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Showing results for "processes".

  1. Improving patient safety by practicing in a just culture. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
    June 14, 2017 - Commentary Improving patient safety by practicing in a just culture. Citation Text: Duffy W. Improving Patient Safety by Practicing in a Just Culture. AORN J. 2017;106(1):66-68. doi:10.1016/j.aorn.2017.05.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  2. Remembering to learn: the overlooked role of remembrance in safety improvement. | PSNet

    psnet.ahrq.gov/issue/remembering-learn-overlooked-role-remembrance-safety-improvement
    February 28, 2024 - Commentary Remembering to learn: the overlooked role of remembrance in safety improvement. Citation Text: Macrae C. Remembering to learn: the overlooked role of remembrance in safety improvement. BMJ Qual Saf. 2017;26(8):678-682. doi:10.1136/bmjqs-2016-005547. Copy Citation Format:…

  3. Medication room madness: calming the chaos. | PSNet

    psnet.ahrq.gov/issue/medication-room-madness-calming-chaos
    January 22, 2016 - Commentary Medication room madness: calming the chaos. Citation Text: Conrad C, Fields W, McNamara T, et al. Medication room madness: calming the chaos. J Nurs Care Qual. 2010;25(2):137-144. doi:10.1097/NCQ.0b013e3181c3695d. Copy Citation Format: DOI Google Scholar PubMed B…

  4. Preventing home medication errors. | PSNet

    psnet.ahrq.gov/issue/preventing-home-medication-errors
    September 15, 2021 - Audiovisual Presentation Preventing home medication errors. Citation Text: Preventing home medication errors. Shaikh U, van der List L, Blumberg D. Kids Considered. March 27, 2023. Copy Citation Save Save to your library Print Download PDF Shar…

  5. Systemic error in radiology. | PSNet

    psnet.ahrq.gov/issue/systemic-error-radiology
    August 01, 2018 - Commentary Systemic error in radiology. Citation Text: Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629-639. doi:10.2214/AJR.16.17719. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  6. Quest for the ideal: a redesign of the medication use system. | PSNet

    psnet.ahrq.gov/issue/quest-ideal-redesign-medication-use-system
    September 16, 2020 - Commentary Quest for the ideal: a redesign of the medication use system. Citation Text: Dang D, Feroli R, Gill C, et al. Quest for the ideal: a redesign of the medication use system. J Nurs Care Qual. 2007;22(1):11-19. Copy Citation Format: Google Scholar PubMed BibTeX En…

  7. Addressing electronic health record contributions to diagnostic error. | PSNet

    psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
    July 29, 2009 - Newspaper/Magazine Article Addressing electronic health record contributions to diagnostic error. Citation Text: Addressing electronic health record contributions to diagnostic error. Ratwani RM, Bates DW, Gold J. Health Affairs Forefront. April 25, 2024. Copy Citation …

  8. Medication administration errors: understanding the issues. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
    December 15, 2011 - Review Medication administration errors: understanding the issues. Citation Text: McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  9. Following the patient journey to improve medicines management and reduce errors. | PSNet

    psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-reduce-errors
    October 27, 2010 - Newspaper/Magazine Article Following the patient journey to improve medicines management and reduce errors. Citation Text: Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5. Copy Citation Format: Go…

  10. Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). | PSNet

    psnet.ahrq.gov/issue/advancing-patient-safety-implementation-through-safe-medication-use-research-r18
    December 20, 2023 - Government Resource Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Citation Text: Advancing Patient Safety Implementation Through Safe Medication Use Research (R18). Rockville, MD: Agency for Healthcare Research and Quality. PA-14-002. Copy Citation…

  11. Communication factors in the follow-up of abnormal mammograms. | PSNet

    psnet.ahrq.gov/issue/communication-factors-follow-abnormal-mammograms
    March 02, 2011 - Study Communication factors in the follow-up of abnormal mammograms. Citation Text: Poon EG, Haas JS, Puopolo AL, et al. Communication factors in the follow-up of abnormal mammograms. J Gen Intern Care. 2004;19(4):316-323. doi:10.1111/j.1525-1497.2004.30357.x. Copy Citation Forma…

  12. Unreported errors in the intensive care unit: a case study of the way we work. | PSNet

    psnet.ahrq.gov/issue/unreported-errors-intensive-care-unit-case-study-way-we-work
    December 12, 2012 - Commentary Unreported errors in the intensive care unit: a case study of the way we work. Citation Text: Henneman EA. Unreported errors in the intensive care unit: a case study of the way we work. Crit Care Nurse. 2007;27(5):27-34; quiz 35. Copy Citation Format: Google Sc…

  13. AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. | PSNet

    psnet.ahrq.gov/issue/ahrq-safety-program-methicillin-resistant-staphylococcus-aureus-prevention-request-proposal
    June 16, 2021 - Press Release/Announcement AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. Citation Text: AHRQ Safety Program for Methicillin-Resistant Staphylococcus Aureus Prevention. Request for Proposal Comment. Agency for Healthcare Rese…

  14. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. | PSNet

    psnet.ahrq.gov/issue/when-diagnostic-testing-leads-harm-new-outcomes-based-approach-laboratory-medicine
    September 12, 2018 - Commentary When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. Citation Text: Epner PL, Gans JE, Graber ML. When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii6-ii10. d…

  15. Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. | PSNet

    psnet.ahrq.gov/issue/overview-environmental-scan-primary-care-based-effort-reduce-readmissions
    November 01, 2016 - Book/Report Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Citation Text: Overview of the Environmental Scan of Primary Care-Based Effort To Reduce Readmissions. Hochman M, Bourgoin A, Saluja S, et al. Rockville, MD: Agency for Healthcare Research…

  16. Errors originating in hospital and health-system outpatient pharmacies. | PSNet

    psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
    December 19, 2016 - Newspaper/Magazine Article Errors originating in hospital and health-system outpatient pharmacies. Citation Text: Errors originating in hospital and health-system outpatient pharmacies. Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63. Copy Citation …

  17. Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. | PSNet

    psnet.ahrq.gov/issue/toolkit-engage-high-risk-patients-safe-transitions-across-ambulatory-settings
    March 11, 2017 - Toolkit Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Citation Text: Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. Davis K, Collier S, Situ J, et al. Rockville, MD: Agency for Healthcare Research and Quality; D…

  18. Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
    October 21, 2016 - Government Resource Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Citation Text: Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…

  19. Airway carts: a systems-based approach to airway safety. | PSNet

    psnet.ahrq.gov/issue/airway-carts-systems-based-approach-airway-safety
    July 21, 2010 - Study Airway carts: a systems-based approach to airway safety. Citation Text: Kane BG, Bond WF, Worrilow CC, et al. Airway Carts. J Patient Saf. 2008;2(3). doi:10.1097/01.jps.0000242995.09037.07. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML…

  20. Errors in a stat laboratory: changes in type and frequency since 1996. | PSNet

    psnet.ahrq.gov/issue/errors-stat-laboratory-changes-type-and-frequency-1996
    December 21, 2016 - Study Errors in a stat laboratory: changes in type and frequency since 1996. Citation Text: Carraro P, Plebani M. Errors in a stat laboratory: types and frequencies 10 years later. Clin Chem. 2007;53(7):1338-42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
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