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Total Results: over 10,000 records

Showing results for "failures".

7621. Design and implementation of an ICU incident registry. | PSNet
      psnet.ahrq.gov/issue/design-and-implementation-icu-incident-registry
      February 14, 2024 - Study Design and implementation of an ICU incident registry. Citation Text: van der Veer S, Cornet R, De Jonge E. Design and implementation of an ICU incident registry. Int J Med Inform. 2007;76(2-3):103-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML…

7622. Nurse working conditions and patient safety outcomes. | PSNet
      psnet.ahrq.gov/issue/nurse-working-conditions-and-patient-safety-outcomes
      May 22, 2024 - Study Classic Nurse working conditions and patient safety outcomes. Citation Text: Stone PW, Mooney-Kane C, Larson EL, et al. Nurse Working Conditions and Patient Safety Outcomes. Med Care. 2007;45(6):571-578. doi:10.1097/mlr.0b013e3180383667. Copy Citation …

7623. A new perspective on blame culture: an experimental study. | PSNet
      psnet.ahrq.gov/issue/new-perspective-blame-culture-experimental-study
      July 10, 2013 - Study A new perspective on blame culture: an experimental study. Citation Text: Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture: an experimental study. J Eval Clin Pract. 2012;18(3):671-5. doi:10.1111/j.1365-2753.2012.01831.x. Copy Citation Format: …

7624. What’s past is prologue: organizational learning from a serious patient injury. | PSNet
      psnet.ahrq.gov/issue/whats-past-prologue-organizational-learning-serious-patient-injury
      October 26, 2011 - Study What’s past is prologue: organizational learning from a serious patient injury. Citation Text: Tamuz M, Franchois KE, Thomas EJ. What’s past is prologue: Organizational learning from a serious patient injury. Saf Sci. 2010;49(1). doi:10.1016/j.ssci.2010.06.005. Copy Citation …

7625. Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. | PSNet
      psnet.ahrq.gov/issue/provider-and-pharmacist-responses-warfarin-drug-drug-interaction-alerts-study-healthcare
      July 29, 2020 - Study Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts. Citation Text: Miller AM, Boro MS, Korman NE, et al. Provider and pharmacist responses to warfarin drug-drug interaction alerts: a study of healthcare downst…

7626. Human factors systems approach to healthcare quality and patient safety. | PSNet
      psnet.ahrq.gov/issue/human-factors-systems-approach-healthcare-quality-and-patient-safety
      October 03, 2013 - Commentary Human factors systems approach to healthcare quality and patient safety. Citation Text: Carayon P, Wetterneck TB, Rivera-Rodriguez J, et al. Human factors systems approach to healthcare quality and patient safety. Appl Ergon. 2014;45(1):14-25. doi:10.1016/j.apergo.2013.04.02…

7627. Body CT: technical advances for improving safety. | PSNet
      psnet.ahrq.gov/issue/body-ct-technical-advances-improving-safety
      September 28, 2022 - Review Body CT: technical advances for improving safety. Citation Text: Marin D, Nelson RC, Rubin GD, et al. Body CT: technical advances for improving safety. AJR Am J Roentgenol. 2011;197(1):33-41. doi:10.2214/AJR.11.6755. Copy Citation Format: DOI Google Scholar PubMed Bi…

7628. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet
      psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
      April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Citation Text: Siewert B, Sosna J, McNamara A, et al. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. Radiographics. 2008;28(3):623-38. doi:10.1148/rg.283075188. …

7629. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. | PSNet
      psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge
      March 04, 2015 - Study Lessons learned from implementation of a computerized application for pending tests at hospital discharge. Citation Text: Dalal A, Poon EG, Karson A, et al. Lessons learned from implementation of a computerized application for pending tests at hospital discharge. J Hosp Med. 2011…

7630. Overview of adverse events related to invasive procedures in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/overview-adverse-events-related-invasive-procedures-intensive-care-unit
      November 29, 2023 - Study Overview of adverse events related to invasive procedures in the intensive care unit. Citation Text: Pottier V, Daubin C, Lerolle N, et al. Overview of adverse events related to invasive procedures in the intensive care unit. Am J Infect Control. 2012;40(3):241-6. doi:10.1016/j.a…

