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Showing results for "processes".

  1. Perioperative patient safety: a multisite qualitative analysis. | PSNet

    psnet.ahrq.gov/issue/perioperative-patient-safety-multisite-qualitative-analysis
    September 20, 2023 - Study Perioperative patient safety: a multisite qualitative analysis. Citation Text: Chappy S. Perioperative patient safety: a multisite qualitative analysis. AORN J. 2006;83(4):871-4, 877-88, 891-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  2. Assigning responsibility to close the loop on radiology test results. | PSNet

    psnet.ahrq.gov/issue/assigning-responsibility-close-loop-radiology-test-results
    April 03, 2024 - Review Assigning responsibility to close the loop on radiology test results. Citation Text: Kwan JL, Singh H. Assigning responsibility to close the loop on radiology test results. Diagnosis (Berl). 2017;4(3):173-177. doi:10.1515/dx-2017-0019. Copy Citation Format: DOI Googl…

  3. Developing and testing a tool to measure nurse/physician communication in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/developing-and-testing-tool-measure-nursephysician-communication-intensive-care-unit
    June 01, 2011 - Study Developing and testing a tool to measure nurse/physician communication in the intensive care unit. Citation Text: Carbo AR, Tess AV, Roy CL, et al. Developing a High-Performance Team Training Framework for Internal Medicine Residents. J Patient Saf. 2011;7(2). doi:10.1097/pts.0b0…

  4. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. | PSNet

    psnet.ahrq.gov/issue/oral-chemotherapy-safety-practices-us-cancer-centres-questionnaire-survey
    July 23, 2014 - Study Oral chemotherapy safety practices at US cancer centres: questionnaire survey. Citation Text: Weingart SN, Flug J, Brouillard D, et al. Oral chemotherapy safety practices at US cancer centres: questionnaire survey. BMJ. 2007;334(7590). doi:10.1136/bmj.39069.489757.55. Copy Cita…

  5. A case for improving measurement of intraoperative iatrogenic injuries. | PSNet

    psnet.ahrq.gov/issue/case-improving-measurement-intraoperative-iatrogenic-injuries
    February 14, 2017 - Commentary A case for improving measurement of intraoperative iatrogenic injuries. Citation Text: Paruch JL, Ko CY, Bilimoria KY. A case for improving measurement of intraoperative iatrogenic injuries. JAMA Surg. 2014;149(9):887-8. doi:10.1001/jamasurg.2013.5237. Copy Citation Form…

  6. Benefits of direct observation in medication administration to detect errors. | PSNet

    psnet.ahrq.gov/issue/benefits-direct-observation-medication-administration-detect-errors
    March 09, 2022 - Study Benefits of direct observation in medication administration to detect errors. Citation Text: Diaz-Navarlaz T, Pronovost P, Beortegui E, et al. Benefits of Direct Observation in Medication Administration to Detect Errors. J Patient Saf. 2009;3(4). doi:10.1097/pts.0b013e31815b4cc3.…

  7. Unintended errors with EHR-based result management: a case series. | PSNet

    psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
    April 29, 2018 - Commentary Unintended errors with EHR-based result management: a case series. Citation Text: Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294. Copy Citation Format: DOI G…

  8. Cardiac surgical ICU care: eliminating "preventable" complications. | PSNet

    psnet.ahrq.gov/issue/cardiac-surgical-icu-care-eliminating-preventable-complications
    August 04, 2021 - Review Cardiac surgical ICU care: eliminating "preventable" complications. Citation Text: Shake JG, Pronovost P, Whitman GJR. Cardiac surgical ICU care: eliminating "preventable" complications. J Card Surg. 2013;28(4):406-13. doi:10.1111/jocs.12124. Copy Citation Format: D…

  9. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. | PSNet

    psnet.ahrq.gov/issue/factors-associated-reported-preventable-adverse-drug-events-retrospective-case-control-study
    November 16, 2022 - Study Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Citation Text: Beckett RD, Sheehan AH, Reddan JG. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. Ann Pharmacother. 2012;46…

