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Showing results for "practical".

8561. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45846/psn-pdf
      January 07, 2019 - Medication safety in the operating room: literature and expert-based recommendations. January 7, 2019 Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert- based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew379. https://psnet.ahrq.gov/issu…

8562. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47341/psn-pdf
      August 29, 2018 - AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. August 29, 2018 AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J. 2018;108(1):64-65. doi:10.1002/aorn.12292. https://psnet.ahrq.gov/issue/aorn-position-statement-criminalization-h…

8563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72607/psn-pdf
      December 23, 2020 - Defense Health Agency Processes for Responding to Provider Quality and Safety Concerns. December 23, 2020 Washington DC; Governmental Accountability Office; December 1, 2020. Publication GAO-21-160R. https://psnet.ahrq.gov/issue/defense-health-agency-processes-responding-provider-quality-and-safety- concerns Clin…

8564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50888/psn-pdf
      February 12, 2020 - Preventable closed claims in the AANA Foundation closed malpractice claims database. February 12, 2020 Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6). https://psnet.ahrq.gov/issue/preventable-closed-claims-aana-fo…

8565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44967/psn-pdf
      March 16, 2016 - Wrong site surgery: a critical incident analysis of a near miss. March 16, 2016 Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1- 2):11-5. https://psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss Despite efforts to prevent wrong-s…

8566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38617/psn-pdf
      May 06, 2009 - Linking Joint Commission inpatient core measures and National Patient Safety Goals with evidence. May 6, 2009 Masica AL, Richter KM, Convery P, et al. Linking joint commission inpatient core measures and national patient safety goals with evidence. Proc (Bayl Univ Med Cent). 2009;22(2):103-11. https://psnet.ahrq.g…

8567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44318/psn-pdf
      December 04, 2016 - At the Precipice of Quality Health Care: The Role of the Toxicologist in Enhancing Patient and Medication Safety. December 4, 2016 J Med Toxicol. 2015;11(2):165-166, 252-273. https://psnet.ahrq.gov/issue/precipice-quality-health-care-role-toxicologist-enhancing-patient-and- medication-safety This special issue hi…

8568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45896/psn-pdf
      March 15, 2017 - Medication governance: preventing errors and promoting patient safety. March 15, 2017 Kavanagh C. Medication governance: preventing errors and promoting patient safety. Br J Nurs. 2017;26(3):159-165. doi:10.12968/bjon.2017.26.3.159. https://psnet.ahrq.gov/issue/medication-governance-preventing-errors-and-promoting…

8569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46931/psn-pdf
      January 15, 2019 - Strategies for optimizing OR drug safety. January 15, 2019 Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018. https://psnet.ahrq.gov/issue/strategies-optimizing-or-drug-safety Perioperative adverse drug events are common and understudied. Reporting on the complexity of medication administration durin…

8570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45982/psn-pdf
      August 03, 2017 - Workplace factors associated with burnout of family physicians. August 3, 2017 Rassolian M, Peterson LE, Fang B, et al. Workplace Factors Associated With Burnout of Family Physicians. JAMA Intern Med. 2017;177(7):1036-1038. doi:10.1001/jamainternmed.2017.1391. https://psnet.ahrq.gov/issue/workplace-factors-associa…

8571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43097/psn-pdf
      April 23, 2014 - Is culture associated with patient safety in the emergency department? A study of staff perspectives. April 23, 2014 Van Noord IV-, Wagner C, van Dyck C, et al. Is culture associated with patient safety in the emergency department? A study of staff perspectives. Int J Qual Health Care. 2014;26(1):64-70. doi:10.109…

8572. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45782/psn-pdf
      January 18, 2017 - Standardization of inpatient handoff communication. January 18, 2017 Jewell JA. Standardization of Inpatient Handoff Communication. Pediatrics. 2016;138(5):e20162681. doi:10.1542/peds.2016-2681. https://psnet.ahrq.gov/issue/standardization-inpatient-handoff-communication Handoffs at shift changes are vulnerable to…

8573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43285/psn-pdf
      July 16, 2014 - Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. July 16, 2014 Tenhunen ML, Tanner EK, Dahlen R. Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes. J Contin Educ Nurs. 2014;…

8574. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44116/psn-pdf
      September 12, 2018 - Procedural timeout compliance is improved with real-time clinical decision support. September 12, 2018 Shear T, Deshur M, Avram MJ, et al. Procedural Timeout Compliance Is Improved With Real-Time Clinical Decision Support. J Patient Saf. 2018;14(3):148-152. doi:10.1097/PTS.0000000000000185. https://psnet.ahrq.gov/…

8575. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33932/psn-pdf
      May 27, 2011 - Preventable anesthesia mishaps: a study of human factors. May 27, 2011 Cooper JB, Newbower RS, Long CD, et al. Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors This study reports on the ret…

8576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73365/psn-pdf
      June 09, 2021 - Enhancing psychological safety in mental health services. June 9, 2021 Hunt DF, Bailey J, Lennox BR, et al. Enhancing psychological safety in mental health services. Int J Ment Health Syst. 2021;15(1):33. doi:10.1186/s13033-021-00439-1. https://psnet.ahrq.gov/issue/enhancing-psychological-safety-mental-health-servi…

8577. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72472/psn-pdf
      November 18, 2020 - Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. November 18, 2020 Ihlebæk HM. Lost in translation--silent reporting and electronic patient records in nursing handovers: an ethnographic study. Int J Nurs Stud. 2020;109:103636. doi:10.1016/j.ijnurstu.2…

8578. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44454/psn-pdf
      September 29, 2017 - Ethical issues in patient safety research: a systematic review of the literature. September 29, 2017 Whicher DM, Kass NE, Audera-Lopez C, et al. Ethical issues in patient safety research: a systematic review of the literature. J Patient Saf. 2015;11(3):174-184. doi:10.1097/PTS.0000000000000064. https://psnet.ahrq.…

8579. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39731/psn-pdf
      August 04, 2010 - Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. August 4, 2010 Yamamoto LG, Kanemori J. Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration. Am J Emerg Med. 2010;28(5):588-92. doi:10.1016/j.ajem.2009.02.009. https://ps…

8580. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43967/psn-pdf
      November 16, 2015 - Equipped: overcoming barriers to change to improve quality of care (theories of change). November 16, 2015 Lachman P, Runnacles J, Dudley J, et al. Equipped: overcoming barriers to change to improve quality of care (theories of change). Arch Dis Child Educ Pract Ed. 2015;100(1):13-8. doi:10.1136/archdischild-2013- …