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Showing results for "failures".

  1. psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
    November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…
  2. psnet.ahrq.gov/issue/introducing-new-technology-operating-room-measuring-impact-job-performance-and-satisfaction
    May 18, 2022 - Study Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Citation Text: Stahl JE, Egan MT, Goldman JM, et al. Introducing new technology into the operating room: measuring the impact on job performance and satisfaction. Surgery…
  3. psnet.ahrq.gov/issue/reengineering-hospital-discharge-protocol-improve-patient-safety-reduce-costs-and-boost
    May 20, 2009 - Commentary Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Citation Text: Clancy CM. Reengineering hospital discharge: a protocol to improve patient safety, reduce costs, and boost patient satisfaction. Am J Med Qual…
  4. psnet.ahrq.gov/issue/nuclear-power-industry-alternative-analogy-safety-anaesthesia-and-novel-approach
    February 13, 2019 - Commentary The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for the conceptualisation of safety goals. Citation Text: Webster CS. The nuclear power industry as an alternative analogy for safety in anaesthesia and a novel approach for t…
  5. psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention
    March 06, 2013 - Newspaper/Magazine Article JCAHO views medication reconciliation as adverse-event prevention. Citation Text: Thompson CA. JCAHO views medication reconciliation as adverse-event prevention. American journal of health-system pharmacy : AJHP : official journal of the American Society of H…
  6. psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control
    December 19, 2017 - Study Medication reconciliation and hypertension control. Citation Text: Persell SD, Bailey SC, Tang J, et al. Medication reconciliation and hypertension control. Am J Med. 2010;123(2):182.e9-182.e15. doi:10.1016/j.amjmed.2009.06.027. Copy Citation Format: DOI Google Schol…
  7. psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
    September 04, 2016 - Commentary Structural iatrogenesis—a 43-year-old man with "opioid misuse." Citation Text: Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473. Copy Citation Format: DOI Google S…
  8. psnet.ahrq.gov/issue/multidisciplinary-crisis-simulations-way-forward-training-surgical-teams
    July 31, 2008 - Study Multidisciplinary crisis simulations: the way forward for training surgical teams. Citation Text: Undre S, Koutantji M, Sevdalis N, et al. Multidisciplinary crisis simulations: the way forward for training surgical teams. World J Surg. 2007;31(9):1843-53. Copy Citation Form…
  9. psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
    June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …
  10. psnet.ahrq.gov/issue/cognitive-biases-internal-medicine-scoping-review
    April 08, 2020 - Review Cognitive biases in internal medicine: a scoping review. Citation Text: Loncharich MF, Robbins RC, Durning SJ, et al. Cognitive biases in internal medicine: a scoping review. Diagnosis (Berl). 2023;10(3):205-214. doi:10.1515/dx-2022-0120. Copy Citation Format: DOI Go…
  11. psnet.ahrq.gov/issue/higher-quality-care-and-patient-safety-associated-better-nicu-work-environments
    October 19, 2022 - Study Higher quality of care and patient safety associated with better NICU work environments. Citation Text: Lake ET, Hallowell SG, Kutney-Lee A, et al. Higher Quality of Care and Patient Safety Associated With Better NICU Work Environments. J Nurs Care Qual. 2016;31(1):24-32. doi:10.10…
  12. psnet.ahrq.gov/issue/simulated-ward-ideal-training-clinical-clerks-era-patient-safety
    July 27, 2022 - Study The simulated ward: ideal for training clinical clerks in an era of patient safety. Citation Text: Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050…
  13. psnet.ahrq.gov/issue/identifying-cross-contaminants-and-specimen-mix-ups-surgical-pathology
    July 22, 2020 - Review Identifying cross contaminants and specimen mix-ups in surgical pathology. Citation Text: Hunt JL. Identifying cross contaminants and specimen mix-ups in surgical pathology. Adv Anat Pathol. 2008;15(4):211-7. doi:10.1097/PAP.0b013e31817bf596. Copy Citation Format: …
  14. psnet.ahrq.gov/issue/characteristics-associated-postdischarge-medication-errors
    April 12, 2023 - Study Characteristics associated with postdischarge medication errors. Citation Text: Mixon A, Myers AP, Leak CL, et al. Characteristics associated with postdischarge medication errors. Mayo Clin Proc. 2014;89(8):1042-51. doi:10.1016/j.mayocp.2014.04.023. Copy Citation Format: …
  15. psnet.ahrq.gov/issue/epidemiology-prescribing-errors-potential-impact-computerized-prescriber-order-entry
    May 04, 2010 - Study The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Citation Text: Bobb A, Gleason KM, Husch M, et al. The epidemiology of prescribing errors: the potential impact of computerized prescriber order entry. Arch Intern Med. 2004;164(7…
  16. psnet.ahrq.gov/issue/strategies-safe-medication-use-ambulatory-care-settings-united-states
    March 08, 2017 - Study Strategies for safe medication use in ambulatory care settings in the United States. Citation Text: Sorensen AV, Bernard SL. Strategies for Safe Medication Use in Ambulatory Care Settings in the United States. J Patient Saf. 2009;5(3). doi:10.1097/pts.0b013e3181b3afc1. Copy Cit…
  17. psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
    August 01, 2018 - Review Core principles of quality improvement and patient safety. Citation Text: Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  18. psnet.ahrq.gov/issue/human-factor-improve-patients-safety-hospitals-urged-adjust-how-staff-use-new-technology
    April 22, 2016 - Newspaper/Magazine Article The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Citation Text: Rice S, Tahir D. The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology. Modern healthcare…
  19. psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
    June 19, 2018 - Commentary Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Citation Text: Armitage G, Cracknell A, Forrest K, et al. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. Med Teach. 2011;3…
  20. psnet.ahrq.gov/issue/hospitalization-associated-disability-she-was-probably-able-ambulate-im-not-sure
    August 04, 2015 - Study Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure." Citation Text: Covinsky KE, Pierluissi E, Johnston B. Hospitalization-associated disability: "She was probably able to ambulate, but I'm not sure". JAMA. 2011;306(16):1782-93. doi:10.1001…