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Showing results for "failures".

  1. psnet.ahrq.gov/issue/incidence-and-cost-adverse-events-victorian-hospitals-2003-04
    July 13, 2010 - Study The incidence and cost of adverse events in Victorian hospitals 2003-04. Citation Text: Ehsani JP, Jackson T, Duckett SJ. The incidence and cost of adverse events in Victorian hospitals 2003-04. Med J Aust. 2006;184(11):551-5. Copy Citation Format: Google Scholar P…
  2. psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
    March 02, 2011 - Study Interns overestimate the effectiveness of their hand-off communication. Citation Text: Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351. Copy Citation For…
  3. psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
    February 04, 2009 - Commentary Voluntary review of quality of care peer review for patient safety. Citation Text: Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):557-64. Copy Citation Format: Google Scholar PubMed…
  4. psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
    October 07, 2020 - Commentary A root cause analysis project in a medication safety course. Citation Text: Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116. Copy Citation Format: DOI Google Scholar PubMed BibTeX …
  5. psnet.ahrq.gov/issue/pursuit-perfection-hospitals-take-heightened-actions-reduce-adverse-events
    November 18, 2020 - Newspaper/Magazine Article The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Citation Text: May EL. The pursuit of perfection: hospitals take heightened actions to reduce adverse events. Healthcare executive. 2012;27(2):26-8, 30-3. Copy Citation …
  6. psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-individual-lifetime-achievement-jeffrey-b-cooper-phd
    November 11, 2020 - Award Recipient John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital. Citation Text: Cooper JB. John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts …
  7. psnet.ahrq.gov/issue/best-practice-protocols-preventing-adverse-drug-events
    January 18, 2011 - Commentary Best-practice protocols: preventing adverse drug events. Citation Text: Weir VL. Best-practice protocols: preventing adverse drug events. Nurs Manage. 2005;36(9):24-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
  8. psnet.ahrq.gov/issue/human-factors-recognising-and-minimising-errors-our-day-day-practice
    October 09, 2016 - Review Human factors—recognising and minimising errors in our day to day practice. Citation Text: Green B, Tsiroyannis C, Brennan PA. Human factors--recognising and minimising errors in our day to day practice. Oral Dis. 2016;22(1):19-22. doi:10.1111/odi.12384. Copy Citation Format…
  9. psnet.ahrq.gov/issue/right-and-wrong-way-talk-patients-about-adverse-events
    November 01, 2023 - Newspaper/Magazine Article The right and wrong way to talk to patients about adverse events. Citation Text: Beaulieu-Volk D. The right and wrong way to talk to patients about adverse events. Medical economics. 2014;91(11):52-5. Copy Citation Format: Google Scholar PubMed Bi…
  10. psnet.ahrq.gov/issue/redesigning-hospital-alarms-patient-safety-alarmed-and-potentially-dangerous
    December 12, 2018 - Commentary Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. Citation Text: Chopra V, McMahon LF. Redesigning hospital alarms for patient safety: alarmed and potentially dangerous. JAMA. 2014;311(12):1199-200. doi:10.1001/jama.2014.710. Copy Citation …
  11. psnet.ahrq.gov/issue/impact-checklists-inpatient-safety-outcomes-systematic-review-randomized-controlled-trials
    September 29, 2021 - Review The impact of checklists on inpatient safety outcomes: a systematic review of randomized controlled trials. Citation Text: Boyd J, Wu G, Stelfox HT. The Impact of Checklists on Inpatient Safety Outcomes: A Systematic Review of Randomized Controlled Trials. J Hosp Med. 2017;12(8):6…
  12. psnet.ahrq.gov/issue/barriers-and-facilitators-chemotherapy-patients-engagement-medical-error-prevention
    November 02, 2010 - Study Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. Citation Text: Schwappach DLB, Wernli M. Barriers and facilitators to chemotherapy patients' engagement in medical error prevention. Ann Oncol. 2011;22(2):424-30. doi:10.1093/annonc/mdq346…
  13. psnet.ahrq.gov/issue/automated-dispensing-cabinets
    September 27, 2010 - Commentary Automated dispensing cabinets. Citation Text: Gaunt MJ, Johnston J, Davis MM. Automated dispensing cabinets. Don't assume they're safe; correct design and use are crucial. Am J Nurs. 2007;107(8):27-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
  14. psnet.ahrq.gov/issue/patients-perspectives-surgical-safety-do-they-feel-safe
    November 18, 2013 - Study Patients' perspectives of surgical safety: do they feel safe? Citation Text: Dixon JL, Tillman MM, Wehbe-Janek H, et al. Patients' Perspectives of Surgical Safety: Do They Feel Safe? The Ochsner J. 2015;15(2):143-148. Copy Citation Format: Google Scholar PubMed BibTeX…
  15. psnet.ahrq.gov/issue/interrater-agreement-standard-scheme-classifying-medication-errors
    September 30, 2020 - Study Interrater agreement with a standard scheme for classifying medication errors. Citation Text: Forrey RA, Pedersen CA, Schneider PJ. Interrater agreement with a standard scheme for classifying medication errors. Am J Health Syst Pharm. 2007;64(2):175-81. Copy Citation Format…
  16. psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care-transitions
    April 24, 2013 - Study Assessing the quality of patient handoffs at care transitions. Citation Text: Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/performance-web-based-clinical-diagnosis-support-system-internists
    August 02, 2023 - Study Performance of a web-based clinical diagnosis support system for internists. Citation Text: Graber ML, Mathew A. Performance of a web-based clinical diagnosis support system for internists. J Gen Intern Med. 2008;23 Suppl 1:37-40. doi:10.1007/s11606-007-0271-8. Copy Citation …
  18. psnet.ahrq.gov/issue/journal-reporting-medical-errors-wisdom-solomon-bravery-achilles-and-foolishness-pan
    April 24, 2018 - Review Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. Citation Text: Murphy JG, Stee LA, McEvoy MT, et al. Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan. Ch…
  19. psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion
    January 12, 2022 - Commentary A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Citation Text: Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12. Cop…
  20. psnet.ahrq.gov/issue/medication-reconciliation-rural-trauma-population
    April 24, 2018 - Study Medication reconciliation in a rural trauma population. Citation Text: Miller L, Miller S, Balon J, et al. Medication reconciliation in a rural trauma population. Ann Emerg Med. 2008;52(5):483-91. doi:10.1016/j.annemergmed.2008.03.021. Copy Citation Format: DOI Goog…