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Showing results for "incidents".

  1. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. | PSNet

    psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
    October 08, 2016 - Review Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Citation Text: Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. Copy Citation Fo…

  2. Color coding to reduce errors. | PSNet

    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…

  3. Patient safety systems for case management. | PSNet

    psnet.ahrq.gov/issue/patient-safety-systems-case-management
    December 22, 2008 - Review Patient safety systems for case management. Citation Text: Greenberg L. Patient safety systems for case management. Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNo…

  4. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. | PSNet

    psnet.ahrq.gov/issue/perspective-road-map-academic-departments-promote-scholarship-quality-improvement-and-patient
    July 02, 2014 - Commentary Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Citation Text: Neeman N, Sehgal NL. Perspective: a road map for academic departments to promote scholarship in quality improvement and patient safety. Acad Med. …

  5. Sounding the alarm. Nurses, organizations work to address alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/sounding-alarm-nurses-organizations-work-address-alarm-fatigue
    July 19, 2017 - Newspaper/Magazine Article Sounding the alarm. Nurses, organizations work to address alarm fatigue. Citation Text: Trossman S. Sounding the alarm. Nurses, organizations work to address alarm fatigue. Am Nurs. 2013;45(5):1, 6-7. Copy Citation Format: Google Scholar PubMed…

  6. Why your TeamSTEPPS program may not be working. | PSNet

    psnet.ahrq.gov/issue/why-your-teamstepps-program-may-not-be-working
    February 14, 2024 - Commentary Why your TeamSTEPPS program may not be working. Citation Text: Clapper TC, Ng GM. Why Your TeamSTEPPS™ Program May Not Be Working. Clin Simul Nurs. 2012;9(8). doi:10.1016/j.ecns.2012.03.007. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

  7. 2022 John M. Eisenberg Patient Safety and Quality Awards. | PSNet

    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…

  8. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. | PSNet

    psnet.ahrq.gov/issue/achieving-high-reliability-organization-through-implementation-arcc-model-systemwide
    March 21, 2018 - Commentary Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Citation Text: Melnyk BM. Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainabi…

  9. Patient safety and quality in surgery. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-surgery
    August 26, 2011 - Commentary Patient safety and quality in surgery. Citation Text: McCafferty MH, Polk HC. Patient safety and quality in surgery. Surg Clin North Am. 2007;87(4):867-81, vii. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  10. Bar coding for patient safety. | PSNet

    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…

  11. Performing the wrong procedure. | PSNet

    psnet.ahrq.gov/issue/performing-wrong-procedure
    April 24, 2018 - Commentary Performing the wrong procedure. Citation Text: Minnier T, Phrampus P, Waddell L. Performing the Wrong Procedure. JAMA. 2016;316(11):1207-1208. doi:10.1001/jama.2016.9134. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  12. Office-based anesthesia. | PSNet

    psnet.ahrq.gov/issue/office-based-anesthesia
    August 01, 2012 - Review Office-based anesthesia. Citation Text: Kurrek MM, Twersky RS. Office-based anesthesia. Can J Anaesth. 2010;57(3):256-72. doi:10.1007/s12630-009-9238-z. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  13. Interception of potential adverse drug events in long-term psychiatric care units. | PSNet

    psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
    May 31, 2023 - Study Interception of potential adverse drug events in long-term psychiatric care units. Citation Text: Sawamura K, Ito H, Yamazumi S, et al. Interception of potential adverse drug events in long-term psychiatric care units. Psychiatry Clin Neurosci. 2005;59(4):379-84. Copy Citation …

  14. Normalization of deviance is contrary to the principles of high reliability. | PSNet

    psnet.ahrq.gov/issue/normalization-deviance-contrary-principles-high-reliability
    June 09, 2021 - Commentary Normalization of deviance is contrary to the principles of high reliability. Citation Text: Wright I. Normalization of deviance Is contrary to the principles of high reliability. AORN J. 2023;117(4):231-238. doi:10.1002/aorn.13894. Copy Citation Format: DOI Googl…

  15. The patient safety story. | PSNet

    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 …

  16. Interdisciplinary communication in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/interdisciplinary-communication-intensive-care-unit
    April 18, 2011 - Study Interdisciplinary communication in the intensive care unit. Citation Text: Reader TW, Flin R, Mearns K, et al. Interdisciplinary communication in the intensive care unit. Br J Anaesth. 2007;98(3):347-52. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  17. Involuntary automaticity: a work-system induced risk to safe health care. | PSNet

    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…

  18. Probability error in diagnosis: the conjunction fallacy among beginning medical students. | PSNet

    psnet.ahrq.gov/issue/probability-error-diagnosis-conjunction-fallacy-among-beginning-medical-students
    June 21, 2017 - Study Probability error in diagnosis: the conjunction fallacy among beginning medical students. Citation Text: Rao G. Probability error in diagnosis: the conjunction fallacy among beginning medical students. Fam Med. 2009;41(4):262-5. Copy Citation Format: Google Scholar P…

  19. Time for prefilled syringes - everywhere. | PSNet

    psnet.ahrq.gov/issue/time-prefilled-syringes-everywhere
    July 13, 2010 - Commentary Time for prefilled syringes - everywhere. Citation Text: Whitaker DK, Lomas JP. Time for prefilled syringes – everywhere. Anaesthesia. 2024;79(2):119-122. doi:10.1111/anae.16181. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  20. A 62-year-old woman with skin cancer who experienced wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/62-year-old-woman-skin-cancer-who-experienced-wrong-site-surgery
    December 01, 2021 - Commentary Classic A 62-year-old woman with skin cancer who experienced wrong-site surgery. Citation Text: Gallagher TH. A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error. JAMA. 2009;302(6):669-77. doi:10.1001/jam…
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