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Showing results for "improvements".

  1. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? | PSNet

    psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
    May 19, 2021 - Study Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Citation Text: Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Sensors (Basel). 2022;22(9):…

  2. Inequities in inpatient pediatric patient safety events by category. | PSNet

    psnet.ahrq.gov/issue/inequities-inpatient-pediatric-patient-safety-events-category
    April 01, 2009 - Study Inequities in inpatient pediatric patient safety events by category. Citation Text: Pantell MS, Karvonen KL, Porter P, et al. Inequities in inpatient pediatric patient safety events by category. Hosp Pediatr. 2024;14(12):953-962. doi:10.1542/hpeds.2023-007129. Copy Citation F…

  3. The impact of mobile technology on teamwork and communication in hospitals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-mobile-technology-teamwork-and-communication-hospitals-systematic-review
    January 29, 2020 - Review Emerging Classic The impact of mobile technology on teamwork and communication in hospitals: a systematic review. Citation Text: Martin G, Khajuria A, Arora S, et al. The impact of mobile technology on teamwork and communication in hospitals: a systematic…

  4. Determining current insulin pen use practices and errors in the inpatient setting. | PSNet

    psnet.ahrq.gov/issue/determining-current-insulin-pen-use-practices-and-errors-inpatient-setting
    June 29, 2016 - Study Determining current insulin pen use practices and errors in the inpatient setting. Citation Text: Brown KE, Hertig JB. Determining Current Insulin Pen Use Practices and Errors in the Inpatient Setting. Jt Comm J Qual Patient Saf. 2016;42(12):568-AP7. doi:10.1016/S1553-7250(16)30109…

  5. Effect of clinical decision-support systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effect-clinical-decision-support-systems-systematic-review
    September 23, 2020 - Review Effect of clinical decision-support systems: a systematic review. Citation Text: Bright TJ, Wong A, Dhurjati R, et al. Effect of clinical decision-support systems: a systematic review. Ann Intern Med. 2012;157(1):29-43. doi:10.7326/0003-4819-157-1-201207030-00450. Copy Citatio…

  6. Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. | PSNet

    psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
    April 14, 2021 - Commentary Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. Citation Text: Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public…

  7. Advancing perinatal patient safety through application of safety science principles using health IT. | PSNet

    psnet.ahrq.gov/issue/advancing-perinatal-patient-safety-through-application-safety-science-principles-using-health
    April 27, 2019 - Study Advancing perinatal patient safety through application of safety science principles using health IT. Citation Text: Webb J, Sorensen A, Sommerness SA, et al. Advancing perinatal patient safety through application of safety science principles using health IT. BMC Med Inform Decis Ma…

  8. Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. | PSNet

    psnet.ahrq.gov/issue/long-term-effects-teamwork-training-communication-and-teamwork-climate-ambulatory
    May 01, 2019 - Study Long-term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health care. Citation Text: Dodge LE, Nippita S, Hacker MR, et al. Long‐term effects of teamwork training on communication and teamwork climate in ambulatory reproductive health …

  9. Fifteen years after To Err Is Human: a success story to learn from. | PSNet

    psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
    August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

  10. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. | PSNet

    psnet.ahrq.gov/issue/high-fidelity-simulations-impact-clinical-reasoning-and-patient-safety-scoping-review
    January 26, 2022 - Review High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. Citation Text: El Hussein MT, Hirst SP. High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. J Nurs Reg. 2023;13(4):54-65. doi:10.1016/s2155-8256(…

  11. The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-checklists-and-error-reporting-systems-enhancing-patient-safety-and-reducing
    August 03, 2017 - Review The effectiveness of checklists and error reporting systems in enhancing patient safety and reducing medical errors in hospital settings: a narrative review. Citation Text: Chance EA, Florence D, Sardi Abdoul I. The effectiveness of checklists and error reporting systems in enhanc…

  12. Perspectives about racism and patient-clinician communication among black adults with serious illness. | PSNet

    psnet.ahrq.gov/issue/perspectives-about-racism-and-patient-clinician-communication-among-black-adults-serious
    September 13, 2023 - Study Perspectives about racism and patient-clinician communication among black adults with serious illness. Citation Text: Brown CE, Marshall AR, Snyder CR, et al. Perspectives about racism and patient-clinician communication among black adults with serious illness. JAMA Netw Open. 2023…

  13. Crisis recovery in surgery: error management and problem solving in safety-critical situations. | PSNet

    psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations
    November 30, 2022 - Study Crisis recovery in surgery: error management and problem solving in safety-critical situations. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Crisis recovery in surgery: error management and problem solving in safety-critical situations. Surgery. 2022;172(2):537-545. …

  14. The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/effect-checklist-quality-patient-handover-operating-room-intensive-care-unit-randomized
    April 03, 2013 - Study The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. Citation Text: Salzwedel C, Mai V, Punke MA, et al. The effect of a checklist on the quality of patient handover from the operating room t…

  15. A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. | PSNet

    psnet.ahrq.gov/issue/simulation-systems-testing-program-using-hfmea-methodology-can-effectively-identify-and
    January 03, 2017 - Study A simulation systems testing program using HFMEA methodology can effectively identify and mitigate latent safety threats for a new on-site helipad. Citation Text: Holmes J, Chipman M, Barbour T, et al. A simulation systems testing program using HFMEA methodology can effectively ide…

  16. We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. | PSNet

    psnet.ahrq.gov/issue/we-need-talk-observational-study-impact-electronic-medical-record-implementation-hospital
    February 22, 2017 - Study We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. Citation Text: Taylor SP, Ledford R, Palmer V, et al. We need to talk: an observational study of the impact of electronic medical record implementation on ho…

  17. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. | PSNet

    psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety
    September 26, 2012 - Commentary Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. Citation Text: Torrie J, Cumin D, Sheridan J, et al. Fake and expired medications in simulation-based education: an underappreciated risk to patient safety. BMJ Qual Saf. 20…

  18. Finding diagnostic errors in children admitted to the PICU. | PSNet

    psnet.ahrq.gov/issue/finding-diagnostic-errors-children-admitted-picu
    May 21, 2016 - Study Finding diagnostic errors in children admitted to the PICU. Citation Text: Davalos MC, Samuels K, Meyer AND, et al. Finding diagnostic errors in children admitted to the PICU. Pediatr Crit Care Med. 2017;18(3):265-271. doi:10.1097/PCC.0000000000001059. Copy Citation Format: …

  19. Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. | PSNet

    psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure
    March 16, 2022 - Study Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. Citation Text: Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal training on medical error disclosure skills …

  20. Reducing potential errors associated with insulin administration: an integrative review. | PSNet

    psnet.ahrq.gov/issue/reducing-potential-errors-associated-insulin-administration-integrative-review
    March 31, 2021 - Review Reducing potential errors associated with insulin administration: an integrative review. Citation Text: Alqahtani N. Reducing potential errors associated with insulin administration: an integrative review. J Eval Clin Pract. 2022;28(6):1037-1049. doi:10.1111/jep.13668. Copy Cita…
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