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Showing results for "institutional".

  1. A nurse-led approach to developing and implementing a collaborative count policy. | PSNet

    psnet.ahrq.gov/issue/nurse-led-approach-developing-and-implementing-collaborative-count-policy
    January 18, 2012 - Commentary A nurse-led approach to developing and implementing a collaborative count policy. Citation Text: Norton EK, Micheli AJ, Gedney J, et al. A nurse-led approach to developing and implementing a collaborative count policy. AORN J. 2012;95(2):222-7. doi:10.1016/j.aorn.2011.11.009. …

  2. Preventing complications of central venous catheterization. | PSNet

    psnet.ahrq.gov/issue/preventing-complications-central-venous-catheterization
    September 02, 2015 - Review Preventing complications of central venous catheterization. Citation Text: McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med. 2003;348(12):1123-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …

  3. Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. | PSNet

    psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
    July 18, 2018 - Newspaper/Magazine Article Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Citation Text: Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Massey W, Keith …

  4. The safety of hospital stroke care. | PSNet

    psnet.ahrq.gov/issue/safety-hospital-stroke-care
    December 02, 2020 - Study The safety of hospital stroke care. Citation Text: Holloway RG, Tuttle D, Baird T, et al. The safety of hospital stroke care. Neurology. 2007;68(8):550-555. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/tapping-front-line-knowledge-identifying-problems-they-occur-helps-enhance-patient-safety
    July 21, 2009 - Newspaper/Magazine Article Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. Citation Text: Luther K, Resar RK. Tapping front-line knowledge: identifying problems as they occur helps enhance patient safety. Healthcare executive. 2013;28(1):84-…

  6. What causes near-misses and how are they mitigated? | PSNet

    psnet.ahrq.gov/issue/what-causes-near-misses-and-how-are-they-mitigated
    April 16, 2008 - Study What causes near-misses and how are they mitigated? Citation Text: Speroni KG, Fisher J, Dennis M, et al. What causes near-misses and how are they mitigated? Nursing (Brux). 2013;43(4):19-24. doi:10.1097/01.NURSE.0000427995.92553.ef. Copy Citation Format: DOI Goog…

  7. The meaning of justice in safety incident reporting. | PSNet

    psnet.ahrq.gov/issue/meaning-justice-safety-incident-reporting
    April 11, 2011 - Commentary The meaning of justice in safety incident reporting. Citation Text: Weiner BJ, Hobgood C, Lewis MA. The meaning of justice in safety incident reporting. Soc Sci Med. 2008;66(2):403-13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

  8. Attending work hour restrictions: is it time? | PSNet

    psnet.ahrq.gov/issue/attending-work-hour-restrictions-it-time
    November 28, 2012 - Commentary Attending work hour restrictions: is it time? Citation Text: Hyman NH. Attending work hour restrictions: is it time? Arch Surg. 2009;144(1):7-8. doi:10.1001/archsurg.2008.518. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  9. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure. | PSNet

    psnet.ahrq.gov/issue/aftermath-adverse-event-supporting-health-care-professionals-meet-patient-expectations
    May 29, 2013 - Review Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure. Citation Text: Manser T, Staender S. Aftermath of an adverse event: supporting health care professionals to meet patient expectations through open disclosure…

  10. A serious threat to patient safety: the unintended misuse of FentaNYL patches. | PSNet

    psnet.ahrq.gov/issue/serious-threat-patient-safety-unintended-misuse-fentanyl-patches
    September 24, 2010 - Commentary A serious threat to patient safety: the unintended misuse of FentaNYL patches. Citation Text: Paparella S. A serious threat to patient safety: the unintended misuse of FentaNYL patches. J Emerg Nurs. 2013;39(3):245-247. doi:10.1016/j.jen.2013.01.007. Copy Citation Form…

  11. A medical error leads to tragedy: how do we inform the patient? | PSNet

    psnet.ahrq.gov/issue/medical-error-leads-tragedy-how-do-we-inform-patient
    April 08, 2018 - Commentary A medical error leads to tragedy: how do we inform the patient? Citation Text: Baumrucker SJ. A medical error leads to tragedy: how do we inform the patient? Am J Hosp Palliat Care. 2006;23(5):417-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  12. Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. | PSNet

    psnet.ahrq.gov/issue/time-get-pigs-back-human-factors-aspects-mismatch-between-device-and-real-world-knowledge
    June 09, 2011 - Commentary Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment. Citation Text: Nunnally M, Bitan Y. Time to Get Off this Pig's Back? J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000233827.90…

  13. Rethinking peer review: what aviation can teach radiology about performance improvement. | PSNet

    psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement
    July 01, 2017 - Commentary Rethinking peer review: what aviation can teach radiology about performance improvement. Citation Text: Larson DB, Nance JJ. Rethinking peer review: what aviation can teach radiology about performance improvement. Radiology. 2011;259(3):626-32. doi:10.1148/radiol.11102222. …

  14. Using standardised patients in an objective structured clinical examination as a patient safety tool. | PSNet

    psnet.ahrq.gov/issue/using-standardised-patients-objective-structured-clinical-examination-patient-safety-tool
    April 21, 2010 - Commentary Using standardised patients in an objective structured clinical examination as a patient safety tool. Citation Text: Battles JB, Wilkinson SL, Lee SJ. Using standardised patients in an objective structured clinical examination as a patient safety tool. Qual Saf Health Care. …

  15. Patient Safety in the Traditional and Evolving Nontraditional Office Setting | PSNet

    psnet.ahrq.gov/issue/patient-safety-traditional-and-evolving-nontraditional-office-setting
    September 14, 2011 - Commentary Patient Safety in the Traditional and Evolving Nontraditional Office Setting Citation Text: Keats JP, Gambone JC. Patient Safety in the Traditional and Evolving Nontraditional Office Setting. Clin Obstet Gynecol. 2019;62(3):580-593. doi:10.1097/GRF.0000000000000471. Copy Cit…

  16. An interview with Peter Pronovost | PSNet

    psnet.ahrq.gov/issue/interview-peter-pronovost
    July 01, 2017 - Award Recipient An interview with Peter Pronovost Citation Text: Pronovost P. An interview with Peter Pronovost. Jt Comm J Qual Saf. 2004;30(12):659-64. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  17. Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. | PSNet

    psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
    April 17, 2024 - Newspaper/Magazine Article Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. Citation Text: Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…

  18. Electronic fetal heart rate monitoring: applying principles of patient safety. | PSNet

    psnet.ahrq.gov/issue/electronic-fetal-heart-rate-monitoring-applying-principles-patient-safety
    October 10, 2018 - Commentary Electronic fetal heart rate monitoring: applying principles of patient safety. Citation Text: Miller DA, Miller L. Electronic fetal heart rate monitoring: applying principles of patient safety. Am J Obstet Gynecol. 2012;206(4):278-83. doi:10.1016/j.ajog.2011.08.016. Copy C…

  19. Start the year off right by preventing these top 10 medication errors and hazards from 2020. | PSNet

    psnet.ahrq.gov/issue/start-year-right-preventing-these-top-10-medication-errors-and-hazards-2020
    February 09, 2022 - Newspaper/Magazine Article Start the year off right by preventing these top 10 medication errors and hazards from 2020. Citation Text: Start the year off right by preventing these top 10 medication errors and hazards from 2020. ISMP Medication Safety Alert! Acute care edition. January 27…

  20. Patient safety answers require outreach, in-reach, and partnerships. | PSNet

    psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
    August 23, 2023 - Commentary Patient safety answers require outreach, in-reach, and partnerships. Citation Text: Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436. Copy Citation Format: DOI Google …
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