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Showing results for "failures".

  1. psnet.ahrq.gov/issue/patient-safety-curriculum-graduate-medical-education-results-needs-assessment-educators-and
    May 01, 2014 - Study A patient safety curriculum for graduate medical education: results from a needs assessment of educators and patient safety experts. Citation Text: Varkey P, Karlapudi S, Rose S, et al. A patient safety curriculum for graduate medical education: results from a needs assessment of…
  2. psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years
    August 04, 2021 - Review Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. Citation Text: Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida mo…
  3. psnet.ahrq.gov/issue/acquisition-critical-intraoperative-event-management-skills-novice-anesthesiology-residents
    March 19, 2019 - Study Acquisition of critical intraoperative event management skills in novice anesthesiology residents by using high-fidelity simulation-based training. Citation Text: Park C, Rochlen LR, Yaghmour E, et al. Acquisition of critical intraoperative event management skills in novice anest…
  4. psnet.ahrq.gov/issue/reducing-delay-diagnosis-multistage-recommendation-tracking
    June 19, 2012 - Study Reducing delay in diagnosis: multistage recommendation tracking. Citation Text: Wandtke B, Gallagher S. Reducing Delay in Diagnosis: Multistage Recommendation Tracking. AJR Am J Roentgenol. 2017;209(5):970-975. doi:10.2214/AJR.17.18332. Copy Citation Format: DOI Googl…
  5. psnet.ahrq.gov/issue/safety-and-efficiency-considerations-introduction-electronic-ordering-blood-bank
    March 25, 2015 - Study Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Citation Text: Georgiou A, Greenfield T, Callen J, et al. Safety and efficiency considerations for the introduction of electronic ordering in a blood bank. Arch Pathol Lab Med. 2009;1…
  6. psnet.ahrq.gov/issue/testing-technology-acceptance-model-evaluating-healthcare-professionals-intention-use-adverse
    March 24, 2019 - Study Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system. Citation Text: Wu J-H, Shen W-S, Lin L-M, et al. Testing the technology acceptance model for evaluating healthcare professionals' intention to use …
  7. psnet.ahrq.gov/issue/electronic-prescribing-improving-efficiency-and-accuracy-prescribing-ambulatory-care-setting
    March 16, 2022 - Review Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Citation Text: Porterfield A, Engelbert K, Coustasse A. Electronic prescribing: improving the efficiency and accuracy of prescribing in the ambulatory care setting. Perspec…
  8. psnet.ahrq.gov/issue/effect-health-information-technology-quality-us-hospitals
    September 27, 2010 - Study The effect of health information technology on quality in U.S. hospitals. Citation Text: McCullough JS, Casey M, Moscovice I, et al. The effect of health information technology on quality in U.S. hospitals. Health Aff (Millwood). 2010;29(4):647-654. doi:10.1377/hlthaff.2010.0155. …
  9. psnet.ahrq.gov/issue/adverse-event-reporting-harnessing-residents-improve-patient-safety
    July 02, 2019 - Study Adverse event reporting: harnessing residents to improve patient safety. Citation Text: Tevis SE, Schmocker RK, Wetterneck TB. Adverse Event Reporting. J Patient Saf. 2020;16(4):294-298. doi:10.1097/pts.0000000000000333. Copy Citation Format: DOI Google Scholar BibTeX…
  10. psnet.ahrq.gov/issue/using-simulation-improve-systems-based-practices
    January 22, 2016 - Review Using simulation to improve systems-based practices. Citation Text: Gardner AK, Johnston MJ, Korndorffer JR, et al. Using Simulation to Improve Systems-Based Practices. Jt Comm J Qual Patient Saf. 2017;43(9):484-491. doi:10.1016/j.jcjq.2017.05.006. Copy Citation Format: …
  11. psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
    October 07, 2015 - Study Systematic evaluation of errors occurring during the preparation of intravenous medication. Citation Text: Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.06174…
  12. psnet.ahrq.gov/issue/adjusting-duty-hour-reforms-residents-perception-safety-climate-interdisciplinary-night-float
    June 01, 2022 - Study Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotations. Citation Text: Lafleur A, Harvey A, Simard C. Adjusting to duty hour reforms: residents' perception of the safety climate in interdisciplinary night-float rotatio…
  13. psnet.ahrq.gov/issue/patient-safety-people-experiencing-advanced-dementia-hospital-video-reflexive-ethnography
    November 16, 2022 - Study Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Citation Text: Dadich A, Rodrigues J, De Bellis A, et al. Patient safety for people experiencing advanced dementia in hospital: a video reflexive ethnography. Dementia (London). 202…
  14. psnet.ahrq.gov/issue/those-found-responsible-have-been-sacked-some-observations-usefulness-error
    September 28, 2010 - Commentary “Those found responsible have been sacked”: some observations on the usefulness of error. Citation Text: Cook RI, Nemeth CP. “Those found responsible have been sacked”: some observations on the usefulness of error. Cogn Tech Work. 2010;12(2):87-93. doi:10.1007/s10111-010-0149-…
  15. psnet.ahrq.gov/issue/understanding-patient-safety-performance-and-educational-needs-using-safety-ii-approach
    September 28, 2016 - Commentary Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. Citation Text: McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex syst…
  16. psnet.ahrq.gov/issue/adverse-event-screening-tool-based-routinely-collected-hospital-acquired-diagnoses
    July 23, 2008 - Study An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Citation Text: Brand CA, Tropea J, Gorelik A, et al. An adverse event screening tool based on routinely collected hospital-acquired diagnoses. Int J Qual Health Care. 2012;24(3):266-78. doi:10…
  17. psnet.ahrq.gov/issue/challenges-communication-referring-clinicians-pathologists-electronic-health-record-era
    June 29, 2011 - Study Challenges in communication from referring clinicians to pathologists in the electronic health record era. Citation Text: Barbieri AL, Fadare O, Fan L, et al. Challenges in Communication from Referring Clinicians to Pathologists in the Electronic Health Record Era. J Pathol Inform.…
  18. psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized
    December 11, 2024 - Commentary Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized checklist. Citation Text: Kanjia MK, Adler AC, Buck D, et al. Increasing compliance of safe medication administration in pediatric anesthesia by use of a standardized check…
  19. psnet.ahrq.gov/issue/recognition-and-management-potential-drug-drug-interactions-patients-internal-medicine-wards
    October 21, 2015 - Study Recognition and management of potential drug-drug interactions in patients on internal medicine wards. Citation Text: Vonbach P, Dubied A, Beer JH, et al. Recognition and management of potential drug-drug interactions in patients on internal medicine wards. Eur J Clin Pharmacol. …
  20. psnet.ahrq.gov/issue/zero-preventable-deaths-after-traumatic-injury-achievable-goal
    March 24, 2021 - Commentary Zero preventable deaths after traumatic injury: an achievable goal. Citation Text: Spinella PC. Zero preventable deaths after traumatic injury. J Trauma Acute Care Surg. 2017;82:S2-S8. doi:10.1097/ta.0000000000001425. Copy Citation Format: DOI Google Scholar BibT…