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Showing results for "institutional".

  1. Safety stop: a valuable addition to the pediatric universal protocol. | PSNet

    psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
    June 21, 2015 - Commentary Safety stop: a valuable addition to the pediatric universal protocol. Citation Text: Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015. …

  2. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. | PSNet

    psnet.ahrq.gov/issue/perceptions-medical-errors-cancer-care-analysis-how-news-media-describe-sentinel-events
    September 11, 2013 - Study Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. Citation Text: Li JW, Morway L, Velasquez A, et al. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. J Patient Saf. 201…

  3. From good intentions to successful implementation: the case of patient safety in Canada. | PSNet

    psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada
    February 24, 2011 - Commentary From good intentions to successful implementation: the case of patient safety in Canada. Citation Text: Thomas PG. From good intentions to successful implementation: the case of patient safety in Canada. Canadian Public Administration/Administration publique du Canada. 2008;…

  4. Diagnostic errors and diagnostic calibration. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-diagnostic-calibration
    April 04, 2018 - Commentary Diagnostic errors and diagnostic calibration. Citation Text: Cifu AS. Diagnostic Errors and Diagnostic Calibration. JAMA. 2017;318(10):905-906. doi:10.1001/jama.2017.11030. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  5. Quality and safety in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-intensive-care-unit
    January 19, 2011 - Review Quality and safety in the intensive care unit. Citation Text: Stockwell DC, Slonim A. Quality and safety in the intensive care unit. J Intensive Care Med. 2006;21(4):199-210. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  6. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-lvhhn-patient-safety-video-patients-partners-safe-care
    January 02, 2017 - Commentary John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care delivery. Citation Text: Anthony R, Miranda F, Mawji Z, et al. John M. Eisenberg Patient Safety Awards. The LVHHN patient safety video: patients as partners in safe care …

  7. Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery. | PSNet

    psnet.ahrq.gov/issue/are-we-missing-near-misses-or-underreporting-safety-incidents-pediatric-surgery
    October 05, 2022 - Study Are we missing the near misses in the OR? Underreporting of safety incidents in pediatric surgery. Citation Text: Hamilton EC, Pham DH, Minzenmayer AN, et al. Are we missing the near misses in the OR?-underreporting of safety incidents in pediatric surgery. J Surg Res. 2018;221:336…

  8. Enhancing medication use safety: benefits of learning from your peers. | PSNet

    psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
    May 07, 2008 - Study Enhancing medication use safety: benefits of learning from your peers. Citation Text: Kazandjian VA, Ogunbo S, Wicker KG, et al. Enhancing medication use safety: benefits of learning from your peers. Qual Saf Health Care. 2009;18(5):331-5. doi:10.1136/qshc.2008.027938. Copy Cit…

  9. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/nursephysician-communication-through-sensemaking-lens-shifting-paradigm-improve-patient
    June 05, 2024 - Review Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Citation Text: Manojlovich M. Nurse/physician communication through a sensemaking lens: shifting the paradigm to improve patient safety. Med Care. 2010;48(11):941-6. doi:10…

  10. Management of adverse surgical events: a structured education module for residents. | PSNet

    psnet.ahrq.gov/issue/management-adverse-surgical-events-structured-education-module-residents
    August 26, 2011 - Study Management of adverse surgical events: a structured education module for residents. Citation Text: Brewster LP, Risucci DA, Joehl RJ, et al. Management of adverse surgical events: a structured education module for residents. Am J Surg. 2005;190(5):687-90. Copy Citation Form…

  11. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. | PSNet

    psnet.ahrq.gov/issue/standardized-sign-out-reduces-intern-perception-medical-errors-general-internal-medicine-ward
    August 04, 2021 - Study Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Citation Text: Salerno SM, Arnett M, Domanski JP. Standardized sign-out reduces intern perception of medical errors on the general internal medicine ward. Teach Learn Med. 200…

  12. Evaluation of a redesign initiative in an internal-medicine residency. | PSNet

    psnet.ahrq.gov/issue/evaluation-redesign-initiative-internal-medicine-residency
    February 17, 2011 - Study Evaluation of a redesign initiative in an internal-medicine residency. Citation Text: McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. Copy Citation …

  13. Parenteral nutrition errors and potential errors reported over the past 10 years. | PSNet

    psnet.ahrq.gov/issue/parenteral-nutrition-errors-and-potential-errors-reported-over-past-10-years
    June 20, 2018 - Study Parenteral nutrition errors and potential errors reported over the past 10 years. Citation Text: Guenter P, Ayers P, Boullata JI, et al. Parenteral Nutrition Errors and Potential Errors Reported Over the Past 10 Years. Nutr Clin Pract. 2017;32(6):826-830. doi:10.1177/08845336177158…

  14. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet

    psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer
    June 30, 2011 - Study Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. Citation Text: Cooke DL, Dunscombe PB, Lee R. Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care ce…

  15. Implementing a commercial rule base as a medication order safety net. | PSNet

    psnet.ahrq.gov/issue/implementing-commercial-rule-base-medication-order-safety-net
    January 03, 2017 - Study Implementing a commercial rule base as a medication order safety net. Citation Text: Reichley RM, Seaton TL, Resetar E, et al. Implementing a commercial rule base as a medication order safety net. J Am Med Inform Assoc. 2005;12(4):383-9. Copy Citation Format: Google…

  16. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. | PSNet

    psnet.ahrq.gov/issue/duke-surgery-patient-safety-open-source-application-anonymous-reporting-adverse-and-near-miss
    February 15, 2011 - Commentary Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events. Citation Text: Pietrobon R, Lima R, Shah A, et al. Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-mi…

  17. Reducing specimen identification errors. | PSNet

    psnet.ahrq.gov/issue/reducing-specimen-identification-errors
    October 12, 2016 - Commentary Reducing specimen identification errors. Citation Text: Rees S, Stevens L, Mikelsons D, et al. Reducing specimen identification errors. J Nurs Care Qual. 2012;27(3):253-7. doi:10.1097/NCQ.0b013e3182510303. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  18. The medication kit conundrum: considerations to enhance safety and efficiency. | PSNet

    psnet.ahrq.gov/issue/medication-kit-conundrum-considerations-enhance-safety-and-efficiency
    June 07, 2017 - Commentary The medication kit conundrum: considerations to enhance safety and efficiency. Citation Text: Arthur KJ, Fuller J, Dossett HA, et al. The medication kit conundrum: considerations to enhance safety and efficiency. Am J Health Syst Pharm. 2024;Epub Sep 4. doi:10.1093/ajhp/zxae23…

  19. Not thinking clearly? Play a game, seriously! | PSNet

    psnet.ahrq.gov/issue/not-thinking-clearly-play-game-seriously
    January 17, 2018 - Commentary Not thinking clearly? Play a game, seriously! Citation Text: Mohan D, Schell J, Angus DC. Not Thinking Clearly? Play a Game, Seriously!. JAMA. 2016;316(18):1867-1868. doi:10.1001/jama.2016.14174. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  20. 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. | PSNet

    psnet.ahrq.gov/issue/10-leadership-mindsets-high-reliability-organizations-how-empower-caregivers-and-engage
    August 12, 2020 - Newspaper/Magazine Article 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety. Citation Text: 10 Leadership mindsets for high reliability organizations. How to empower caregivers and engage patients in patient safety…
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