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Showing results for "failures".

  1. The problem with incident reporting. | PSNet

    psnet.ahrq.gov/issue/problem-incident-reporting
    February 28, 2024 - Commentary The problem with incident reporting. Citation Text: Macrae C. The problem with incident reporting. BMJ Qual Saf. 2016;25(2):71-75. doi:10.1136/bmjqs-2015-004732. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  2. Medical error and human factors engineering: where are we now? | PSNet

    psnet.ahrq.gov/issue/medical-error-and-human-factors-engineering-where-are-we-now
    August 04, 2021 - Review Medical error and human factors engineering: where are we now? Citation Text: Gawron VJ, Drury CG, Fairbanks RJ, et al. Medical error and human factors engineering: where are we now? Am J Med Qual. 2006;21(1):57-67. Copy Citation Format: Google Scholar PubMed BibTe…

  3. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. | PSNet

    psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
    February 03, 2010 - Study Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Citation Text: Rosenstein AH, O'Daniel M. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Neurology. 2008;70(17):1564-…

  4. Missing clinical information during primary care visits. | PSNet

    psnet.ahrq.gov/issue/missing-clinical-information-during-primary-care-visits
    March 28, 2011 - Study Missing clinical information during primary care visits. Citation Text: Smith PC, Araya-Guerra R, Bublitz C, et al. Missing clinical information during primary care visits. JAMA. 2005;293(5):565-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  5. How experiencing preventable medical problems changed patients' interactions with primary health care. | PSNet

    psnet.ahrq.gov/issue/how-experiencing-preventable-medical-problems-changed-patients-interactions-primary-health
    December 13, 2023 - Study How experiencing preventable medical problems changed patients' interactions with primary health care. Citation Text: Elder NC, Jacobson J, Zink T, et al. How experiencing preventable medical problems changed patients' interactions with primary health care. Ann Fam Med. 2005;3(6)…

  6. Obstetric practice guidelines: labor's love lost? | PSNet

    psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
    April 30, 2014 - Commentary Obstetric practice guidelines: labor's love lost? Citation Text: Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. Copy Citation Format: DOI Google Schola…

  7. How to deliver safer and effective patient care: tips for team leaders and educators. | PSNet

    psnet.ahrq.gov/issue/how-deliver-safer-and-effective-patient-care-tips-team-leaders-and-educators
    April 24, 2018 - Commentary How to deliver safer and effective patient care: tips for team leaders and educators. Citation Text: Shah BJ. How to Deliver Safer and Effective Patient Care: Tips for Team Leaders and Educators. Gastroenterology. 2019;156(4):852-855. doi:10.1053/j.gastro.2019.02.017. Copy C…

  8. Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. | PSNet

    psnet.ahrq.gov/issue/reducing-inappropriate-polypharmacy-primary-care-through-pharmacy-led-interventions
    August 18, 2021 - Study Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Citation Text: Bryant E, Claire K, Needham R. Reducing inappropriate polypharmacy in primary care through pharmacy-led interventions. Pharm J. 2019;303(7932). doi:10.1211/pj.2019.20207385. Cop…

  9. Reducing the incidence of retained surgical instrument fragments. | PSNet

    psnet.ahrq.gov/issue/reducing-incidence-retained-surgical-instrument-fragments
    June 01, 2021 - Commentary Reducing the incidence of retained surgical instrument fragments. Citation Text: Reece M, Troeleman ND, McGowan JE, et al. Reducing the incidence of retained surgical instrument fragments. AORN J. 2011;94(3):301-4. doi:10.1016/j.aorn.2011.05.014. Copy Citation Format: …

