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Showing results for "failures".

  1. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. | PSNet

    psnet.ahrq.gov/issue/authentic-leadership-cleveland-clinic-psychological-safety-midst-crisis
    October 19, 2022 - Study Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. Citation Text: Porter TH, Peck JA, Bolwell B, et al. Authentic leadership at the Cleveland Clinic: psychological safety in the midst of crisis. BMJ Lead. 2023;7(3):196-202. doi:10.1136/leader…

  2. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. | PSNet

    psnet.ahrq.gov/issue/survey-medication-documentation-hospital-discharge-implications-patient-safety-and-continuity
    March 02, 2011 - Study Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care. Citation Text: Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.…

  3. Peer support in anesthesia: turning war stories into wellness. | PSNet

    psnet.ahrq.gov/issue/peer-support-anesthesia-turning-war-stories-wellness
    July 13, 2010 - Review Peer support in anesthesia: turning war stories into wellness. Citation Text: Vinson AE, Randel G. Peer support in anesthesia: turning war stories into wellness. Curr Opin Anaesthesiol. 2018;31(3):382-387. doi:10.1097/ACO.0000000000000591. Copy Citation Format: DOI G…

  4. Trends influencing the cost of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/trends-influencing-cost-care-and-patient-safety
    September 25, 2024 - Newspaper/Magazine Article Trends influencing the cost of care and patient safety. Citation Text: Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can improve clinical and economic performance. Health management technology. 2006;27(7):1…

  5. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. | PSNet

    psnet.ahrq.gov/issue/simulation-and-diagnostic-process-pilot-study-trauma-and-rapid-response-teams
    July 16, 2015 - Study Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Citation Text: Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/…

  6. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. | PSNet

    psnet.ahrq.gov/issue/teaching-structured-tool-improves-clarity-and-content-interprofessional-clinical
    June 28, 2017 - Study The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Citation Text: Marshall S, Harrison J, Flanagan B. The teaching of a structured tool improves the clarity and content of interprofessional clinical communication. Qual …

  7. From a blame culture to a just culture in health care. | PSNet

    psnet.ahrq.gov/issue/blame-culture-just-culture-health-care
    January 23, 2017 - Commentary From a blame culture to a just culture in health care. Citation Text: Khatri N, Brown GD, Hicks LL. From a blame culture to a just culture in health care. Health Care Manag Rev. 2009;34(4):312-322. doi:10.1097/HMR.0b013e3181a3b709. Copy Citation Format: DOI Goog…

  8. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. | PSNet

    psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan
    October 29, 2008 - Study Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. Citation Text: Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan te…

  9. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? | PSNet

    psnet.ahrq.gov/issue/poor-state-health-care-quality-us-malpractice-liability-part-problem-or-part-solution
    March 01, 2023 - Review The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Citation Text: Hyman DA, Silver C. The poor state of health care quality in the U.S.: is malpractice liability part of the problem or part of the solution? Co…

  10. Sentinel events, serious reportable events, and root cause analysis. | PSNet

    psnet.ahrq.gov/issue/sentinel-events-serious-reportable-events-and-root-cause-analysis
    February 26, 2014 - Commentary Sentinel events, serious reportable events, and root cause analysis. Citation Text: Chen TC, Schein OD, Miller JW. Sentinel events, serious reportable events, and root cause analysis. JAMA Ophthalmol. 2015;133(6):631-632. doi:10.1001/jamaophthalmol.2015.0672. Copy Citation …

  11. Applied use of safety event occurrence control charts of harm and non-harm events: a case study. | PSNet

    psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
    October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…

  12. The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. | PSNet

    psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
    September 18, 2024 - Study The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. Citation Text: Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…

  13. Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-critical-care-big-challenge-exciting-opportunitylamelioration-de-la
    December 22, 2018 - Commentary Improving patient safety in critical care: big challenge, exciting opportunity/L'amelioration de la securite des patients a l'unite des soins intensifs : un grand defi, une occasion stimulante. Citation Text: Dodek P. Improving patient safety in critical care: big challenge,…

  14. Patient safety in the operating room—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/patient-safety-operating-room-part-1-and-part-2
    October 19, 2022 - Review Patient safety in the operating room—part 1 and part 2. Citation Text: Poore SO, Sillah NM, Mahajan AY, et al. Patient safety in the operating room: II. Intraoperative and postoperative. Plast Reconstr Surg. 2012;130(5):1048-58. doi:10.1097/PRS.0b013e318267d531. Copy Citation …

  15. Novel approach to cardiac alarm management on telemetry units. | PSNet

    psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
    October 27, 2021 - Study Novel approach to cardiac alarm management on telemetry units. Citation Text: Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114. Copy Citation For…

  16. Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. | PSNet

    psnet.ahrq.gov/issue/extent-nature-and-consequences-adverse-events-results-retrospective-casenote-review-large-nhs
    March 03, 2011 - Study Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large NHS hospital. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Extent, nature and consequences of adverse events: results of a retrospective casenote review in a large…

  17. Rapid response systems: identification and management of the "prearrest state." | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-identification-and-management-prearrest-state
    May 18, 2022 - Review Rapid response systems: identification and management of the "prearrest state." Citation Text: McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state". Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012. Copy Ci…

  18. Do team processes really have an effect on clinical performance? A systematic literature review. | PSNet

    psnet.ahrq.gov/issue/do-team-processes-really-have-effect-clinical-performance-systematic-literature-review
    November 13, 2019 - Review Do team processes really have an effect on clinical performance? A systematic literature review. Citation Text: Schmutz J, Manser T. Do team processes really have an effect on clinical performance? A systematic literature review. Br J Anaesth. 2013;110(4). doi:10.1093/bja/aes513.…

  19. Classification of adverse events occurring in a surgical intensive care unit. | PSNet

    psnet.ahrq.gov/issue/classification-adverse-events-occurring-surgical-intensive-care-unit
    May 01, 2013 - Study Classification of adverse events occurring in a surgical intensive care unit. Citation Text: Frankel H, Sperry J, Kaplan L, et al. Classification of adverse events occurring in a surgical intensive care unit. Am J Surg. 2007;194(3):328-32. Copy Citation Format: Goog…

  20. The predictors of patient safety culture in hospital setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/predictors-patient-safety-culture-hospital-setting-systematic-review
    March 05, 2014 - Review The predictors of patient safety culture in hospital setting: a systematic review. Citation Text: Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting: a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.00000…
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