Results

Total Results: over 10,000 records

Showing results for "failures".

6921. Human factors in surgery: from Three Mile Island to the operating room. | PSNet
      psnet.ahrq.gov/issue/human-factors-surgery-three-mile-island-operating-room
      July 12, 2019 - Review Human factors in surgery: from Three Mile Island to the operating room. Citation Text: D'Addessi A, Bongiovanni L, Volpe A, et al. Human factors in surgery: from Three Mile Island to the operating room. Urol Int. 2009;83(3):249-57. doi:10.1159/000241662. Copy Citation Form…

6922. What is new in paediatric medication safety? | PSNet
      psnet.ahrq.gov/issue/what-new-paediatric-medication-safety
      June 28, 2017 - Review What is new in paediatric medication safety? Citation Text: Kahn S, Abramson EL. What is new in paediatric medication safety? Arch Dis Child. 2019;104(6):596-599. doi:10.1136/archdischild-2018-315175. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

6923. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. | PSNet
      psnet.ahrq.gov/issue/meta-analysis-surgical-safety-checklist-effects-teamwork-communication-morbidity-mortality
      April 12, 2017 - Review Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. Citation Text: Lyons VE, Popejoy LL. Meta-analysis of surgical safety checklist effects on teamwork, communication, morbidity, mortality, and safety. West J Nurs Res.…

6924. Conflict resolution: applying aviation crew resource management in healthcare. | PSNet
      psnet.ahrq.gov/issue/conflict-resolution-applying-aviation-crew-resource-management-healthcare
      October 22, 2010 - Commentary Conflict resolution: applying aviation crew resource management in healthcare. Citation Text: Braverman A. Conflict resolution: applying aviation crew resource management in healthcare. Nurs Manage. 2021;52(9):30-34. doi:10.1097/01.numa.0000771740.79361.1c. Copy Citation …

6925. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet
      psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
      September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

6926. Primary care physician communication at hospital discharge reduces medication discrepancies. | PSNet
      psnet.ahrq.gov/issue/primary-care-physician-communication-hospital-discharge-reduces-medication-discrepancies
      May 04, 2010 - Study Primary care physician communication at hospital discharge reduces medication discrepancies. Citation Text: Lindquist LA, Yamahiro A, Garrett A, et al. Primary care physician communication at hospital discharge reduces medication discrepancies. J Hosp Med. 2013;8(12):672-7. doi:10…

6927. Perioperative patient safety: a multisite qualitative analysis. | PSNet
      psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
      September 20, 2023 - Study Perioperative patient safety: a multisite qualitative analysis. Citation Text: Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

6928. Assigning responsibility to close the loop on radiology test results. | PSNet
      psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-test-results
      April 03, 2024 - Review Assigning responsibility to close the loop on radiology test results. Citation Text: Kwan JL, Singh H. Assigning responsibility to close the loop on radiology test results. Diagnosis (Berl). 2017;4(3):173-177. doi:10.1515/dx-2017-0019. Copy Citation Format: DOI Googl…

6929. Missed nursing care in pediatrics. | PSNet
      psnet.ahrq.gov/issue/missed-nursing-care-pediatrics
      January 16, 2019 - Study Missed nursing care in pediatrics. Citation Text: Lake ET, de Cordova PB, Barton S, et al. Missed Nursing Care in Pediatrics. Hosp Pediatr. 2017;7(7):378-384. doi:10.1542/hpeds.2016-0141. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

6930. 'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people. | PSNet
      psnet.ahrq.gov/issue/nobody-cared-women-who-have-reported-mistreatment-while-giving-birth-say-cdc-report-validates
      April 27, 2022 - Newspaper/Magazine Article 'Nobody cared': Women who have reported mistreatment while giving birth say CDC report validates their trauma. Advocates call for systemic change in treatment of pregnant people. Citation Text: 'Nobody cared': Women who have reported mistreatment while giving b…

6931. A case for improving measurement of intraoperative iatrogenic injuries. | PSNet
      psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
      February 14, 2017 - Commentary A case for improving measurement of intraoperative iatrogenic injuries. Citation Text: Paruch JL, Ko CY, Bilimoria KY. A case for improving measurement of intraoperative iatrogenic injuries. JAMA Surg. 2014;149(9):887-8. doi:10.1001/jamasurg.2013.5237. Copy Citation Form…

6932. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-acute-care-ensuring-accurate-drug-regimen-admission-and-discharge
      October 28, 2020 - Commentary Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Citation Text: Rodehaver C, Fearing D. Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge. Jt Comm J Qual Patient Saf. 2005…

6933. Preventing sentinel events caused by family members. | PSNet
      psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
      June 14, 2023 - Commentary Preventing sentinel events caused by family members. Citation Text: Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs. 2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0. Copy Citation Format: DOI Google Scholar PubMed Bi…

6934. An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet
      psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
      May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

6935. Tracing the foundations of a conceptual framework for a patient safety ontology. | PSNet
      psnet.ahrq.gov/issue/tracing-foundations-conceptual-framework-patient-safety-ontology
      March 23, 2011 - Commentary Tracing the foundations of a conceptual framework for a patient safety ontology. Citation Text: Runciman WB, Baker GR, Michel P, et al. Tracing the foundations of a conceptual framework for a patient safety ontology. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2009.035147. …

6936. From good to better: toward a patient safety initiative in dentistry. | PSNet
      psnet.ahrq.gov/issue/good-better-toward-patient-safety-initiative-dentistry
      September 06, 2017 - Commentary From good to better: toward a patient safety initiative in dentistry. Citation Text: Ramoni R, Walji MF, White J, et al. From good to better: toward a patient safety initiative in dentistry. J Am Dent Assoc. 2012;143(9):956-60. Copy Citation Format: Google Scho…

6937. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet
      psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
      May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…

6938. Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. | PSNet
      psnet.ahrq.gov/issue/recommendations-british-committee-standards-haematology-and-national-patient-safety-agency
      November 12, 2014 - Organizational Policy/Guidelines Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. Citation Text: Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recom…

6939. Observation for assessment of clinician performance: a narrative review. | PSNet
      psnet.ahrq.gov/issue/observation-assessment-clinician-performance-narrative-review
      September 09, 2015 - Review Observation for assessment of clinician performance: a narrative review. Citation Text: Yanes AF, McElroy LM, Abecassis ZA, et al. Observation for assessment of clinician performance: a narrative review. BMJ Qual Saf. 2016;25(1):46-55. doi:10.1136/bmjqs-2015-004171. Copy Citatio…

6940. Patient safety and quality improvement: terminology. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
      August 18, 2021 - Review Patient safety and quality improvement: terminology. Citation Text: Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403. Copy Citation Format: DOI Google Scholar PubM…