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Showing results for "processes".

  1. Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-hospitals-contributions-high-reliability-theory-and-normal-accident
    October 13, 2010 - Commentary Improving patient safety in hospitals: contributions of high-reliability theory and normal accident theory. Citation Text: Tamuz M, Harrison MI. Improving patient safety in hospitals: Contributions of high-reliability theory and normal accident theory. Health Serv Res. 2006;…

  2. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
    March 24, 2011 - Study Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Citation Text: Knudsen P, Herborg H, Mortensen AR, et al. Preventing medication errors in community pharmacy: root-cause analysis of transcription errors. Qual Saf Health Care. 2007;1…

  3. Building bridges: future directions for medical error disclosure research. | PSNet

    psnet.ahrq.gov/issue/building-bridges-future-directions-medical-error-disclosure-research
    October 10, 2018 - Study Building bridges: future directions for medical error disclosure research. Citation Text: Hannawa AF, Beckman H, Mazor KM, et al. Building bridges: future directions for medical error disclosure research. Patient Educ Couns. 2013;92(3):319-327. doi:10.1016/j.pec.2013.05.017. Copy…

  4. Fixing healthcare from the inside, today. | PSNet

    psnet.ahrq.gov/issue/fixing-healthcare-inside-today
    February 28, 2011 - Commentary Classic Fixing healthcare from the inside, today. Citation Text: Spear SJ. Fixing health care from the inside, today. Harv Bus Rev. 2005;83(9):78-91, 158. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  5. Computerized physician order entry: helpful or harmful? | PSNet

    psnet.ahrq.gov/issue/computerized-physician-order-entry-helpful-or-harmful
    January 06, 2018 - Commentary Classic Computerized physician order entry: helpful or harmful? Citation Text: Berger RG, Kichak JP. Computerized physician order entry: helpful or harmful? J Am Med Inform Assoc. 2004;11(2):100-3. Copy Citation Format: Google Scholar …

  6. Time out: an analysis. | PSNet

    psnet.ahrq.gov/issue/time-out-analysis
    October 19, 2022 - Commentary Time out: an analysis. Citation Text: Dillon KA. Time out: an analysis. AORN J. 2008;88(3):437-442. doi:10.1016/j.aorn.2008.03.003. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  7. Detecting adverse drug events through data mining. | PSNet

    psnet.ahrq.gov/issue/detecting-adverse-drug-events-through-data-mining
    February 17, 2009 - Commentary Detecting adverse drug events through data mining. Citation Text: Glasgow JM, Kaboli PJ. Detecting adverse drug events through data mining. Am J Health Syst Pharm. 2010;67(4):317-20. doi:10.2146/ajhp090115. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  8. The evolution of a safety culture. | PSNet

    psnet.ahrq.gov/issue/evolution-safety-culture
    March 17, 2021 - Commentary The evolution of a safety culture. Citation Text: Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  9. Patterns of nurse–physician communication and agreement on the plan of care. | PSNet

    psnet.ahrq.gov/issue/patterns-nurse-physician-communication-and-agreement-plan-care
    December 21, 2014 - Study Patterns of nurse–physician communication and agreement on the plan of care. Citation Text: O'Leary KJ, Thompson JA, Landler MP, et al. Patterns of nurse-physician communication and agreement on the plan of care. Qual Saf Health Care. 2010;19(3):195-9. doi:10.1136/qshc.2008.03022…

  10. Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. | PSNet

    psnet.ahrq.gov/issue/computer-visualisation-patient-safety-primary-care-systems-approach-adapted-management
    October 06, 2011 - Commentary Computer visualisation of patient safety in primary care: a systems approach adapted from management science and engineering. Citation Text: Singh R, Singh A, Fox C, et al. Computer visualisation of patient safety in primary care: a systems approach adapted from management sci…

  11. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. | PSNet

    psnet.ahrq.gov/issue/protecting-patients-unsafe-system-etiology-and-recovery-intraoperative-deviations-care
    October 19, 2012 - Study Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Citation Text: Hu Y-Y, Arriaga AF, Roth EM, et al. Protecting patients from an unsafe system: the etiology and recovery of intraoperative deviations in care. Ann Surg. 2012;…

