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Showing results for "failures".

  1. Drill down with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/drill-down-root-cause-analysis
    June 15, 2016 - Commentary Drill down with root cause analysis. Citation Text: McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. | PSNet

    psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health
    July 08, 2015 - Commentary Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Citation Text: Ehrich K. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Sociol Health Il…

  3. Fault/no fault: bearing the brunt of medical mishaps. | PSNet

    psnet.ahrq.gov/issue/faultno-fault-bearing-brunt-medical-mishaps
    January 27, 2021 - Commentary Fault/no fault: bearing the brunt of medical mishaps. Citation Text: Silversides A. Fault/no fault: bearing the brunt of medical mishaps. CMAJ. 2008;179(4):309-11. doi:10.1503/cmaj.081020. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  4. The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/effects-electrode-misplacement-clinicians-interpretation-standard-12-lead-electrocardiogram
    February 10, 2016 - Study The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Citation Text: Bond RR, Finlay DD, Nugent CD, et al. The effects of electrode misplacement on clinicians' interpretation of the standard 12-lead electrocardiogram. Eur J…

  5. Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. | PSNet

    psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
    January 30, 2013 - Study Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. Citation Text: Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24. Copy Citation Format: Google Scholar PubMed…

  6. Defensive medicine: it is time to finally slow down an epidemic. | PSNet

    psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
    November 18, 2016 - Commentary Emerging Classic Defensive medicine: it is time to finally slow down an epidemic. Citation Text: Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc…

  7. In situ simulation: identification of systems issues. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-identification-systems-issues
    January 31, 2024 - Study In situ simulation: identification of systems issues. Citation Text: Guise J-M, Mladenovic J. In situ simulation: Identification of systems issues. Semin Perinatol. 2013;37(3). doi:10.1053/j.semperi.2013.02.007. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  8. Oncology care setting design and planning part I: concepts for the oncology nurse that improve patient safety. | PSNet

    psnet.ahrq.gov/issue/oncology-care-setting-design-and-planning-part-i-concepts-oncology-nurse-improve-patient
    September 24, 2010 - Commentary Oncology care setting design and planning part I: concepts for the oncology nurse that improve patient safety. Citation Text: Sheridan-Leos N. Oncology care setting design and planning part I: Concepts for the oncology nurse that improve patient safety. Clin J Oncol Nurs. 20…

  9. LeDeR - Learning from Lives and Deaths. | PSNet

    psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
    October 19, 2022 - Multi-use Website LeDeR - Learning from Lives and Deaths. Citation Text: LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England. Copy Citation Save Save to your library Print Download PDF Share Fa…

  10. Adverse events: root causes and latent factors. | PSNet

    psnet.ahrq.gov/issue/adverse-events-root-causes-and-latent-factors
    June 21, 2017 - Commentary Adverse events: root causes and latent factors. Citation Text: Karl R, Karl MC. Adverse events: root causes and latent factors. Surg Clin North Am. 2012;92(1):89-100. doi:10.1016/j.suc.2011.12.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  11. Why simulation matters: a systematic review on medical errors occurring during simulated health care. | PSNet

    psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during-simulated-health
    September 25, 2019 - Review Why simulation matters: a systematic review on medical errors occurring during simulated health care. Citation Text: Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-1…

  12. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. | PSNet

    psnet.ahrq.gov/issue/opportunities-performance-improvement-relation-medication-administration-during-pediatric
    June 28, 2023 - Study Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Citation Text: Morgan N. Opportunities for performance improvement in relation to medication administration during pediatric stabilization. Quality and Safety in Hea…

  13. Rural nurses' safeguarding work: reembodying patient safety. | PSNet

    psnet.ahrq.gov/issue/rural-nurses-safeguarding-work-reembodying-patient-safety
    December 09, 2009 - Study Rural nurses' safeguarding work: reembodying patient safety. Citation Text: MacKinnon K. Rural nurses' safeguarding work: reembodying patient safety. ANS Adv Nurs Sci. 2011;34(2):119-129. doi:10.1097/ANS.0b013e3182186b86. Copy Citation Format: DOI Google Scholar Pu…

  14. Some cancer experts see 'overdiagnosis,' question emphasis on early detection. | PSNet

    psnet.ahrq.gov/issue/some-cancer-experts-see-overdiagnosis-question-emphasis-early-detection
    June 19, 2019 - Newspaper/Magazine Article Some cancer experts see 'overdiagnosis,' question emphasis on early detection. Citation Text: Linos E, Schroeder SA, Chren M-M. Potential Overdiagnosis of Basal Cell Carcinoma in Older Patients With Limited Life Expectancy. JAMA. 2014;312(10). doi:10.1001/jama.…

  15. Nurse prescribing: reflections on safety in practice. | PSNet

    psnet.ahrq.gov/issue/nurse-prescribing-reflections-safety-practice
    June 21, 2017 - Study Nurse prescribing: reflections on safety in practice. Citation Text: Bradley E, Hynam B, Nolan P. Nurse prescribing: reflections on safety in practice. Soc Sci Med. 2007;65(3):599-609. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  16. Use of complex adaptive systems metaphor to achieve professional and organizational change. | PSNet

    psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
    November 11, 2020 - Commentary Use of complex adaptive systems metaphor to achieve professional and organizational change. Citation Text: Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…

  17. Development and evaluation of a required patient safety course.  | PSNet

    psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
    January 11, 2023 - Commentary Development and evaluation of a required patient safety course.  Citation Text: Sukkari SR, Sasich LD, Tuttle DA, et al. Development and evaluation of a required patient safety course. Am J Pharm Educ. 2008;72(3):65. Copy Citation Format: Google Scholar PubMed …

  18. The cost of disruptive and unprofessional behaviors in health care. | PSNet

    psnet.ahrq.gov/issue/cost-disruptive-and-unprofessional-behaviors-health-care
    August 04, 2021 - Commentary The cost of disruptive and unprofessional behaviors in health care. Citation Text: Rawson J, Thompson N, Sostre G, et al. The cost of disruptive and unprofessional behaviors in health care. Acad Radiol. 2013;20(9):1074-6. doi:10.1016/j.acra.2013.05.009. Copy Citation …

  19. Effects of weekend admission and hospital teaching status on in-hospital mortality. | PSNet

    psnet.ahrq.gov/issue/effects-weekend-admission-and-hospital-teaching-status-hospital-mortality
    September 12, 2011 - Study Effects of weekend admission and hospital teaching status on in-hospital mortality. Citation Text: Cram P, Hillis SL, Barnett M, et al. Effects of weekend admission and hospital teaching status on in-hospital mortality. Am J Med. 2004;117(3):151-7. Copy Citation Format: …

  20. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. | PSNet

    psnet.ahrq.gov/issue/obstetrics-and-gynecologic-hospitalists-and-their-focus-impact-safety-and-quality-metrics
    July 19, 2023 - Commentary Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Citation Text: Gonzalez AK, Butler JR. Obstetrics and gynecologic hospitalists and their focus: impact on safety and quality metrics. Obstet Gynecol Clin North Am. 2024;51(3):453-461…
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