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Showing results for "failures".

  1. Performance-based payment incentives increase burden and blame for hospital nurses. | PSNet

    psnet.ahrq.gov/issue/performance-based-payment-incentives-increase-burden-and-blame-hospital-nurses
    February 10, 2015 - Study Performance-based payment incentives increase burden and blame for hospital nurses. Citation Text: Kurtzman ET, O'Leary D, Sheingold BH, et al. Performance-based payment incentives increase burden and blame for hospital nurses. Health Aff (Millwood). 2011;30(2):211-218. doi:10.1377…

  2. Safety of inpatient care in surgical settings: cohort study. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-care-surgical-settings-cohort-study
    May 15, 2024 - Study Safety of inpatient care in surgical settings: cohort study. Citation Text: Duclos A, Frits ML, Iannaccone C, et al. Safety of inpatient care in surgical settings: cohort study. BMJ. 2024;387:e080480. doi:10.1136/bmj-2024-080480. Copy Citation Format: DOI Google Schol…

  3. An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. | PSNet

    psnet.ahrq.gov/issue/evidence-based-toolkit-development-effective-and-sustainable-root-cause-analysis-system
    June 01, 2019 - Study An evidence-based toolkit for the development of effective and sustainable root cause analysis system safety solutions. Citation Text: Hettinger Z, Fairbanks RJ, Hegde S, et al. An evidence-based toolkit for the development of effective and sustainable root cause analysis syste…

  4. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. | PSNet

    psnet.ahrq.gov/issue/hospital-commitments-address-diagnostic-errors-assessment-95-us-hospitals
    September 18, 2024 - Study Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. Citation Text: Campione Russo A, Tilly J‐L, Kaufman L, et al. Hospital commitments to address diagnostic errors: an assessment of 95 US hospitals. J Hosp Med. 2025;20(2):120-134. doi:10.1002/jhm.13…

  5. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-simulation-based-interprofessional-training-program-rapid-response-and
    January 04, 2012 - Study Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events. Citation Text: Wehbe-Janek H, Lenzmeier CR, Ogden PE, et al. Nurses' perceptions of simulation-based interprofessional training program for rapid response and code …

  6. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. | PSNet

    psnet.ahrq.gov/issue/improving-nurse-patient-staffing-ratios-cost-effective-safety-intervention
    May 14, 2008 - Study Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Citation Text: Rothberg MB, Abraham I, Lindenauer PK, et al. Improving nurse-to-patient staffing ratios as a cost-effective safety intervention. Med Care. 2005;43(8):785-91. Copy Citation Fo…

  7. Team situation awareness and the anticipation of patient progress during ICU rounds. | PSNet

    psnet.ahrq.gov/issue/team-situation-awareness-and-anticipation-patient-progress-during-icu-rounds
    May 06, 2009 - Study Team situation awareness and the anticipation of patient progress during ICU rounds. Citation Text: Reader TW, Flin R, Mearns K, et al. Team situation awareness and the anticipation of patient progress during ICU rounds. BMJ Qual Saf. 2011;20(12):1035-42. doi:10.1136/bmjqs.2010.0…

  8. The time is now: addressing implicit bias in obstetrics and gynecology education. | PSNet

    psnet.ahrq.gov/issue/time-now-addressing-implicit-bias-obstetrics-and-gynecology-education
    November 16, 2022 - Commentary The time is now: addressing implicit bias in obstetrics and gynecology education. Citation Text: Royce CS, Morgan HK, Baecher-Lind L, et al. The time is now: addressing implicit bias in obstetrics and gynecology education. Am J Obstet Gynecol. 2023;228(4):369-381. doi:10.1016/…

  9. Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
    January 17, 2019 - Commentary Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. Citation Text: Soncrant CM, Warner LJ, Neily J, et al. Root Cause Analysis of Reported Patient Falls in ORs in the Veterans Health Administration. AORN J. 2018;108(4):386-397. doi:10.10…

  10. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/bringing-clinical-laboratory-strategy-advance-diagnostic-excellence
    September 08, 2021 - Commentary Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Citation Text: Lubin IM, Astles J R, Shahangian S, et al. Bringing the clinical laboratory into the strategy to advance diagnostic excellence. Diagnosis (Berl). 2021;8(3):281-294. doi:10.1515/…

