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Showing results for "failures".

  1. The Human Factors Analysis Classification System (HFACS) applied to health care. | PSNet

    psnet.ahrq.gov/issue/human-factors-analysis-classification-system-hfacs-applied-health-care
    November 16, 2022 - Study The Human Factors Analysis Classification System (HFACS) applied to health care. Citation Text: Diller T, Helmrich G, Dunning S, et al. The Human Factors Analysis Classification System (HFACS) applied to health care. Am J Med Qual. 2014;29(3):181-190. doi:10.1177/1062860613491623. …

  2. The costs of adverse drug events in community hospitals. | PSNet

    psnet.ahrq.gov/issue/costs-adverse-drug-events-community-hospitals
    February 18, 2011 - Study The costs of adverse drug events in community hospitals. Citation Text: Hug BL, Keohane C, Seger DL, et al. The costs of adverse drug events in community hospitals. Jt Comm J Qual Patient Saf. 2012;38(3):120-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  3. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/frequency-and-risk-factors-preventable-medication-related-hospital-admissions-netherlands
    March 01, 2011 - Study Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Citation Text: Leendertse AJ, Egberts ACG, Stoker LJ, et al. Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands. Arch Inte…

  4. Engaging patients to improve quality of care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-improve-quality-care-systematic-review
    May 26, 2021 - Review Classic Engaging patients to improve quality of care: a systematic review. Citation Text: Bombard Y, Baker R, Orlando E, et al. Engaging patients to improve quality of care: a systematic review. Implement Sci. 2018;13(1):98. doi:10.1186/s13012-018-0784-z.…

  5. Rates of safety incident reporting in MRI in a large academic medical center. | PSNet

    psnet.ahrq.gov/issue/rates-safety-incident-reporting-mri-large-academic-medical-center
    May 03, 2017 - Study Rates of safety incident reporting in MRI in a large academic medical center. Citation Text: Mansouri M, Aran S, Harvey HB, et al. Rates of safety incident reporting in MRI in a large academic medical center. J Magn Reson Imaging. 2016;43(4):998-1007. doi:10.1002/jmri.25055. Copy…

  6. Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems. | PSNet

    psnet.ahrq.gov/issue/inpatient-notes-human-factors-engineering-and-inpatient-care-new-ways-solve-old-problems
    December 27, 2018 - Commentary Inpatient Notes: human factors engineering and inpatient care—new ways to solve old problems. Citation Text: Clack L, Sax H. Web Exclusives. Annals for Hospitalists Inpatient Notes - Human Factors Engineering and Inpatient Care-New Ways to Solve Old Problems. Ann Intern Med. 2…

  7. Anti-black racism as a chronic condition. | PSNet

    psnet.ahrq.gov/issue/anti-black-racism-chronic-condition
    December 17, 2020 - Commentary Anti-black racism as a chronic condition. Citation Text: Sederstrom N, Lasege T. Anti-black racism as a chronic condition. Hastings Cent Rep. 2022;52(S1):s24-s29. doi:10.1002/hast.1364. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

  8. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". | PSNet

    psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients-never-event
    September 21, 2022 - Commentary Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". Citation Text: Barth RJ, Waljee JF. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". JAMA Surg. 2020;155(7):543-544. doi:10.…

  9. Solving alarm fatigue with smartphone technology. | PSNet

    psnet.ahrq.gov/issue/solving-alarm-fatigue-smartphone-technology
    October 04, 2023 - Commentary Solving alarm fatigue with smartphone technology. Citation Text: Short K, Chung YJ. Solving alarm fatigue with smartphone technology. Nursing (Brux). 2019;49(1):52-57. doi:10.1097/01.NURSE.0000549728.37810.d9. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  10. Validity of selected patient safety indicators: opportunities and concerns. | PSNet

    psnet.ahrq.gov/issue/validity-selected-patient-safety-indicators-opportunities-and-concerns
    June 04, 2014 - Study Validity of selected patient safety indicators: opportunities and concerns. Citation Text: Kaafarani HMA, Borzecki AM, Itani KMF, et al. Validity of Selected Patient Safety Indicators: Opportunities and Concerns. J Am Coll Surg. 2010;212(6):924-934. doi:10.1016/j.jamcollsurg.2010…

