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Showing results for "occurring".

  1. Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. | PSNet

    psnet.ahrq.gov/issue/eliciting-functional-processes-apologizing-errors-health-care-developing-explanatory-model
    February 01, 2023 - Commentary Eliciting the functional processes of apologizing for errors in health care: developing an explanatory model of apology. Citation Text: Prothero MM, Morse JM. Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apolog…

  2. To err is human, to apologize is hard. | PSNet

    psnet.ahrq.gov/issue/err-human-apologize-hard
    September 28, 2022 - Commentary To err is human, to apologize is hard. Citation Text: Krakower TM. To err Is human, to apologize is hard. JAMA. 2021;326(3):223-224. doi:10.1001/jama.2021.10840. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…

  3. Improving patient safety by taking systems seriously. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously
    April 17, 2013 - Commentary Improving patient safety by taking systems seriously. Citation Text: Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndN…

  4. HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-quality-study-third-annual-patient-safety-american-hospitals-study
    September 12, 2012 - Book/Report HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals Study. Denver, CO: HealthGrades; 2006. Copy Citation Save Save to your l…

  5. Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. | PSNet

    psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs-serious-incident
    February 21, 2024 - Book/Report Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Citation Text: Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. Dorset, UK: Health Services Safety Inve…

  6. Serious Reportable Events in Healthcare—2011 Update. | PSNet

    psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
    March 23, 2012 - Book/Report Classic Serious Reportable Events in Healthcare—2011 Update. Citation Text: Serious Reportable Events in Healthcare—2011 Update. Washington DC: National Quality Forum; December 2011. Copy Citation Save Save to your library…

  7. Guideline implementation: prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guideline-implementation-prevention-retained-surgical-items
    October 23, 2024 - Commentary Guideline implementation: prevention of retained surgical items. Citation Text: Fencl JL. Guideline Implementation: Prevention of Retained Surgical Items. AORN J. 2016;104(1):37-48. doi:10.1016/j.aorn.2016.05.005. Copy Citation Format: DOI Google Scholar PubMed B…

  8. Missed injuries in trauma patients: a literature review. | PSNet

    psnet.ahrq.gov/issue/missed-injuries-trauma-patients-literature-review
    April 01, 2009 - Review Missed injuries in trauma patients: a literature review. Citation Text: Pfeifer R, Pape H-C. Missed injuries in trauma patients: A literature review. Patient Saf Surg. 2008;2:20. doi:10.1186/1754-9493-2-20. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  9. The impact of abbreviations on patient safety. | PSNet

    psnet.ahrq.gov/issue/impact-abbreviations-patient-safety
    January 02, 2017 - Study The impact of abbreviations on patient safety. Citation Text: Brunetti L, Santell JP, Hicks RW. The impact of abbreviations on patient safety. Jt Comm J Qual Patient Saf. 2007;33(9):576-83. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  10. Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond. | PSNet

    psnet.ahrq.gov/issue/inpatient-notes-mistakes-hospital-communicating-apologizing-and-beyond
    September 04, 2024 - Commentary Inpatient Notes: mistakes in the hospital—communicating, apologizing, and beyond. Citation Text: Kachalia A. Web Exclusives. Annals for Hospitalists Inpatient Notes - Mistakes in the Hospital-Communicating, Apologizing, and Beyond. Ann Intern Med. 2016;165(12):HO2-HO3. doi:10.…

  11. HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-quality-study-fourth-annual-patient-safety-american-hospitals-study
    January 04, 2017 - Book/Report HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Quality Study: Fourth Annual Patient Safety in American Hospitals Study. Denver, CO; Health Grades Inc; 2007. Copy Citation Save Save …

  12. Hospital Reporting Program: Annual Summary. | PSNet

    psnet.ahrq.gov/issue/hospital-reporting-program-annual-summary
    August 17, 2022 - Book/Report Hospital Reporting Program: Annual Summary. Citation Text: Hospital Reporting Program: Annual Summary. Portland, OR: Oregon Patient Safety Commission. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  13. Establishing a culture for patient safety - the role of education. | PSNet

    psnet.ahrq.gov/issue/establishing-culture-patient-safety-role-education
    August 23, 2017 - Commentary Establishing a culture for patient safety - the role of education. Citation Text: Milligan FJ. Establishing a culture for patient safety - the role of education. Nurse Educ Today. 2007;27(2):95-102. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  14. Patient Safety 2030. | PSNet

    psnet.ahrq.gov/issue/patient-safety-2030
    April 13, 2016 - Book/Report Patient Safety 2030. Citation Text: Patient Safety 2030. Yu A, Flott K, Chainani N, Fontana G, Darzi A. London, UK: NIHR Imperial Patient Safety Translational Research Centre; 2016. Copy Citation Save Save to your library Print Download PDF …

  15. Defending a "never event." | PSNet

    psnet.ahrq.gov/issue/defending-never-event
    February 14, 2017 - Commentary Defending a "never event." Citation Text: Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  16. Adoption of technology to improve medication safety: perspectives of pharmacy directors. | PSNet

    psnet.ahrq.gov/issue/adoption-technology-improve-medication-safety-perspectives-pharmacy-directors
    February 15, 2011 - Study Adoption of technology to improve medication safety: perspectives of pharmacy directors. Citation Text: Bussard BE, McAlearney AS, Pedersen CA, et al. Adoption of Technology to Improve Medication Safety. J Patient Saf. 2008;2(4). doi:10.1097/01.jps.0000236914.48955.99. Copy Cit…

  17. Total systems safety supports practitioners in partnering with families to protect patients. | PSNet

    psnet.ahrq.gov/issue/total-systems-safety-supports-practitioners-partnering-families-protect-patients
    April 17, 2024 - Newspaper/Magazine Article Total systems safety supports practitioners in partnering with families to protect patients. Citation Text: Total systems safety supports practitioners in partnering with families to protect patients. ISMP Medication Safety Alert! Acute Care. 2024;29(13):1-4. …

  18. New mother number 14. | PSNet

    psnet.ahrq.gov/issue/new-mother-number-14
    August 18, 2021 - Commentary New mother number 14. Citation Text: New mother number 14. Sangarlangkarn A. Healthc (Amst). 2019;7:31-32. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  19. Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. | PSNet

    psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology-university-north-carolinas-pursuit-high
    May 04, 2016 - Book/Report Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. Citation Text: Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. M…

  20. Implement strategies to prevent persistent medication errors and hazards. | PSNet

    psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
    March 14, 2023 - Newspaper/Magazine Article Implement strategies to prevent persistent medication errors and hazards. Citation Text: Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. Copy Citation …
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