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Showing results for "operations".

6661. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. | PSNet
      psnet.ahrq.gov/issue/characteristics-patients-misdiagnosed-alzheimers-disease-and-their-medication-use-analysis
      June 16, 2011 - Study Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use: an analysis of the NACC-UDS database. Citation Text: Gaugler JE, Ascher-Svanum H, Roth DL, et al. Characteristics of patients misdiagnosed with Alzheimer's disease and their medication use:…

6662. Nurses' practice environments, error interception practices, and inpatient medication errors. | PSNet
      psnet.ahrq.gov/issue/nurses-practice-environments-error-interception-practices-and-inpatient-medication-errors
      December 15, 2011 - Study Nurses' practice environments, error interception practices, and inpatient medication errors. Citation Text: Flynn L, Liang Y, Dickson GL, et al. Nurses' practice environments, error interception practices, and inpatient medication errors. J Nurs Scholarsh. 2012;44(2):180-6. doi:…

6663. Learning in action: developing safety improvement capabilities through action learning. | PSNet
      psnet.ahrq.gov/issue/learning-action-developing-safety-improvement-capabilities-through-action-learning
      October 16, 2012 - Study Learning in action: developing safety improvement capabilities through action learning. Citation Text: Christiansen A, Prescott T, Ball J. Learning in action: developing safety improvement capabilities through action learning. Nurse Educ Today. 2014;34(2):243-7. doi:10.1016/j.ned…

6664. Family-identified barriers to medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/family-identified-barriers-medication-reconciliation
      September 01, 2018 - Study Family-identified barriers to medication reconciliation. Citation Text: Riley-Lawless K. Family-identified barriers to medication reconciliation. J Spec Pediatr Nurs. 2009;14(2):94-101. doi:10.1111/j.1744-6155.2009.00182.x. Copy Citation Format: DOI Google Scholar Pub…

6665. Classification and detection of errors in minimally invasive surgery. | PSNet
      psnet.ahrq.gov/issue/classification-and-detection-errors-minimally-invasive-surgery
      June 17, 2014 - Review Classification and detection of errors in minimally invasive surgery. Citation Text: Rassweiler MC, Mamoulakis C, Kenngott HG, et al. Classification and detection of errors in minimally invasive surgery. J Endourol. 2011;25(11):1713-21. doi:10.1089/end.2011.0068. Copy Citation…

6666. The value of inking breast cores to reduce specimen mix-up. | PSNet
      psnet.ahrq.gov/issue/value-inking-breast-cores-reduce-specimen-mix
      January 14, 2011 - Study The value of inking breast cores to reduce specimen mix-up. Citation Text: Renshaw AA, Kish R, Gould EW. The value of inking breast cores to reduce specimen mix-up. Am J Clin Pathol. 2007;127(2):271-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

6667. Supervision, autonomy, and medical error in the teaching clinic. | PSNet
      psnet.ahrq.gov/issue/supervision-autonomy-and-medical-error-teaching-clinic
      November 26, 2014 - Commentary Supervision, autonomy, and medical error in the teaching clinic. Citation Text: Cossman JP, Wang M, Fischer AA. Supervision, autonomy, and medical error in the teaching clinic. J Am Acad Dermatol. 2018;79(5):981-983. doi:10.1016/j.jaad.2017.12.033. Copy Citation Format: …

6668. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. | PSNet
      psnet.ahrq.gov/issue/emergency-medical-and-health-providers-perceptions-key-issues-prehospital-patient-safety
      January 11, 2017 - Study Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Citation Text: Atack L, Maher J. Emergency medical and health providers' perceptions of key issues in prehospital patient safety. Prehosp Emerg Care. 2010;14(1):95-102. doi:10.3109/10…

6669. A human factors curriculum for surgical clerkship students. | PSNet
      psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-students
      September 24, 2008 - Study A human factors curriculum for surgical clerkship students. Citation Text: Cahan MA, Larkin AC, Starr S, et al. A human factors curriculum for surgical clerkship students. Arch Surg. 2010;145(12):1151-7. doi:10.1001/archsurg.2010.252. Copy Citation Format: DOI Google …

6670. Year 1 medical undergraduates' knowledge of and attitudes to medical error. | PSNet
      psnet.ahrq.gov/issue/year-1-medical-undergraduates-knowledge-and-attitudes-medical-error
      March 24, 2011 - Study Year 1 medical undergraduates' knowledge of and attitudes to medical error. Citation Text: Flin R, Patey R, Jackson J, et al. Year 1 medical undergraduates' knowledge of and attitudes to medical error. Med Educ. 2009;43(12):1147-55. doi:10.1111/j.1365-2923.2009.03499.x. Copy Ci…

