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Showing results for "incidents".

8461. The 2004 John M. Eisenberg Patient Safety and Quality Awards. | PSNet
      psnet.ahrq.gov/issue/2004-john-m-eisenberg-patient-safety-and-quality-awards
      January 05, 2017 - Special or Theme Issue The 2004 John M. Eisenberg Patient Safety and Quality Awards. Citation Text: The 2004 John M. Eisenberg Patient Safety and Quality Awards. Jt Comm J Qual Saf. 2004;30(12):653-680. Copy Citation Save Save to your library Print Dow…

8462. Disclosing adverse events: you said it, now write it. | PSNet
      psnet.ahrq.gov/issue/disclosing-adverse-events-you-said-it-now-write-it
      July 14, 2010 - Commentary Disclosing adverse events: you said it, now write it. Citation Text: Monson MS. Disclosing adverse events: you said it, now write it. Nurs Manage. 2006;37(8):16-7, 55. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

8463. Emergency physicians and disclosure of medical errors. | PSNet
      psnet.ahrq.gov/issue/emergency-physicians-and-disclosure-medical-errors
      October 19, 2022 - Study Emergency physicians and disclosure of medical errors. Citation Text: Moskop JC, Geiderman JM, Hobgood CD, et al. Emergency physicians and disclosure of medical errors. Ann Emerg Med. 2006;48(5):523-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

8464. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. | PSNet
      psnet.ahrq.gov/issue/patient-safety-rounds-description-inexpensive-important-strategy-improve-safety-culture
      December 15, 2008 - Commentary Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Citation Text: Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22…

8465. Off the record — avoiding the pitfalls of going electronic. | PSNet
      psnet.ahrq.gov/issue/record-avoiding-pitfalls-going-electronic
      October 25, 2017 - Commentary Off the record — avoiding the pitfalls of going electronic. Citation Text: Hartzband P, Groopman J. Off the record--avoiding the pitfalls of going electronic. N Engl J Med. 2008;358(16):1656-8. doi:10.1056/NEJMp0802221. Copy Citation Format: DOI Google Scholar …

8466. The cost of serious fall-related injuries at three midwestern hospitals. | PSNet
      psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
      January 03, 2017 - Study The cost of serious fall-related injuries at three midwestern hospitals. Citation Text: Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87. Copy Citation Format: …

8467. Medication errors: immunisation.  | PSNet
      psnet.ahrq.gov/issue/medication-errors-immunisation
      December 02, 2020 - Commentary Medication errors: immunisation.  Citation Text: Bird S. Medication errors: immunisation. Aust Fam Physician. 2006;35(9):735-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citati…

8468. Underwood Surgery Center: Slide Presentation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/asc/ascwebinar/tinsleyslides.pdf
      September 01, 2015 - Underwood Surgery Center: Slide Presentation 50 50 Underwood Surgery Center Orlando, Florida Terry Tinsley R.N., B.A. Clinical Nurse Manager 51 51 Underwood Surgery Center (USC) • Physician owned multi-specialty surgery center • Performs endoscopic procedures, surgeries involving colon and rectal, …

8469. Error, blame, and the law in health care—an antipodean perspective. | PSNet
      psnet.ahrq.gov/issue/error-blame-and-law-health-care-antipodean-perspective
      August 02, 2015 - Commentary Error, blame, and the law in health care—an antipodean perspective. Citation Text: Runciman WB, Merry A, Tito F. Error, blame, and the law in health care--an antipodean perspective. Ann Intern Med. 2003;138(12):974-9. Copy Citation Format: Google Scholar PubMed…

8470. Disclosing errors that affect multiple patients. | PSNet
      psnet.ahrq.gov/issue/disclosing-errors-affect-multiple-patients
      April 19, 2017 - Commentary Disclosing errors that affect multiple patients. Citation Text: Chafe R, Levinson W, Sullivan T. Disclosing errors that affect multiple patients. CMAJ. 2009;180(11):1125-7. doi:10.1503/cmaj.081016. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

8471. Resident and Family Engagement: What is my role as a leader? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/engage/rfe-role-leader.pdf
      March 01, 2017 - Resident and Family Engagement: What is my role as a leader? • Resident and family engagement is one component of person-centered care, a philosophy that recognizes residents as individuals and as partners. • Effective resident and family partnerships are demonstrated by including the residents and family a…

8472. Injury to research volunteers—the clinical-research nightmare. | PSNet
      psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare
      December 19, 2017 - Commentary Injury to research volunteers—the clinical-research nightmare. Citation Text: Wood AJJ, Darbyshire J. Injury to research volunteers--the clinical-research nightmare. N Engl J Med. 2006;354(18):1869-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

8473. Provider implicit bias: bringing awareness to clinical practice. | PSNet
      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…

8474. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? | PSNet
      psnet.ahrq.gov/issue/disclose-or-not-disclose-radiologic-errors-should-patient-first-supersede-radiologist-self
      October 23, 2018 - Commentary To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Citation Text: Berlin L. To disclose or not to disclose radiologic errors: should "patient-first" supersede radiologist self-interest? Radiology. 2013;268(1):4-7. doi…

8475. Interdisciplinary communication: an uncharted source of medical error? | PSNet
      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…

8476. Returning to the roots of culture: a review and re-conceptualisation of safety culture. | PSNet
      psnet.ahrq.gov/issue/returning-roots-culture-review-and-re-conceptualisation-safety-culture
      December 16, 2020 - Review Returning to the roots of culture: a review and re-conceptualisation of safety culture. Citation Text: Edwards JRD, Davey J, Armstrong K. Returning to the roots of culture: A review and re-conceptualisation of safety culture. Saf Sci. 2013;55. doi:10.1016/j.ssci.2013.01.004. Co…

8477. Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. | PSNet
      psnet.ahrq.gov/issue/medication-mix-what-happened-vanderbilt-and-how-it-impacts-health-care-providers
      March 18, 2020 - Commentary Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Citation Text: Medication mix-up: what happened at Vanderbilt and how it impacts health care providers. Michel C, Talley C. J Health Life Sci Law. 2022;17(1):71 Copy Citation …

8478. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? | PSNet
      psnet.ahrq.gov/issue/normalization-deviance-do-we-unknowingly-accept-doing-wrong-thing
      May 23, 2018 - Commentary The normalization of deviance: do we (un)knowingly accept doing the wrong thing? Citation Text: Prielipp RC, Magro M, Morell RC, et al. The normalization of deviance: do we (un)knowingly accept doing the wrong thing? AANA J. 2010;78(4):284-7. Copy Citation Format: …

8479. Audibility of patient clinical alarms to hospital nursing personnel. | PSNet
      psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
      November 15, 2023 - Study Audibility of patient clinical alarms to hospital nursing personnel. Citation Text: Sobieraj J, Ortega C, West I, et al. Audibility of patient clinical alarms to hospital nursing personnel. Mil Med. 2006;171(4):306-10. Copy Citation Format: Google Scholar PubMed Bib…

8480. Appendix C. Sample Search Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appc.html
      March 01, 2017 - Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Appendix C. Sample Search Strategies Previous Page Next Page Table of Contents Guide to Improving Patient Safety in Primary Care Settings by Engaging Patients and Families Executive Summary Introductio…