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Showing results for "outcome".

9321. Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. | PSNet
      psnet.ahrq.gov/issue/thematic-analysis-womens-perspectives-meaning-safety-during-hospital-based-birth
      May 08, 2019 - Study Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. Citation Text: Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;4…

9322. Learning from errors and resilience. | PSNet
      psnet.ahrq.gov/issue/learning-errors-and-resilience
      December 18, 2019 - Review Learning from errors and resilience. Citation Text: Arnal-Velasco D, Heras-Hernando V. Learning from errors and resilience. Curr Opin Anaesthesiol. 2023;36(3):376-381. doi:10.1097/aco.0000000000001257. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML En…

9323. A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. | PSNet
      psnet.ahrq.gov/issue/human-factors-analysis-technical-and-team-skills-among-surgical-trainees-during-procedural
      March 03, 2011 - Study A human factors analysis of technical and team skills among surgical trainees during procedural simulations in a simulated operating theatre. Citation Text: Moorthy K, Munz Y, Adams S, et al. A human factors analysis of technical and team skills among surgical trainees during pro…

9324. Patient care, square-rigger sailing, and safety. | PSNet
      psnet.ahrq.gov/issue/patient-care-square-rigger-sailing-and-safety
      November 16, 2022 - Commentary Patient care, square-rigger sailing, and safety. Citation Text: Henkind SJ, Sinnett C. Patient care, square-rigger sailing, and safety. JAMA. 2008;300(14):1691-3. doi:10.1001/jama.300.14.1691. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

9325. Iatrogenesis in the context of residential dementia care: a concept analysis. | PSNet
      psnet.ahrq.gov/issue/iatrogenesis-context-residential-dementia-care-concept-analysis
      August 17, 2022 - Commentary Iatrogenesis in the context of residential dementia care: a concept analysis. Citation Text: Morris P, McCloskey R, Bulman D. Iatrogenesis in the context of residential dementia care: a concept analysis. Innov Aging. 2022;6(4):iagc028. doi:10.1093/geroni/igac028. Copy Citati…

9326. Novel approach to cardiac alarm management on telemetry units. | PSNet
      psnet.ahrq.gov/issue/novel-approach-cardiac-alarm-management-telemetry-units
      October 27, 2021 - Study Novel approach to cardiac alarm management on telemetry units. Citation Text: Whalen DA, Covelle PM, Piepenbrink JC, et al. Novel approach to cardiac alarm management on telemetry units. J Cardiovasc Nurs. 2014;29(5):E13-22. doi:10.1097/JCN.0000000000000114. Copy Citation For…

9327. Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version. | PSNet
      psnet.ahrq.gov/issue/measuring-safety-culture-ambulatory-setting-safety-attitudes-questionnaire-ambulatory-version
      June 16, 2011 - Study Classic Measuring safety culture in the ambulatory setting: The Safety Attitudes Questionnaire—Ambulatory Version. Citation Text: Modak I, Sexton B, Lux TR, et al. Measuring safety culture in the ambulatory setting: the safety attitudes questionnaire--am…

9328. Safety of medication use in primary care. | PSNet
      psnet.ahrq.gov/issue/safety-medication-use-primary-care
      March 04, 2011 - Review Safety of medication use in primary care. Citation Text: Olaniyan JO, Ghaleb M, Dhillon S, et al. Safety of medication use in primary care. Int J Pharm Pract. 2015;23(1):3-20. doi:10.1111/ijpp.12120. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

9329. Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. | PSNet
      psnet.ahrq.gov/issue/medication-orders-are-written-clearly-and-transcribed-accurately-implementing-medication
      May 27, 2011 - Commentary Medication orders are written clearly and transcribed accurately – implementing Medication Management Standard 3.20 and National Patient Safety Goal 2b. Citation Text: Laselle TJ, May SK. Medication Orders are Written Clearly and Transcribed Accurately – Implementing Medicatio…

9330. Uptake of quality-related event standards of practice by community pharmacies. | PSNet
      psnet.ahrq.gov/issue/uptake-quality-related-event-standards-practice-community-pharmacies
      November 09, 2016 - Study Uptake of quality-related event standards of practice by community pharmacies. Citation Text: Boyle TA, Bishop A, Overmars C, et al. Uptake of Quality-Related Event Standards of Practice by Community Pharmacies. J Pharm Pract. 2015;28(5):442-9. doi:10.1177/0897190014522066. Copy …

9331. Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." | PSNet
      psnet.ahrq.gov/issue/using-lean-automation-human-touch-improve-medication-safety-step-closer-perfect-dose
      September 16, 2015 - Study Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose." Citation Text: Ching JM, Williams BL, Idemoto LM, et al. Using lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose". Jt Co…

9332. Turn the Other Cheek | PSNet
      psnet.ahrq.gov/web-mm/turn-other-cheek
      October 26, 2010 - Outcome of 6 years of protocol use for preventing wrong site office surgery. … February 10, 2012 Outcome of 6 years of protocol use for preventing wrong site office … August 2, 2015 Outcome of 6 years of protocol use for preventing wrong site office surgery

9333. Refused Medication Error | PSNet
      psnet.ahrq.gov/web-mm/refused-medication-error
      November 01, 2005 - is problematic on many levels, this commentary focuses on the three likely causes of the unfortunate outcome … transfer can be discussed and improved upon.( 11 ) Several best practices might have led to a different outcome … overcome those barriers to effectively communicate.( 7 ) Such practices might have led to a better outcome

9334. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49466/psn-pdf
      October 14, 2004 - studies cite practitioner communication skills as a factor in malpractice.(1,2) Furthermore, the tragic outcome … /psnet.ahrq.gov/web-mm/hard-swallow https://psnet.ahrq.gov//#references were made NPO pending the outcome … clinicians at the time, could have led to follow-up actions to mitigate or avert an adverse patient outcome

9335. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49833/psn-pdf
      June 01, 2018 - challenges us to review potential system and cognitive factors that could have contributed to this outcome … This case represents the treatment of a stroke mimic or misdiagnosis that contributed to an adverse outcome … Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA

9336. Pregnant With Danger | PSNet
      psnet.ahrq.gov/web-mm/pregnant-danger
      January 12, 2011 - e.g., CT scan) might have detected the aortic dissection before the discharge and subsequent tragic outcome … The mother and fetus in this case suffered a tragic outcome at a hospital that appeared to lack a structured … It is unclear whether the outcome would have been different elsewhere. … Aortic dissection in pregnancy: analysis of risk factors and outcome.

9337. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
      April 01, 2008 - judgment and errors in technique occurred, and the attending surgeon was ultimately responsible for the outcome … Approach to Improving Patient Safety Errors in both judgement and technique led to this adverse outcome … understandings about the allowable number and location of cannulation attempts, could also have improved the outcome … Following these best practices could have resulted in a much better outcome for the patient in this case

9338. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49546/psn-pdf
      October 17, 2007 - https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references Luckily, this case has a good outcome … student or practicing team level through critical incident root cause analysis and http://www.acgme.org/outcome … Available at: http://www.acgme.org/outcome/. Accessed September 27, 2007. 13. … cmd=retrieve&db=pubmed&dopt=abstract&list_uids=9032162 http://www.acgme.org/outcome/ http://www.ama-assn.org

9339. Testing a classification model for emergency department errors. | PSNet
      psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
      March 02, 2010 - October 26, 2010 EMS helicopter crashes: what influences fatal outcome?

9340. A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. | PSNet
      psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
      May 11, 2016 - May 11, 2016 A human factors intervention in a hospital--evaluating the outcome of a