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Showing results for "incidents".

  1. Hand hygiene deficiency citations in nursing homes. | PSNet

    psnet.ahrq.gov/issue/hand-hygiene-deficiency-citations-nursing-homes
    June 02, 2010 - Study Hand hygiene deficiency citations in nursing homes. Citation Text: Castle NG, Wagner LM, Ferguson J, et al. Hand Hygiene Deficiency Citations in Nursing Homes. Journal of Applied Gerontology. 2012;33(1). doi:10.1177/0733464812449903. Copy Citation Format: DOI Google…

  2. Implementing root cause analysis in an area health service: views of the participants. | PSNet

    psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
    December 03, 2014 - Study Implementing root cause analysis in an area health service: views of the participants. Citation Text: Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8. Copy Citation Fo…

  3. Burnout in healthcare: the case for organisational change. | PSNet

    psnet.ahrq.gov/issue/burnout-healthcare-case-organisational-change
    September 28, 2022 - Commentary Classic Burnout in healthcare: the case for organisational change. Citation Text: Montgomery A, Panagopoulou E, Esmail A, et al. Burnout in healthcare: the case for organisational change. BMJ. 2019;366:l4774. doi:10.1136/bmj.l4774. Copy Citation …

  4. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. | PSNet

    psnet.ahrq.gov/issue/model-chemotherapy-education-novice-oncology-nurses-supports-culture-safety
    September 24, 2010 - Commentary A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Citation Text: Sheridan-Leos N. A model of chemotherapy education for novice oncology nurses that supports a culture of safety. Clin J Oncol Nurs. 2007;11(4):545-51. Copy Citati…

  5. Three simple rules to improve medication safety. | PSNet

    psnet.ahrq.gov/issue/three-simple-rules-improve-medication-safety
    March 11, 2020 - Commentary Three simple rules to improve medication safety. Citation Text: Barba V. Three Simple Rules to Improve Medication Safety. J Patient Saf. 2016;12(3):171-2. doi:10.1097/PTS.0000000000000095. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  6. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. | PSNet

    psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health
    July 08, 2015 - Commentary Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Citation Text: Ehrich K. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Sociol Health Il…

  7. 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…

  8. 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…

  9. Single-patient rooms for safe patient-centered hospitals. | PSNet

    psnet.ahrq.gov/issue/single-patient-rooms-safe-patient-centered-hospitals
    April 01, 2016 - Commentary Single-patient rooms for safe patient-centered hospitals. Citation Text: Detsky ME. Single-Patient Rooms for Safe Patient-Centered Hospitals. JAMA. 2008;300(8). doi:10.1001/jama.300.8.954. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7…

  10. Understanding safer practices in health care: a prologue for the role of indicators. | PSNet

    psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
    May 07, 2008 - Study Understanding safer practices in health care: a prologue for the role of indicators. Citation Text: Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the role of indicators. J Eval Clin Pract. 2005;11(2):161-70. Copy Citation …

  11. Medical errors in neurosurgery. | PSNet

    psnet.ahrq.gov/issue/medical-errors-neurosurgery
    February 14, 2018 - Review Medical errors in neurosurgery. Citation Text: Rolston JD, Zygourakis CC, Han SJ, et al. Medical errors in neurosurgery. Surg Neurol Int. 2014;5(Suppl 10):S435-40. doi:10.4103/2152-7806.142777. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  12. A surgical procedure grid for safety and operating room communication in multisite surgery. | PSNet

    psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
    June 17, 2014 - Commentary A surgical procedure grid for safety and operating room communication in multisite surgery. Citation Text: Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…

  13. Changing how we think about healthcare improvement. | PSNet

    psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
    October 09, 2024 - Commentary Classic Changing how we think about healthcare improvement. Citation Text: Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. Copy Citation Format: DOI Google Scholar PubMed Bib…

  14. Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. | PSNet

    psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
    January 30, 2013 - Study Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. Citation Text: Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24. Copy Citation Format: Google Scholar PubMed…

  15. Team training: implications for emergency and critical care pediatrics. | PSNet

    psnet.ahrq.gov/issue/team-training-implications-emergency-and-critical-care-pediatrics
    May 18, 2016 - Review Team training: implications for emergency and critical care pediatrics. Citation Text: Eppich W, Brannen M, Hunt EA. Team training: implications for emergency and critical care pediatrics. Curr Opin Pediatr. 2008;20(3):255-60. doi:10.1097/MOP.0b013e3282ffb3f3. Copy Citation …

  16. Reducing medication errors by using applied technology. | PSNet

    psnet.ahrq.gov/issue/reducing-medication-errors-using-applied-technology
    January 07, 2011 - Commentary Reducing medication errors by using applied technology. Citation Text: Caesar BR, Hutchinson B. Reducing medication errors by using applied technology. Nursing (Brux). 2006;36(8):24-25. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

  17. Pediatric perioperative medication errors. | PSNet

    psnet.ahrq.gov/issue/pediatric-perioperative-medication-errors
    July 10, 2024 - Newspaper/Magazine Article Pediatric perioperative medication errors. Citation Text: Lu-Boettcher YE, Koka R. Pediatric perioperative medication errors. APSF Newsletter. 39(3):84-86. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  18. Defensive medicine: it is time to finally slow down an epidemic. | PSNet

    psnet.ahrq.gov/issue/defensive-medicine-it-time-finally-slow-down-epidemic
    November 18, 2016 - Commentary Emerging Classic Defensive medicine: it is time to finally slow down an epidemic. Citation Text: Vento S, Cainelli F, Vallone A. Defensive medicine: It is time to finally slow down an epidemic. World J Clin Cases. 2018;6(11):406-409. doi:10.12998/wjcc…

  19. FMEA team performance in health care: a qualitative analysis of team member perceptions. | PSNet

    psnet.ahrq.gov/issue/fmea-team-performance-health-care-qualitative-analysis-team-member-perceptions
    December 31, 2014 - Study FMEA team performance in health care: a qualitative analysis of team member perceptions. Citation Text: Wetterneck TB, Hundt AS, Carayon P. FMEA Team Performance in Health Care. J Patient Saf. 2009;5(2). doi:10.1097/pts.0b013e3181a852be. Copy Citation Format: DOI Go…

  20. Managing the adverse event occurring during elective, ambulatory pediatric surgery. | PSNet

    psnet.ahrq.gov/issue/managing-adverse-event-occurring-during-elective-ambulatory-pediatric-surgery
    March 01, 2023 - Commentary Managing the adverse event occurring during elective, ambulatory pediatric surgery. Citation Text: Skarsgard ED. Managing the adverse event occurring during elective, ambulatory pediatric surgery. Semin Pediatr Surg. 2009;18(2):122-4. doi:10.1053/j.sempedsurg.2009.02.013. …
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