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Showing results for "failures".

  1. An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. | PSNet

    psnet.ahrq.gov/issue/integrative-review-patient-safety-studies-care-and-safety-patients-communication-disabilities
    April 10, 2019 - Review An integrative review of patient safety in studies on the care and safety of patients with communication disabilities in hospital. Citation Text: Hemsley B, Georgiou A, Hill S, et al. An integrative review of patient safety in studies on the care and safety of patients with commun…

  2. Patient safety assurance in the age of defensive medicine: a review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-assurance-age-defensive-medicine-review
    March 09, 2022 - Commentary Patient safety assurance in the age of defensive medicine: a review. Citation Text: Shenoy A, Shenoy GN, Shenoy GG. Patient safety assurance in the age of defensive medicine: a review. Patient Saf Surg. 2022;16(1):10. doi:10.1186/s13037-022-00319-8. Copy Citation Format:…

  3. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. | PSNet

    psnet.ahrq.gov/issue/using-system-analysis-build-safety-culture-improving-reliability-epidural-analgesia
    January 14, 2009 - Study Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Citation Text: Garnerin P, Huchet-Belouard A, Diby M, et al. Using system analysis to build a safety culture: improving the reliability of epidural analgesia. Acta Anaesthesiol Scand…

  4. Unrecognized cardiovascular emergencies among Medicare patients. | PSNet

    psnet.ahrq.gov/issue/unrecognized-cardiovascular-emergencies-among-medicare-patients
    November 16, 2022 - Study Unrecognized cardiovascular emergencies among Medicare patients. Citation Text: Waxman DA, Kanzaria HK, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018;178(4):477-484. doi:10.1001/jamainternmed.2017.8628. Copy Citation Forma…

  5. Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. | PSNet

    psnet.ahrq.gov/issue/inappropriate-medication-use-elderly-results-quality-improvement-project-99-primary-care
    January 18, 2013 - Study Inappropriate medication use in the elderly: results from a quality improvement project in 99 primary care practices. Citation Text: Wessell AM, Nietert PJ, Jenkins RG, et al. Inappropriate medication use in the elderly: Results from a quality improvement project in 99 primary ca…

  6. Patient access to electronic health records during hospitalization. | PSNet

    psnet.ahrq.gov/issue/patient-access-electronic-health-records-during-hospitalization
    October 19, 2022 - Study Patient access to electronic health records during hospitalization. Citation Text: Pell JM, Mancuso M, Limon S, et al. Patient access to electronic health records during hospitalization. JAMA Intern Med. 2015;175(5):856-858. doi:10.1001/jamainternmed.2015.121. Copy Citation F…

  7. A conceptual framework to reduce inpatient preventable deaths. | PSNet

    psnet.ahrq.gov/issue/conceptual-framework-reduce-inpatient-preventable-deaths
    April 24, 2018 - Study A conceptual framework to reduce inpatient preventable deaths. Citation Text: Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003. Copy Citation …

  8. Common predictors of nurse-reported quality of care and patient safety. | PSNet

    psnet.ahrq.gov/issue/common-predictors-nurse-reported-quality-care-and-patient-safety
    March 20, 2019 - Study Common predictors of nurse-reported quality of care and patient safety. Citation Text: Stimpfel AW, Djukic M, Brewer CS, et al. Common predictors of nurse-reported quality of care and patient safety. Health Care Manage Rev. 2019;44(1):57-66. doi:10.1097/HMR.0000000000000155. Copy…

  9. Clinical pharmacy interventions in paediatric electronic prescriptions. | PSNet

    psnet.ahrq.gov/issue/clinical-pharmacy-interventions-paediatric-electronic-prescriptions
    April 14, 2010 - Study Clinical pharmacy interventions in paediatric electronic prescriptions. Citation Text: Maat B, San Au Y, Bollen CW, et al. Clinical pharmacy interventions in paediatric electronic prescriptions. Arch Dis Child. 2013;98(3):222-7. doi:10.1136/archdischild-2012-302817. Copy Citatio…

