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Showing results for "hospitalization".

  1. Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident
    October 13, 2010 - Commentary Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. Citation Text: Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;…

  2. Human factors engineering in healthcare systems: the problem of human error and accident management. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-healthcare-systems-problem-human-error-and-accident-management
    June 13, 2011 - Commentary Human factors engineering in healthcare systems: the problem of human error and accident management. Citation Text: Cacciabue PC, Vella G. Human factors engineering in healthcare systems: the problem of human error and accident management. Int J Med Inform. 2010;79(4):e1-17.…

  3. Safe and equitable pediatric clinical use of AI. | PSNet

    psnet.ahrq.gov/issue/safe-and-equitable-pediatric-clinical-use-ai
    February 26, 2025 - Commentary Safe and equitable pediatric clinical use of AI. Citation Text: Handley JL, Lehmann CU, Ratwani RM. Safe and equitable pediatric clinical use of AI. JAMA Pediatr. 2024;178(7):637-638. doi:10.1001/jamapediatrics.2024.0897. Copy Citation Format: DOI Google Scholar …

  4. Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. | PSNet

    psnet.ahrq.gov/issue/leading-clinical-handover-improvement-change-strategy-implement-best-practices-acute-care
    May 18, 2022 - Commentary Leading clinical handover improvement: a change strategy to implement best practices in the acute care setting. Citation Text: Clarke CM, Persaud DD. Leading Clinical Handover Improvement. J Patient Saf. 2011;7(1):11-18. doi:10.1097/pts.0b013e31820c98a8. Copy Citation …

  5. Identification of inpatient DNR status: a safety hazard begging for standardization. | PSNet

    psnet.ahrq.gov/issue/identification-inpatient-dnr-status-safety-hazard-begging-standardization
    January 19, 2012 - Study Identification of inpatient DNR status: a safety hazard begging for standardization. Citation Text: Sehgal NL, Wachter RM. Identification of inpatient DNR status: A safety hazard begging for standardization. J Hosp Med. 2007;2(6):366-371. doi:10.1002/jhm.283. Copy Citation …

  6. Sleep and alertness in a duty-hour flexibility trial in internal medicine. | PSNet

    psnet.ahrq.gov/issue/sleep-and-alertness-duty-hour-flexibility-trial-internal-medicine
    March 13, 2019 - Study Emerging Classic Sleep and alertness in a duty-hour flexibility trial in internal medicine. Citation Text: Sleep and alertness in a duty-hour flexibility trial in internal medicine. Basner M, Asch DA, Shea JA, et al; iCOMPARE Research Group. N Engl J Med. …

  7. Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. | PSNet

    psnet.ahrq.gov/issue/implementing-studying-and-reporting-health-system-improvement-era-electronic-health-records
    January 17, 2024 - Special or Theme Issue Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Citation Text: Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. Auerbach AD, Bates DW, Rao JK, et al, ed…

  8. Measuring safety of healthcare: an exercise in futility? | PSNet

    psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility
    May 20, 2020 - Commentary Measuring safety of healthcare: an exercise in futility? Citation Text: Sauro K, Ghali WA, Stelfox HT. Measuring safety of healthcare: an exercise in futility? BMJ Qual Saf. 2019;29(4):341-344. doi:10.1136/bmjqs-2019-009824. Copy Citation Format: DOI Google Schol…

  9. Is failure mode and effect analysis reliable? | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-reliable
    August 15, 2012 - Study Is failure mode and effect analysis reliable? Citation Text: Shebl NA, Franklin BD, Barber N. Is failure mode and effect analysis reliable? J Patient Saf. 2009;5(2):86-94. doi:10.1097/PTS.0b013e3181a6f040. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  10. Venous thromboembolism after trauma: a never event? | PSNet

    psnet.ahrq.gov/issue/venous-thromboembolism-after-trauma-never-event
    January 12, 2022 - Study Venous thromboembolism after trauma: a never event? Citation Text: Thorson CM, Ryan ML, Van Haren RM, et al. Venous thromboembolism after trauma: a never event?*. Crit Care Med. 2012;40(11):2967-73. doi:10.1097/CCM.0b013e31825bcb60. Copy Citation Format: DOI Google …

