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Showing results for "implementing".

  1. The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.  | PSNet

    psnet.ahrq.gov/issue/disruptive-orthopaedic-surgeon-implications-patient-safety-and-malpractice-liability
    August 20, 2018 - Commentary The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.  Citation Text: Patel P, Robinson BS, Novicoff WM, et al. The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability. J Bone Joint Surg Am. 2011;…

  2. Good Catch Campaign: improving the perioperative culture of safety. | PSNet

    psnet.ahrq.gov/issue/good-catch-campaign-improving-perioperative-culture-safety
    April 24, 2018 - Study Good Catch Campaign: improving the perioperative culture of safety. Citation Text: Lozito M, Whiteman K, Swanson-Biearman B, et al. Good Catch Campaign: Improving the Perioperative Culture of Safety. AORN J. 2018;107(6):705-714. doi:10.1002/aorn.12148. Copy Citation Format: …

  3. Nurses' perception of error reporting and patient safety culture in Korea. | PSNet

    psnet.ahrq.gov/issue/nurses-perception-error-reporting-and-patient-safety-culture-korea
    July 08, 2020 - Study Nurses' perception of error reporting and patient safety culture in Korea. Citation Text: Kim J, An K. Nurses' Perception of Error Reporting and Patient Safety Culture in Korea. West J Nurs Res. 2007;29(7). doi:10.1177/0193945906297370. Copy Citation Format: DOI Goo…

  4. How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? | PSNet

    psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
    October 19, 2022 - Commentary How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Citation Text: Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…

  5. Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. | PSNet

    psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
    January 30, 2013 - Study Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. Citation Text: Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24. Copy Citation Format: Google Scholar PubMed…

  6. Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. | PSNet

    psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution-blame
    February 02, 2022 - Newspaper/Magazine Article Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Citation Text: Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. Ackerman RS, Patel SY, Costache M, et al. Ane…

  7. Support and recovery strategies for second victims. | PSNet

    psnet.ahrq.gov/issue/support-and-recovery-strategies-second-victims
    January 19, 2022 - Commentary Support and recovery strategies for second victims. Citation Text: Croke L. Support and recovery strategies for second victims. AORN J. 2024;119(2):7-10. doi:10.1002/aorn.14089. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  8. Nurses' role in medical error recovery: an integrative review. | PSNet

    psnet.ahrq.gov/issue/nurses-role-medical-error-recovery-integrative-review
    September 28, 2005 - Review Nurses' role in medical error recovery: an integrative review. Citation Text: Gaffney TA, Hatcher BJ, Milligan R. Nurses' role in medical error recovery: an integrative review. J Clin Nurs. 2016;25(7-8):906-17. doi:10.1111/jocn.13126. Copy Citation Format: DOI Google…

  9. Management reasoning: beyond the diagnosis. | PSNet

    psnet.ahrq.gov/issue/management-reasoning-beyond-diagnosis
    June 26, 2019 - Commentary Management reasoning: beyond the diagnosis. Citation Text: Cook DA, Sherbino J, Durning SJ. Management Reasoning: Beyond the Diagnosis. JAMA. 2018;319(22):2267-2268. doi:10.1001/jama.2018.4385. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  10. Results of a survey on medical error reporting systems in Korean hospitals. | PSNet

    psnet.ahrq.gov/issue/results-survey-medical-error-reporting-systems-korean-hospitals
    May 08, 2017 - Study Results of a survey on medical error reporting systems in Korean hospitals. Citation Text: KIM J, Bates DW. Results of a survey on medical error reporting systems in Korean hospitals. Int J Med Inform. 2005;75(2). doi:10.1016/j.ijmedinf.2005.06.005. Copy Citation Format: …

  11. Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. | PSNet

    psnet.ahrq.gov/issue/reducing-methicillin-resistant-staphylococcus-aureus-mrsa-infections
    January 03, 2018 - Commentary Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. Citation Text: Griffin F. 5 Million Lives Campaign. Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections. Jt Comm J Qual Patient Saf. 2007;33(12):726-31. Copy Citation Format: …

