - Newspaper/Magazine Article Taking a closer look at medication errors that involve oxytocin. Citation Text: Taking a closer look at medication errors that involve oxytocin. ISMP Medication Safety Alert! Acute care edition. June 1, 2023; 28(11):1-6. Copy Citation Save …

  10. Reducing continuous intravenous medication errors in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/reducing-continuous-intravenous-medication-errors-intensive-care-unit
    September 27, 2016 - Commentary Reducing continuous intravenous medication errors in an intensive care unit. Citation Text: OʼByrne N, Kozub EI, Fields W. Reducing Continuous Intravenous Medication Errors in an Intensive Care Unit. J Nurs Care Qual. 2016;31(1):13-16. doi:10.1097/NCQ.0000000000000144. Copy …

  11. Reducing interruptions to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/reducing-interruptions-improve-medication-safety
    January 04, 2015 - Study Reducing interruptions to improve medication safety. Citation Text: Freeman R, McKee S, Lee-Lehner B, et al. Reducing interruptions to improve medication safety. J Nurs Care Qual. 2013;28(2):176-85. doi:10.1097/NCQ.0b013e318275ac3e. Copy Citation Format: DOI Google Sc…

  12. Bar-code verification: reducing but not eliminating medication errors. | PSNet

    psnet.ahrq.gov/issue/bar-code-verification-reducing-not-eliminating-medication-errors
    September 27, 2016 - Study Bar-code verification: reducing but not eliminating medication errors. Citation Text: Henneman PL, Marquard J, Fisher DL, et al. Bar-code verification: reducing but not eliminating medication errors. J Nurs Adm. 2012;42(12):562-6. doi:10.1097/NNA.0b013e318274b545. Copy Citation…

  13. Dispensing Errors. | PSNet

    psnet.ahrq.gov/issue/dispensing-errors
    December 02, 2020 - Newspaper/Magazine Article Dispensing Errors. Citation Text: Dispensing Errors. Phipps D, Ashour A, Riste L, et al. The Pharmaceutical Journal. 2020;305(7943, 7944). November 10, December 1, 2020. Copy Citation Save Save to your library Print …

  14. Attitudes toward the large-scale implementation of an incident reporting system. | PSNet

    psnet.ahrq.gov/issue/attitudes-toward-large-scale-implementation-incident-reporting-system
    March 23, 2011 - Study Attitudes toward the large-scale implementation of an incident reporting system. Citation Text: Braithwaite J, Westbrook MT, Travaglia J. Attitudes toward the large-scale implementation of an incident reporting system. Int J Qual Health Care. 2008;20(3):184-91. doi:10.1093/intqhc…

  15. Using video recording to identify management errors in pediatric trauma resuscitation. | PSNet

    psnet.ahrq.gov/issue/using-video-recording-identify-management-errors-pediatric-trauma-resuscitation
    July 01, 2020 - Study Using video recording to identify management errors in pediatric trauma resuscitation. Citation Text: Oakley E, Stocker S, Staubli G, et al. Using video recording to identify management errors in pediatric trauma resuscitation. Pediatrics. 2006;117(3):658-664. Copy Citation …

  16. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. | PSNet

    psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic
    March 09, 2009 - Commentary System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. Citation Text: Lien H-H, Huang C-C, Liu J-S, et al. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. Surg La…

  17. Risk factors of missed colorectal lesions after colonoscopy. | PSNet

    psnet.ahrq.gov/issue/risk-factors-missed-colorectal-lesions-after-colonoscopy
    March 25, 2020 - Study Risk factors of missed colorectal lesions after colonoscopy. Citation Text: Lee J, Park SW, Kim YS, et al. Risk factors of missed colorectal lesions after colonoscopy. Medicine (Baltimore). 2017;96(27):e7468. doi:10.1097/MD.0000000000007468. Copy Citation Format: DOI …

  18. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. | PSNet

    psnet.ahrq.gov/issue/multicenter-multidisciplinary-high-alert-medication-collaborative-improve-patient-safety
    December 04, 2016 - Study A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. Citation Text: Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapor…

  19. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. | PSNet

    psnet.ahrq.gov/issue/medication-error-care-hivaids-patients-electronic-surveillance-confirmation-and-adverse
    September 28, 2022 - Study Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events. Citation Text: DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients: electronic surveillance, confirmation, and adverse events…

  20. Identified safety risks with splitting and crushing oral medications. | PSNet

    psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications
    September 24, 2010 - Commentary Identified safety risks with splitting and crushing oral medications. Citation Text: Paparella S. Identified safety risks with splitting and crushing oral medications. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 201…
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