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Showing results for "processes".

  1. Quality, patient safety, and the cardiac surgical team. | PSNet

    psnet.ahrq.gov/issue/quality-patient-safety-and-cardiac-surgical-team
    October 07, 2013 - Review Quality, patient safety, and the cardiac surgical team. Citation Text: Martinez EA. Quality, Patient Safety, and the Cardiac Surgical Team. Anesthesiol Clin. 2013;31(2):249-268. doi:10.1016/j.anclin.2013.01.004. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  2. Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. | PSNet

    psnet.ahrq.gov/issue/communicating-gray-zone-perceptions-about-emergency-physician-hospitalist-handoffs-and
    March 17, 2010 - Study Communicating in the "gray zone": perceptions about emergency physician-hospitalist handoffs and patient safety. Citation Text: Apker J, Mallak LA, Gibson SC. Communicating in the "gray zone": perceptions about emergency physician hospitalist handoffs and patient safety. Acad Eme…

  3. Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. | PSNet

    psnet.ahrq.gov/issue/mid-staffs-scandal-10-years-inquiry-chair-worries-nhs-staff-too-scared-speak
    December 18, 2019 - Newspaper/Magazine Article Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Citation Text: Mid Staffs scandal: 10 years on, inquiry chair worries NHS staff too scared to speak up. Lintern S. The Independent. January 15, 2020. Copy Citation …

  4. Diagnostic error as a result of drug-laboratory test interactions. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-result-drug-laboratory-test-interactions
    November 21, 2018 - Review Diagnostic error as a result of drug-laboratory test interactions. Citation Text: van Balveren JA, van de Venne WPHGV-, Erdem-Eraslan L, et al. Diagnostic error as a result of drug-laboratory test interactions. Diagnosis (Berl). 2019;6(1):69-71. doi:10.1515/dx-2018-0098. Copy Ci…

  5. Physicians and cognitive decline: a challenge for state medical boards. | PSNet

    psnet.ahrq.gov/issue/physicians-and-cognitive-decline-challenge-state-medical-boards
    July 29, 2020 - Commentary Physicians and cognitive decline: a challenge for state medical boards. Citation Text: Hoffman S. Physicians and cognitive decline: a challenge for state medical boards. J Med Regulation. 2022;108(2):19-28. doi:10.30770/2572-1852-108.2.19. Copy Citation Format: D…

  6. Near-miss medication errors provide a wake-up call. | PSNet

    psnet.ahrq.gov/issue/near-miss-medication-errors-provide-wake-call
    January 24, 2024 - Commentary Near-miss medication errors provide a wake-up call. Citation Text: Claffey C. Near-miss medication errors provide a wake-up call. Nursing (Brux). 2018;48(1):53-55. doi:10.1097/01.NURSE.0000527615.45031.9e. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…

  7. Assumptions of quality medicine: the role of uncertainty. | PSNet

    psnet.ahrq.gov/issue/assumptions-quality-medicine-role-uncertainty
    October 31, 2014 - Commentary Assumptions of quality medicine: the role of uncertainty. Citation Text: Scott-Wittenborn N, Schneider JS. Assumptions of Quality Medicine: The Role of Uncertainty. JAMA Otolaryngol Head Neck Surg. 2017;143(8):753-754. doi:10.1001/jamaoto.2017.0257. Copy Citation Format:…

  8. Accountability, organisational learning and risks to patient safety in England: conflict or compromise? | PSNet

    psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
    December 29, 2014 - Commentary Accountability, organisational learning and risks to patient safety in England: conflict or compromise? Citation Text: Dodds A, Kodate N. Accountability, organisational learning and risks to patient safety in England: Conflict or compromise? Health Risk Soc. 2011;13(4):327-3…

  9. A method of addressing proprietary name similarity for US prescription drugs. | PSNet

    psnet.ahrq.gov/issue/method-addressing-proprietary-name-similarity-us-prescription-drugs
    June 10, 2020 - Commentary A method of addressing proprietary name similarity for US prescription drugs. Citation Text: Stockbridge MD, Taylor K. A Method of Addressing Proprietary Name Similarity for US Prescription Drugs. Ther Innov Regul Sci. 2015;49(4). doi:10.1177/2168479015570331. Copy Citation …

