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Showing results for "improvements".

  1. Cleaning up the discharge process: a number of components—and personnel—are crucial to success. | PSNet

    psnet.ahrq.gov/issue/cleaning-discharge-process-number-components-and-personnel-are-crucial-success
    October 20, 2021 - Commentary Cleaning up the discharge process: a number of components—and personnel—are crucial to success. Citation Text: Huber C, Blanco M. Cleaning up the discharge process: a number of components--and personnel--are crucial to success. Am J Nurs. 2010;110(9):66-69. doi:10.1097/01.NA…

  2. Another surgeon's error: must you tell the patient? | PSNet

    psnet.ahrq.gov/issue/another-surgeons-error-must-you-tell-patient
    October 02, 2013 - Commentary Another surgeon's error: must you tell the patient? Citation Text: Moffatt-Bruce SD, Denlinger CE, Sade RM. Another surgeon's error: must you tell the patient? Ann Thorac Surg. 2014;98(2):396-401. doi:10.1016/j.athoracsur.2014.04.073. Copy Citation Format: DOI Go…

  3. An effectiveness analysis of healthcare systems using a systems theoretic approach. | PSNet

    psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
    August 10, 2022 - Study An effectiveness analysis of healthcare systems using a systems theoretic approach. Citation Text: Chuang S, Inder K. An effectiveness analysis of healthcare systems using a systems theoretic approach. BMC Health Serv Res. 2009;9:195. doi:10.1186/1472-6963-9-195. Copy Citation …

  4. View from the cockpit: what the airline industry can teach us about patient safety. | PSNet

    psnet.ahrq.gov/issue/view-cockpit-what-airline-industry-can-teach-us-about-patient-safety
    January 08, 2020 - Commentary View from the cockpit: what the airline industry can teach us about patient safety. Citation Text: Doucette JN. View from the cockpit: what the airline industry can teach us about patient safety. Nursing (Brux). 2006;36(11):50-53. Copy Citation Format: Google S…

  5. Challenges in health care simulation: are we learning anything new? | PSNet

    psnet.ahrq.gov/issue/challenges-health-care-simulation-are-we-learning-anything-new
    February 27, 2019 - Commentary Challenges in health care simulation: are we learning anything new? Citation Text: Henriksen K, Rodrick D, Grace EN, et al. Challenges in Health Care Simulation: Are We Learning Anything New? Acad Med. 2018;93(5):705-708. doi:10.1097/ACM.0000000000001891. Copy Citation F…

  6. Barriers to reporting medication errors: a measurement equivalence perspective. | PSNet

    psnet.ahrq.gov/issue/barriers-reporting-medication-errors-measurement-equivalence-perspective
    March 28, 2012 - Study Barriers to reporting medication errors: a measurement equivalence perspective. Citation Text: Etchegaray J, Throckmorton T. Barriers to reporting medication errors: a measurement equivalence perspective. Qual Saf Health Care. 2010;19(6):e14. doi:10.1136/qshc.2008.031534. Copy …

  7. Patient safety: moving the bar in prison health care standards. | PSNet

    psnet.ahrq.gov/issue/patient-safety-moving-bar-prison-health-care-standards
    August 28, 2024 - Commentary Patient safety: moving the bar in prison health care standards. Citation Text: Stern MF, Greifinger RB, Mellow J. Patient safety: moving the bar in prison health care standards. Am J Public Health. 2010;100(11):2103-2110. doi:10.2105/AJPH.2009.184242. Copy Citation For…

  8. Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. | PSNet

    psnet.ahrq.gov/issue/ensuring-healthcare-safety-throughout-covid-19-pandemic
    January 13, 2021 - Webinar Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. Citation Text: Ensuring Healthcare Safety Throughout the COVID-19 Pandemic. US Health and Human Services Office of the Assistant Secretary for Preparedness and Response’s Technical Resources, Assistance Center, & In…

