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Showing results for "failures".

  1. Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. | PSNet

    psnet.ahrq.gov/issue/academic-year-end-transfers-outpatients-outgoing-incoming-residents-unaddressed-patient
    January 27, 2016 - Commentary Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. Citation Text: Young JQ, Wachter R. Academic year-end transfers of outpatients from outgoing to incoming residents: an unaddressed patient safety issue. JAMA.…

  2. The problem with making Safety-II work in healthcare. | PSNet

    psnet.ahrq.gov/issue/problem-making-safety-ii-work-healthcare
    April 28, 2021 - Commentary The problem with making Safety-II work in healthcare. Citation Text: Verhagen MJ, de Vos MS, Sujan M, et al. The problem with making Safety-II work in healthcare. BMJ Qual Saf. 2022;31(5):402-408. doi:10.1136/bmjqs-2021-014396. Copy Citation Format: DOI Google Sc…

  3. Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. | PSNet

    psnet.ahrq.gov/issue/relevance-agency-healthcare-research-and-quality-patient-safety-indicators-childrens
    July 14, 2010 - Study Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Citation Text: Sedman A, Harris M, Schulz K, et al. Relevance of the Agency for Healthcare Research and Quality Patient Safety Indicators for children's hospitals. Pedi…

  4. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. | PSNet

    psnet.ahrq.gov/issue/integrating-safety-i-and-safety-ii-conceptual-frameworks-enhance-safety-measurement-and
    September 27, 2023 - Commentary Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. Citation Text: Lounsbury O, Brant K, Stockwell DC. Integrating Safety-I and Safety-II conceptual frameworks to enhance safety measurement and management. J Patient Saf Risk M…

  5. Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. | PSNet

    psnet.ahrq.gov/issue/sleep-sleepiness-fatigue-and-performance-12-hour-shift-nurses
    July 22, 2010 - Study Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses. Citation Text: Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour-Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752. Copy Citation …

  6. Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009. | PSNet

    psnet.ahrq.gov/issue/internal-medicine-trainees-views-training-adequacy-and-duty-hours-restrictions-2009
    August 20, 2018 - Study Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009. Citation Text: Shea JA, Weissman A, McKinney S, et al. Internal medicine trainees' views of training adequacy and duty hours restrictions in 2009. Acad Med. 2012;87(7):889-94. doi:10.1097/AC…

  7. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
    June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…

  8. Fumbled handoffs: one dropped ball after another. | PSNet

    psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another
    April 10, 2024 - Commentary Fumbled handoffs: one dropped ball after another. Citation Text: Gandhi TK. Fumbled handoffs: one dropped ball after another. Ann Intern Med. 2005;142(5):352-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  9. The limits of psychological safety: nonlinear relationships with performance. | PSNet

    psnet.ahrq.gov/issue/limits-psychological-safety-nonlinear-relationships-performance
    April 24, 2018 - Study The limits of psychological safety: nonlinear relationships with performance. Citation Text: Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance. Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255. …

  10. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. | PSNet

    psnet.ahrq.gov/issue/so-why-didnt-you-think-baby-was-ill-decision-making-acute-paediatrics
    April 10, 2019 - Review 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Citation Text: Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-…

  11. Evidence of bias and variation in diagnostic accuracy studies. | PSNet

    psnet.ahrq.gov/issue/evidence-bias-and-variation-diagnostic-accuracy-studies
    February 15, 2023 - Review Evidence of bias and variation in diagnostic accuracy studies. Citation Text: Rutjes AWS, Reitsma JB, Di Nisio M, et al. Evidence of bias and variation in diagnostic accuracy studies. CMAJ. 2006;174(4):469-476. doi:10.1503/cmaj.050090. Copy Citation Format: DOI Googl…

  12. Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities. | PSNet

    psnet.ahrq.gov/issue/affective-influences-clinical-reasoning-and-diagnosis-insights-social-psychology-and-new
    January 25, 2023 - Commentary Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research opportunities. Citation Text: Liu G, Chimowitz H, Isbell LM. Affective influences on clinical reasoning and diagnosis: insights from social psychology and new research op…

  13. Patient perceptions of safety in primary care: a qualitative study to inform care. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-safety-primary-care-qualitative-study-inform-care
    September 28, 2022 - Study Patient perceptions of safety in primary care: a qualitative study to inform care. Citation Text: Lasser EC, Heughan JA-A, Lai AY, et al. Patient perceptions of safety in primary care: a qualitative study to inform care. Curr Med Res Opin. 2021;37(11):1991-1999. doi:10.1080/0300799…

  14. Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. | PSNet

    psnet.ahrq.gov/issue/effect-implementation-barcode-technology-and-electronic-medication-administration-record
    February 24, 2011 - Study Effect of the implementation of barcode technology and an electronic medication administration record on adverse drug events. Citation Text: Truitt E, Thompson R, Blazey-Martin D, et al. Effect of the Implementation of Barcode Technology and an Electronic Medication Administration …

  15. Team training for safer birth. | PSNet

    psnet.ahrq.gov/issue/team-training-safer-birth
    July 16, 2013 - Review Team training for safer birth. Citation Text: Cornthwaite K, Alvarez M, Siassakos D. Team training for safer birth. Best Pract Res Clin Obstet Gynaecol. 2015;29(8):1044-1057. doi:10.1016/j.bpobgyn.2015.03.020. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  16. Surgeon commitment to trauma care decreases missed injuries. | PSNet

    psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-injuries
    June 15, 2012 - Study Surgeon commitment to trauma care decreases missed injuries. Citation Text: Lin Y-K, Lin C-J, Chan H-M, et al. Surgeon commitment to trauma care decreases missed injuries. Injury. 2014;45(1):83-7. doi:10.1016/j.injury.2012.10.019. Copy Citation Format: DOI Google Scho…

  17. Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. | PSNet

    psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-treatment-outcomes
    May 25, 2016 - Study Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. Citation Text: Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug‐drug interactions with adverse treatment outco…

  18. Nurse leader attitudes and beliefs regarding medical errors. | PSNet

    psnet.ahrq.gov/issue/nurse-leader-attitudes-and-beliefs-regarding-medical-errors
    March 12, 2025 - Study Nurse leader attitudes and beliefs regarding medical errors. Citation Text: Prothero MM, Huefner K, Sorhus M. Nurse leader attitudes and beliefs regarding medical errors. J Nurs Adm. 2024;54(1):10-15. doi:10.1097/nna.0000000000001371. Copy Citation Format: DOI Google …

  19. Evaluation for occult fractures in injured children. | PSNet

    psnet.ahrq.gov/issue/evaluation-occult-fractures-injured-children
    August 20, 2014 - Study Evaluation for occult fractures in injured children. Citation Text: Wood JN, French B, Song L, et al. Evaluation for Occult Fractures in Injured Children. Pediatrics. 2015;136(2):232-40. doi:10.1542/peds.2014-3977. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  20. Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review. | PSNet

    psnet.ahrq.gov/issue/paediatric-early-warning-systems-detecting-and-responding-clinical-deterioration-children
    January 26, 2022 - Review Paediatric early warning systems for detecting and responding to clinical deterioration in children: a systematic review. Citation Text: Lambert V, Matthews A, MacDonell R, et al. Paediatric early warning systems for detecting and responding to clinical deterioration in children: …
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