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Showing results for "processes".

  1. Ethical duty of health care systems to address interfacility medical error discovery. | PSNet

    psnet.ahrq.gov/issue/ethical-duty-health-care-systems-address-interfacility-medical-error-discovery
    September 11, 2019 - Commentary Ethical duty of health care systems to address interfacility medical error discovery. Citation Text: Antunez AG, Shuman AG, Jagsi R, et al. Ethical Duty of Health Care Systems to Address Interfacility Medical Error Discovery. J Am Coll Surg. 2018;227(5):543-547. doi:10.1016/j.…

  2. Obstetric practice guidelines: labor's love lost? | PSNet

    psnet.ahrq.gov/issue/obstetric-practice-guidelines-labors-love-lost
    April 30, 2014 - Commentary Obstetric practice guidelines: labor's love lost? Citation Text: Cohen WR, Friedman EA. Obstetric practice guidelines: labor's love lost? J Matern Fetal Neonatal Med. 2019;32(9):1567-1570. doi:10.1080/14767058.2017.1406474. Copy Citation Format: DOI Google Schola…

  3. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. | PSNet

    psnet.ahrq.gov/issue/patient-safety-not-elective-debate-npsf-patient-safety-congress
    March 18, 2019 - Commentary Patient safety is not elective: a debate at the NPSF Patient Safety Congress. Citation Text: McTiernan P, Wachter R, Meyer GS, et al. Patient safety is not elective: a debate at the NPSF Patient Safety Congress. BMJ Qual Saf. 2015;24(2):162-6. doi:10.1136/bmjqs-2014-003429. …

  4. Preventing medication errors. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors
    May 30, 2018 - Commentary Preventing medication errors. Citation Text: Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  5. Tools and methods for quality improvement and patient safety in perinatal care. | PSNet

    psnet.ahrq.gov/issue/tools-and-methods-quality-improvement-and-patient-safety-perinatal-care
    November 16, 2022 - Commentary Tools and methods for quality improvement and patient safety in perinatal care. Citation Text: Nathan AT, Kaplan HC. Tools and methods for quality improvement and patient safety in perinatal care. Semin Perinatol. 2017;41(3):142-150. doi:10.1053/j.semperi.2017.03.002. Copy C…

  6. The Swiss cheese model of adverse event occurrence—closing the holes. | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-model-adverse-event-occurrence-closing-holes
    September 25, 2024 - Commentary The Swiss cheese model of adverse event occurrence—closing the holes. Citation Text: Stein JE, Heiss K. The Swiss cheese model of adverse event occurrence--Closing the holes. Semin Pediatr Surg. 2015;24(6):278-82. doi:10.1053/j.sempedsurg.2015.08.003. Copy Citation Forma…

  7. Can technology improve intershift report? What the research reveals. | PSNet

    psnet.ahrq.gov/issue/can-technology-improve-intershift-report-what-research-reveals
    October 02, 2024 - Review Can technology improve intershift report? What the research reveals. Citation Text: Strople B, Ottani P. Can Technology Improve Intershift Report? What the Research Reveals. Journal of Professional Nursing. 2006;22(3). doi:10.1016/j.profnurs.2006.03.007. Copy Citation Form…

  8. Development of an expert system for classification of medical errors. | PSNet

    psnet.ahrq.gov/issue/development-expert-system-classification-medical-errors
    June 22, 2009 - Commentary Development of an expert system for classification of medical errors. Citation Text: Kopec D, Levy K, Kabir M, et al. Development of an expert system for classification of medical errors. Stud Health Technol Inform. 2005;114:110-6. Copy Citation Format: Google Sc…

  9. Continuous improvement as an ideal in health care. | PSNet

    psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
    August 04, 2021 - Commentary Classic Continuous improvement as an ideal in health care. Citation Text: Berwick D. Continuous improvement as an ideal in health care. New Engl J Med. 1989;320(1):53-56. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