6671. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service. | PSNet
      psnet.ahrq.gov/issue/prospective-review-adverse-events-during-interhospital-transfers-neonates-dedicated-neonatal
      March 03, 2011 - Study A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer service. Citation Text: Lim MTC, Ratnavel N. A prospective review of adverse events during interhospital transfers of neonates by a dedicated neonatal transfer servi…

6672. Towards safer neonatal transfer: the importance of critical incident review. | PSNet
      psnet.ahrq.gov/issue/towards-safer-neonatal-transfer-importance-critical-incident-review
      October 02, 2019 - Study Towards safer neonatal transfer: the importance of critical incident review. Citation Text: Moss SJ. Towards safer neonatal transfer: the importance of critical incident review. Arch Dis Child. 2005;90(7). doi:10.1136/adc.2004.066639. Copy Citation Format: DOI Googl…

6673. Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/201524.html
      August 01, 2015 - Aurora Health Care Embraces AHRQ’s CUSP Method to Protect Patient Safety Search All Impact Case Studies August 2015 Fourteen hospitals operated by Aurora Health Care in eastern Wisconsin reduced central line-associated bloodstream infections (CLABSI) in intensive care units by 65 percent after adopting pat…

6674. Learning from samples of one or fewer. | PSNet
      psnet.ahrq.gov/issue/learning-samples-one-or-fewer
      December 21, 2017 - Review Classic Learning from samples of one or fewer. Citation Text: Learning from samples of one or fewer. March JG, Sproull LS, Tamuz M. Org Sci.1991;2:1-13. (reprinted in: Qual Saf Health Care 2003;12:465-472.) Copy Citation Save S…

6675. Priorities for pediatric patient safety research. | PSNet
      psnet.ahrq.gov/issue/priorities-pediatric-patient-safety-research
      May 26, 2011 - Study Priorities for pediatric patient safety research. Citation Text: Hoffman JM, Keeling NJ, Forrest CB, et al. Priorities for Pediatric Patient Safety Research. Pediatrics. 2019;143(2). doi:10.1542/peds.2018-0496. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

6676. Pediatric medical errors part 1: the case. A pediatric drug overdose case. | PSNet
      psnet.ahrq.gov/issue/pediatric-medical-errors-part-1-case-pediatric-drug-overdose-case
      April 22, 2020 - Study Pediatric medical errors part 1: the case. A pediatric drug overdose case. Citation Text: Dowdell EB. Pediatric medical errors part 1: the case. A pediatric drug overdose case. Pediatr Nurs. 2004;30(4):328-30. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

6677. Improving self-reporting of adverse drug events in a West Virginia hospital. | PSNet
      psnet.ahrq.gov/issue/improving-self-reporting-adverse-drug-events-west-virginia-hospital
      March 10, 2011 - Study Improving self-reporting of adverse drug events in a West Virginia hospital. Citation Text: Schade CP, Hannah K, Ruddick P, et al. Improving self-reporting of adverse drug events in a West Virginia hospital. Am J Med Qual. 2006;21(5):335-41. Copy Citation Format: Go…

6678. Creating a just culture: the Ottawa Hospital's experience. | PSNet
      psnet.ahrq.gov/issue/creating-just-culture-ottawa-hospitals-experience
      July 10, 2024 - Commentary Creating a just culture: the Ottawa Hospital's experience. Citation Text: Forster AJ, Hamilton S, Hayes T, et al. Creating a Just Culture: The Ottawa Hospital's experience. Healthc Manage Forum. 2019;32(5):266-271. doi:10.1177/0840470419853303. Copy Citation Format: …

6679. New solutions to reduce wrong route medication errors. | PSNet
      psnet.ahrq.gov/issue/new-solutions-reduce-wrong-route-medication-errors
      March 20, 2019 - Review New solutions to reduce wrong route medication errors. Citation Text: Litman RS, Smith VI, Mainland P. New solutions to reduce wrong route medication errors. Paediatr Anaesth. 2018;28(1):8-12. doi:10.1111/pan.13279. Copy Citation Format: DOI Google Scholar PubMed Bib…

6680. Implementing AORN recommended practices for transfer of patient care information. | PSNet
      psnet.ahrq.gov/issue/implementing-aorn-recommended-practices-transfer-patient-care-information
      October 07, 2013 - Commentary Implementing AORN recommended practices for transfer of patient care information. Citation Text: Seifert PC. Implementing AORN recommended practices for transfer of patient care information. AORN J. 2012;96(5):475-93. doi:10.1016/j.aorn.2012.08.011. Copy Citation Forma…