  10. Diagnostic errors: impact of an educational intervention on pediatric primary care. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-impact-educational-intervention-pediatric-primary-care
    July 22, 2020 - Study Diagnostic errors: impact of an educational intervention on pediatric primary care. Citation Text: Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.…

  11. An objective study of the impact of the electronic medical record on outcomes in trauma patients. | PSNet

    psnet.ahrq.gov/issue/objective-study-impact-electronic-medical-record-outcomes-trauma-patients
    October 13, 2018 - Study An objective study of the impact of the electronic medical record on outcomes in trauma patients. Citation Text: Schenarts PJ, Goettler CE, White MA, et al. An objective study of the impact of the electronic medical record on outcomes in trauma patients. Am Surg. 2012;78(11):1249…

  12. Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-universal-protocol-use-office-based-gastrointestinal-procedure-units
    November 16, 2022 - Commentary Quality improvement: Universal Protocol use in office-based gastrointestinal procedure units. Citation Text: Hardee LK. Quality improvement: universal protocol use in office-based gastrointestinal procedure units. Gastroenterol Nurs. 2012;35(6):380-2. doi:10.1097/SGA.0b013e3…

  13. JCAHO views medication reconciliation as adverse-event prevention. | PSNet

    psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention
    March 06, 2013 - Newspaper/Magazine Article JCAHO views medication reconciliation as adverse-event prevention. Citation Text: Thompson CA. JCAHO views medication reconciliation as adverse-event prevention. American journal of health-system pharmacy : AJHP : official journal of the American Society of H…

  14. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. | PSNet

    psnet.ahrq.gov/issue/medication-based-trigger-tool-identify-adverse-events-pediatric-anesthesiology
    April 22, 2020 - Commentary A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Citation Text: Taghon T, Elsey N, Miler V, et al. A medication-based trigger tool to identify adverse events in pediatric anesthesiology. Jt Comm J Qual Patient Saf. 2014;40(7):326-334. C…

  15. Crossing to safety: transforming healthcare organizations for patient safety. | PSNet

    psnet.ahrq.gov/issue/crossing-safety-transforming-healthcare-organizations-patient-safety
    January 05, 2012 - Commentary Crossing to safety: transforming healthcare organizations for patient safety. Citation Text: Ralston JD, Larson EB. Crossing to safety: transforming healthcare organizations for patient safety. J Postgrad Med. 2005;51(1):61-67. Copy Citation Format: Google Scho…

  16. Association between license status and medication errors. | PSNet

    psnet.ahrq.gov/issue/association-between-license-status-and-medication-errors
    June 18, 2014 - Study Association between license status and medication errors. Citation Text: Conroy S. Association between licence status and medication errors. Arch Dis Child. 2011;96(3):305-6. doi:10.1136/adc.2010.191940. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  17. Medication reconciliation and hypertension control. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-and-hypertension-control
    December 19, 2017 - Study Medication reconciliation and hypertension control. Citation Text: Persell SD, Bailey SC, Tang J, et al. Medication reconciliation and hypertension control. Am J Med. 2010;123(2):182.e9-182.e15. doi:10.1016/j.amjmed.2009.06.027. Copy Citation Format: DOI Google Schol…

  18. Safety stop: a valuable addition to the pediatric universal protocol. | PSNet

    psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
    June 21, 2015 - Commentary Safety stop: a valuable addition to the pediatric universal protocol. Citation Text: Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015. …

  19. From heroism to safe design: leveraging technology. | PSNet

    psnet.ahrq.gov/issue/heroism-safe-design-leveraging-technology
    August 17, 2017 - Commentary From heroism to safe design: leveraging technology. Citation Text: Pronovost P, Bo-Linn GW, Sapirstein A. From heroism to safe design: leveraging technology. Anesthesiology. 2014;120(3):526-9. doi:10.1097/ALN.0000000000000127. Copy Citation Format: DOI Google S…

  20. Evaluating a handheld decision support device in pediatric intensive care settings. | PSNet

    psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
    January 18, 2023 - Study Evaluating a handheld decision support device in pediatric intensive care settings. Citation Text: Evaluating a handheld decision support device in pediatric intensive care settings. Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61. Copy Citation …
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