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Showing results for "failures".

  1. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review
    April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

  2. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet

    psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
    July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …

  3. Women's safety alerts in maternity care: is speaking up enough? | PSNet

    psnet.ahrq.gov/issue/womens-safety-alerts-maternity-care-speaking-enough
    July 08, 2015 - Study Women's safety alerts in maternity care: is speaking up enough? Citation Text: Rance S, McCourt C, Rayment J, et al. Women's safety alerts in maternity care: is speaking up enough? BMJ Qual Saf. 2013;22(4):348-55. doi:10.1136/bmjqs-2012-001295. Copy Citation Format: …

  4. Prolonged hospital stay and the resident duty hour rules of 2003. | PSNet

    psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-duty-hour-rules-2003
    February 18, 2011 - Study Prolonged hospital stay and the resident duty hour rules of 2003. Citation Text: Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff. Copy Citation Format: …

  5. Teaching hospital financial status and patient outcomes following ACGME duty hour reform. | PSNet

    psnet.ahrq.gov/issue/teaching-hospital-financial-status-and-patient-outcomes-following-acgme-duty-hour-reform
    November 26, 2014 - Study Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Citation Text: Navathe AS, Silber JH, Small DS, et al. Teaching hospital financial status and patient outcomes following ACGME duty hour reform. Health Serv Res. 2013;48(2 Pt 1):476-98. doi:…

  6. Am I safe here? Improving patients' perceptions of safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-hospitals
    June 25, 2010 - Study Am I safe here? Improving patients' perceptions of safety in hospitals. Citation Text: Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40. Copy Citation Format: Google Schol…

  7. Rapid response team in a rural hospital. | PSNet

    psnet.ahrq.gov/issue/rapid-response-team-rural-hospital
    October 19, 2022 - Study Rapid response team in a rural hospital. Citation Text: Brown S, Anderson MA, Hill PD. Rapid response team in a rural hospital. Clin Nurse Spec. 2012;26(2):95-102. doi:10.1097/NUR.0b013e31824590fb. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  8. Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. | PSNet

    psnet.ahrq.gov/issue/unintentionally-retained-foreign-objects-descriptive-study-308-sentinel-events-and
    March 20, 2019 - Study Emerging Classic Unintentionally retained foreign objects: a descriptive study of 308 sentinel events and contributing factors. Citation Text: Steelman VM, Shaw C, Shine L, et al. Unintentionally Retained Foreign Objects: A Descriptive Study of 308 Sentine…

  9. From harm to hope and purposeful action: what could we do after Francis? | PSNet

    psnet.ahrq.gov/issue/harm-hope-and-purposeful-action-what-could-we-do-after-francis
    August 01, 2016 - Commentary From harm to hope and purposeful action: what could we do after Francis? Citation Text: Woodhead T, Lachman P, Mountford J, et al. From harm to hope and purposeful action: what could we do after Francis? BMJ Qual Saf. 2014;23(8):619-23. doi:10.1136/bmjqs-2013-002581. Copy Ci…

  10. The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. | PSNet

    psnet.ahrq.gov/issue/hospital-score-predicts-potentially-preventable-30-day-readmissions-conditions-targeted
    May 08, 2017 - Study The HOSPITAL score predicts potentially preventable 30-day readmissions in conditions targeted by the Hospital Readmissions Reduction Program. Citation Text: Burke RE, Schnipper JL, Williams M, et al. The HOSPITAL Score Predicts Potentially Preventable 30-Day Readmissions in Condit…

  11. Interprofessional education in team communication: working together to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/interprofessional-education-team-communication-working-together-improve-patient-safety
    April 24, 2018 - Study Interprofessional education in team communication: working together to improve patient safety. Citation Text: Brock DM, Abu-Rish E, Chiu C-R, et al. Interprofessional education in team communication: working together to improve patient safety. BMJ Qual Saf. 2013;22(5):414-23. doi…

  12. Methicillin-resistant Staphylococcus aureus disease in three communities. | PSNet

    psnet.ahrq.gov/issue/methicillin-resistant-staphylococcus-aureus-disease-three-communities
    July 03, 2014 - Study Methicillin-resistant Staphylococcus aureus disease in three communities. Citation Text: Fridkin SK, Hageman JC, Morrison M, et al. Methicillin-resistant Staphylococcus aureus disease in three communities. N Engl J Med. 2005;352(14):1436-44. Copy Citation Format: Go…

  13. The threat within: mitigating the risk of medical error. | PSNet

    psnet.ahrq.gov/issue/threat-within-mitigating-risk-medical-error
    July 15, 2020 - Book/Report The threat within: mitigating the risk of medical error. Citation Text: Bennett S. The Threat Within: Mitigating The Risk Of Medical Error. Springer International Publishing; 2020. doi:10.1007/978-3-030-23491-1_3. Copy Citation Format: DOI Google Scholar BibTeX…

  14. Concerns regarding tablet splitting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/concerns-regarding-tablet-splitting-systematic-review
    February 10, 2015 - Review Concerns regarding tablet splitting: a systematic review. Citation Text: Saran AK, Holden NA, Garrison SR. Concerns regarding tablet splitting: a systematic review. BJGP Open. 2022;6(3):BJGPO.2022.0001. doi:10.3399/bjgpo.2022.0001. Copy Citation Format: DOI Google Sc…

  15. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. | PSNet

    psnet.ahrq.gov/issue/keeping-eye-patient-safety-using-human-factors-engineering-hfe-family-affair-hospitalized
    November 12, 2014 - Commentary Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. Citation Text: Wilson BL. Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child. J Spec Pediatr Nurs…

  16. In-home medication reviews: a novel approach to improving patient care through coordination of care. | PSNet

    psnet.ahrq.gov/issue/home-medication-reviews-novel-approach-improving-patient-care-through-coordination-care
    July 01, 2016 - Study In-home medication reviews: a novel approach to improving patient care through coordination of care. Citation Text: Willis JS, Hoy RH, Jenkins WD. In-home medication reviews: a novel approach to improving patient care through coordination of care. J Community Health. 2011;36(6):1…

  17. An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. | PSNet

    psnet.ahrq.gov/issue/effort-improve-electronic-health-record-medication-list-accuracy-between-visits-patients-and
    May 15, 2024 - Study An effort to improve electronic health record medication list accuracy between visits: patients' and physicians' response. Citation Text: Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list accuracy between visits: patients' a…

  18. Disposal of paper records containing personal information in hospitals. | PSNet

    psnet.ahrq.gov/issue/disposal-paper-records-containing-personal-information-hospitals
    March 13, 2024 - Study Disposal of paper records containing personal information in hospitals. Citation Text: Ramjist JK, Coburn N, Urbach DR, et al. Disposal of Paper Records Containing Personal Information in Hospitals. JAMA. 2018;319(11):1162-1163. doi:10.1001/jama.2017.21533. Copy Citation Form…

  19. Development of an instrument to measure the unintended consequences of EHRs. | PSNet

    psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs
    June 22, 2011 - Commentary Development of an instrument to measure the unintended consequences of EHRs. Citation Text: Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/019394591557608…

  20. Restricting resident work hours: the good, the bad, and the ugly. | PSNet

    psnet.ahrq.gov/issue/restricting-resident-work-hours-good-bad-and-ugly
    December 02, 2020 - Review Restricting resident work hours: the good, the bad, and the ugly. Citation Text: Peets A, Ayas N. Restricting resident work hours: the good, the bad, and the ugly. Crit Care Med. 2012;40(3):960-6. doi:10.1097/CCM.0b013e3182413bc5. Copy Citation Format: DOI Google S…
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