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Showing results for "processes".

  1. Social capital and knowledge sharing: effects on patient safety. | PSNet

    psnet.ahrq.gov/issue/social-capital-and-knowledge-sharing-effects-patient-safety
    September 15, 2011 - Study Social capital and knowledge sharing: effects on patient safety. Citation Text: Chang C-W, Huang H-C, Chiang C-Y, et al. Social capital and knowledge sharing: effects on patient safety. J Adv Nurs. 2012;68(8):1793-803. doi:10.1111/j.1365-2648.2011.05871.x. Copy Citation For…

  2. Why do nurses miss nursing care? A qualitative meta-synthesis. | PSNet

    psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthesis
    January 23, 2017 - Review Why do nurses miss nursing care? A qualitative meta-synthesis. Citation Text: Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta‐synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. Copy Citation Format: DOI Google Scho…

  3. Measuring mobile patient safety information system success: an empirical study. | PSNet

    psnet.ahrq.gov/issue/measuring-mobile-patient-safety-information-system-success-empirical-study
    September 27, 2017 - Study Measuring mobile patient safety information system success: an empirical study. Citation Text: Jen W-Y, Chao C-C. Measuring mobile patient safety information system success: an empirical study. Int J Med Inform. 2008;77(10):689-97. doi:10.1016/j.ijmedinf.2008.03.003. Copy Cit…

  4. Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. | PSNet

    psnet.ahrq.gov/issue/learning-preventable-adverse-events-health-care-organizations-development-multilevel-model
    June 28, 2010 - Commentary Learning from preventable adverse events in health care organizations: development of a multilevel model of learning and propositions. Citation Text: Chuang Y-T, Ginsburg LR, Berta WB. Learning from preventable adverse events in health care organizations: development of a mu…

  5. Do faculty and resident physicians discuss their medical errors? | PSNet

    psnet.ahrq.gov/issue/do-faculty-and-resident-physicians-discuss-their-medical-errors
    February 15, 2011 - Study Do faculty and resident physicians discuss their medical errors? Citation Text: Kaldjian LC, Forman-Hoffman VL, Jones EW, et al. Do faculty and resident physicians discuss their medical errors? J Med Ethics. 2008;34(10):717-22. doi:10.1136/jme.2007.023713. Copy Citation For…

  6. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. | PSNet

    psnet.ahrq.gov/issue/operating-room-teamwork-among-physicians-and-nurses-teamwork-eye-beholder
    September 28, 2010 - Study Classic Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. Citation Text: Makary MA, Sexton B, Freischlag JA, et al. Operating room teamwork among physicians and nurses: teamwork in the eye of the beholder. J Am Col…

  7. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. | PSNet

    psnet.ahrq.gov/issue/understanding-unwarranted-variation-clinical-practice-focus-network-effects-reflective
    March 31, 2021 - Commentary Understanding unwarranted variation in clinical practice: a focus on network effects, reflective medicine and learning health systems. Citation Text: Atsma F, Elwyn G, Westert GP. Understanding unwarranted variation in clinical practice: a focus on network effects, reflective …

  8. Preferred language and diagnostic errors in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/preferred-language-and-diagnostic-errors-pediatric-emergency-department
    April 06, 2022 - Study Preferred language and diagnostic errors in the pediatric emergency department. Citation Text: Lowe JT, Leonard J, Dominguez F, et al. Preferred language and diagnostic errors in the pediatric emergency department. Diagnosis (Berl). 2024;11(1):49-53. doi:10.1515/dx-2023-0079. Cop…

  9. Trial and error: learning from malpractice claims in childhood surgery. | PSNet

    psnet.ahrq.gov/issue/trial-and-error-learning-malpractice-claims-childhood-surgery
    March 09, 2022 - Study Trial and error: learning from malpractice claims in childhood surgery. Citation Text: Prieto JM, Falcone B, Greenberg P, et al. Trial and error: learning from malpractice claims in childhood surgery. J Surg Res. 2022;279:84-88. doi:10.1016/j.jss.2022.05.033. Copy Citation Fo…