  12. The contribution of labelling to safe medication administration in anaesthetic practice. | PSNet

    psnet.ahrq.gov/issue/contribution-labelling-safe-medication-administration-anaesthetic-practice
    March 17, 2021 - Commentary The contribution of labelling to safe medication administration in anaesthetic practice. Citation Text: Merry A, Shipp DH, Lowinger JS. The contribution of labelling to safe medication administration in anaesthetic practice. Best Pract Res Clin Anaesthesiol. 2011;25(2):145-1…

  13. Improving oversight of the graduate medical education enterprise: one institution's strategies and tools. | PSNet

    psnet.ahrq.gov/issue/improving-oversight-graduate-medical-education-enterprise-one-institutions-strategies-and
    September 21, 2009 - Study Improving oversight of the graduate medical education enterprise: one institution's strategies and tools. Citation Text: Afrin LB, Arana GW, Medio FJ, et al. Improving Oversight of the Graduate Medical Education Enterprise: One Institution???s Strategies and Tools. Academic Medic…

  14. The role of documents and documentation in communication failure across the perioperative pathway. A literature review. | PSNet

    psnet.ahrq.gov/issue/role-documents-and-documentation-communication-failure-across-perioperative-pathway
    November 06, 2015 - Review The role of documents and documentation in communication failure across the perioperative pathway. A literature review. Citation Text: Braaf S, Manias E, Riley R. The role of documents and documentation in communication failure across the perioperative pathway. A literature revi…

  15. New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. | PSNet

    psnet.ahrq.gov/issue/new-legal-protections-reporting-patient-errors-under-patient-safety-and-quality-improvement
    November 16, 2022 - Review New legal protections for reporting patient errors under the Patient Safety and Quality Improvement Act: a review of the medical literature and analysis. Citation Text: Howard J, Levy F, Mareiniss DP, et al. New legal protections for reporting patient errors under the Patient Sa…

  16. Alarm fatigue: use of an evidence-based alarm management strategy. | PSNet

    psnet.ahrq.gov/issue/alarm-fatigue-use-evidence-based-alarm-management-strategy
    July 24, 2024 - Commentary Alarm fatigue: use of an evidence-based alarm management strategy. Citation Text: Turmell JW, Coke L, Catinella R, et al. Alarm Fatigue. J Nurs Care Qual. 2016;32(1):47-54. doi:10.1097/ncq.0000000000000223. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  17. Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. | PSNet

    psnet.ahrq.gov/issue/preventing-adverse-events-cataract-surgery-recommendations-massachusetts-expert-panel
    July 16, 2019 - Study Preventing adverse events in cataract surgery: recommendations from a Massachusetts expert panel. Citation Text: Nanji KC, Roberto SA, Morley MG, et al. Preventing Adverse Events in Cataract Surgery: Recommendations From a Massachusetts Expert Panel. Anesth Analg. 2018;126(5):1537-…

  18. Failed spinal anaesthesia: mechanisms, management, and prevention. | PSNet

    psnet.ahrq.gov/issue/failed-spinal-anaesthesia-mechanisms-management-and-prevention
    August 04, 2021 - Review Failed spinal anaesthesia: mechanisms, management, and prevention. Citation Text: Fettes PDW, Jansson J-R, Wildsmith JAW. Failed spinal anaesthesia: mechanisms, management, and prevention. Br J Anaesth. 2009;102(6):739-48. doi:10.1093/bja/aep096. Copy Citation Format: …

  19. Managing patients with identical names in the same ward. | PSNet

    psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
    November 16, 2022 - Study Managing patients with identical names in the same ward. Citation Text: Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. Copy Citation Format: Google Scholar PubM…

  20. IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. | PSNet

    psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
    January 31, 2024 - Commentary IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. Citation Text: Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239. Copy Citation Format: …
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