Results

Total Results: over 10,000 records

Showing results for "identifying".

5641. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40536/psn-pdf
      September 19, 2012 - Putting the 'patient' in patient safety: a qualitative study of consumer experiences. September 19, 2012 Rathert C, Brandt J, Williams E. Putting the 'patient' in patient safety: a qualitative study of consumer experiences. Health Expect. 2012;15(3):327-36. doi:10.1111/j.1369-7625.2011.00685.x. https://psnet.ahrq.…

5642. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38146/psn-pdf
      March 04, 2011 - Advancing measurement of patient safety culture. March 4, 2011 Ginsburg LR, Gilin D, Tregunno D, et al. Advancing measurement of patient safety culture. Health Serv Res. 2009;44(1):205-24. doi:10.1111/j.1475-6773.2008.00908.x. https://psnet.ahrq.gov/issue/advancing-measurement-patient-safety-culture Analysis of re…

5643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41977/psn-pdf
      October 11, 2016 - Patient safety tool helps ID hospital errors. October 11, 2016 Clark C. HealthLeaders Media. December 2012. https://psnet.ahrq.gov/issue/patient-safety-tool-helps-id-hospital-errors This magazine article discusses how the AHRQ common formats tool has been used to identify, track, and report near misses in hospital…

5644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40452/psn-pdf
      May 11, 2011 - The novice nurse and clinical decision-making: how to avoid errors. May 11, 2011 Saintsing D, Gibson LM, Pennington AW. The novice nurse and clinical decision-making: how to avoid errors. J Nurs Manag. 2011;19(3):354-9. doi:10.1111/j.1365-2834.2011.01248.x. https://psnet.ahrq.gov/issue/novice-nurse-and-clinical-de…

5645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34925/psn-pdf
      February 27, 2009 - Medication errors and professional practice of registered nurses. February 27, 2009 Deans C. Medication errors and professional practice of registered nurses. Collegian. 2005;12(1):29-33. https://psnet.ahrq.gov/issue/medication-errors-and-professional-practice-registered-nurses This Australian study identified and…

5646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36798/psn-pdf
      March 09, 2009 - Organizational culture, critical success factors, and the reduction of hospital errors. March 9, 2009 Stock GN, McFadden KL, Gowen CR. Organizational culture, critical success factors, and the reduction of hospital errors. Int J Prod Econ. 2006;106(2). doi:10.1016/j.ijpe.2006.07.005. https://psnet.ahrq.gov/issue/o…

5647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73617/psn-pdf
      August 26, 2021 - Recognizing Unsafe Care: What It Is and How to Report It. August 18, 2021 Patient Safety Foundation. August 26, 2021. https://psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it This webinar introduced medical error and harm as related concepts to identify unsafe care and enhance response, engag…

5648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41950/psn-pdf
      September 24, 2016 - Distraction and interruption in anaesthetic practice. September 24, 2016 Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219. https://psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice Finding that inte…

5649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36831/psn-pdf
      February 15, 2010 - The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. February 15, 2010 Kornstein MJ, Byrne SP. The medicolegal aspect of error in pathology: a search of jury verdicts and settlements. Arch Pathol Lab Med. 2007;131(4):615-618. https://psnet.ahrq.gov/issue/medicolegal-aspect-error…

5650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35944/psn-pdf
      August 02, 2010 - Analysis of laboratory critical value reporting at a large academic medical center. August 2, 2010 Dighe AS, Rao A, Coakley AB, et al. Analysis of laboratory critical value reporting at a large academic medical center. Am J Clin Pathol. 2006;125(5):758-64. https://psnet.ahrq.gov/issue/analysis-laboratory-critical-…

5651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41179/psn-pdf
      February 29, 2012 - High fidelity simulation as a research tool. February 29, 2012 Littlewood KE. High fidelity simulation as a research tool. Best Pract Res Clin Anaesthesiol. 2011;25(4):473-87. doi:10.1016/j.bpa.2011.08.001. https://psnet.ahrq.gov/issue/high-fidelity-simulation-research-tool This review explores simulation as a met…

5652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38267/psn-pdf
      December 03, 2008 - National Priorities and Goals: Aligning Our Efforts to Transform America's Healthcare. December 3, 2008 National Priorities Partnership. Washington, DC: National Quality Forum; 2008. ISBN: 1933875194. https://psnet.ahrq.gov/issue/national-priorities-and-goals-aligning-our-efforts-transform-americas-healthcare This…

5653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41592/psn-pdf
      August 15, 2012 - Failure mode and effects analysis outputs: are they valid? August 15, 2012 Shebl NA, Franklin BD, Barber N. Failure mode and effects analysis outputs: are they valid? BMC Health Serv Res. 2012;12:150. doi:10.1186/1472-6963-12-150. https://psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-outputs-are-they-valid…

5654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42772/psn-pdf
      January 01, 2014 - Hard Truths: the Journey to Putting Patients First. November 27, 2013 Department of Health. London, England: Crown Publishing; January 2014. ISBN: 9780101877725. https://psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first This two-part report outlines actions that health care leaders in the United Kingd…

5655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36683/psn-pdf
      March 28, 2011 - Adverse events following an emergency department visit. March 28, 2011 Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22. https://psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit The investigators inte…

5656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34099/psn-pdf
      March 02, 2016 - Findings from the ISMP Medication Safety Self- Assessment for hospitals. March 2, 2016 Smetzer JL, Vaida AJ, Cohen MR, et al. Findings from the ISMP Medication Safety Self-Assessment for hospitals. Jt Comm J Qual Patient Saf. 2003;29(11):586-597. https://psnet.ahrq.gov/issue/findings-ismp-medication-safety-self-as…

5657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41160/psn-pdf
      February 22, 2012 - Surgical count practice variability and the potential for retained surgical items. February 22, 2012 Edel EM. Surgical count practice variability and the potential for retained surgical items. AORN J. 2012;95(2):228-38. doi:10.1016/j.aorn.2011.02.014. https://psnet.ahrq.gov/issue/surgical-count-practice-variabilit…

5658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39317/psn-pdf
      November 02, 2010 - Exploring the causes of adverse events in hospitals and potential prevention strategies. November 2, 2010 Smits M, Zegers M, Groenewegen PP, et al. Exploring the causes of adverse events in hospitals and potential prevention strategies. BMJ Qual Saf. 2010;19(5). doi:10.1136/qshc.2008.030726. https://psnet.ahrq.gov…

5659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35366/psn-pdf
      September 27, 2016 - Certified pharmacy technicians' views on their medication preparation errors and educational needs. September 27, 2016 Desselle SP. Certified pharmacy technicians' views on their medication preparation errors and educational needs. Am J Health Syst Pharm. 2005;62(19):1992-7. https://psnet.ahrq.gov/issue/certified-…

5660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38130/psn-pdf
      January 02, 2017 - View the world through a different lens: shadowing another provider. January 2, 2017 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. https://psnet.ahrq.gov/issue/view-world-through-different-le…