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Showing results for "incidents".

  1. psnet.ahrq.gov/issue/systemic-methodology-risk-management-healthcare-sector
    December 23, 2020 - Commentary A systemic methodology for risk management in healthcare sector. Citation Text: Cagliano AC, Grimaldi S, Rafele C. A systemic methodology for risk management in healthcare sector. Saf Sci. 2011;49(5). doi:10.1016/j.ssci.2011.01.006. Copy Citation Format: DOI Go…
  2. psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia
    June 17, 2020 - Commentary Fallacious reasoning and complexity as root causes of clinical inertia. Citation Text: Miles RW. Fallacious reasoning and complexity as root causes of clinical inertia. J Am Med Dir Assoc. 2007;8(6):349-54. Copy Citation Format: Google Scholar PubMed BibTeX End…
  3. psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice
    October 06, 2021 - Commentary Level IV evidence—adverse anecdote and clinical practice. Citation Text: Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9. doi:10.1056/NEJMp1102632. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…
  4. psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
    June 22, 2009 - Commentary Involuntary automaticity: a work-system induced risk to safe health care. Citation Text: Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6. Copy Citation Format: Google Sc…
  5. psnet.ahrq.gov/issue/nurses-perceptions-multidisciplinary-team-work-acute-health-care
    January 06, 2017 - Image/Poster Nurses' perceptions of multidisciplinary team work in acute health-care. Citation Text: Atwal A, Caldwell K. Nurses' perceptions of multidisciplinary team work in acute health-care. Int J Nurs Pract. 2006;12(6):359-65. Copy Citation Format: Google Scholar Pub…
  6. psnet.ahrq.gov/issue/perianesthesia-nursing-advocacy-influential-voice-patient-safety
    June 08, 2022 - Commentary Perianesthesia nursing advocacy: an influential voice for patient safety. Citation Text: Windle PE, Mamaril M, Fossum S. Perianesthesia nursing advocacy: an influential voice for patient safety. J Perianesth Nurs. 2008;23(3):163-71. doi:10.1016/j.jopan.2008.03.008. Copy Ci…
  7. psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items
    August 01, 2018 - Commentary Guideline for Prevention of Unintentionally Retained Surgical Items. Citation Text: Croke L. Guideline for prevention of unintentionally retained surgical items. AORN J. 2021;114(6):4-6. doi:10.1002/aorn.13579. Copy Citation Format: DOI Google Scholar BibTeX EndN…
  8. psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool
    November 17, 2009 - Newspaper/Magazine Article The Leapfrog Group's CPOE standard and evaluation tool. Citation Text: The Leapfrog Group's CPOE standard and evaluation tool. Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25. Copy Citation…
  9. psnet.ahrq.gov/issue/bar-coding-patient-safety
    February 12, 2020 - Commentary Bar coding for patient safety. Citation Text: Wright AA, Katz IT. Bar coding for patient safety. N Engl J Med. 2005;353(4):329-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…
  10. psnet.ahrq.gov/issue/interdisciplinary-communication-uncharted-source-medical-error
    September 24, 2016 - Review Interdisciplinary communication: an uncharted source of medical error? Citation Text: Alvarez G, Coiera E. Interdisciplinary communication: an uncharted source of medical error? J Crit Care. 2006;21(3):236-42; discussion 242. Copy Citation Format: Google Scholar Pu…
  11. psnet.ahrq.gov/issue/sleep-deprivation-call-institutional-rules
    June 27, 2018 - Commentary Sleep deprivation: a call for institutional rules. Citation Text: McKenna L, Kodner IJ, Healy GB, et al. Sleep deprivation: a call for institutional rules. Surgery. 2013;154(1):118-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…
  12. psnet.ahrq.gov/issue/color-coding-reduce-errors
    June 22, 2009 - Commentary Color coding to reduce errors. Citation Text: Deboer S, Seaver M, Broselow J. Color coding to reduce errors. Am J Nurs. 2005;105(8):68-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…
  13. psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
    July 18, 2018 - Newspaper/Magazine Article Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Citation Text: Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Massey W, Keith …
  14. psnet.ahrq.gov/issue/2022-john-m-eisenberg-patient-safety-and-quality-awards
    August 02, 2023 - Special or Theme Issue 2022 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: 2022 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Patient Saf. 2023;49(9):435-450. Copy Citation Save Save to your library Print Down…
  15. psnet.ahrq.gov/issue/nonfatal-unintentional-medication-exposures-among-young-children-united-states-2001-2003
    February 27, 2019 - Government Resource Nonfatal, unintentional medication exposures among young children—United States, 2001–2003. Citation Text: Prevention C for DC and. Nonfatal, unintentional medication exposures among young children--United States, 2001-2003. MMWR Morb Mortal Wkly Rep. 2006;55(1):1-5…
  16. psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
    March 20, 2024 - Newspaper/Magazine Article 11 medicine mistakes to avoid. Citation Text: Crouch M. 11 medicine mistakes to avoid. AARP. August 06, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  17. psnet.ahrq.gov/issue/respectful-trusting-relationships-are-essential-patient-safety-especially-surgeon
    December 08, 2024 - Meeting/Conference Proceedings Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Citation Text: Respectful, trusting relationships are essential for patient safety, especially the surgeon-anesthesiologist dyad. Cooper J. An…
  18. psnet.ahrq.gov/issue/patient-safety-story
    February 02, 2020 - Commentary The patient safety story. Citation Text: Elwyn G, Corrigan JM. The patient safety story. BMJ. 2005;331(7512):302-304. doi:10.1136/bmj.38562.690104.43. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  19. psnet.ahrq.gov/issue/radically-redesigning-patient-safety
    November 13, 2024 - Newspaper/Magazine Article Radically redesigning patient safety. Citation Text: Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …
  20. psnet.ahrq.gov/issue/provider-implicit-bias-bringing-awareness-clinical-practice
    November 30, 2016 - Newspaper/Magazine Article Provider implicit bias: bringing awareness to clinical practice. Citation Text: Provider implicit bias: bringing awareness to clinical practice. Moss LD. Clinical Advisor. June 29, 2022. Copy Citation Save Save to your library Pr…