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Showing results for "processes".

  1. Preventing medical errors: how to proceed with caution. | PSNet

    psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
    January 24, 2024 - Newspaper/Magazine Article Preventing medical errors: how to proceed with caution. Citation Text: Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…

  2. Clinical cognition and biomedical informatics: issues of patient safety. | PSNet

    psnet.ahrq.gov/issue/clinical-cognition-and-biomedical-informatics-issues-patient-safety
    September 04, 2024 - Commentary Clinical cognition and biomedical informatics: issues of patient safety. Citation Text: Patel VL, Currie L. Clinical cognition and biomedical informatics: Issues of patient safety. Int J Med Inform. 2005;74(11-12). doi:10.1016/j.ijmedinf.2005.07.009. Copy Citation Form…

  3. Surveillance: a strategy for improving patient safety in acute and critical care units. | PSNet

    psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
    September 27, 2016 - Commentary Surveillance: a strategy for improving patient safety in acute and critical care units. Citation Text: Henneman EA, Gawlinski A, Giuliano KK. Surveillance: A strategy for improving patient safety in acute and critical care units. Crit Care Nurse. 2012;32(2):e9-18. doi:10.403…

  4. Bundaberg and beyond: duty to disclose adverse events to patients. | PSNet

    psnet.ahrq.gov/issue/bundaberg-and-beyond-duty-disclose-adverse-events-patients
    January 12, 2022 - Commentary Bundaberg and beyond: duty to disclose adverse events to patients. Citation Text: Madden B, Cockburn T. Bundaberg and beyond: duty to disclose adverse events to patients. J Law Med. 2007;14(4):501-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

  5. This isn't my information! The impact of accurate identity management on patient safety. | PSNet

    psnet.ahrq.gov/issue/isnt-my-information-impact-accurate-identity-management-patient-safety
    January 29, 2020 - Newspaper/Magazine Article This isn't my information! The impact of accurate identity management on patient safety. Citation Text: Garcia R. This isn't my information! The impact of accurate identity management on patient safety. Health management technology. 2013;34(3):10-1. Copy Cit…

  6. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. | PSNet

    psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
    June 21, 2016 - Commentary The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. Citation Text: Streiff MB, Haut ER. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. JAMA. 2009;301(10):1063…

  7. Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. | PSNet

    psnet.ahrq.gov/issue/improving-medication-safety-high-risk-medicare-beneficiaries-toolkit
    October 23, 2019 - Government Resource Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Citation Text: Improving Medication Safety in High Risk Medicare Beneficiaries Toolkit. Touchette DR, Stubbings J, Schumock G. Effective Healthcare Research Report No. 38. Rockville, MD: Agen…

  8. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. | PSNet

    psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
    June 12, 2013 - Book/Report Classic An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. Citation Text: An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events …

  9. An organizational learning framework for patient safety. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
    November 28, 2018 - Commentary An organizational learning framework for patient safety. Citation Text: Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  10. Imagining the future of diagnostic performance feedback. | PSNet

    psnet.ahrq.gov/issue/imagining-future-diagnostic-performance-feedback
    September 01, 2021 - Commentary Imagining the future of diagnostic performance feedback. Citation Text: Rosner BI, Zwaan L, Olson APJ. Imagining the future of diagnostic performance feedback. Diagnosis (Berl). 2023;10(1):31-37. doi:10.1515/dx-2022-0055. Copy Citation Format: DOI Google Scholar …

  11. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
    June 15, 2011 - Book/Report Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Citation Text: Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …

  12. TeamSTEPPS: assuring optimal teamwork in clinical settings. | PSNet

    psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
    January 12, 2011 - Commentary TeamSTEPPS: assuring optimal teamwork in clinical settings. Citation Text: Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  13. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Citation Text: Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. Copy Citation Format…

  14. Commission of Inquiry on Hormone Receptor Testing. | PSNet

    psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
    May 26, 2021 - Book/Report Commission of Inquiry on Hormone Receptor Testing. Citation Text: Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.   Copy Citation Save Save to y…

  15. Impact of a standard medication chart on prescribing errors: a before-and-after audit. | PSNet

    psnet.ahrq.gov/issue/impact-standard-medication-chart-prescribing-errors-and-after-audit
    May 02, 2012 - Study Impact of a standard medication chart on prescribing errors: a before-and-after audit. Citation Text: Coombes ID, Stowasser DA, Reid C, et al. Impact of a standard medication chart on prescribing errors: a before-and-after audit. Qual Saf Health Care. 2009;18(6):478-85. doi:10.11…

  16. Safe operation as a social construct. | PSNet

    psnet.ahrq.gov/issue/safe-operation-social-construct
    August 07, 2019 - Commentary Safe operation as a social construct. Citation Text: Rochlin GI. Safe operation as a social construct. Ergonomics. 2002;42(11):1549-1560. doi:10.1080/001401399184884. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  17. Changing our culture: adopting the military aviation safety system. | PSNet

    psnet.ahrq.gov/issue/changing-our-culture-adopting-military-aviation-safety-system
    November 21, 2021 - Commentary Changing our culture: adopting the military aviation safety system. Citation Text: Kerber CW. Changing our culture: adopting the military aviation safety system. J Neurointerv Surg. 2014;6(5):332-41. doi:10.1136/neurintsurg-2013-011070. Copy Citation Format: DOI …

  18. Beyond FMEA: the structured what-if technique (SWIFT). | PSNet

    psnet.ahrq.gov/issue/swift-new-tool-identifying-prospective-hazards
    February 03, 2021 - Commentary Beyond FMEA: the structured what-if technique (SWIFT). Citation Text: Card AJ, Ward JR, Clarkson PJ. Beyond FMEA: The structured what-if technique (SWIFT). J Healthc Risk Manag. 2012;31(4):23-29. doi:10.1002/jhrm.20101. Copy Citation Format: DOI Google Scholar Bi…

  19. Preventable errors in the operating room: retained foreign bodies after surgery--part I. | PSNet

    psnet.ahrq.gov/issue/preventable-errors-operating-room-retained-foreign-bodies-after-surgery-part-i
    April 28, 2021 - Review Preventable errors in the operating room: retained foreign bodies after surgery--part I. Citation Text: Gibbs VC, Coakley FD, Reines D. Preventable errors in the operating room: retained foreign bodies after surgery--Part I. Curr Probl Surg. 2007;44(5):281-337. Copy Citation …

  20. Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. | PSNet

    psnet.ahrq.gov/issue/blind-spots-when-medicine-gets-it-wrong-and-what-it-means-our-health
    April 22, 2016 - Book/Report Blind Spots: When Medicine Gets It Wrong, and What It Means for Our Health. Citation Text: Makary M. Blind Spots: When Medicine Gets It Wrong, And What It Means For Our Health. New York, NY: Bloomsbury Publishing; 2024. ISBN 9781639735310. Copy Citation Format: …
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