  12. Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations. | PSNet

    psnet.ahrq.gov/issue/collaborating-or-selling-patients-conceptual-framework-emergency-department-inpatient-handoff
    December 21, 2017 - Commentary Collaborating—or "selling" patients? A conceptual framework for emergency department-to-inpatient handoff negotiations. Citation Text: Hilligoss B, Mansfield JA, Patterson ES, et al. Collaborating-or "Selling" Patients? A Conceptual Framework for Emergency Department-to-Inpati…

  13. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. | PSNet

    psnet.ahrq.gov/issue/5th-anniversary-universal-protocol-pitfalls-and-pearls-revisited
    December 21, 2014 - Commentary The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Citation Text: Stahel PF, Mehler PS, Clarke TJ, et al. The 5th anniversary of the "Universal Protocol": pitfalls and pearls revisited. Patient Saf Surg. 2009;3(1):14. doi:10.1186/1754-9493-3-14. …

  14. Exploring barriers and facilitators to the use of computerized clinical reminders. | PSNet

    psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-use-computerized-clinical-reminders
    November 05, 2015 - Study Exploring barriers and facilitators to the use of computerized clinical reminders. Citation Text: Saleem JJ, Patterson ES, Militello LG, et al. Exploring barriers and facilitators to the use of computerized clinical reminders. J Am Med Inform Assoc. 2005;12(4):438-47. Copy Cita…

  15. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/exploring-causes-junior-doctors-prescribing-mistakes-qualitative-study
    September 09, 2015 - Study Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Citation Text: Lewis PJ, Ashcroft DM, Dornan T, et al. Exploring the causes of junior doctors' prescribing mistakes: a qualitative study. Br J Clin Pharmacol. 2014;78(2):310-9. doi:10.1111/bcp.12332.…

  16. Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children. | PSNet

    psnet.ahrq.gov/issue/measuring-inappropriate-medical-diagnosis-and-treatment-survey-data-case-adhd-among-school
    February 10, 2015 - Newspaper/Magazine Article Measuring inappropriate medical diagnosis and treatment in survey data: the case of ADHD among school-age children. Citation Text: Evans WN, Morrill MS, Parente ST. Measuring inappropriate medical diagnosis and treatment in survey data: The case of ADHD among…

  17. Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. | PSNet

    psnet.ahrq.gov/issue/matching-nurse-skill-patient-acuity-intensive-care-units-risk-management-mandate
    April 24, 2018 - Commentary Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. Citation Text: Rischbieth A. Matching nurse skill with patient acuity in the intensive care units: a risk management mandate. J Nurs Manag. 2006;14(5):397-404. Copy Citation …

  18. Infusion medication error reduction by two-person verification: a quality improvement initiative. | PSNet

    psnet.ahrq.gov/issue/infusion-medication-error-reduction-two-person-verification-quality-improvement-initiative
    June 19, 2019 - Commentary Infusion medication error reduction by two-person verification: a quality improvement initiative. Citation Text: Subramanyam R, Mahmoud M, Buck D, et al. Infusion Medication Error Reduction by Two-Person Verification: A Quality Improvement Initiative. Pediatrics. 2016;138(6). …

  19. We know what they did wrong, but not why: the case for 'frame-based' feedback. | PSNet

    psnet.ahrq.gov/issue/we-know-what-they-did-wrong-not-why-case-frame-based-feedback
    December 21, 2014 - Newspaper/Magazine Article We know what they did wrong, but not why: the case for 'frame-based' feedback. Citation Text: Rudolph JW, Raemer D, Shapiro J. We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’ feedback. Clin Teach. 2013;10(3):186-189. doi:10.1111/j.1743-498x.2…

  20. The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. | PSNet

    psnet.ahrq.gov/issue/canadian-interprofessional-patient-safety-competencies-their-role-health-care-professionals
    March 02, 2022 - Commentary The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. Citation Text: King J, Anderson CM. The Canadian interprofessional patient safety competencies: their role in health-care professionals' education. J Patient Saf. …
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