  10. A piece of my mind. The art of constructive worrying. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
    June 10, 2020 - Commentary A piece of my mind. The art of constructive worrying. Citation Text: John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  11. What is accountability in health care? | PSNet

    psnet.ahrq.gov/issue/what-accountability-health-care
    April 19, 2013 - Commentary Classic What is accountability in health care? Citation Text: Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  12. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. | PSNet

    psnet.ahrq.gov/issue/should-audits-consider-care-pathway-model-new-approach-benchmarking-real-world-activities
    July 28, 2021 - Commentary Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Citation Text: Kwok CS, Waters D, Phan T, et al. Should audits consider the care pathway model? A new approach to benchmarking real-world activities. Healthcare. 2022;10(9):179…

  13. Using medical-error reporting to drive patient safety efforts. | PSNet

    psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts
    September 18, 2024 - Commentary Using medical-error reporting to drive patient safety efforts. Citation Text: Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-20; quiz 421-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …

  14. Patient safety events reported in general practice: a taxonomy. | PSNet

    psnet.ahrq.gov/issue/patient-safety-events-reported-general-practice-taxonomy
    April 03, 2012 - Study Patient safety events reported in general practice: a taxonomy. Citation Text: Makeham MAB, Stromer S, Bridges-Webb C, et al. Patient safety events reported in general practice: a taxonomy. Qual Saf Health Care. 2008;17(1):53-7. doi:10.1136/qshc.2007.022491. Copy Citation F…

  15. CPOE: strategies for success. | PSNet

    psnet.ahrq.gov/issue/cpoe-strategies-success
    October 09, 2019 - Commentary CPOE: strategies for success. Citation Text: Manor PJ. CPOE: Strategies for success. Nurs Manage. 2010;41(5):18-20. doi:10.1097/01.NUMA.0000372028.99240.7f. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  16. The human factors of home health care: a conceptual model for examining safety and quality concerns. | PSNet

    psnet.ahrq.gov/issue/human-factors-home-health-care-conceptual-model-examining-safety-and-quality-concerns
    November 21, 2018 - Commentary The human factors of home health care: a conceptual model for examining safety and quality concerns. Citation Text: Henriksen K, Joseph A, Zayas-Cabán T. The Human Factors of Home Health Care. J Patient Saf. 2009;5(4):229-236. doi:10.1097/pts.0b013e3181bd1c2a. Copy Citatio…

  17. The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. | PSNet

    psnet.ahrq.gov/issue/use-simulation-healthcare-systems-issues-team-building-task-training-education-and-high
    October 03, 2011 - Review The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations. Citation Text: Orledge J, Phillips WJ, Murray B, et al. The use of simulation in healthcare: from systems issues, to team building, to task t…

  18. Antecedents of severe and nonsevere medication errors. | PSNet

    psnet.ahrq.gov/issue/antecedents-severe-and-nonsevere-medication-errors
    February 15, 2011 - Study Antecedents of severe and nonsevere medication errors. Citation Text: Chang Y-K, Mark BA. Antecedents of severe and nonsevere medication errors. J Nurs Scholarsh. 2009;41(1):70-8. doi:10.1111/j.1547-5069.2009.01253.x. Copy Citation Format: DOI Google Scholar PubMed …

  19. The role of nursing surveillance in keeping patients safe. | PSNet

    psnet.ahrq.gov/issue/role-nursing-surveillance-keeping-patients-safe
    July 14, 2009 - Commentary The role of nursing surveillance in keeping patients safe. Citation Text: Dresser S. The role of nursing surveillance in keeping patients safe. J Nurs Adm. 2012;42(7-8):361-368. doi:10.1097/NNA.0b013e3182619377. Copy Citation Format: DOI Google Scholar PubMed B…

  20. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. | PSNet

    psnet.ahrq.gov/issue/bringing-change-shift-report-bedside-patient-and-family-centered-approach
    August 18, 2021 - Commentary Bringing change-of-shift report to the bedside: a patient- and family-centered approach. Citation Text: Griffin T. Bringing change-of-shift report to the bedside: a patient- and family-centered approach. J Perinat Neonatal Nurs. 2010;24(4):348-355. doi:10.1097/JPN.0b013e3181f8…
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