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Showing results for "implemented".

  1. Lost in translation: medication labeling for immigrant families. | PSNet

    psnet.ahrq.gov/issue/lost-translation-medication-labeling-immigrant-families
    May 31, 2017 - Commentary Lost in translation: medication labeling for immigrant families. Citation Text: Smith MCJ, Yin S, Sanders LM. Lost in translation: Medication labeling for immigrant families. J Am Pharm Assoc (2003). 2016;56(6):677-679. doi:10.1016/j.japh.2016.07.002. Copy Citation Forma…

  2. Identification by families of pediatric adverse events and near misses overlooked by health care providers. | PSNet

    psnet.ahrq.gov/issue/identification-families-pediatric-adverse-events-and-near-misses-overlooked-health-care
    November 23, 2016 - Study Identification by families of pediatric adverse events and near misses overlooked by health care providers. Citation Text: Daniels JP, Hunc K, Cochrane D, et al. Identification by families of pediatric adverse events and near misses overlooked by health care providers. CMAJ. 2012…

  3. SWITCH for safety: perioperative hand-off tools. | PSNet

    psnet.ahrq.gov/issue/switch-safety-perioperative-hand-tools
    October 18, 2023 - Commentary SWITCH for safety: perioperative hand-off tools. Citation Text: Johnson F, Logsdon P, Fournier K, et al. SWITCH for safety: Perioperative hand-off tools. AORN J. 2013;98(5):494-504; quiz 505-7. doi:10.1016/j.aorn.2013.08.016. Copy Citation Format: DOI Google Scho…

  4. Every error a treasure: improving medication use with a nonpunitive reporting system. | PSNet

    psnet.ahrq.gov/issue/every-error-treasure-improving-medication-use-nonpunitive-reporting-system
    August 17, 2016 - Study Every error a treasure: improving medication use with a nonpunitive reporting system. Citation Text: Lehmann DF, Page N, Kirschman K, et al. Every Error a Treasure: Improving Medication Use with a Nonpunitive Reporting System. Jt Comm J Qual Patient Saf. 2016;33(7):401-407. doi:10.…

  5. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
    January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…

  6. Analysis of Australian newspaper coverage of medication errors. | PSNet

    psnet.ahrq.gov/issue/analysis-australian-newspaper-coverage-medication-errors
    February 15, 2012 - Study Analysis of Australian newspaper coverage of medication errors. Citation Text: Hinchcliff R, Westbrook JI, Greenfield D, et al. Analysis of Australian newspaper coverage of medication errors. Int J Qual Health Care. 2012;24(1):1-8. doi:10.1093/intqhc/mzr067. Copy Citation For…

  7. Common patterns in 558 diagnostic radiology errors. | PSNet

    psnet.ahrq.gov/issue/common-patterns-558-diagnostic-radiology-errors
    July 19, 2023 - Study Common patterns in 558 diagnostic radiology errors. Citation Text: Donald JJ, Barnard SA. Common patterns in 558 diagnostic radiology errors. J Med Imaging Radiat Oncol. 2012;56(2):173-178. doi:10.1111/j.1754-9485.2012.02348.x. Copy Citation Format: DOI Google Schol…

  8. Unrecognized cardiovascular emergencies among Medicare patients. | PSNet

    psnet.ahrq.gov/issue/unrecognized-cardiovascular-emergencies-among-medicare-patients
    November 16, 2022 - Study Unrecognized cardiovascular emergencies among Medicare patients. Citation Text: Waxman DA, Kanzaria HK, Schriger DL. Unrecognized Cardiovascular Emergencies Among Medicare Patients. JAMA Intern Med. 2018;178(4):477-484. doi:10.1001/jamainternmed.2017.8628. Copy Citation Forma…

