-
psnet.ahrq.gov/node/39490/psn-pdf
November 02, 2010 - how-rns-rescue-patients-qualitative-study-rns-perceived-involvement-rapid-
response-teams
Bedside nurses reported strongly positive experiences in dealing with nurse-led
-
psnet.ahrq.gov/node/35876/psn-pdf
June 18, 2013 - external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-
4th-january-2001
This UK Department of Health report details a series of errors that led
-
psnet.ahrq.gov/node/42019/psn-pdf
December 29, 2014 - can-incident-reporting-improve-safety-healthcare-practitioners-views-
effectiveness-incident
Although health care providers felt that incident reporting systems led
-
psnet.ahrq.gov/node/44848/psn-pdf
April 22, 2016 - improvement initiative found that providing measurement, feedback, coaching, and financial
incentives led
-
psnet.ahrq.gov/node/42022/psn-pdf
February 13, 2013 - improving-patient-safety-using-sterile-cockpit-principle-during-medication-
administration
Applying sterile cockpit principles during medication administration may have led
-
psnet.ahrq.gov/node/44714/psn-pdf
November 25, 2015 - continuous-improvement-patient-safety-case-change-nhs
The Francis inquiry uncovered problems in the National Health Service (NHS) and led
-
psnet.ahrq.gov/node/42991/psn-pdf
March 12, 2014 - hospital found that communication lapses and handoffs contributed to medication errors, which often led
-
psnet.ahrq.gov/node/39769/psn-pdf
August 18, 2010 - determining-state-knowledge-implementing-universal-protocol-
recommendations-integrative
This literature analysis identified elements that led
-
psnet.ahrq.gov/node/46730/psn-pdf
May 03, 2018 - make emotion-based apologies and male physicians to
apologize based on the processes and facts that led
-
psnet.ahrq.gov/node/41230/psn-pdf
March 21, 2012 - identifying-discrepancies-electronic-medical-records-through-pharmacist-
medication
This study found that pharmacist-led
-
psnet.ahrq.gov/node/44788/psn-pdf
May 31, 2017 - psnet.ahrq.gov/issue/patient-handoffs-cross-cover-or-night-shift-better
Duty-hours restrictions have led
-
psnet.ahrq.gov/node/34748/psn-pdf
March 07, 2005 - strategies for breaking down organizational barriers
help illustrate the experience and methods that led
-
psnet.ahrq.gov/node/37409/psn-pdf
March 28, 2012 - Approximately 1 in 11 admissions had an adverse event, and 15% of these led to significant
disability
-
psnet.ahrq.gov/node/47132/psn-pdf
June 28, 2018 - This announcement highlights a new
partnership initiative co-led by the Agency for Healthcare Research
-
psnet.ahrq.gov/node/34717/psn-pdf
January 14, 2011 - that its major limitation is highlighting individual error, not the process or system that allowed
or led
-
psnet.ahrq.gov/node/46520/psn-pdf
December 19, 2017 - /emotional-fallout-culture-blame-and-shame
In this commentary, a physician recounts a mistake that led
-
psnet.ahrq.gov/node/34930/psn-pdf
April 06, 2011 - The authors conclude that improvements in organizational efficiency have led to
"going solid," which
-
psnet.ahrq.gov/node/42413/psn-pdf
July 31, 2013 - standardized handoff protocol for cardiac surgery patients between the operating room and intensive
care unit led
-
psnet.ahrq.gov/node/45560/psn-pdf
October 19, 2016 - This
commentary describes a program based on the concepts of Safety-II and positive deviance which led
-
psnet.ahrq.gov/node/45263/psn-pdf
September 04, 2016 - Situation leading to hospitalization, Your assessment,
Critical information, and Hindrance to discharge) led