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Showing results for "identifying".

  1. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. | PSNet

    psnet.ahrq.gov/issue/surgeon-second-victim-results-boston-intraoperative-adverse-events-surgeons-attitude-bisa
    January 23, 2017 - Study The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. Citation Text: Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) …

  2. Regional variations in diagnostic practices. | PSNet

    psnet.ahrq.gov/issue/regional-variations-diagnostic-practices
    July 15, 2020 - Study Regional variations in diagnostic practices. Citation Text: Song Y, Skinner J, Bynum JPW, et al. Regional variations in diagnostic practices. N Engl J Med. 2010;363(1):45-53. doi:10.1056/nejmsa0910881. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  3. Equipped: overcoming barriers to change to improve quality of care (theories of change). | PSNet

    psnet.ahrq.gov/issue/equipped-overcoming-barriers-change-improve-quality-care-theories-change
    May 23, 2018 - Commentary Equipped: overcoming barriers to change to improve quality of care (theories of change). Citation Text: Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):1…

  4. Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. | PSNet

    psnet.ahrq.gov/issue/quality-care-concerns-and-facility-response-following-medical-emergency-va-southern-nevada
    July 13, 2022 - Book/Report Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care System in Las Vegas. Citation Text: Quality of Care Concerns and the Facility Response Following a Medical Emergency at the VA Southern Nevada Health Care Sy…

  5. Safe implementation of standard concentration infusions in paediatric intensive care. | PSNet

    psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
    June 17, 2014 - Study Safe implementation of standard concentration infusions in paediatric intensive care. Citation Text: Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…

  6. Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

    psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
    April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. Citation Text: Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…

  7. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. | PSNet

    psnet.ahrq.gov/issue/ethnographic-study-classifying-and-accounting-risk-sharp-end-medical-wards
    June 16, 2021 - Study An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Citation Text: Dixon-Woods M, Suokas A, Pitchforth E, et al. An ethnographic study of classifying and accounting for risk at the sharp end of medical wards. Soc Sci Med. 2009;69(3):362…

  8. Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. | PSNet

    psnet.ahrq.gov/issue/efficiency-and-interpretability-text-paging-communication-medical-inpatients-mixed-methods
    August 09, 2023 - Study Efficiency and interpretability of text paging communication for medical inpatients: a mixed-methods analysis. Citation Text: Mandl KD, Khoong EC. Pagers and Beyond in an Era of Microcommunications—What Is Old Is New Again. JAMA Intern Med. 2017;177(8). doi:10.1001/jamainternmed.20…

  9. Error codes at autopsy to study potential biases in diagnostic error. | PSNet

    psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
    November 30, 2012 - Study Error codes at autopsy to study potential biases in diagnostic error. Citation Text: Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. Copy Citation F…

  10. Patient safety and suicide prevention in mental health services: time for a new paradigm? | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-suicide-prevention-mental-health-services-time-new-paradigm
    April 19, 2023 - Commentary Patient safety and suicide prevention in mental health services: time for a new paradigm? Citation Text: Quinlivan L, Littlewood DL, Webb RT, et al. Patient safety and suicide prevention in mental health services: time for a new paradigm? J Mental Health. 2020;29(1):1-5. doi…

  11. Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. | PSNet

    psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
    August 20, 2021 - Government Resource Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adverse events or death. Citation Text: Codeine use in certain children after tonsillectomy and/or adenoidectomy may lead to rare, but life-threatening adv…

  12. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. | PSNet

    psnet.ahrq.gov/issue/bad-behavior-healthcare-insidious-threat-patients-staff-and-organizations
    October 16, 2019 - Commentary Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Citation Text: Crowe L, Riley CM. Bad behavior in healthcare: an insidious threat to patients, staff, and organizations. Curr Opin Cardiol. 2024;39(4):331-337. doi:10.1097/hco.00000000000011…

  13. The use of anatomical side markers in general radiology: a systematic review of the current literature. | PSNet

    psnet.ahrq.gov/issue/use-anatomical-side-markers-general-radiology-systematic-review-current-literature
    October 21, 2020 - Review The use of anatomical side markers in general radiology: a systematic review of the current literature. Citation Text: Chung L, Kumar S, Oldfield J, et al. The use of anatomical side markers in general radiology: a systematic review of the current literature. J Patient Saf. 2022;1…

  14. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. | PSNet

    psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread
    September 05, 2018 - Commentary Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. Citation Text: Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. A…

  15. Pediatric weight errors and resultant medication dosing errors in the emergency department. | PSNet

    psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
    August 04, 2021 - Study Pediatric weight errors and resultant medication dosing errors in the emergency department. Citation Text: Hirata KM, Kang AH, Ramirez G, et al. Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. Pediatr Emerg Care. 2019;35(9):637-642. doi:1…

  16. Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. | PSNet

    psnet.ahrq.gov/issue/overcoming-barriers-adopting-and-implementing-computerized-physician-order-entry-systems-us
    July 10, 2008 - Study Classic Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals. Citation Text: Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order ent…

  17. Survey shows that at least some physicians are not always open or honest with patients. | PSNet

    psnet.ahrq.gov/issue/survey-shows-least-some-physicians-are-not-always-open-or-honest-patients
    February 10, 2015 - Study Survey shows that at least some physicians are not always open or honest with patients. Citation Text: Iezzoni LI, Rao SR, DesRoches CM, et al. Survey Shows That At Least Some Physicians Are Not Always Open Or Honest With Patients. Health Aff (Millwood). 2012;31(2):383-391. doi:10.…

  18. Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet

    psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
    November 30, 2016 - Study Provider perspectives on partnering with parents of hospitalized children to improve safety. Citation Text: Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. …

  19. Assessing and supporting late career practitioners: four key questions. | PSNet

    psnet.ahrq.gov/issue/assessing-and-supporting-late-career-practitioners-four-key-questions
    May 18, 2022 - Commentary Assessing and supporting late career practitioners: four key questions. Citation Text: White AA, Sage WM, Mazor KM, et al. Assessing and supporting late career practitioners: four key questions. Jt Comm J Qual Patient Saf. 2020;46(10):591-595. doi:10.1016/j.jcjq.2020.07.001. …

  20. Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and
    July 19, 2019 - Study Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. Citation Text: Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs …
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