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Showing results for "incidence".

  1. When things go wrong: how health care organizations deal with major failures. | PSNet

    psnet.ahrq.gov/issue/when-things-go-wrong-how-health-care-organizations-deal-major-failures
    March 13, 2013 - Commentary Classic When things go wrong: how health care organizations deal with major failures. Citation Text: Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff (Millwood). 2004;23(3):103-11. Copy …

  2. Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force. | PSNet

    psnet.ahrq.gov/issue/different-roles-same-goal-risk-and-quality-management-partnering-patient-safety-ashrm
    January 27, 2021 - Book/Report Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force. Citation Text: Bokar V, Perry DG. Different Roles, Same Goal: Risk And Quality Management Partnering For Patient Safety. By The Ashrm Monographs Task Fo…

  3. Use of complex adaptive systems metaphor to achieve professional and organizational change. | PSNet

    psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
    November 11, 2020 - Commentary Use of complex adaptive systems metaphor to achieve professional and organizational change. Citation Text: Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…

  4. Identifying vulnerabilities in communication in the emergency department. | PSNet

    psnet.ahrq.gov/issue/identifying-vulnerabilities-communication-emergency-department
    September 09, 2009 - Study Identifying vulnerabilities in communication in the emergency department. Citation Text: Redfern E, Brown R, Vincent C. Identifying vulnerabilities in communication in the emergency department. Emerg Med J. 2009;26(9):653-7. doi:10.1136/emj.2008.065318. Copy Citation Format:…

  5. Wireless technologies and patient safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
    August 30, 2023 - Review Wireless technologies and patient safety in hospitals. Citation Text: Boyle J. Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  6. Orienting frames and private routines: the role of cultural process in critical care safety. | PSNet

    psnet.ahrq.gov/issue/orienting-frames-and-private-routines-role-cultural-process-critical-care-safety
    December 31, 2014 - Study Orienting frames and private routines: the role of cultural process in critical care safety. Citation Text: Hazlehurst B, McMullen C. Orienting frames and private routines: the role of cultural process in critical care safety. Int J Med Inform. 2007;76 Suppl 1:S129-35. Copy Cit…

  7. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
    September 23, 2020 - Commentary The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Citation Text: DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…

  8. Reducing adverse events in blood transfusion. | PSNet

    psnet.ahrq.gov/issue/reducing-adverse-events-blood-transfusion
    June 25, 2008 - Commentary Reducing adverse events in blood transfusion. Citation Text: Stainsby D, Russell J, Cohen H, et al. Reducing adverse events in blood transfusion. Br J Haematol. 2005;131(1). doi:10.1111/j.1365-2141.2005.05702.x. Copy Citation Format: DOI Google Scholar BibTeX E…

  9. Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet

    psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
    December 24, 2008 - Press Release/Announcement Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Citation Text: Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Crit…

  10. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? | PSNet

    psnet.ahrq.gov/issue/multiplicity-medication-safety-terms-definitions-and-functional-meanings-when-enough-enough
    November 16, 2022 - Study Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Citation Text: Yu KH, Nation RL, Dooley MJ. Multiplicity of medication safety terms, definitions and functional meanings: when is enough enough? Qual Saf Health Care. 2005;14(5):3…

  11. Interns overestimate the effectiveness of their hand-off communication. | PSNet

    psnet.ahrq.gov/issue/interns-overestimate-effectiveness-their-hand-communication
    March 02, 2011 - Study Interns overestimate the effectiveness of their hand-off communication. Citation Text: Chang VY, Arora V, Lev-Ari S, et al. Interns overestimate the effectiveness of their hand-off communication. Pediatrics. 2010;125(3):491-496. doi:10.1542/peds.2009-0351. Copy Citation For…

  12. Voluntary review of quality of care peer review for patient safety. | PSNet

    psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety
    February 04, 2009 - Commentary Voluntary review of quality of care peer review for patient safety. Citation Text: Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):557-64. Copy Citation Format: Google Scholar PubMed…

  13. Implementing a national strategy for patient safety: lessons from the National Health Service in England. | PSNet

    psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
    March 02, 2011 - Commentary Implementing a national strategy for patient safety: lessons from the National Health Service in England. Citation Text: Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health Service in England. Qual Saf Health Care. 2005…

  14. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. | PSNet

    psnet.ahrq.gov/issue/development-patient-safety-culture-measurement-tool-ambulatory-health-care-settings-analysis
    October 03, 2011 - Study Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of content validity. Citation Text: Schutz AL, Counte MA, Meurer S. Development of a patient safety culture measurement tool for ambulatory health care settings: analysis of con…

  15. Patient safety improvement interventions in children's surgery: a systematic review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-improvement-interventions-childrens-surgery-systematic-review
    March 14, 2012 - Review Patient safety improvement interventions in children's surgery: a systematic review. Citation Text: Macdonald AL, Sevdalis N. Patient safety improvement interventions in children's surgery: A systematic review. J Pediatr Surg. 2017;52(3):504-511. doi:10.1016/j.jpedsurg.2016.09.058…

  16. Patient involvement in patient safety: what factors influence patient participation and engagement? | PSNet

    psnet.ahrq.gov/issue/patient-involvement-patient-safety-what-factors-influence-patient-participation-and
    February 15, 2013 - Review Patient involvement in patient safety: what factors influence patient participation and engagement? Citation Text: Davis R, Jacklin R, Sevdalis N, et al. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expect. 2007;10(3)…

  17. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. | PSNet

    psnet.ahrq.gov/issue/applying-lean-sigma-solutions-mistake-proof-chemotherapy-preparation-process
    September 02, 2015 - Commentary Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Citation Text: Aboumatar HJ, Winner L, Davis RO, et al. Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. Jt Comm J Qual Patient Saf. 2010;36(2):79-86. Cop…

  18. Measuring safety of healthcare: an exercise in futility? | PSNet

    psnet.ahrq.gov/issue/measuring-safety-healthcare-exercise-futility
    May 20, 2020 - Commentary Measuring safety of healthcare: an exercise in futility? Citation Text: Sauro K, Ghali WA, Stelfox HT. Measuring safety of healthcare: an exercise in futility? BMJ Qual Saf. 2019;29(4):341-344. doi:10.1136/bmjqs-2019-009824. Copy Citation Format: DOI Google Schol…

  19. Human error: models and management. | PSNet

    psnet.ahrq.gov/issue/human-error-models-and-management
    November 18, 2015 - Commentary Classic Human error: models and management. Citation Text: Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  20. SBAR: a shared mental model for improving communication between clinicians. | PSNet

    psnet.ahrq.gov/issue/sbar-shared-mental-model-improving-communication-between-clinicians
    January 02, 2017 - Study SBAR: a shared mental model for improving communication between clinicians. Citation Text: Haig KM, Sutton S, Whittington J. SBAR: a shared mental model for improving communication between clinicians. Jt Comm J Qual Patient Saf. 2006;32(3):167-75. Copy Citation Format: …
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