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Showing results for "processes".

  1. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. | PSNet

    psnet.ahrq.gov/issue/understanding-causes-intravenous-medication-administration-errors-hospitals-qualitative
    June 25, 2014 - Study Understanding the causes of intravenous medication administration errors in hospitals: a qualitative critical incident study. Citation Text: Keers RN, Williams SD, Cooke J, et al. Understanding the causes of intravenous medication administration errors in hospitals: a qualitative c…

  2. The nature and causes of unintended events reported at ten emergency departments. | PSNet

    psnet.ahrq.gov/issue/nature-and-causes-unintended-events-reported-ten-emergency-departments
    February 20, 2013 - Study The nature and causes of unintended events reported at ten emergency departments. Citation Text: Smits M, Groenewegen PP, Timmermans D, et al. The nature and causes of unintended events reported at ten emergency departments. BMC Emerg Med. 2009;9:16. doi:10.1186/1471-227X-9-16. …

  3. Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet

    psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet
    May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

  4. A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. | PSNet

    psnet.ahrq.gov/issue/review-educational-strategies-improve-nurses-roles-recognizing-and-responding-deteriorating
    October 16, 2013 - Review A review of educational strategies to improve nurses' roles in recognizing and responding to deteriorating patients. Citation Text: Liaw SY, Scherpbier A, Klainin-Yobas P, et al. A review of educational strategies to improve nurses' roles in recognizing and responding to deterio…

  5. PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. | PSNet

    psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
    November 16, 2022 - Study PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. Citation Text: Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…

  6. What 'just culture' doesn't understand about just punishment. | PSNet

    psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment
    December 30, 2014 - Commentary What 'just culture' doesn't understand about just punishment. Citation Text: Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. Copy Citation Format: DOI Google Schola…

  7. A systematic review of falls in hospital for patients with communication disability: highlighting an invisible population. | PSNet

    psnet.ahrq.gov/issue/systematic-review-falls-hospital-patients-communication-disability-highlighting-invisible
    April 15, 2016 - Review A systematic review of falls in hospital for patients with communication disability: highlighting an invisible population. Citation Text: Hemsley B, Steel J, Worrall L, et al. A systematic review of falls in hospital for patients with communication disability: Highlighting an invi…

  8. The end of the beginning: patient safety five years after 'To Err Is Human.' | PSNet

    psnet.ahrq.gov/issue/end-beginning-patient-safety-five-years-after-err-human
    March 02, 2011 - Commentary Classic The end of the beginning: patient safety five years after 'To Err Is Human.' Citation Text: Wachter RM. The End Of The Beginning: Patient Safety Five Years After ‘To Err Is Human’. Health Aff. 2004;23(Suppl1). doi:10.1377/hlthaff.w4.534. C…

  9. Practically speaking: rethinking hand hygiene improvement programs in health care settings. | PSNet

    psnet.ahrq.gov/issue/practically-speaking-rethinking-hand-hygiene-improvement-programs-health-care-settings
    September 03, 2011 - Study Practically speaking: rethinking hand hygiene improvement programs in health care settings. Citation Text: Son C, Chuck T, Childers T, et al. Practically speaking: Rethinking hand hygiene improvement programs in health care settings. Am J Infect Control. 2011;39(9). doi:10.1016/j…

  10. Adverse effects of computers during bedside rounds in a critical care unit. | PSNet

    psnet.ahrq.gov/issue/adverse-effects-computers-during-bedside-rounds-critical-care-unit
    August 02, 2015 - Study Adverse effects of computers during bedside rounds in a critical care unit. Citation Text: Dhillon NK, Francis SE, Tatum JM, et al. Adverse Effects of Computers During Bedside Rounds in a Critical Care Unit. JAMA Surg. 2018;153(11):1052-1053. doi:10.1001/jamasurg.2018.1752. Copy …

  11. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. | PSNet

    psnet.ahrq.gov/issue/e-prescribing-errors-community-pharmacies-exploring-consequences-and-contributing-factors
    January 07, 2015 - Study E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Citation Text: Odukoya OK, Stone JA, Chui MA. E-prescribing errors in community pharmacies: exploring consequences and contributing factors. Int J Med Inform. 2014;83(6):427-37. doi:10.10…

