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Showing results for "failures".

7301. The high-reliability pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/high-reliability-pediatric-intensive-care-unit
      July 16, 2014 - Review The high-reliability pediatric intensive care unit. Citation Text: Niedner M, Muething S, Sutcliffe K. The high-reliability pediatric intensive care unit. Pediatr Clin North Am. 2013;60(3):563-80. doi:10.1016/j.pcl.2013.02.005. Copy Citation Format: DOI Google Schol…

7302. Associations between perceived crisis mode work climate and poor information exchange within hospitals. | PSNet
      psnet.ahrq.gov/issue/associations-between-perceived-crisis-mode-work-climate-and-poor-information-exchange-within
      October 19, 2022 - Study Associations between perceived crisis mode work climate and poor information exchange within hospitals. Citation Text: Patterson ME, Bogart MS, Starr KR. Associations between perceived crisis mode work climate and poor information exchange within hospitals. J Hosp Med. 2015;10(3):1…

7303. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. | PSNet
      psnet.ahrq.gov/issue/oxford-notechs-system-reliability-and-validity-tool-measuring-teamwork-behaviour-operating
      March 03, 2011 - Study The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operating theatre. Citation Text: Mishra A, Catchpole K, McCulloch P. The Oxford NOTECHS System: reliability and validity of a tool for measuring teamwork behaviour in the operat…

7304. Leadership behaviors, attitudes and characteristics to support a culture of safety. | PSNet
      psnet.ahrq.gov/issue/leadership-behaviors-attitudes-and-characteristics-support-culture-safety
      August 03, 2022 - Study Leadership behaviors, attitudes and characteristics to support a culture of safety. Citation Text: Montminy SL. Leadership behaviors, attitudes and characteristics to support a culture of safety. J Healthc Risk Manag. 2022;42(2):31-38. doi:10.1002/jhrm.21521. Copy Citation Fo…

7305. Patterns of unexpected in-hospital deaths: a root cause analysis. | PSNet
      psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
      March 13, 2019 - Review Patterns of unexpected in-hospital deaths: a root cause analysis. Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOI Google Scholar P…

7306. Emergency department volume and delayed diagnosis of serious pediatric conditions. | PSNet
      psnet.ahrq.gov/issue/emergency-department-volume-and-delayed-diagnosis-serious-pediatric-conditions
      September 13, 2023 - Study Emergency department volume and delayed diagnosis of serious pediatric conditions. Citation Text: Michelson KA, Rees CA, Florin TA, et al. Emergency department volume and delayed diagnosis of serious pediatric conditions. JAMA Pediatr. 2024;178(4):362-368. doi:10.1001/jamapediatric…

7307. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet
      psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
      February 18, 2015 - Study Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Citation Text: Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.…

7308. Complications: acknowledging, managing, and coping with human error. | PSNet
      psnet.ahrq.gov/issue/complications-acknowledging-managing-and-coping-human-error
      March 13, 2024 - Review Complications: acknowledging, managing, and coping with human error. Citation Text: Helo S, Moulton C-AE. Complications: acknowledging, managing, and coping with human error. Transl Androl Urol. 2017;6(4):773-782. doi:10.21037/tau.2017.06.28. Copy Citation Format: DO…

7309. A communication training program to encourage speaking-up behavior in surgical oncology. | PSNet
      psnet.ahrq.gov/issue/communication-training-program-encourage-speaking-behavior-surgical-oncology
      May 18, 2022 - Study A communication training program to encourage speaking-up behavior in surgical oncology. Citation Text: D'Agostino TA, Bialer PA, Walters CB, et al. A Communication Training Program to Encourage Speaking-Up Behavior in Surgical Oncology. AORN J. 2017;106(4):295-305. doi:10.1016/j.a…

7310. Social capital and knowledge sharing: effects on patient safety. | PSNet
      psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety
      September 15, 2011 - Study Social capital and knowledge sharing: effects on patient safety. Citation Text: Chang C-W, Huang H-C, Chiang C-Y, et al. Social capital and knowledge sharing: effects on patient safety. J Adv Nurs. 2012;68(8):1793-803. doi:10.1111/j.1365-2648.2011.05871.x. Copy Citation For…