  10. Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. | PSNet

    psnet.ahrq.gov/issue/transformative-learning-professional-development-course-aimed-addressing-disruptive-physician
    February 12, 2020 - Commentary Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. Citation Text: Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course aimed at addressing dis…

  11. Overdiagnosis in primary care: framing the problem and finding solutions. | PSNet

    psnet.ahrq.gov/issue/overdiagnosis-primary-care-framing-problem-and-finding-solutions
    November 01, 2017 - Review Emerging Classic Overdiagnosis in primary care: framing the problem and finding solutions. Citation Text: Kale MS, Korenstein D. Overdiagnosis in primary care: framing the problem and finding solutions. BMJ. 2018;362:k2820. doi:10.1136/bmj.k2820. Copy C…

  12. An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. | PSNet

    psnet.ahrq.gov/issue/depth-investigation-causes-prescribing-errors-foundation-trainees-relation-their-medical
    May 16, 2012 - Book/Report An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study. Citation Text: An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUI…

  13. Tracing the foundations of a conceptual framework for a patient safety ontology. | PSNet

    psnet.ahrq.gov/issue/tracing-foundations-conceptual-framework-patient-safety-ontology
    March 23, 2011 - Commentary Tracing the foundations of a conceptual framework for a patient safety ontology. Citation Text: Runciman WB, Baker GR, Michel P, et al. Tracing the foundations of a conceptual framework for a patient safety ontology. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2009.035147. …

  14. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. | PSNet

    psnet.ahrq.gov/issue/preventable-errors-operating-room-part-2-retained-foreign-objects-sharps-injuries-and-wrong
    April 25, 2018 - Review Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surgery. Citation Text: Dagi F, Berguer R, Moore S, et al. Preventable errors in the operating room--part 2: retained foreign objects, sharps injuries, and wrong site surg…

  15. Patient safety in after-hours telephone medicine. | PSNet

    psnet.ahrq.gov/issue/patient-safety-after-hours-telephone-medicine
    November 12, 2014 - Study Patient safety in after-hours telephone medicine. Citation Text: Killip S, Ireson CL, Love MM, et al. Patient safety in after-hours telephone medicine. Fam Med. 2007;39(6):404-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote…

  16. A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability. | PSNet

    psnet.ahrq.gov/issue/theory-based-instrument-evaluate-team-communication-operating-room-balancing-measurement
    June 23, 2010 - Commentary A theory-based instrument to evaluate team communication in the operating room: balancing measurement authenticity and reliability. Citation Text: Lingard LA, Regehr G, Espin S, et al. A theory-based instrument to evaluate team communication in the operating room: balancing …

  17. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. | PSNet

    psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
    May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…

  18. Establishing a rapid response team (RRT) in an academic hospital: one year's experience. | PSNet

    psnet.ahrq.gov/issue/establishing-rapid-response-team-rrt-academic-hospital-one-years-experience
    September 28, 2010 - Study Establishing a rapid response team (RRT) in an academic hospital: one year's experience. Citation Text: King E, Horvath R, Shulkin DJ. Establishing a rapid response team (RRT) in an academic hospital: One year's experience. J Hosp Med. 2006;1(5). doi:10.1002/jhm.114. Copy Citat…

  19. The association of shift-level nurse staffing with adverse patient events. | PSNet

    psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
    October 06, 2016 - Study The association of shift-level nurse staffing with adverse patient events. Citation Text: Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf. Copy Ci…

  20. Patient safety and quality improvement: terminology. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-terminology
    August 18, 2021 - Review Patient safety and quality improvement: terminology. Citation Text: Pereira-Argenziano L, Levy FH. Patient Safety and Quality Improvement: Terminology. Pediatr Rev. 2015;36(9):403-11; quiz 412-3. doi:10.1542/pir.36-9-403. Copy Citation Format: DOI Google Scholar PubM…
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