  10. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. | PSNet

    psnet.ahrq.gov/issue/triangulating-case-finding-tools-patient-safety-surveillance-cross-sectional-case-study
    February 08, 2012 - Study Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/laceration. Citation Text: Taylor JA, Gerwin D, Morlock L, et al. Triangulating case-finding tools for patient safety surveillance: a cross-sectional case study of puncture/…

  11. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. | PSNet

    psnet.ahrq.gov/issue/practice-indicators-suboptimal-care-and-avoidable-adverse-events-content-analysis-national
    May 13, 2015 - Study Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a national qualifying examination. Citation Text: Bordage G, Meguerditchian A-N, Tamblyn R. Practice indicators of suboptimal care and avoidable adverse events: a content analysis of a natio…

  12. Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. | PSNet

    psnet.ahrq.gov/issue/surgeons-difficulty-exploration-differences-assistance-seeking-behaviors-between-male-and
    December 21, 2014 - Study Surgeons in difficulty: an exploration of differences in assistance-seeking behaviors between male and female surgeons. Citation Text: Sanfey H, Fromson J, Mellinger JD, et al. Surgeons in Difficulty: An Exploration of Differences in Assistance-Seeking Behaviors between Male and Fe…

  13. Who makes prescribing decisions in hospital inpatients? An observational study. | PSNet

    psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study
    January 30, 2013 - Study Who makes prescribing decisions in hospital inpatients? An observational study. Citation Text: Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…

  14. Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs. | PSNet

    psnet.ahrq.gov/issue/anaesthetic-drug-administration-potential-contributor-healthcare-associated-infections
    January 07, 2015 - Study Anaesthetic drug administration as a potential contributor to healthcare-associated infections: a prospective simulation-based evaluation of aseptic techniques in the administration of anaesthetic drugs. Citation Text: Gargiulo DA, Sheridan J, Webster CS, et al. Anaesthetic drug …

  15. Surgical team training: the Northwestern Memorial Hospital experience. | PSNet

    psnet.ahrq.gov/issue/surgical-team-training-northwestern-memorial-hospital-experience
    March 03, 2011 - Study Surgical team training: the Northwestern Memorial Hospital experience. Citation Text: Halverson AL, Andersson JL, Anderson K, et al. Surgical team training: the Northwestern Memorial Hospital experience. Arch Surg. 2009;144(2):107-12. doi:10.1001/archsurg.2008.545. Copy Citatio…

  16. What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/what-has-airbus-a380-captain-got-do-omfs-lessons-aviation-improve-patient-safety
    October 04, 2023 - Commentary What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. Citation Text: Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillo…

  17. Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes. | PSNet

    psnet.ahrq.gov/issue/respectful-maternity-care-dissemination-and-implementation-perinatal-safety-culture-improve
    June 08, 2011 - Book/Report Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture to Improve Equitable Maternal Healthcare Delivery and Outcomes. Citation Text: Respectful Maternity Care: Dissemination and Implementation of Perinatal Safety Culture To Improve Equitable …

  18. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. | PSNet

    psnet.ahrq.gov/issue/clinical-case-electronic-health-record-drug-alert-fatigue-consequences-patient-outcome
    August 02, 2023 - Commentary A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Citation Text: Carspecken W, Sharek PJ, Longhurst CA, et al. A clinical case of electronic health record drug alert fatigue: consequences for patient outcome. Pediatrics. 2013;131…

  19. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/impact-non-interruptive-medication-laboratory-monitoring-alerts-ambulatory-care
    March 10, 2011 - Study Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. Citation Text: Lo HG, Matheny ME, Seger DL, et al. Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care. J Am Med Inform Assoc. 2009;16(1):66-71. doi:10.1197/jami…

  20. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-programmes-hospital-transitions-systematic-review-and
    April 18, 2018 - Review Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis. Citation Text: Mekonnen AB, McLachlan AJ, Brien J-AE. Pharmacy-led medication reconciliation programmes at hospital transitions: a systematic review and meta-analysis.…
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