Results

Total Results: over 10,000 records

Showing results for "failures".

  1. psnet.ahrq.gov/issue/move-toward-full-use-metric-dosing-eliminate-dosage-cups-measure-liquids-fluid-drams-use-cups
    April 01, 2015 - Press Release/Announcement Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL. Citation Text: Move toward full use of metric dosing: eliminate dosage cups that measure liquids in fluid drams. Use cups that measure mL…
  2. psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
    February 16, 2022 - Commentary Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Citation Text: Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. do…
  3. psnet.ahrq.gov/issue/diagnostic-errors-pediatric-echocardiography-development-taxonomy-and-identification-risk
    April 12, 2019 - Study Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. Citation Text: Benavidez OJ, Gauvreau K, Jenkins KJ, et al. Diagnostic errors in pediatric echocardiography: development of taxonomy and identification of risk factors. Ci…
  4. psnet.ahrq.gov/issue/risk-factors-retained-surgical-items-meta-analysis-and-proposed-risk-stratification-system
    January 18, 2013 - Study Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. Citation Text: Moffatt-Bruce SD, Cook CH, Steinberg SM, et al. Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system. J Surg Res. 2014;190(…
  5. psnet.ahrq.gov/issue/impact-nursing-work-environments-patient-safety-outcomes-mediating-role-burnout-engagement
    July 23, 2010 - Study The impact of nursing work environments on patient safety outcomes: the mediating role of burnout engagement. Citation Text: Spence Laschinger HK, Leiter MP. The impact of nursing work environments on patient safety outcomes: the mediating role of burnout/engagement. J Nurs Adm. …
  6. psnet.ahrq.gov/issue/health-care-work-environments-employee-satisfaction-and-patient-safety-care-provider
    October 12, 2011 - Study Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Citation Text: Rathert C, May DR. Health care work environments, employee satisfaction, and patient safety: care provider perspectives. Health Care Manage Rev. 2007;32(1):2-11. …
  7. psnet.ahrq.gov/issue/clinical-validation-ahrq-postoperative-venous-thromboembolism-patient-safety-indicator
    September 25, 2011 - Study Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Citation Text: Henderson KE, Recktenwald AJ, Reichley RM, et al. Clinical validation of the AHRQ postoperative venous thromboembolism patient safety indicator. Jt Comm J Qual Patient Saf.…
  8. psnet.ahrq.gov/issue/influences-leadership-organizational-culture-and-hierarchy-raising-concerns-about-patient
    December 04, 2013 - Study Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. Citation Text: Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy on raising concerns abo…
  9. psnet.ahrq.gov/issue/new-us-health-crisis-looms-patients-without-covid-19-delay-care
    July 29, 2020 - Newspaper/Magazine Article New U.S. health crisis looms as patients without COVID-19 delay care. Citation Text: Bernstein S. New U.S. health crisis looms as patients without COVID-19 delay care. Reuters. 2020;July 13. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…
  10. psnet.ahrq.gov/issue/clinical-features-and-preventability-delayed-diagnosis-pediatric-appendicitis
    September 13, 2023 - Study Clinical features and preventability of delayed diagnosis of pediatric appendicitis. Citation Text: Michelson KA, Reeves SD, Grubenhoff JA, et al. Clinical features and preventability of delayed diagnosis of pediatric appendicitis. JAMA Netw Open. 2021;4(8):e2122248. doi:10.1001/ja…
  11. psnet.ahrq.gov/issue/assessing-use-google-translate-spanish-and-chinese-translations-emergency-department
    March 16, 2016 - Study Assessing the use of Google Translate for Spanish and Chinese translations of emergency department discharge instructions. Citation Text: Khoong EC, Steinbrook E, Brown C, et al. Assessing the Use of Google Translate for Spanish and Chinese Translations of Emergency Department Disc…
  12. psnet.ahrq.gov/issue/effective-followership-standardized-algorithm-resolve-clinical-conflicts-and-improve-teamwork
    March 13, 2013 - Commentary Effective followership: a standardized algorithm to resolve clinical conflicts and improve teamwork. Citation Text: Sculli GL, Fore AM, Sine DM, et al. Effective followership: A standardized algorithm to resolve clinical conflicts and improve teamwork. J Healthc Risk Manag. 20…
  13. psnet.ahrq.gov/issue/nursing-crew-resource-management-follow-report-veterans-health-administration
    September 27, 2016 - Commentary Nursing crew resource management: a follow-up report from the Veterans Health Administration. Citation Text: Sculli GL, Fore AM, West P, et al. Nursing crew resource management: a follow-up report from the Veterans Health Administration. J Nurs Adm. 2013;43(3):122-6. doi:10.1…
  14. psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications
    July 27, 2022 - Study The use of a standard design medication room to promote medication safety: organizational implications. Citation Text: Rozenbaum H, Gordon L, Brezis M, et al. The use of a standard design medication room to promote medication safety: organizational implications. Int J Qual Health C…
  15. psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
    November 30, 2012 - Study Error codes at autopsy to study potential biases in diagnostic error. Citation Text: Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. Copy Citation F…
  16. psnet.ahrq.gov/issue/family-caregiver-activation-transitions-fcat-tool-new-measure-family-caregiver-self-efficacy
    September 10, 2014 - Study The Family Caregiver Activation in Transitions (FCAT) tool: a new measure of family caregiver self-efficacy. Citation Text: Coleman EA, Ground KL, Maul A. The Family Caregiver Activation in Transitions (FCAT) Tool: A New Measure of Family Caregiver Self-Efficacy. Jt Comm J Qual Pat…
  17. psnet.ahrq.gov/issue/resilience-stakeholder-perspective-role-next-kin-cancer-care
    April 14, 2021 - Study Resilience from a stakeholder perspective: the role of next of kin in cancer care. Citation Text: Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer care. J Patient Saf. 2020;16(3):e205-e210. doi:10.1097/pts.0000000000000532…
  18. psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
    February 28, 2024 - Commentary Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. Citation Text: Wiig S, Calderwood CJ, O’Hara J. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acc…
  19. psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
    December 21, 2014 - Study Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. Citation Text: Paull DE, Mazzia L, Izu BS, et al. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medi…
  20. psnet.ahrq.gov/issue/nurses-perceptions-subspecialization-pediatric-cardiac-intensive-care-unit-quality-and
    April 16, 2018 - Study Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications. Citation Text: Kane JM, Preze E. Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.…