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Showing results for "institution".

  1. The effect of nurse staffing patterns on medical errors and nurse burnout.  | PSNet

    psnet.ahrq.gov/issue/effect-nurse-staffing-patterns-medical-errors-and-nurse-burnout
    October 11, 2023 - Review The effect of nurse staffing patterns on medical errors and nurse burnout.  Citation Text: Garrett C. The effect of nurse staffing patterns on medical errors and nurse burnout. AORN J. 2008;87(6):1191-204. doi:10.1016/j.aorn.2008.01.022. Copy Citation Format: DOI G…

  2. Temporarily holding medication orders safely in order to prevent patient harm. | PSNet

    psnet.ahrq.gov/issue/temporarily-holding-medication-orders-safely-order-prevent-patient-harm
    March 14, 2023 - Newspaper/Magazine Article Temporarily holding medication orders safely in order to prevent patient harm. Citation Text: Temporarily holding medication orders safely in order to prevent patient harm. ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4. Copy Ci…

  3. RaDonda Vaught says some system practices contributed to fatal mistake. | PSNet

    psnet.ahrq.gov/issue/vaught-says-some-system-practices-contributed-fatal-mistake
    September 29, 2021 - Newspaper/Magazine Article RaDonda Vaught says some system practices contributed to fatal mistake. Citation Text: RaDonda Vaught says some system practices contributed to fatal mistake. Clark C. MedPage Today. March 14, 2024. Copy Citation Save Save to…

  4. Health care management during Covid-19: insights from complexity science. | PSNet

    psnet.ahrq.gov/issue/health-care-management-during-covid-19-insights-complexity-science
    July 22, 2020 - Commentary Health care management during Covid-19: insights from complexity science. Citation Text: Health care management during Covid-19: insights from complexity science. Begun JW, Jiang HJ. NEJM Catalyst. October 9, 2020.  Copy Citation Save Save to you…

  5. Ashamed to admit it: owning up to medical error. | PSNet

    psnet.ahrq.gov/issue/ashamed-admit-it-owning-medical-error
    April 03, 2019 - Commentary Ashamed to admit it: owning up to medical error. Citation Text: Ofri D. Ashamed to admit it: owning up to medical error. Health Aff (Millwood). 2010;29(8):1549-51. doi:10.1377/hlthaff.2009.0946. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  6. Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. | PSNet

    psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals
    June 16, 2019 - Study Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Citation Text: Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. Smetzer JL, Cohen MR. Hosp Pharm. 1998;33(6):640-642,645-646,654-65…

  7. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet

    psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
    January 06, 2017 - Study High-risk, high-alert medication management practices in a regional state psychiatric facility. Citation Text: McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…

  8. Strengthening the medical error "meme pool." | PSNet

    psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
    August 08, 2012 - Commentary Strengthening the medical error "meme pool." Citation Text: Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264-2267. doi:10.1007/s11606-019-05156-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  9. Prevent medication errors: a New Year's resolution: teaching patients about their medications. | PSNet

    psnet.ahrq.gov/issue/prevent-medication-errors-new-years-resolution-teaching-patients-about-their-medications
    January 18, 2011 - Commentary Prevent medication errors: a New Year's resolution: teaching patients about their medications. Citation Text: Polzien G. Prevent medication errors: A New Year's resolution: teaching patients about their medications. Home Healthc Nurse. 2007;25(1):59-62. Copy Citation F…

  10. Managing the risks of concurrent surgeries. | PSNet

    psnet.ahrq.gov/issue/managing-risks-concurrent-surgeries
    September 24, 2017 - Commentary Managing the risks of concurrent surgeries. Citation Text: Mello MM, Livingston EH. Managing the Risks of Concurrent Surgeries. JAMA. 2016;315(15):1563-4. doi:10.1001/jama.2016.2305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  11. At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. | PSNet

    psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and-medication-safety
    April 13, 2022 - Meeting/Conference Proceedings At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. Citation Text: At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. J Med Toxicol.…

  12. Understanding and attitudes towards patient safety concepts in obstetrics. | PSNet

    psnet.ahrq.gov/issue/understanding-and-attitudes-towards-patient-safety-concepts-obstetrics
    March 29, 2012 - Study Understanding and attitudes towards patient safety concepts in obstetrics. Citation Text: Nabhan A, Ahmed-Tawfik MS. Understanding and attitudes towards patient safety concepts in obstetrics. Int J Gynaecol Obstet. 2007;98(3):212-6. Copy Citation Format: Google Scho…

  13. The challenges in defining and measuring diagnostic error. | PSNet

    psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
    February 24, 2021 - Commentary The challenges in defining and measuring diagnostic error. Citation Text: Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2(2):97-103. doi:10.1515/dx-2014-0069. Copy Citation Format: DOI Google Scholar PubMed Bi…

  14. Surgical 'never events': how common are adverse occurrences? | PSNet

    psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
    November 16, 2022 - Commentary Surgical 'never events': how common are adverse occurrences? Citation Text: West JC. Surgical ‘never events’: How common are adverse occurrences? Journal of Healthcare Risk Management. 2009;26(1). doi:10.1002/jhrm.5600260105. Copy Citation Format: DOI Google Sc…

  15. Teaching the diagnostic process as a model to improve medical education. | PSNet

    psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
    September 20, 2012 - Commentary Teaching the diagnostic process as a model to improve medical education. Citation Text: Sklar DP. Teaching the Diagnostic Process as a Model to Improve Medical Education. Acad Med. 2017;92(1):1-4. doi:10.1097/ACM.0000000000001481. Copy Citation Format: DOI Google…

  16. Otolaryngologists' responses to errors and adverse events. | PSNet

    psnet.ahrq.gov/issue/otolaryngologists-responses-errors-and-adverse-events
    October 27, 2010 - Study Otolaryngologists' responses to errors and adverse events. Citation Text: Lander LI, Connor JA, Shah RK, et al. Otolaryngologists' responses to errors and adverse events. Laryngoscope. 2006;116(7):1114-20. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  17. How reliable is your hospital? A qualitative framework for analysing reliability levels. | PSNet

    psnet.ahrq.gov/issue/how-reliable-your-hospital-qualitative-framework-analysing-reliability-levels
    October 19, 2022 - Commentary How reliable is your hospital? A qualitative framework for analysing reliability levels. Citation Text: Ikkersheim DE, Berg M. How reliable is your hospital? A qualitative framework for analysing reliability levels. BMJ Qual Saf. 2011;20(9):785-790. Copy Citation Format…

  18. Are apologies a way to reduce malpractice risks?. | PSNet

    psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks
    October 23, 2018 - Commentary Are apologies a way to reduce malpractice risks?. Citation Text: Sanfilippo JS, Kettering C, Smith SR. Are apologies a way to reduce malpractice risks? Clin Obstet Gynecol. 2023;66(2):293-297. doi:10.1097/grf.0000000000000772. Copy Citation Format: DOI Google Sch…

  19. ASPEN parenteral nutrition safety consensus recommendations: translation into practice. | PSNet

    psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice
    February 17, 2015 - Commentary ASPEN parenteral nutrition safety consensus recommendations: translation into practice. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.…

  20. Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. | PSNet

    psnet.ahrq.gov/issue/intravenous-admixture-preparation-considerations-parts-9-and-9-b-error-prevention-intravenous
    December 22, 2021 - Special or Theme Issue Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Citation Text: Intravenous admixture preparation considerations, Parts 9-A and 9-B: error prevention in intravenous admixture preparation. Al…
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