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Showing results for "incidents".

  1. Between a rock and a hard place: disclosing medical errors. | PSNet

    psnet.ahrq.gov/issue/between-rock-and-hard-place-disclosing-medical-errors
    October 19, 2022 - Commentary Between a rock and a hard place: disclosing medical errors. Citation Text: Crone KG, Muraski MB, Skeel JD, et al. Between a rock and a hard place: disclosing medical errors. Clin Chem. 2006;52(9):1809-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  2. Improving process while changing practice: FMEA and medication administration. | PSNet

    psnet.ahrq.gov/issue/improving-process-while-changing-practice-fmea-and-medication-administration
    January 18, 2011 - Commentary Improving process while changing practice: FMEA and medication administration. Citation Text: Riehle MA, Bergeron D, Hyrkäs K. Improving process while changing practice. Nurs Manage. 2009;39(2). doi:10.1097/01.numa.0000310533.54708.38. Copy Citation Format: DOI…

  3. Quality and safety indicators in anesthesia: a systematic review. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-indicators-anesthesia-systematic-review
    June 08, 2010 - Review Quality and safety indicators in anesthesia: a systematic review. Citation Text: Haller G, Stoelwinder J, Myles PS, et al. Quality and safety indicators in anesthesia: a systematic review. Anesthesiology. 2009;110(5):1158-75. doi:10.1097/ALN.0b013e3181a1093b. Copy Citation …

  4. Barriers to adverse event and error reporting in anesthesia. | PSNet

    psnet.ahrq.gov/issue/barriers-adverse-event-and-error-reporting-anesthesia
    April 19, 2017 - Study Barriers to adverse event and error reporting in anesthesia. Citation Text: Heard GC, Sanderson PM, Thomas RD. Barriers to Adverse Event and Error Reporting in Anesthesia. Anesthesia & Analgesia. 2011;114(3). doi:10.1213/ane.0b013e31822649e8. Copy Citation Format: D…

  5. Theorizing about systems: an ecological task for patient safety research. | PSNet

    psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
    August 20, 2008 - Commentary Theorizing about systems: an ecological task for patient safety research. Citation Text: Marck PB. Theorizing About Systems. Clin Nurs Res. 2005;14(2). doi:10.1177/1054773804274255. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

  6. Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. | PSNet

    psnet.ahrq.gov/issue/selecting-safe-and-easier-use-products-healthcare-using-human-factors-specification-and
    February 21, 2018 - Book/Report Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. Citation Text: Selecting Safe and Easier to Use Products for Healthcare Using Human Factors Specification and Checklists. Buckinghamshire, UK.  Clinical Human Facto…

  7. Patient safety 2.0: slaying dragons, not just investigating them. | PSNet

    psnet.ahrq.gov/issue/patient-safety-20-slaying-dragons-not-just-investigating-them
    September 14, 2016 - Commentary Patient safety 2.0: slaying dragons, not just investigating them. Citation Text: Card AJ. Patient safety 2.0: slaying dragons, not just investigating them. J Patient Saf. 2023;19(6):394-395. doi:10.1097/pts.0000000000001140. Copy Citation Format: DOI Google Schol…

  8. Establishing a culture for patient safety - the role of education. | PSNet

    psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
    August 23, 2017 - Commentary Establishing a culture for patient safety - the role of education. Citation Text: Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007;27(2):95-102. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  9. Surgical site verification: A through Z. | PSNet

    psnet.ahrq.gov/issue/surgical-site-verification-through-z
    October 26, 2022 - Commentary Surgical site verification: A through Z. Citation Text: Dunn D. Surgical site verification: A through Z. J Perianesth Nurs. 2006;21(5):317-28; quiz 329-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  10. Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. | PSNet

    psnet.ahrq.gov/issue/paralyzed-mistakes-reassess-safety-neuromuscular-blockers-your-facility
    July 27, 2016 - Newspaper/Magazine Article Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. Citation Text: Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility. ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6. …