  9. Language barriers and patient safety risks in hospital care. A mixed methods study. | PSNet

    psnet.ahrq.gov/issue/language-barriers-and-patient-safety-risks-hospital-care-mixed-methods-study
    May 18, 2016 - Study Language barriers and patient safety risks in hospital care. A mixed methods study. Citation Text: van Rosse F, de Bruijne M, Suurmond J, et al. Language barriers and patient safety risks in hospital care. A mixed methods study. Int J Nurs Stud. 2016;54:45-53. doi:10.1016/j.ijnurst…

  10. Primary care pediatricians' interest in diagnostic error reduction. | PSNet

    psnet.ahrq.gov/issue/primary-care-pediatricians-interest-diagnostic-error-reduction
    March 19, 2018 - Study Primary care pediatricians' interest in diagnostic error reduction. Citation Text: Rinke ML, Singh H, Ruberman S, et al. Primary care pediatricians' interest in diagnostic error reduction. Diagnosis (Berl). 2016;3(2):65-69. doi:10.1515/dx-2015-0033. Copy Citation Format: …

  11. Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-predictability-low-yield-inpatient-laboratory-diagnostic-tests
    November 13, 2024 - Journal Article Prevalence and predictability of low-yield inpatient laboratory diagnostic tests. Citation Text: Xu S, Hom J, Balasubramanian S, et al. Prevalence and Predictability of Low-Yield Inpatient Laboratory Diagnostic Tests. JAMA Netw Open. 2019;2(9):e1910967. doi:10.1001/jamane…

  12. Process changes to increase compliance with the Universal Protocol for bedside procedures. | PSNet

    psnet.ahrq.gov/issue/process-changes-increase-compliance-universal-protocol-bedside-procedures
    December 01, 2014 - Study Process changes to increase compliance with the Universal Protocol for bedside procedures. Citation Text: Barsuk JH, Brake H, Caprio T, et al. Process changes to increase compliance with the universal protocol for bedside procedures. Arch Intern Med. 2011;171(10):947-9. doi:10.10…

  13. Challenging authority during an emergency—the effect of a teaching intervention. | PSNet

    psnet.ahrq.gov/issue/challenging-authority-during-emergency-effect-teaching-intervention
    December 13, 2017 - Study Challenging authority during an emergency—the effect of a teaching intervention. Citation Text: Friedman Z, Perelman V, McLuckie D, et al. Challenging Authority During an Emergency-the Effect of a Teaching Intervention. Crit Care Med. 2017;45(8):e814-e820. doi:10.1097/CCM.000000000…

  14. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. | PSNet

    psnet.ahrq.gov/issue/surgical-intraoperative-handoff-initiative-standardizing-operating-room-communication-using
    October 04, 2023 - Study Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. Citation Text: Stephens WA, Anderson MJ, Levy BE, et al. Surgical intraoperative handoff initiative: standardizing operating room communication using SHRIMPS. J Am Coll Surg. 2024;…

  15. Learning from no-fault treatment injury claims to improve the safety of older patients. | PSNet

    psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
    September 27, 2023 - Study Learning from no-fault treatment injury claims to improve the safety of older patients. Citation Text: Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. Copy Citation Format:…

  16. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. | PSNet

    psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse
    October 19, 2022 - Review Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. Citation Text: Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event …

  17. Elucidating reasons for resident underutilization of electronic adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/elucidating-reasons-resident-underutilization-electronic-adverse-event-reporting
    November 21, 2021 - Study Elucidating reasons for resident underutilization of electronic adverse event reporting. Citation Text: Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615…

  18. Minimising treatment-associated risks in systemic cancer therapy. | PSNet

    psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
    December 22, 2021 - Review Minimising treatment-associated risks in systemic cancer therapy. Citation Text: Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy. Pharm World Sci. 2008;30(2):161-8. Copy Citation Format: Google Scholar PubMed B…

  19. When a surgical colleague makes an error. | PSNet

    psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
    December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

  20. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. | PSNet

    psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems
    May 18, 2022 - Study Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. Citation Text: Eichbaum Q, Adkins B, Craig-Owens L, et al. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias…
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