  12. Safe use of electronic health records and health information technology systems: trust but verify. | PSNet

    psnet.ahrq.gov/issue/safe-use-electronic-health-records-and-health-information-technology-systems-trust-verify
    August 02, 2015 - Study Safe use of electronic health records and health information technology systems: trust but verify. Citation Text: Denham CR, Classen D, Swenson SJ, et al. Safe use of electronic health records and health information technology systems: trust but verify. J Patient Saf. 2013;9(4):17…

  13. Intensive care unit safety culture and outcomes: a US multicenter study. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-safety-culture-and-outcomes-us-multicenter-study
    June 16, 2011 - Study Intensive care unit safety culture and outcomes: a US multicenter study. Citation Text: Huang DT, Clermont G, Kong L, et al. Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care. 2010;22(3):151-61. doi:10.1093/intqhc/mzq017. Copy Citat…

  14. An evolution of reporting: identifying the missing link. | PSNet

    psnet.ahrq.gov/issue/evolution-reporting-identifying-missing-link
    August 17, 2022 - Commentary An evolution of reporting: identifying the missing link. Citation Text: Harsini S, Tofighi S, Eibschutz L, et al. An evolution of reporting: identifying the missing link. Diagnostics (Basel). 2022;12(7):1761. doi:10.3390/diagnostics12071761. Copy Citation Format: …

  15. Medical errors reported by French general practitioners in training: results of a survey and individual interviews. | PSNet

    psnet.ahrq.gov/issue/medical-errors-reported-french-general-practitioners-training-results-survey-and-individual
    March 10, 2011 - Study Medical errors reported by French general practitioners in training: results of a survey and individual interviews. Citation Text: Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual intervie…

  16. Measuring preventable harm: helping science keep pace with policy.   | PSNet

    psnet.ahrq.gov/issue/measuring-preventable-harm-helping-science-keep-pace-policy
    December 29, 2014 - Commentary Measuring preventable harm: helping science keep pace with policy.   Citation Text: Pronovost P, Colantuoni E. Measuring preventable harm: helping science keep pace with policy. JAMA. 2009;301(12):1273-5. doi:10.1001/jama.2009.388. Copy Citation Format: DOI Goo…

  17. Association between elements of electronic health record systems and the weekend effect in urgent general surgery. | PSNet

    psnet.ahrq.gov/issue/association-between-elements-electronic-health-record-systems-and-weekend-effect-urgent
    November 04, 2015 - Study Association between elements of electronic health record systems and the weekend effect in urgent general surgery. Citation Text: Kothari A, Brownlee SA, Blackwell RH, et al. Association Between Elements of Electronic Health Record Systems and the Weekend Effect in Urgent General S…

  18. Promoting patient safety through prospective risk identification: example from peri-operative care. | PSNet

    psnet.ahrq.gov/issue/promoting-patient-safety-through-prospective-risk-identification-example-peri-operative-care
    September 23, 2020 - Study Promoting patient safety through prospective risk identification: example from peri-operative care. Citation Text: Smith AF, Boult M, Woods I, et al. Promoting patient safety through prospective risk identification: example from peri-operative care. Qual Saf Health Care. 2010;19(…

  19. 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. | PSNet

    psnet.ahrq.gov/issue/corridor-care-emergency-department-managing-patient-care-non-clinical-areas-safely-and
    May 19, 2021 - Commentary 'Corridor care' in the emergency department: managing patient care in non-clinical areas safely and efficiently. Citation Text: Williams C. ‘Corridor care’ in the emergency department: managing patient care in non-clinical areas safely and efficiently. Emerg Nurse. 2023;31(6):…

  20. An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. | PSNet

    psnet.ahrq.gov/issue/internal-quality-improvement-collaborative-significantly-reduces-hospital-wide-medication
    March 20, 2014 - Study An internal quality improvement collaborative significantly reduces hospital-wide medication error related adverse drug events. Citation Text: McClead RE, Catt C, Davis T, et al. An internal quality improvement collaborative significantly reduces hospital-wide medication error rela…
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