  10. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. | PSNet

    psnet.ahrq.gov/issue/near-miss-events-are-really-missed-reflections-incident-reporting-department-pediatric
    March 08, 2023 - Study Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Citation Text: Mattioli G, Guida E, Montobbio G, et al. Near-miss events are really missed! Reflections on incident reporting in a department of pediatric surgery. Pediatr …

  11. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. | PSNet

    psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
    September 04, 2019 - Study Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Citation Text: Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33. Copy Citation Format: …

  12. Cognitive error in an academic emergency department. | PSNet

    psnet.ahrq.gov/issue/cognitive-error-academic-emergency-department
    July 29, 2020 - Study Cognitive error in an academic emergency department. Citation Text: Schnapp BH, Sun JE, Kim JL, et al. Cognitive error in an academic emergency department. Diagnosis (Berl). 2018;5(3):135-142. doi:10.1515/dx-2018-0011. Copy Citation Format: DOI Google Scholar PubMed B…

  13. Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
    September 27, 2016 - Commentary Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. Citation Text: Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…

  14. Using HFMEA to assess potential for patient harm from tubing misconnections. | PSNet

    psnet.ahrq.gov/issue/using-hfmea-assess-potential-patient-harm-tubing-misconnections
    April 19, 2013 - Commentary Using HFMEA to assess potential for patient harm from tubing misconnections. Citation Text: Kimehi-Woods J, Shultz JP. Using HFMEA to assess potential for patient harm from tubing misconnections. Jt Comm J Qual Patient Saf. 2006;32(7):373-381. Copy Citation Format: …

  15. Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. | PSNet

    psnet.ahrq.gov/issue/cardinal-health-recalls-argyle-uvc-insertion-tray-due-missing-instructions-use-safety-scalpel
    August 20, 2021 - Press Release/Announcement Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. Citation Text: Cardinal Health recalls Argyle UVC insertion tray due to missing instructions for use for the Safety Scalpel N11. MedWatch Safety Al…

  16. Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach. | PSNet

    psnet.ahrq.gov/issue/usability-testing-mobile-app-report-medication-errors-anonymously-mixed-methods-approach
    May 12, 2021 - Study Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach. Citation Text: George D, Hassali MA, Hss A-S. Usability Testing of a Mobile App to Report Medication Errors Anonymously: Mixed-Methods Approach. JMIR Hum Factors. 2018;5(4):e12232. do…

  17. The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. | PSNet

    psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-propofol-procedures
    April 11, 2011 - Study The incidence and nature of adverse events during pediatric sedation/anesthesia with propofol for procedures outside the operating room: a report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Beach ML, Blike G, et al. The incidence and nature of adve…

  18. Analysis of a medication safety intervention in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/analysis-medication-safety-intervention-pediatric-emergency-department
    August 02, 2012 - Study Analysis of a medication safety intervention in the pediatric emergency department. Citation Text: Samuels-Kalow ME, Tassone R, Manning W, et al. Analysis of a medication safety intervention in the pediatric emergency department. JAMA Netw Open. 2024;7(1):e2351629. doi:10.1001/jama…

  19. Considerations for the design of safe and effective consumer health IT applications in the home. | PSNet

    psnet.ahrq.gov/issue/considerations-design-safe-and-effective-consumer-health-it-applications-home
    September 24, 2016 - Study Considerations for the design of safe and effective consumer health IT applications in the home. Citation Text: Zayas-Cabán T, Dixon BE. Considerations for the design of safe and effective consumer health IT applications in the home. Qual Saf Health Care. 2010;19 Suppl 3:i61-i67.…

  20. Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. | PSNet

    psnet.ahrq.gov/issue/intravenous-fluid-prescribing-errors-children-mixed-methods-analysis-critical-incidents
    June 14, 2023 - Study Intravenous fluid prescribing errors in children: mixed methods analysis of critical incidents. Citation Text: Conn RL, McVea S, Carrington A, et al. Intravenous fluid prescribing errors in children: Mixed methods analysis of critical incidents. PLoS One. 2017;12(10):e0186210. doi:…
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