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Showing results for "identifying".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39440/psn-pdf
    September 19, 2016 - Toward understanding errors in inpatient psychiatry: a qualitative inquiry. September 19, 2016 Cullen SW, Nath SB, Marcus SC. Toward understanding errors in inpatient psychiatry: a qualitative inquiry. Psychiatr Q. 2010;81(3):197-205. doi:10.1007/s11126-010-9129-z. https://psnet.ahrq.gov/issue/toward-understanding…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36166/psn-pdf
    June 14, 2011 - Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. June 14, 2011 Worster A, Fernandes CMB, Malcolmson C, et al. Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals. J Emerg Nurs. 2006;32(4):276-280. https://psnet.ahrq.gov…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38599/psn-pdf
    May 06, 2009 - Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. May 6, 2009 Shah RK, Lander L, Forbes P, et al. Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. Laryngoscope. 2009;119(5):871-9. doi:10.1002/lary.20208. https://psnet.ahrq…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42327/psn-pdf
    June 05, 2013 - Development and testing of tools to detect ambulatory surgical adverse events. June 5, 2013 Mull HJ, Borzecki A, Hickson K, et al. Development and testing of tools to detect ambulatory surgical adverse events. J Patient Saf. 2013;9(2):96-102. doi:10.1097/PTS.0b013e31827d1a88. https://psnet.ahrq.gov/issue/developme…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45757/psn-pdf
    December 14, 2016 - Five simple steps to avoid becoming a medical mystery. December 14, 2016 Boodman SG. Washington Post. December 4, 2016. https://psnet.ahrq.gov/issue/five-simple-steps-avoid-becoming-medical-mystery Delays in diagnosis can both diminish the patient–physician relationship and result in harm. This newspaper article d…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34884/psn-pdf
    August 03, 2009 - Communication failures: an insidious contributor to medical mishaps. August 3, 2009 Sutcliffe K, Lewton E, Rosenthal M. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194. https://psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps In or…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39461/psn-pdf
    April 21, 2010 - Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. April 21, 2010 Halbesleben JRB, Savage GT, Wakefield DS, et al. Rework and workarounds in nurse medication administration process: implications for work processes and patient safety. Health Care M…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42139/psn-pdf
    March 27, 2013 - Personalised performance feedback reduces narcotic prescription errors in a NICU. March 27, 2013 Sullivan KM, Suh S, Monk H, et al. Personalised performance feedback reduces narcotic prescription errors in a NICU. BMJ Qual Saf. 2013;22(3):256-62. doi:10.1136/bmjqs-2012-001089. https://psnet.ahrq.gov/issue/personal…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42749/psn-pdf
    November 20, 2013 - Reasons for the persistence of adverse events in the era of safer surgery?a qualitative approach. November 20, 2013 Kaderli R, Seelandt JC, Umer M, et al. Reasons for the persistence of adverse events in the era of safer surgery--a qualitative approach. Swiss Med Wkly. 2013;143:w13882. doi:10.4414/smw.2013.13882. …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42236/psn-pdf
    May 01, 2013 - Nursing student medication errors: a case study using root cause analysis. May 1, 2013 Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. https://psnet.ahrq.gov/issue/nursing-student-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41410/psn-pdf
    May 23, 2012 - The World Health Organization '5 moments of hand hygiene': the scientific foundation. May 23, 2012 Chou DTS, Achan P, Ramachandran M. The World Health Organization '5 moments of hand hygiene': the scientific foundation. J Bone Joint Surg Br. 2012;94(4):441-5. doi:10.1302/0301-620X.94B4.27772. https://psnet.ahrq.go…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39371/psn-pdf
    April 05, 2017 - Patient safety research: an overview of the global evidence. April 5, 2017 Jha AK, Prasopa-Plaizier N, Larizgoitia I, et al. Patient safety research: an overview of the global evidence. Qual Saf Health Care. 2010;19(1):42-7. doi:10.1136/qshc.2008.029165. https://psnet.ahrq.gov/issue/patient-safety-research-overvie…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60236/psn-pdf
    April 15, 2020 - Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing. April 15, 2020 Malone P, Kamb L. Seattle Times. March 30, 2020. https://psnet.ahrq.gov/issue/seattle-pilots-misdiagnosis-highlights-challenges-around-coronavirus-testing False negative test results can contribute to misdiagnosis, treatm…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50457/psn-pdf
    October 09, 2019 - Combined SNA and LDA methods to understand adverse medical events October 9, 2019 Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. https://psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understa…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42793/psn-pdf
    December 04, 2013 - Radiation protection and dose monitoring in medical imaging: a journey from awareness, through accountability, ability and action … but where will we arrive? December 4, 2013 Frush DP, Denham CR, Goske MJ, et al. Radiation Protection and Dose Monitoring in Medical Imaging. J Patient Saf. 2013;9(4):232-238. doi:10…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43247/psn-pdf
    August 02, 2015 - Characteristics of medical professional liability claims against internists. August 2, 2015 Mangalmurti SS, Harold JG, Parikh PD, et al. Characteristics of medical professional liability claims against internists. JAMA Intern Med. 2014;174(6):993-5. doi:10.1001/jamainternmed.2014.1116. https://psnet.ahrq.gov/issue…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38994/psn-pdf
    March 04, 2011 - Computerized surveillance for adverse drug events in a pediatric hospital. March 4, 2011 Kilbridge PM, Noirot LA, Reichley RM, et al. Computerized surveillance for adverse drug events in a pediatric hospital. J Am Med Inform Assoc. 2009;16(5):607-12. doi:10.1197/jamia.M3167. https://psnet.ahrq.gov/issue/computeriz…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60700/psn-pdf
    July 22, 2020 - Cognitive bias and public health policy during the COVID- 19 pandemic. July 22, 2020 Halpern SD, Truog RD, Miller FG. Cognitive bias and public health policy during the COVID-19 pandemic. JAMA. 2020;324(4):337-338. doi:10.1001/jama.2020.11623. https://psnet.ahrq.gov/issue/cognitive-bias-and-public-health-policy-du…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43031/psn-pdf
    March 12, 2014 - WARNING health IT may be hazardous to your healthcare. March 12, 2014 Dimick C. https://psnet.ahrq.gov/issue/warning-health-it-may-be-hazardous-your-healthcare This article relates the development of a taxonomy that hospitals and vendors can use to detect, sort, and analyze risks associated with health information…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35700/psn-pdf
    February 15, 2010 - Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. February 15, 2010 Meier FA, Jones BA. Point-of-care testing error: sources and amplifiers, taxonomy, prevention strategies, and detection monitors. Arch Pathol Lab Med. 2005;129(10):1262-1267. https://psne…
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