  11. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. | PSNet

    psnet.ahrq.gov/issue/applying-toyota-production-system-principles-psychiatric-hospital-making-transfers-safer-and
    January 27, 2016 - Study Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Citation Text: Young JQ, Wachter R. Applying Toyota Production System principles to a psychiatric hospital: making transfers safer and more timely. Jt Comm J Qual Patient…

  12. Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. | PSNet

    psnet.ahrq.gov/issue/improving-reliability-clinical-care-practices-ventilated-patients-context-patient-safety
    November 07, 2011 - Study Improving reliability of clinical care practices for ventilated patients in the context of a patient safety improvement initiative. Citation Text: Pinto A, Burnett S, Benn J, et al. Improving reliability of clinical care practices for ventilated patients in the context of a patie…

  13. Team-training in healthcare: a narrative synthesis of the literature. | PSNet

    psnet.ahrq.gov/issue/team-training-healthcare-narrative-synthesis-literature
    July 02, 2014 - Review Team-training in healthcare: a narrative synthesis of the literature. Citation Text: Weaver SJ, Dy SM, Rosen MA. Team-training in healthcare: a narrative synthesis of the literature. BMJ Qual Saf. 2014;23(5):359-72. doi:10.1136/bmjqs-2013-001848. Copy Citation Format: …

  14. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. | PSNet

    psnet.ahrq.gov/issue/results-medication-reconciliation-survey-2006-society-hospital-medicine-national-meeting
    October 27, 2010 - Study Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. Citation Text: Clay BJ, Halasyamani L, Stucky ER, et al. Results of a medication reconciliation survey from the 2006 Society of Hospital Medicine national meeting. J Hos…

  15. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. | PSNet

    psnet.ahrq.gov/issue/preventing-delayed-and-missed-care-applying-artificial-intelligence-trigger-radiology-imaging
    April 06, 2022 - Study Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. Citation Text: Domingo J, Galal G, Huang J. Preventing delayed and missed care by applying artificial intelligence to trigger radiology imaging follow-up. NEJM Catal Innov…

  16. Strategies for detecting adverse drug events among older persons in the ambulatory setting. | PSNet

    psnet.ahrq.gov/issue/strategies-detecting-adverse-drug-events-among-older-persons-ambulatory-setting
    February 09, 2011 - Study Strategies for detecting adverse drug events among older persons in the ambulatory setting. Citation Text: Field T, Gurwitz JH, Harrold LR, et al. Strategies for detecting adverse drug events among older persons in the ambulatory setting. J Am Med Inform Assoc. 2004;11(6):492-8. …

  17. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. | PSNet

    psnet.ahrq.gov/issue/use-multidisciplinary-rounds-simultaneously-improve-quality-outcomes-enhance-resident
    December 18, 2014 - Study Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. Citation Text: O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident e…

  18. Oxytocin as a high-alert medication: implications for perinatal patient safety. | PSNet

    psnet.ahrq.gov/issue/oxytocin-high-alert-medication-implications-perinatal-patient-safety
    September 29, 2010 - Study Oxytocin as a high-alert medication: implications for perinatal patient safety. Citation Text: Simpson KR, Knox E. Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7. doi:10.1097/01.NMC.0000343859…

  19. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-patient-safety-dynamic-domains-healthcare-review-literature
    May 29, 2013 - Review Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Citation Text: Manser T. Teamwork and patient safety in dynamic domains of healthcare: a review of the literature. Acta Anaesthesiol Scand. 2009;53(2):143-51. doi:10.1111/j.1399-6576.2008.…

  20. Patient-centered prescription opioid tapering in community outpatients with chronic pain. | PSNet

    psnet.ahrq.gov/issue/patient-centered-prescription-opioid-tapering-community-outpatients-chronic-pain
    May 17, 2017 - Study Emerging Classic Patient-centered prescription opioid tapering in community outpatients with chronic pain. Citation Text: Darnall BD, Ziadni MS, Stieg RL, et al. Patient-Centered Prescription Opioid Tapering in Community Outpatients With Chronic Pain. JAMA…
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