  9. Time out: an analysis. | PSNet

    psnet.ahrq.gov/issue/time-out-analysis
    October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  10. A middle ground on public accountability. | PSNet

    psnet.ahrq.gov/issue/middle-ground-public-accountability
    March 02, 2011 - Commentary Classic A middle ground on public accountability. Citation Text: Lee TH, Meyer GS, Brennan TA. A middle ground on public accountability. N Engl J Med. 2004;350(23):2409-2412. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  11. Work system design for patient safety: the SEIPS model. | PSNet

    psnet.ahrq.gov/issue/work-system-design-patient-safety-seips-model
    December 18, 2013 - Commentary Work system design for patient safety: the SEIPS model. Citation Text: Carayon P, Schoofs Hundt A, Karsh B-T, et al. Work system design for patient safety: the SEIPS model. Qual Saf Health Care. 2006;15(suppl 1):i50-i58. doi:10.1136/qshc.2005.015842. Copy Citation Form…

  12. Applying hierarchical task analysis to medication administration errors. | PSNet

    psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
    December 18, 2017 - Commentary Applying hierarchical task analysis to medication administration errors. Citation Text: Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79. Copy Citation Format: Google Scholar…

  13. Nature of human error: implications for surgical practice. | PSNet

    psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
    March 24, 2021 - Review Nature of human error: implications for surgical practice. Citation Text: Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  14. The effectiveness of management-by-walking-around: a randomized field study. | PSNet

    psnet.ahrq.gov/issue/effectiveness-management-walking-around-randomized-field-study
    October 01, 2014 - Study The effectiveness of management-by-walking-around: a randomized field study. Citation Text: Tucker AL, Singer SJ. The Effectiveness of Management-By-Walking-Around: A Randomized Field Study. Prod Oper Manag. 2014;24(2). doi:10.1111/poms.12226. Copy Citation Format: DO…

  15. Is it time for safeguards in the adoption of robotic surgery? | PSNet

    psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
    December 04, 2019 - Commentary Is it time for safeguards in the adoption of robotic surgery? Citation Text: Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. Copy Citation Format: DOI Google Scholar Pub…

  16. Spreading human factors expertise in healthcare: untangling the knots in people and systems. | PSNet

    psnet.ahrq.gov/issue/spreading-human-factors-expertise-healthcare-untangling-knots-people-and-systems
    May 01, 2024 - Commentary Spreading human factors expertise in healthcare: untangling the knots in people and systems. Citation Text: Catchpole K. Spreading human factors expertise in healthcare: untangling the knots in people and systems. BMJ Qual Saf. 2013;22(10):793-7. doi:10.1136/bmjqs-2013-002036…

  17. Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. | PSNet

    psnet.ahrq.gov/issue/reduction-chemotherapy-order-errors-computerised-physician-order-entry-and-clinical-decision
    October 22, 2014 - Study Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. Citation Text: Reduction in chemotherapy order errors with computerised physician order entry and clinical decision support systems. HIM J. 2015;44. Copy Citation…

  18. Advances in perioperative quality and safety. | PSNet

    psnet.ahrq.gov/issue/advances-perioperative-quality-and-safety
    April 11, 2018 - Commentary Advances in perioperative quality and safety. Citation Text: Anderson KT, Appelbaum R, Bartz-Kurycki MA, et al. Advances in perioperative quality and safety. Semin Pediatr Surg. 2018;27(2):92-101. doi:10.1053/j.sempedsurg.2018.02.006. Copy Citation Format: DOI Go…

  19. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. | PSNet

    psnet.ahrq.gov/issue/errors-and-burden-errors-attitudes-perceptions-and-culture-safety-pediatric-cardiac-surgical
    June 16, 2019 - Study Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac surgical teams. Citation Text: Bognár A, Barach P, Johnson J, et al. Errors and the burden of errors: attitudes, perceptions, and the culture of safety in pediatric cardiac sur…

  20. Self-reported adverse events in health care that cause harm: a population-based survey. | PSNet

    psnet.ahrq.gov/issue/self-reported-adverse-events-health-care-cause-harm-population-based-survey
    September 20, 2011 - Study Self-reported adverse events in health care that cause harm: a population-based survey. Citation Text: Adams RJ, Tucker G, Price K, et al. Self-reported adverse events in health care that cause harm: a population-based survey. Med J Aust. 2009;190(9):484-8. Copy Citation Fo…
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