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Showing results for "incident".

  1. Getting doctors to clean their hands: lead the followers. | PSNet

    psnet.ahrq.gov/issue/getting-doctors-clean-their-hands-lead-followers
    June 12, 2013 - Study Getting doctors to clean their hands: lead the followers. Citation Text: Haessler S, Bhagavan A, Kleppel R, et al. Getting doctors to clean their hands: lead the followers. BMJ Qual Saf. 2012;21(6):499-502. doi:10.1136/bmjqs-2011-000396. Copy Citation Format: DOI Go…

  2. Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center. | PSNet

    psnet.ahrq.gov/issue/nursing-perception-impact-automated-dispensing-cabinets-patient-safety-and-ergonomics
    September 27, 2016 - Study Nursing perception of the impact of automated dispensing cabinets on patient safety and ergonomics in a teaching health care center. Citation Text: Rochais E, Atkinson S, Guilbeault M, et al. Nursing perception of the impact of automated dispensing cabinets on patient safety and er…

  3. Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect. | PSNet

    psnet.ahrq.gov/issue/effect-short-term-pretrial-practice-surgical-proficiency-simulated-environments-randomized
    January 20, 2010 - Study Effect of short-term pretrial practice on surgical proficiency in simulated environments: a randomized trial of the "preoperative warm-up" effect. Citation Text: Kahol K, Satava RM, Ferrara JJ, et al. Effect of Short-Term Pretrial Practice on Surgical Proficiency in Simulated Env…

  4. Using an interactive voice response system to improve patient safety following hospital discharge. | PSNet

    psnet.ahrq.gov/issue/using-interactive-voice-response-system-improve-patient-safety-following-hospital-discharge
    February 01, 2017 - Study Using an interactive voice response system to improve patient safety following hospital discharge. Citation Text: Forster AJ, van Walraven C. Using an interactive voice response system to improve patient safety following hospital discharge. J Eval Clin Pract. 2007;13(3):346-51. …

  5. I'm sorry: laws that support apologies in health care. | PSNet

    psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care
    March 11, 2020 - Commentary I'm sorry: laws that support apologies in health care. Citation Text: Atkinson Smith M. Iʼm Sorry. Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  6. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet

    psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
    October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

  7. The second victim: a review. | PSNet

    psnet.ahrq.gov/issue/second-victim-review
    June 26, 2019 - Review The second victim: a review. Citation Text: Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  8. Information distortion in physicians' diagnostic judgments. | PSNet

    psnet.ahrq.gov/issue/information-distortion-physicians-diagnostic-judgments
    April 07, 2021 - Study Information distortion in physicians' diagnostic judgments. Citation Text: Kostopoulou O, Russo E, Keenan G, et al. Information distortion in physicians' diagnostic judgments. Med Decis Making. 2012;32(6):831-9. doi:10.1177/0272989X12447241. Copy Citation Format: DO…

  9. Seeking answers, hearing silence. | PSNet

    psnet.ahrq.gov/issue/seeking-answers-hearing-silence
    October 09, 2024 - Commentary Seeking answers, hearing silence. Citation Text: Hemmelgarn C. Seeking Answers, Hearing Silence. Health Aff (Millwood). 2018;37(8):1332-1334. doi:10.1377/hlthaff.2017.1535. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  10. Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. | PSNet

    psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
    August 07, 2019 - Commentary Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. Citation Text: Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …

  11. A prevalence study of errors in opioid prescribing in a large teaching hospital. | PSNet

    psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital
    October 19, 2022 - Study A prevalence study of errors in opioid prescribing in a large teaching hospital. Citation Text: Davies D, Schneider F, Childs S, et al. A prevalence study of errors in opioid prescribing in a large teaching hospital. Int J Clin Pract. 2011;65(9):923-9. doi:10.1111/j.1742-1241.201…

  12. Technical mistakes during the acquisition of the electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
    March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

  13. Physicians and electronic health records: a statewide survey. | PSNet

    psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey
    December 31, 2014 - Study Physicians and electronic health records: a statewide survey. Citation Text: Simon SR, Kaushal R, Cleary PD, et al. Physicians and electronic health records: a statewide survey. Arch Intern Med. 2007;167(5):507-12. Copy Citation Format: Google Scholar PubMed BibTeX …

  14. An education-service partnership to achieve safety and quality improvement competencies in nursing. | PSNet

    psnet.ahrq.gov/issue/education-service-partnership-achieve-safety-and-quality-improvement-competencies-nursing
    August 30, 2023 - Commentary An education-service partnership to achieve safety and quality improvement competencies in nursing. Citation Text: Fater KH, Ready R. An Education-Service Partnership to Achieve Safety and Quality Improvement Competencies in Nursing. Journal of Nursing Education. 2011;50(12).…

  15. Clinical Summary: Screening for HIV Infection (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/WJE2r5v4CHc9dMZ4GT7dnT
    Clinical Summary: Screening for HIV Infection Clinical Summary: Screening for HIV Infection Population Adolescents and adults aged 15 to 65 years Pregnant Persons Recommendation Screen for HIV infection. Grade: A Screen for HIV infection. Grade: A Risk Assessment Although all adolesc…

  16. Diseases of medical progress. | PSNet

    psnet.ahrq.gov/issue/diseases-medical-progress
    June 27, 2018 - Review Classic Diseases of medical progress. Citation Text: MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. | PSNet

    psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
    May 30, 2019 - Book/Report Classic Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Citation Text: Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…

  18. Health information technology-related wrong-patient errors: context is critical. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-related-wrong-patient-errors-context-critical
    June 01, 2022 - Study Health information technology-related wrong-patient errors: context is critical. Citation Text: Health information technology-related wrong-patient errors: context is critical. Kim T, Howe J, Franklin E, et al. Patient Safety. 2020;2(4):40–57.    Copy Citation …

  19. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet

    psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
    May 30, 2012 - Multi-use Website Classic Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission. Copy Citation …

  20. Inability of providers to predict unplanned readmissions. | PSNet

    psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmissions
    December 05, 2007 - Study Inability of providers to predict unplanned readmissions. Citation Text: Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3. Copy Citation Format: DOI Go…
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