7631. The power of written word: reflection reduces errors of omission. | PSNet
      psnet.ahrq.gov/issue/power-written-word-reflection-reduces-errors-omission
      April 24, 2018 - Study The power of written word: reflection reduces errors of omission. Citation Text: Rao A, Heidemann LA, Hartley S, et al. The power of written word: reflection reduces errors of omission. Clin Teach. 2024;21(1):e13630. doi:10.1111/tct.13630. Copy Citation Format: DOI Go…

7632. Latent risk assessment tool for health care leaders. | PSNet
      psnet.ahrq.gov/issue/latent-risk-assessment-tool-health-care-leaders
      September 05, 2018 - Commentary Latent risk assessment tool for health care leaders. Citation Text: Paine LA, Holzmueller CG, Elliott R, et al. Latent risk assessment tool for health care leaders. J Healthc Risk Manag. 2018;38(2):36-46. doi:10.1002/jhrm.21316. Copy Citation Format: DOI Google S…

7633. Dynamics of dignity and safety: a discussion. | PSNet
      psnet.ahrq.gov/issue/dynamics-dignity-and-safety-discussion
      September 07, 2022 - Commentary Dynamics of dignity and safety: a discussion. Citation Text: Goodwin D, Mesman J, Verkerk M, et al. Dynamics of dignity and safety: a discussion. BMJ Qual Saf. 2018;27(6):488-491. doi:10.1136/bmjqs-2017-007159. Copy Citation Format: DOI Google Scholar PubMed BibT…

7634. Safety culture and care: a program to prevent surgical errors. | PSNet
      psnet.ahrq.gov/issue/safety-culture-and-care-program-prevent-surgical-errors
      March 25, 2020 - Commentary Safety culture and care: a program to prevent surgical errors. Citation Text: Hemingway MW, O'Malley C, Silvestri S. Safety culture and care: a program to prevent surgical errors. AORN J. 2015;101(4):404-12; quiz 413-5. doi:10.1016/j.aorn.2015.01.002. Copy Citation Forma…

7635. The "physician-led chart audit": engaging providers in fortifying a culture of safety. | PSNet
      psnet.ahrq.gov/issue/physician-led-chart-audit-engaging-providers-fortifying-culture-safety
      November 20, 2013 - Study The "physician-led chart audit": engaging providers in fortifying a culture of safety. Citation Text: Gitkind MJ, Perla RJ, Manno M, et al. The "physician-led chart audit: " engaging providers in fortifying a culture of safety. J Patient Saf. 2014;10(1):72-9. doi:10.1097/PTS.0000…

7636. Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. | PSNet
      psnet.ahrq.gov/issue/using-drug-knowledgebase-information-distinguish-between-look-alike-sound-alike-drugs
      July 10, 2019 - Study Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. Citation Text: Cheng CM, Salazar A, Amato MG, et al. Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. J Am Med Inform Assoc. 2018;25(7):872-884. doi:10…

7637. Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. | PSNet
      psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error
      August 03, 2017 - Study Identifying high-alert medications in a university hospital by applying data from the medication error reporting system. Citation Text: Tyynismaa L, Honkala A, Airaksinen M, et al. Identifying High-alert Medications in a University Hospital by Applying Data From the Medication Erro…

7638. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. | PSNet
      psnet.ahrq.gov/issue/making-infection-prevention-and-control-everyones-business-hospital-staff-views-patient
      April 29, 2015 - Study Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Citation Text: Sutton E, Brewster L, Tarrant C. Making infection prevention and control everyone's business? Hospital staff views on patient involvement. Health Expect. 2019;22…

7639. Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. | PSNet
      psnet.ahrq.gov/issue/engineering-safe-landing-engaging-medical-practitioners-systems-approach-patient-safety
      July 23, 2008 - Study Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. Citation Text: Brand C, Ibrahim JE, Bain C, et al. Engineering a safe landing: engaging medical practitioners in a systems approach to patient safety. Intern Med J. 2007;37(5):295-…

7640. Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. | PSNet
      psnet.ahrq.gov/issue/office-based-physicians-are-responding-incentives-and-assistance-adopting-and-using
      August 07, 2013 - Study Office-based physicians are responding to incentives and assistance by adopting and using electronic health records. Citation Text: Hsiao C-J, Jha AK, King J, et al. Office-based physicians are responding to incentives and assistance by adopting and using electronic health record…