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Showing results for "identifying".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41893/psn-pdf
    January 09, 2013 - Counting matters: lessons from the root cause analysis of a retained surgical item. January 9, 2013 Agrawal A. Counting matters: lessons from the root cause analysis of a retained surgical item. Jt Comm J Qual Patient Saf. 2012;38(12):566-574. https://psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analys…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46293/psn-pdf
    January 01, 2021 - Development of the barriers to error disclosure assessment tool. September 27, 2017 Welsh D, Zephyr D, Pfeifle AL, et al. Development of the Barriers to Error Disclosure Assessment Tool. J Patient Saf. 2021;17(5):363-374. doi:10.1097/PTS.0000000000000331. https://psnet.ahrq.gov/issue/development-barriers-error-dis…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36450/psn-pdf
    December 22, 2010 - Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment at the Beatson Oncology Centre, Glasgow in January 2006. December 22, 2010 Johnson AM. Edinburgh, Scotland: Health Department; 2006. ISBN 0755962974. https://psnet.ahrq.gov/issue/unintended-exposure-patient-lisa-norris-during-radiotherapy-tre…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41499/psn-pdf
    December 29, 2014 - Strategies for sustaining a quality improvement collaborative and its patient safety gains. December 29, 2014 Parand A, Benn J, Burnett S, et al. Strategies for sustaining a quality improvement collaborative and its patient safety gains. Int J Qual Health Care. 2012;24(4):380-90. doi:10.1093/intqhc/mzs030. https:/…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42032/psn-pdf
    April 10, 2013 - Evaluation of a nurse-led safety program in a critical care unit. April 10, 2013 Saladino L, Pickett LC, Frush K, et al. Evaluation of a nurse-led safety program in a critical care unit. J Nurs Care Qual. 2013;28(2):139-46. doi:10.1097/NCQ.0b013e31827464c3. https://psnet.ahrq.gov/issue/evaluation-nurse-led-safety-…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40516/psn-pdf
    July 15, 2013 - Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. July 15, 2013 Killam LA, Luhanga F, Bakker D. Characteristics of unsafe undergraduate nursing students in clinical practice: an integrative literature review. J Nurs Educ. 2011;50(8):437-46. doi:10.3928/…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36260/psn-pdf
    May 27, 2011 - The effect of physicians' long-term use of CPOE on their test management work practices. May 27, 2011 Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52. https://psnet.ahrq.gov/issue/effect-physic…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73860/psn-pdf
    September 22, 2021 - A system safety approach to assessing risks in the sepsis treatment process. September 22, 2021 Kaya GK. A system safety approach to assessing risks in the sepsis treatment process. Appl Ergon. 2021;94:103408. doi:10.1016/j.apergo.2021.103408. https://psnet.ahrq.gov/issue/system-safety-approach-assessing-risks-sep…

  9. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. | PSNet

    psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesarean-delivery
    November 30, 2021 - In contrast, Type 2 thinking is more deliberate and requires identifying features from a diagnostic category

  10. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet

    psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
    August 20, 2018 - A proper time-out includes identifying the patient, indicating the procedure and the site with confirmation

  11. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - ventilator settings were applied, or the patient’s body habitus, but this information would be useful in identifying

  12. Failure to Report | PSNet

    psnet.ahrq.gov/web-mm/failure-report
    July 01, 2008 - Committee on Identifying and Preventing Medication Errors, Institute of Medicine; Aspden P, Wolcott JA

  13. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. | PSNet

    psnet.ahrq.gov/web-mm/false-assumptions-result-missed-pneumothorax-after-bronchoscopy-transbronchial-biopsy
    March 15, 2023 - Checklists have been shown to be effective in multiple different clinical settings, for tasks such as identifying

  14. Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. | PSNet

    psnet.ahrq.gov/issue/enhancing-teamwork-communication-and-patient-safety-responsiveness-paediatric-intensive-care
    March 10, 2021 - Study Enhancing teamwork communication and patient safety responsiveness in a paediatric intensive care unit using the daily safety huddle tool. Citation Text: Aldawood F, Kazzaz Y, AlShehri A, et al. Enhancing teamwork communication and patient safety responsiveness in a paediatric inte…

  15. Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-healthcare-workers-adherence-infection-prevention-and-control-ipc
    March 02, 2011 - Review Classic Barriers and facilitators to healthcare workers' adherence with infection prevention and control (IPC) guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Citation Text: Houghton C, Meskell P, Delaney H, et al. …

  16. Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. | PSNet

    psnet.ahrq.gov/issue/effects-healthcare-organization-actions-and-policies-related-covid-19-perceived
    March 24, 2021 - Study Effects of healthcare organization actions and policies related to COVID-19 on perceived organizational support among U.S. internists: a national study. Citation Text: Sonis J, Pathman DE, Read S, et al. Effects of healthcare organization actions and policies related to COVID-19 on…

  17. Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission. | PSNet

    psnet.ahrq.gov/issue/detectability-medication-errors-stoppstart-based-medication-review-older-people-prior
    August 18, 2021 - Study Detectability of medication errors with a STOPP/START-based medication review in older people prior to a potentially preventable drug-related hospital admission. Citation Text: Sallevelt BTGM, Egberts TCG, Huibers CJA, et al. Detectability of medication errors with a STOPP/START-ba…

  18. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/understanding-and-preventing-wrong-patient-electronic-orders-randomized-controlled-trial
    December 21, 2017 - Study Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. Citation Text: Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305…

  19. Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/perceptions-pediatric-hospital-safety-culture-united-states-analysis-2016-hospital-survey
    January 19, 2022 - Study Perceptions of pediatric hospital safety culture in the United States: an analysis of the 2016 Hospital Survey on Patient Safety Culture. Citation Text: Gampetro PJ, Segvich JP, Jordan N, et al. Perceptions of Pediatric Hospital Safety Culture in the United States: An Analysis of t…

  20. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. | PSNet

    psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm
    September 23, 2020 - Study Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. Citation Text: Boyd AD, Yang YM, Li J, et al. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. J Am Med Inform Assoc. 2015;22(1):19-28. doi:10.1136/amiaj…
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