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Total Results: over 10,000 records

Showing results for "incidents".

8601. Six things every plastic surgeon needs to know about teamwork training and checklists. | PSNet
      psnet.ahrq.gov/issue/six-things-every-plastic-surgeon-needs-know-about-teamwork-training-and-checklists
      September 07, 2016 - Image/Poster Six things every plastic surgeon needs to know about teamwork training and checklists. Citation Text: Harden SW. Six things every plastic surgeon needs to know about teamwork training and checklists. Aesthet Surg J. 2013;33(3):443-8. doi:10.1177/1090820X13477417. Copy Ci…

8602. Medical librarians supporting information systems project lifecycles toward improved patient safety. | PSNet
      psnet.ahrq.gov/issue/medical-librarians-supporting-information-systems-project-lifecycles-toward-improved-patient
      March 27, 2024 - Commentary Medical librarians supporting information systems project lifecycles toward improved patient safety. Citation Text: Saimbert MK, Zhang Y, Pierce J, et al. Medical librarians supporting information systems project lifecycles toward improved patient safety. Medical librarians …

8603. Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose. | PSNet
      psnet.ahrq.gov/issue/implementing-obstetric-emergency-team-response-system-overcoming-barriers-and-sustaining
      January 16, 2010 - Study Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose. Citation Text: Richardson MG, Domaradzki KA, McWeeney DT. Implementing an Obstetric Emergency Team Response System: Overcoming Barriers and Sustaining Response Dose. Jt Comm …

8604. Wireless technologies and patient safety in hospitals. | PSNet
      psnet.ahrq.gov/issue/wireless-technologies-and-patient-safety-hospitals
      August 30, 2023 - Review Wireless technologies and patient safety in hospitals. Citation Text: Boyle J. Wireless technologies and patient safety in hospitals. Telemed J E Health. 2006;12(3):373-82. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

8605. Surgical site signing and "time out": issues of compliance or complacence. | PSNet
      psnet.ahrq.gov/issue/surgical-site-signing-and-time-out-issues-compliance-or-complacence
      January 07, 2011 - Study Surgical site signing and "time out": issues of compliance or complacence. Citation Text: Johnston G, Ekert L, Pally E. Surgical site signing and "time out": issues of compliance or complacence. J Bone Joint Surg Am. 2009;91(11):2577-80. doi:10.2106/JBJS.H.01615. Copy Citation …

8606. Effectiveness of surgical safety checklists in improving patient safety. | PSNet
      psnet.ahrq.gov/issue/effectiveness-surgical-safety-checklists-improving-patient-safety
      May 29, 2019 - Commentary Effectiveness of surgical safety checklists in improving patient safety. Citation Text: Ragusa PS, Bitterman A, Auerbach B, et al. Effectiveness of Surgical Safety Checklists in Improving Patient Safety. Orthopedics. 2016;39(2):e307-10. doi:10.3928/01477447-20160301-02. Copy…

8607. Use of complex adaptive systems metaphor to achieve professional and organizational change. | PSNet
      psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
      November 11, 2020 - Commentary Use of complex adaptive systems metaphor to achieve professional and organizational change. Citation Text: Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.0351…

8608. Managing patients with identical names in the same ward. | PSNet
      psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward
      November 16, 2022 - Study Managing patients with identical names in the same ward. Citation Text: Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. Copy Citation Format: Google Scholar PubM…

8609. Missed it. | PSNet
      psnet.ahrq.gov/issue/missed-it-0
      October 13, 2018 - Image/Poster Missed it. Citation Text: Green MJ, Rieck R. Missed it. Ann Intern Med. 2013;158(5 Pt 1):357-61. doi:10.7326/0003-4819-158-5-201303050-00013. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

8610. Managing medication errors—a qualitative study. | PSNet
      psnet.ahrq.gov/issue/managing-medication-errors-qualitative-study
      December 06, 2023 - Study Managing medication errors—a qualitative study. Citation Text: Stetina P, Groves M, Pafford L. Managing medication errors--a qualitative study. Medsurg Nurs. 2005;14(3):174-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

8611. The Swiss cheese model of adverse event occurrence—closing the holes. | PSNet
      psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
      September 25, 2024 - Commentary The Swiss cheese model of adverse event occurrence—closing the holes. Citation Text: Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. Copy Citation Forma…

8612. Ensuring staff safety when treating potentially violent patients. | PSNet
      psnet.ahrq.gov/issue/ensuring-staff-safety-when-treating-potentially-violent-patients
      July 14, 2010 - Commentary Ensuring staff safety when treating potentially violent patients. Citation Text: Roca RP, Charen B, Boronow J. Ensuring Staff Safety When Treating Potentially Violent Patients. JAMA. 2016;316(24):2669-2670. doi:10.1001/jama.2016.18260. Copy Citation Format: DOI G…

8613. Facing our mistakes. | PSNet
      psnet.ahrq.gov/issue/facing-our-mistakes
      September 23, 2020 - Commentary Classic Facing our mistakes. Citation Text: Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

8614. The WakeWings journey: creating a patient safety program. | PSNet
      psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
      September 23, 2020 - Commentary The WakeWings journey: creating a patient safety program. Citation Text: Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

8615. Reforming the Veterans Health Administration—beyond palliation of symptoms. | PSNet
      psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
      May 11, 2019 - Commentary Reforming the Veterans Health Administration—beyond palliation of symptoms. Citation Text: Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. Copy Citation Form…

8616. The evolving role of health educators in advancing patient safety: forging partnerships and leading change. | PSNet
      psnet.ahrq.gov/issue/evolving-role-health-educators-advancing-patient-safety-forging-partnerships-and-leading
      July 22, 2020 - Commentary The evolving role of health educators in advancing patient safety: forging partnerships and leading change. Citation Text: Mercurio A. The evolving role of health educators in advancing patient safety: forging partnerships and leading change. Health Promot Pract. 2007;8(2):119…

8617. Functional health literacy and understanding of medications at discharge. | PSNet
      psnet.ahrq.gov/issue/functional-health-literacy-and-understanding-medications-discharge
      April 24, 2018 - Study Functional health literacy and understanding of medications at discharge. Citation Text: Maniaci MJ, Heckman MG, Dawson NL. Functional health literacy and understanding of medications at discharge. Mayo Clin Proc. 2008;83(5):554-8. doi:10.4065/83.5.554. Copy Citation Format: …

8618. Eliminating perioperative adverse events at Ascension Health. | PSNet
      psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
      November 16, 2022 - Commentary Eliminating perioperative adverse events at Ascension Health. Citation Text: Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. Copy Citation Format: Google Scholar PubM…

8619. Speaking up: an ethical action exercise. | PSNet
      psnet.ahrq.gov/issue/speaking-ethical-action-exercise
      February 13, 2014 - Commentary Speaking up: an ethical action exercise. Citation Text: Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

8620. Munson Medical Center: embedding a culture of safety and QI into the organization. | PSNet
      psnet.ahrq.gov/issue/munson-medical-center-embedding-culture-safety-and-qi-organization
      March 20, 2024 - Commentary Munson Medical Center: embedding a culture of safety and QI into the organization. Citation Text: Haslinger T. Munson Medical Center: embedding a culture of safety and QI into the organization. Jt Comm J Qual Patient Saf. 2008;34(11):665-70. Copy Citation Format: …