  11. The Emergency Medical Services Safety Attitudes Questionnaire. | PSNet

    psnet.ahrq.gov/issue/emergency-medical-services-safety-attitudes-questionnaire
    November 10, 2010 - Study The Emergency Medical Services Safety Attitudes Questionnaire. Citation Text: Patterson D, Huang DT, Fairbanks RJ, et al. The emergency medical services safety attitudes questionnaire. Am J Med Qual. 2010;25(2):109-15. doi:10.1177/1062860609352106. Copy Citation Format: …

  12. Changing practice to improve patient safety and quality of care in perinatal medicine. | PSNet

    psnet.ahrq.gov/issue/changing-practice-improve-patient-safety-and-quality-care-perinatal-medicine
    November 18, 2016 - Review Changing practice to improve patient safety and quality of care in perinatal medicine. Citation Text: Kaplan HC, Ballard J. Changing Practice to Improve Patient Safety and Quality of Care in Perinatal Medicine. Am J Perinatol. 2011;29(01). doi:10.1055/s-0031-1285826. Copy Cita…

  13. Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. | PSNet

    psnet.ahrq.gov/issue/keeping-our-promises-research-practice-and-policy-issues-health-care-reliability
    September 24, 2016 - Special or Theme Issue Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. Citation Text: Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. Reinertsen JL, Clancy C, Henriksen K, et al. Health Serv Res. 2006;41(…

  14. Communication skills and error in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/communication-skills-and-error-intensive-care-unit
    May 06, 2009 - Review Communication skills and error in the intensive care unit. Citation Text: Reader TW, Flin R, Cuthbertson BH. Communication skills and error in the intensive care unit. Curr Opin Crit Care. 2007;13(6):732-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

  15. New perspectives on error in critical care. | PSNet

    psnet.ahrq.gov/issue/new-perspectives-error-critical-care
    March 10, 2011 - Review New perspectives on error in critical care. Citation Text: Patel VL, Cohen T. New perspectives on error in critical care. Curr Opin Crit Care. 2008;14(4):456-9. doi:10.1097/MCC.0b013e32830634ae. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

  16. Death due to pharmacy compounding error reinforces need for safety focus. | PSNet

    psnet.ahrq.gov/issue/death-due-pharmacy-compounding-error-reinforces-need-safety-focus
    May 31, 2017 - Newspaper/Magazine Article Death due to pharmacy compounding error reinforces need for safety focus. Citation Text: Death due to pharmacy compounding error reinforces need for safety focus. ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4. Copy Citation …

  17. The absence of a drug–disease interaction alert leads to a child's death. | PSNet

    psnet.ahrq.gov/issue/absence-drug-disease-interaction-alert-leads-childs-death
    July 08, 2015 - Newspaper/Magazine Article The absence of a drug–disease interaction alert leads to a child's death. Citation Text: The absence of a drug–disease interaction alert leads to a child's death. ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4. Copy Citation …

  18. Costs of medical injuries in Utah and Colorado. | PSNet

    psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
    June 30, 2021 - Study Classic Costs of medical injuries in Utah and Colorado. Citation Text: Costs of medical injuries in Utah and Colorado. Thomas EJ; Studdert DM; Newhouse JP; Zbar BI; Howard KM; Williams EJ; Brennan TA Copy Citation Save Save to your …

  19. Surgeon age and operative mortality in the United States. | PSNet

    psnet.ahrq.gov/issue/surgeon-age-and-operative-mortality-united-states
    August 02, 2015 - Study Surgeon age and operative mortality in the United States. Citation Text: Waljee JF, Greenfield LJ, Dimick JB, et al. Surgeon Age and Operative Mortality in the United States. Transactions of the .. Meeting of the American Surgical Association. 2006;124. doi:10.1097/01.sla.0000234…

  20. Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. | PSNet

    psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-safety-2009
    September 21, 2011 - Book/Report Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Citation Text: Improving America's Hospitals: The Joint Commission's Annual Report on Quality and Safety 2009. Oakbrook Terrace, IL: The Joint Commission; January 2010. Cop…
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