Results

Total Results: over 10,000 records

Showing results for "failures".

  1. psnet.ahrq.gov/issue/improved-prophylaxis-and-decreased-rates-preventable-harm-use-mandatory-computerized-clinical
    June 21, 2016 - Study Improved prophylaxis and decreased rates of preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous thromboembolism in trauma. Citation Text: Haut ER, Lau BD, Kraenzlin FS, et al. Improved prophylaxis and decreased rates o…
  2. psnet.ahrq.gov/issue/handovers-or-icu
    January 03, 2017 - Commentary Handovers from the OR to the ICU. Citation Text: Bonifacio AS, Segall N, Barbeito A, et al. Handovers from the OR to the ICU. Int Anesthesiol Clin. 2013;51(1):43-61. doi:10.1097/AIA.0b013e31826f2b0e. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…
  3. psnet.ahrq.gov/issue/pharmacist-staffing-technology-use-and-implementation-medication-safety-practices-rural
    September 27, 2010 - Study Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. Citation Text: Casey M, Moscovice I, Davidson G. Pharmacist staffing, technology use, and implementation of medication safety practices in rural hospitals. J Rural Health. 2…
  4. digital.ahrq.gov/project-background
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  5. psnet.ahrq.gov/issue/high-reliability-emergency-response-teams-hospital-improving-quality-and-safety-using-situ
    December 30, 2014 - Study High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. Citation Text: Wheeler DS, Geis G, Mack EH, et al. High-reliability emergency response teams in the hospital: improving quality and safety using in situ simu…
  6. psnet.ahrq.gov/issue/architecture-safety-emerging-priority-improving-patient-safety
    June 09, 2011 - Review The architecture of safety: an emerging priority for improving patient safety. Citation Text: Joseph A, Henriksen K, Malone E. The Architecture Of Safety: An Emerging Priority For Improving Patient Safety. Health Aff (Millwood). 2018;37(11):1884-1891. doi:10.1377/hlthaff.2018.0643…
  7. psnet.ahrq.gov/issue/tangible-handoff-team-approach-advancing-structured-communication-labor-and-delivery
    June 12, 2013 - Commentary The tangible handoff: a team approach for advancing structured communication in labor and delivery. Citation Text: Block M, Ehrenworth JF, Cuce VM, et al. The tangible handoff: a team approach for advancing structured communication in labor and delivery. Jt Comm J Qual Patient…
  8. psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt
    August 20, 2018 - Review Emerging Classic Postoperative opioid prescribing: Getting it RIGHTT. Citation Text: Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707-711. doi:10.1016/j.amjsurg.2018.02.001. Copy Citation Format:…
  9. psnet.ahrq.gov/issue/core-competencies-patient-safety-research-cornerstone-global-capacity-strengthening
    September 15, 2021 - Commentary Core competencies for patient safety research: a cornerstone for global capacity strengthening. Citation Text: Andermann A, Ginsburg L, Norton P, et al. Core competencies for patient safety research: a cornerstone for global capacity strengthening. BMJ Qual Saf. 2011;20(1):9…
  10. psnet.ahrq.gov/issue/critical-role-surgeon-anesthesiologist-relationship-patient-safety
    November 11, 2020 - Commentary Critical role of the surgeon–anesthesiologist relationship for patient safety. Citation Text: Cooper JB. Critical Role of the Surgeon-Anesthesiologist Relationship for Patient Safety. Anesthesiology. 2018;129(3):402-405. doi:10.1097/ALN.0000000000002324. Copy Citation Fo…
  11. psnet.ahrq.gov/issue/concept-error-and-malpractice-radiology
    January 24, 2018 - Commentary The concept of error and malpractice in radiology. Citation Text: Pinto A, Brunese L, Pinto F, et al. The concept of error and malpractice in radiology. Semin Ultrasound CT MR. 2012;33(4):275-9. doi:10.1053/j.sult.2012.01.009. Copy Citation Format: DOI Google S…
  12. psnet.ahrq.gov/issue/improving-patient-safety-through-simulation-training-anesthesiology-where-are-we
    October 13, 2018 - Review Improving patient safety through simulation training in anesthesiology: where are we? Citation Text: Green M, Tariq R, Green P. Improving Patient Safety through Simulation Training in Anesthesiology: Where Are We? Anesthesiol Res Pract. 2016;2016:4237523. doi:10.1155/2016/4237523.…
  13. psnet.ahrq.gov/issue/progress-patient-safety-glass-fuller-it-seems
    March 13, 2013 - Commentary Progress in patient safety: a glass fuller than it seems. Citation Text: Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual. 2014;29(2):165-9. doi:10.1177/1062860613495554. Copy Citation Format: DOI Google Scholar Pu…
  14. psnet.ahrq.gov/issue/rate-causes-and-reporting-medication-errors-jordan-nurses-perspectives
    April 15, 2020 - Study Rate, causes and reporting of medication errors in Jordan: nurses' perspectives. Citation Text: MRAYYAN MAJDT, SHISHANI KAWKAB, AL-FAOURI IBRAHIM. Rate, causes and reporting of medication errors in Jordan: nurses? perspectives. J Nurs Manag. 2007;15(6). doi:10.1111/j.1365-2834.20…
  15. psnet.ahrq.gov/issue/leading-highly-visible-hospital-through-serious-reportable-event
    February 15, 2023 - Commentary Leading a highly visible hospital through a serious reportable event. Citation Text: Erickson JI. Leading a highly visible hospital through a serious reportable event. J Nurs Adm. 2012;42(3):131-3. doi:10.1097/NNA.0b013e31824808b6. Copy Citation Format: DOI Googl…
  16. psnet.ahrq.gov/issue/possible-net-harms-breast-cancer-screening-updated-modelling-forrest-report
    November 17, 2021 - Study Possible net harms of breast cancer screening: updated modelling of Forrest report. Citation Text: Raftery J, Chorozoglou M. Possible net harms of breast cancer screening: updated modelling of Forrest report. BMJ. 2011;343(dec08 2):d7627. doi:10.1136/bmj.d7627. Copy Citation …
  17. psnet.ahrq.gov/issue/limiting-nurse-overtime-and-promoting-other-good-working-conditions-influences-patient-safety
    June 23, 2009 - Commentary Limiting nurse overtime, and promoting other good working conditions, influences patient safety. Citation Text: Sharp BAC, Clancy CM. Limiting nurse overtime, and promoting other good working conditions, influences patient safety. J Nurs Care Qual. 2008;23(2):97-100. doi:10.…
  18. psnet.ahrq.gov/issue/decreasing-errors-pediatric-continuous-intravenous-infusions
    January 06, 2017 - Study Decreasing errors in pediatric continuous intravenous infusions. Citation Text: Lehmann CU, Kim G, Gujral R, et al. Decreasing errors in pediatric continuous intravenous infusions. Pediatr Crit Care Med. 2006;7(3):225-30. Copy Citation Format: Google Scholar PubMed …
  19. psnet.ahrq.gov/issue/multi-level-strategies-achieve-resilience-organisation-operating-capacity-case-study-trauma
    November 20, 2024 - Study Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Citation Text: Miller A, Xiao Y. Multi-level strategies to achieve resilience for an organisation operating at capacity: a case study at a trauma centre. Cogni…
  20. psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
    March 24, 2011 - Study Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Citation Text: Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…