  11. Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. | PSNet

    psnet.ahrq.gov/issue/association-between-surgical-trainee-daytime-sleepiness-and-intraoperative-technical-skill
    June 27, 2018 - Study Association between surgical trainee daytime sleepiness and intraoperative technical skill when performing septoplasty. Citation Text: Tseng YW, Vedula S, Malpani A, et al. Association Between Surgical Trainee Daytime Sleepiness and Intraoperative Technical Skill When Performing Se…

  12. Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. | PSNet

    psnet.ahrq.gov/issue/information-and-power-women-colors-experiences-interacting-health-care-providers-pregnancy
    June 18, 2020 - Study Information and power: women of color's experiences interacting with health care providers in pregnancy and birth. Citation Text: Altman MR, Oseguera T, McLemore MR, et al. Information and power: women of color's experiences interacting with health care providers in pregnancy and b…

  13. Reducing anticoagulant medication adverse events and avoidable patient harm. | PSNet

    psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
    May 19, 2021 - Study Reducing anticoagulant medication adverse events and avoidable patient harm. Citation Text: Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. Copy Citation …

  14. Causes of use errors in ventilation devices--systematic review. | PSNet

    psnet.ahrq.gov/issue/causes-use-errors-ventilation-devices-systematic-review
    October 12, 2022 - Review Causes of use errors in ventilation devices--systematic review. Citation Text: Coldewey B, Diruf A, Röhrig R, et al. Causes of use errors in ventilation devices - systematic review. Appl Ergon. 2021;98:103544. doi:10.1016/j.apergo.2021.103544. Copy Citation Format: D…

  15. Workarounds in the workplace: a second look. | PSNet

    psnet.ahrq.gov/issue/workarounds-workplace-second-look
    December 08, 2021 - Commentary Workarounds in the workplace: a second look. Citation Text: Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

  16. To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. | PSNet

    psnet.ahrq.gov/issue/point-integrating-patient-safety-education-obstetrics-and-gynecology-undergraduate-curriculum
    January 02, 2017 - Review To the point: integrating patient safety education Into the obstetrics and gynecology undergraduate curriculum. Citation Text: Abbott JF, Pradhan A, Buery-Joyner S, et al. To the Point: Integrating Patient Safety Education Into the Obstetrics and Gynecology Undergraduate Curriculu…

  17. Lab/Pharmacy Data Sign up and Commitment Letter (pdf file)

    hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn23.pdf
    March 04, 2011 - Lab/Pharmacy Data Sign up and Commitment Letter 1 Memorandum To: MHA Member Hospitals From: Mark Sonneborn, V.P. Information Services Date: 3/4/2011 Re: Lab/Pharmacy Data Sign up and Commitment Letter As part of a 3-year federal research grant, MHA is planning to add laboratory data and pharmacy dat…

  18. Prioritizing patient safety interventions in small and rural hospitals. | PSNet

    psnet.ahrq.gov/issue/prioritizing-patient-safety-interventions-small-and-rural-hospitals
    October 14, 2009 - Study Prioritizing patient safety interventions in small and rural hospitals. Citation Text: Casey M, Wakefield M, Coburn AF, et al. Prioritizing patient safety interventions in small and rural hospitals. Jt Comm J Qual Patient Saf. 2006;32(12):693-702. Copy Citation Format: …

  19. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. | PSNet

    psnet.ahrq.gov/issue/inappropriate-prescriptions-direct-oral-anticoagulants-doacs-hospitalized-patients-narrative
    November 21, 2018 - Review Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative review. Citation Text: van der Horst SFB, van Rein N, van Mens TE, et al. Inappropriate prescriptions of direct oral anticoagulants (DOACs) in hospitalized patients: a narrative…

  20. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. | PSNet

    psnet.ahrq.gov/issue/improving-code-team-performance-and-survival-outcomes-implementation-pediatric-resuscitation
    February 03, 2011 - Study Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. Citation Text: Knight LJ, Gabhart JM, Earnest KS, et al. Improving code team performance and survival outcomes: implementation of pediatric resuscitation team training. C…
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