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Showing results for "government".

  1. Difficult Encounters: A CMO and CNO Respond | PSNet

    psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
    March 01, 2018 - SPOTLIGHT CASE Difficult Encounters: A CMO and CNO Respond Citation Text: Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: …

  2. Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. | PSNet

    psnet.ahrq.gov/issue/millions-people-used-tainted-breathing-machines-fda-failed-use-its-power-protect-them
    June 28, 2023 - Newspaper/Magazine Article Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. Citation Text: Millions of people used tainted breathing machines. The FDA failed to use its power to protect them. Cenziper D, Sallah MD, Korsh M. ProPublica. …

  3. Clinical Risk Management. Enhancing Patient Safety. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/clinical-risk-management-enhancing-patient-safety-2nd-ed
    May 20, 2019 - Book/Report Classic Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Citation Text: Clinical Risk Management. Enhancing Patient Safety. 2nd ed. Vincent CA, ed. London, UK: BMJ Books; 2001. ISBN: 9780727913920. Copy Citation Save …

  4. Global Report on Infection Prevention and Control: Executive Summary. | PSNet

    psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
    March 09, 2022 - Book/Report Global Report on Infection Prevention and Control: Executive Summary. Citation Text: Global Report on Infection Prevention and Control: Executive Summary. Geneva, Switzerland; World Health Organization; May 5, 2022. Copy Citation Save Save to your li…

  5. Causes of near misses: perceptions of perioperative nurses. | PSNet

    psnet.ahrq.gov/issue/causes-near-misses-perceptions-perioperative-nurses
    October 07, 2020 - Study Causes of near misses: perceptions of perioperative nurses. Citation Text: Cohoon B. Causes of near misses: perceptions of perioperative nurses. AORN J. 2011;93(5):551-65. doi:10.1016/j.aorn.2010.02.017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  6. Remembering to learn: the overlooked role of remembrance in safety improvement. | PSNet

    psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
    February 28, 2024 - Commentary Remembering to learn: the overlooked role of remembrance in safety improvement. Citation Text: Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. Copy Citation Format:…

  7. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
    May 24, 2016 - Book/Report Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. Citation Text: Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. Carroll JS, R…

  8. Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. | PSNet

    psnet.ahrq.gov/issue/saving-lives-saving-money-imperative-computerized-physician-order-entry-massachusetts
    November 18, 2011 - Book/Report Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Citation Text: Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. Adams M, Bates D, Coffman G, et al. Bosto…

  9. Early warnings, weak signals and learning from healthcare disasters. | PSNet

    psnet.ahrq.gov/issue/early-warnings-weak-signals-and-learning-healthcare-disasters
    February 28, 2024 - Commentary Early warnings, weak signals and learning from healthcare disasters. Citation Text: Macrae C. Early warnings, weak signals and learning from healthcare disasters. BMJ Qual Saf. 2014;23(6):440-5. doi:10.1136/bmjqs-2013-002685. Copy Citation Format: DOI Google Scho…

  10. Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. | PSNet

    psnet.ahrq.gov/issue/discovering-healthcare-cognition-use-cognitive-artifacts-reveal-cognitive-work
    October 10, 2010 - Study Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. Citation Text: Nemeth CP, O’Connor M, Klock PA, et al. Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies. 2006;…

  11. Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-nursing-competency-approach-improving-outcomes-second-edition
    May 13, 2009 - Book/Report Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Citation Text: Quality and Safety in Nursing: a Competency Approach to Improving Outcomes, Second Edition. Sherwood G, Barnsteiner J, eds. Hoboken, NJ: Wiley-Blackwell; 2017. ISBN: 978…

  12. Examples of Medical Device Misconnections. | PSNet

    psnet.ahrq.gov/issue/examples-medical-device-misconnections
    March 04, 2015 - Multi-use Website Examples of Medical Device Misconnections. Citation Text: Examples of Medical Device Misconnections. Food and Drug Administration. February 23. 2023. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  13. FDA urged to move faster to fix pulse oximeters for darker-skinned patients. | PSNet

    psnet.ahrq.gov/issue/fda-urged-move-faster-fix-pulse-oximeters-darker-skinned-patients
    September 21, 2016 - Newspaper/Magazine Article FDA urged to move faster to fix pulse oximeters for darker-skinned patients. Citation Text: FDA urged to move faster to fix pulse oximeters for darker-skinned patients. McFarling UL. STAT. February 2, 2024. Copy Citation Save Save to y…

  14. The role of the chief executive officer in maximizing patient safety. | PSNet

    psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
    January 03, 2017 - Newspaper/Magazine Article The role of the chief executive officer in maximizing patient safety. Citation Text: Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26. Copy Citation Format: Google Scho…

  15. Medication Safety for Look-alike, Sound-alike Medicines. | PSNet

    psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines
    November 19, 2014 - Book/Report Medication Safety for Look-alike, Sound-alike Medicines. Citation Text: Medication Safety for Look-alike, Sound-alike Medicines. Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897. Copy Citation …

  16. Global Guidelines on the Prevention of Surgical Site Infection. | PSNet

    psnet.ahrq.gov/issue/global-guidelines-prevention-surgical-site-infection
    July 20, 2011 - Organizational Policy/Guidelines Global Guidelines on the Prevention of Surgical Site Infection. Citation Text: Global Guidelines on the Prevention of Surgical Site Infection. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  17. Home medical device safety tops ECRI'S list of healthcare technology. | PSNet

    psnet.ahrq.gov/issue/home-medical-device-safety-tops-ecris-list-healthcare-technology
    February 08, 2023 - Newspaper/Magazine Article Home medical device safety tops ECRI'S list of healthcare technology. Citation Text: Home medical device safety tops ECRI'S list of healthcare technology. Wicklund E. HealthLeaders. January 19, 2023. Copy Citation Save Save to your lib…

  18. Smart infusion pump investigations after an unexplained over-infusion. | PSNet

    psnet.ahrq.gov/issue/smart-infusion-pump-investigations-after-unexplained-over-infusion
    May 03, 2023 - Newspaper/Magazine Article Smart infusion pump investigations after an unexplained over-infusion. Citation Text: Smart infusion pump investigations after an unexplained over-infusion. ISMP Patient Safety Alert! Acute care edition. May 18, 2023;28(10);1-3. Copy Citation …

  19. Creating a culture of safety by coaching clinicians to competence. | PSNet

    psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
    January 10, 2024 - Commentary Creating a culture of safety by coaching clinicians to competence. Citation Text: Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025. Copy Citation Format: DOI Googl…

  20. Effectively leading for quality. | PSNet

    psnet.ahrq.gov/issue/effectively-leading-quality
    November 25, 2020 - Commentary Effectively leading for quality. Citation Text: Lachman P, Nicklin W. Effectively leading for quality. Healthc Manage Forum. 2017;30(5):233-236. doi:10.1177/0840470417706705. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…
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