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Showing results for "failures".

  1. psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
    December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…
  2. psnet.ahrq.gov/issue/safety-and-acceptability-using-telehealth-follow-patients-following-cancer-surgery-systematic
    December 23, 2020 - Review The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic review. Citation Text: Xiao K, Yeung JC, Bolger JC. The safety and acceptability of using telehealth for follow-up of patients following cancer surgery: a systematic r…
  3. psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
    March 11, 2020 - Study Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. Citation Text: Schiffinger M, Latzke M, Steyrer J. Two sides of the safety coin?: How patient engagement and safety climate jointly affect error occurrence in…
  4. psnet.ahrq.gov/issue/sensitivity-routine-system-reporting-patient-safety-incidents-nhs-hospital-retrospective
    March 28, 2012 - Study Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retrospective patient case note review. Citation Text: Sari AB-A, Sheldon T, Cracknell A, et al. Sensitivity of routine system for reporting patient safety incidents in an NHS hospital: retro…
  5. psnet.ahrq.gov/issue/factors-contributing-registered-nurse-medication-administration-error-narrative-review
    May 27, 2011 - Review Factors contributing to Registered Nurse medication administration error: a narrative review. Citation Text: Parry AM, Barriball L, While AE. Factors contributing to registered nurse medication administration error: a narrative review. Int J Nurs Stud. 2015;52(1):403-20. doi:10.10…
  6. psnet.ahrq.gov/issue/trends-survival-after-hospital-cardiac-arrest-during-nights-and-weekends
    February 17, 2011 - Study Emerging Classic Trends in survival after in-hospital cardiac arrest during nights and weekends. Citation Text: Ofoma UR, Basnet S, Berger A, et al. Trends in Survival After In-Hospital Cardiac Arrest During Nights and Weekends. J Am Coll Cardiol. 2018;71(…
  7. psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists
    April 24, 2018 - Study How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Citation Text: Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54.…
  8. psnet.ahrq.gov/issue/exploring-attitudes-and-opinions-pharmacists-toward-delivering-prescribing-error-feedback
    January 16, 2019 - Study Exploring attitudes and opinions of pharmacists toward delivering prescribing error feedback: a qualitative case study using focus group interviews. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring attitudes and opinions of pharmacists toward delivering prescribing …
  9. www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab7.html
    December 01, 2012 - Assessing the Health and Welfare of the HCBS Population Table 7: Health and Welfare of the Home and Community-Based Services Population as Measured by 13 Outcome Indicators, 2005 Previous Page Next Page Table of Contents Assessing the Health and Welfare of the HCBS Population Introduction HCBS P…
  10. psnet.ahrq.gov/issue/health-professional-networks-vector-improving-healthcare-quality-and-safety-systematic-review
    December 13, 2023 - Review Health professional networks as a vector for improving healthcare quality and safety: a systematic review. Citation Text: Cunningham FC, Ranmuthugala G, Plumb J, et al. Health professional networks as a vector for improving healthcare quality and safety: a systematic review. BMJ…
  11. psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
    January 02, 2017 - Study Introduction of a rapid response system at a United States Veterans Affairs hospital reduced cardiac arrests. Citation Text: Lighthall GK, Parast L, Rapoport L, et al. Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac arrests. Anes…
  12. psnet.ahrq.gov/issue/increasing-compliance-world-health-organization-surgical-safety-checklist-regional-health
    September 12, 2018 - Study Increasing compliance with the World Health Organization surgical safety checklist—a regional health system's experience. Citation Text: Gitelis ME, Kaczynski A, Shear T, et al. Increasing compliance with the World Health Organization Surgical Safety Checklist-A regional health sys…
  13. psnet.ahrq.gov/issue/systematic-biases-group-decision-making-implications-patient-safety
    July 24, 2024 - Study Systematic biases in group decision-making: implications for patient safety. Citation Text: Mannion R, Thompson C. Systematic biases in group decision-making: implications for patient safety. Int J Qual Health Care. 2014;26(6):606-12. doi:10.1093/intqhc/mzu083. Copy Citation …
  14. psnet.ahrq.gov/issue/impact-interventions-designed-reduce-medication-administration-errors-hospitals-systematic
    April 01, 2015 - Review Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Citation Text: Keers RN, Williams SD, Cooke J, et al. Impact of interventions designed to reduce medication administration errors in hospitals: a systematic review. Drug …
  15. psnet.ahrq.gov/issue/hospital-nurse-staffing-and-patient-mortality-emotional-exhaustion-and-job-dissatisfaction
    February 09, 2011 - Study Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Citation Text: Halm M, Peterson M, Kandels M, et al. Hospital nurse staffing and patient mortality, emotional exhaustion, and job dissatisfaction. Clin Nurse Spec. 2005;19(5):241-254. C…
  16. psnet.ahrq.gov/issue/squire-20-standards-quality-improvement-reporting-excellence-revised-publication-guidelines
    December 02, 2015 - Organizational Policy/Guidelines Classic SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence): revised publication guidelines from a detailed consensus process. Citation Text: Ogrinc G, Davies L, Goodman D, et al. SQUIRE 2.0 (Standards for QUality…
  17. psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
    September 07, 2022 - Review Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. Citation Text: Fuller G, Pandor A, Essat M, et al. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patient…
  18. psnet.ahrq.gov/issue/safety-and-communication-operating-room-safety-questionnaire-after-implementation-blood-borne
    September 23, 2020 - Study Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out. Citation Text: Kane P, Marley R, Daney B, et al. Safety and Communication in the Ope…
  19. psnet.ahrq.gov/issue/system-based-interprofessional-simulation-based-training-program-increases-awareness-and-use
    December 01, 2011 - Study System-based interprofessional simulation-based training program increases awareness and use of rapid response teams. Citation Text: Wehbe-Janek H, Pliego J, Sheather S, et al. System-based interprofessional simulation-based training program increases awareness and use of rapid res…
  20. psnet.ahrq.gov/issue/involvement-patients-cancer-patient-safety-qualitative-study-current-practices-potentials-and
    September 27, 2017 - Study Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and barriers. Citation Text: Martin HM, Navne LE, Lipczak H. Involvement of patients with cancer in patient safety: a qualitative study of current practices, potentials and…