  11. Effects of critical care nurses' work hours on vigilance and patients' safety. | PSNet

    psnet.ahrq.gov/issue/effects-critical-care-nurses-work-hours-vigilance-and-patients-safety
    February 19, 2010 - Study Effects of critical care nurses' work hours on vigilance and patients' safety. Citation Text: Scott LD, Rogers AE, Hwang W-T, et al. Effects of critical care nurses' work hours on vigilance and patients' safety. Am J Crit Care. 2006;15(1):30-7. Copy Citation Format: …

  12. The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. | PSNet

    psnet.ahrq.gov/issue/expert-panel-report-texas-health-resources-leadership-2014-ebola-events
    February 10, 2016 - Book/Report The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Citation Text: The Expert Panel Report to Texas Health Resources Leadership on the 2014 Ebola Events. Cortese D, Abbott P, Chassin M, Lyon GM III, Riley WJ. Dallas, TX: Texas Health Resourc…

  13. Implementing the Safety Thermometer tool in one NHS trust. | PSNet

    psnet.ahrq.gov/issue/implementing-safety-thermometer-tool-one-nhs-trust
    March 19, 2019 - Commentary Implementing the Safety Thermometer tool in one NHS trust. Citation Text: Buckley C, Cooney K, Sills E, et al. Implementing the Safety Thermometer tool in one NHS trust. Br J Nurs. 2014;23(5):268-72. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  14. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. | PSNet

    psnet.ahrq.gov/issue/perceptions-medical-errors-cancer-care-analysis-how-news-media-describe-sentinel-events
    September 11, 2013 - Study Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. Citation Text: Li JW, Morway L, Velasquez A, et al. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. J Patient Saf. 201…

  15. Adverse drug events in the elderly. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-elderly
    April 21, 2011 - Review Adverse drug events in the elderly. Citation Text: Cresswell KM, Fernando B, McKinstry B, et al. Adverse drug events in the elderly. Br Med Bull. 2007;83(1). doi:10.1093/bmb/ldm016. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  16. Injury and death associated with incidents reported to the Patient Safety Net. | PSNet

    psnet.ahrq.gov/issue/injury-and-death-associated-incidents-reported-patient-safety-net
    September 08, 2010 - Study Injury and death associated with incidents reported to the Patient Safety Net. Citation Text: Reid M, Estacio R, Albert R. Injury and death associated with incidents reported to the patient safety net. Am J Med Qual. 2009;24(6):520-4. doi:10.1177/1062860609345788. Copy Citation…

  17. The cost of poor blood specimen quality and errors in preanalytical processes. | PSNet

    psnet.ahrq.gov/issue/cost-poor-blood-specimen-quality-and-errors-preanalytical-processes
    April 22, 2009 - Review The cost of poor blood specimen quality and errors in preanalytical processes. Citation Text: Green SF. The cost of poor blood specimen quality and errors in preanalytical processes. Clin Biochem. 2013;46(13-14):1175-9. doi:10.1016/j.clinbiochem.2013.06.001. Copy Citation F…

  18. Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. | PSNet

    psnet.ahrq.gov/issue/nursing-mortality-and-morbidity-and-journal-club-cycles-paving-way-nursing-autonomy-patient
    February 03, 2011 - Commentary Nursing mortality and morbidity and journal club cycles: paving the way for nursing autonomy, patient safety, and evidence-based practice. Citation Text: Staveski S, Leong K, Graham K, et al. Nursing Mortality and Morbidity and Journal Club Cycles. AACN Adv Crit Care. 2012;2…

  19. View the world through a different lens: shadowing another provider. | PSNet

    psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider
    January 22, 2017 - Commentary View the world through a different lens: shadowing another provider. Citation Text: Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561. Copy Citation For…

  20. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. | PSNet

    psnet.ahrq.gov/issue/systematic-evidence-review-rates-and-burden-harm-intravenous-admixture-drug-preparation
    October 22, 2008 - Review Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation errors in healthcare settings. Citation Text: Hedlund N, Beer I, Hoppe-Tichy T, et al. Systematic evidence review of rates and burden of harm of intravenous admixture drug preparation …
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