  10. Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. | PSNet

    psnet.ahrq.gov/issue/barriers-implementation-patient-safety-systems-healthcare-institutions-leadership-and-policy
    July 14, 2010 - Study Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Citation Text: Barriers to implementation of patient safety systems in healthcare institutions: leadership and policy implications. Akins RB, Cole BR. J Patient …

  11. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. | PSNet

    psnet.ahrq.gov/issue/community-validation-approach-detect-delayed-diagnosis-appendicitis-big-databases
    October 26, 2022 - Study Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Citation Text: Michelson KA, McGarghan FLE, Waltzman ML, et al. Community validation of an approach to detect delayed diagnosis of appendicitis in big databases. Hosp Pediatr. 2023;13(…

  12. Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/mitigating-hazards-through-continuing-design-birth-and-evolution-pediatric-intensive-care
    April 06, 2011 - Commentary Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. Citation Text: Madsen P, Desai V, Roberts K, et al. Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care Unit. Organizati…

  13. The underappreciated role of habit in highly reliable healthcare. | PSNet

    psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-healthcare
    April 25, 2016 - Commentary The underappreciated role of habit in highly reliable healthcare. Citation Text: Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512. Copy Citation Format: DOI Goog…

  14. Laney's story: the problem of delayed diagnosis of pediatric stroke. | PSNet

    psnet.ahrq.gov/issue/laneys-story-problem-delayed-diagnosis-pediatric-stroke
    April 24, 2018 - Commentary Laney's story: the problem of delayed diagnosis of pediatric stroke. Citation Text: Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458. Copy Citation For…

  15. Patient Safety and the "Just Culture": A Primer for Health Care Executives. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-just-culture-primer-health-care-executives
    July 24, 2013 - Book/Report Classic Patient Safety and the "Just Culture": A Primer for Health Care Executives. Citation Text: Marx DA. Patient Safety And The "Just Culture": A Primer For Health Care Executives. New York, NY: Trustees of Columbia University; 2001. Copy Citati…

  16. Measuring the cost of hospital adverse patient safety events. | PSNet

    psnet.ahrq.gov/issue/measuring-cost-hospital-adverse-patient-safety-events
    November 16, 2022 - Study Measuring the cost of hospital adverse patient safety events. Citation Text: Carey K, Stefos T. Measuring the cost of hospital adverse patient safety events. Health Econ. 2011;20(12):1417-30. doi:10.1002/hec.1680. Copy Citation Format: DOI Google Scholar PubMed BibT…

  17. Medication reconciliation: a qualitative analysis of clinicians' perceptions. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-qualitative-analysis-clinicians-perceptions
    October 10, 2015 - Study Medication reconciliation: a qualitative analysis of clinicians' perceptions. Citation Text: Vogelsmeier A, Pepper GA, Oderda L, et al. Medication reconciliation: A qualitative analysis of clinicians' perceptions. Res Social Adm Pharm. 2013;9(4):419-30. doi:10.1016/j.sapharm.201…

  18. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. | PSNet

    psnet.ahrq.gov/issue/sentara-norfolk-general-hospital-accelerating-improvement-focusing-building-culture-safety
    June 08, 2010 - Commentary Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Citation Text: Yates GR, Hochman RF, Sayles SM, et al. Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety. Jt Comm J Qu…

  19. Advancing patient safety through the clinical application of a framework focused on communication. | PSNet

    psnet.ahrq.gov/issue/advancing-patient-safety-through-clinical-application-framework-focused-communication
    December 02, 2020 - Review Advancing patient safety through the clinical application of a framework focused on communication. Citation Text: Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e7…

  20. What is an ethically informed approach to managing patient safety risk during discharge planning? | PSNet

    psnet.ahrq.gov/issue/what-ethically-informed-approach-managing-patient-safety-risk-during-discharge-planning
    November 16, 2022 - Commentary What is an ethically informed approach to managing patient safety risk during discharge planning? Citation Text: West JC. What Is an Ethically Informed Approach to Managing Patient Safety Risk During Discharge Planning? AMA J Ethics. 2020;22(!1):e919-e923. doi:10.1001/amajethi…
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