7311. Emergency department checklist: an innovation to improve safety in emergency care. | PSNet
      psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care
      December 20, 2023 - Commentary Emergency department checklist: an innovation to improve safety in emergency care. Citation Text: Redfern E, Hoskins R, Gray J, et al. Emergency department checklist: an innovation to improve safety in emergency care. BMJ Open Qual. 2018;7(3):e000325. doi:10.1136/bmjoq-2018-00…

7312. Perspective: a culture of respect—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
      October 04, 2006 - Commentary Perspective: a culture of respect—part 1 and part 2. Citation Text: Perspective: a culture of respect—part 1 and part 2. Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858. Copy Citation Save Save to your library Print Down…

7313. Aviation and healthcare: a comparative review with implications for patient safety. | PSNet
      psnet.ahrq.gov/issue/aviation-and-healthcare-comparative-review-implications-patient-safety
      February 14, 2018 - Review Aviation and healthcare: a comparative review with implications for patient safety. Citation Text: Kapur N, Parand A, Soukup T, et al. Aviation and healthcare: a comparative review with implications for patient safety. JRSM Open. 2016;7(1):2054270415616548. doi:10.1177/20542704156…

7314. Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. | PSNet
      psnet.ahrq.gov/issue/creating-better-discharge-summary-improvement-quality-and-timeliness-using-electronic
      December 21, 2014 - Study Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge summary. Citation Text: O'Leary KJ, Liebovitz DM, Feinglass J, et al. Creating a better discharge summary: improvement in quality and timeliness using an electronic discharge …

7315. Crisis checklists for the operating room: development and pilot testing. | PSNet
      psnet.ahrq.gov/issue/crisis-checklists-operating-room-development-and-pilot-testing
      April 21, 2015 - Study Crisis checklists for the operating room: development and pilot testing. Citation Text: Ziewacz JE, Arriaga AF, Bader AM, et al. Crisis checklists for the operating room: development and pilot testing. J Am Coll Surg. 2011;213(2):212-217.e10. doi:10.1016/j.jamcollsurg.2011.04.031…

7316. Infection control assessment of ambulatory surgical centers. | PSNet
      psnet.ahrq.gov/issue/infection-control-assessment-ambulatory-surgical-centers
      October 19, 2012 - Study Infection control assessment of ambulatory surgical centers. Citation Text: Schaefer MK, Jhung M, Dahl M, et al. Infection control assessment of ambulatory surgical centers. JAMA. 2010;303(22):2273-9. doi:10.1001/jama.2010.744. Copy Citation Format: DOI Google Schol…

7317. Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events. | PSNet
      psnet.ahrq.gov/issue/managing-near-miss-reporting-hospitals-dynamics-between-staff-members-willingness-report-and
      March 30, 2016 - Study Managing near-miss reporting in hospitals: the dynamics between staff members’ willingness to report and management’s handling of near-miss events. Citation Text: Caspi H, Perlman Y, Westreich S. Managing near-miss reporting in hospitals: the dynamics between staff members’ willing…

7318. Paediatric dosing errors before and after electronic prescribing. | PSNet
      psnet.ahrq.gov/issue/paediatric-dosing-errors-and-after-electronic-prescribing
      February 13, 2008 - Study Paediatric dosing errors before and after electronic prescribing. Citation Text: Jani Y, Barber N, Wong ICK. Paediatric dosing errors before and after electronic prescribing. Qual Saf Health Care. 2010;19(4):337-40. doi:10.1136/qshc.2009.033068. Copy Citation Format: …

7319. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. | PSNet
      psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric
      March 08, 2023 - Study Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Citation Text: Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr …

7320. Learning from the design, development and implementation of the Medication Safety Thermometer. | PSNet
      psnet.ahrq.gov/issue/learning-design-development-and-implementation-medication-safety-thermometer
      November 02, 2016 - Commentary Learning from the design, development and implementation of the Medication Safety Thermometer. Citation Text: Rostami P, Power M, Harrison A, et al. Learning from the design, development and implementation of the Medication Safety Thermometer. Int J Qual Health Care. 2017;29(2…