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Showing results for "processes".

  1. Targeting the fear of safety reporting on a unit level. | PSNet

    psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level
    December 13, 2023 - Commentary Targeting the fear of safety reporting on a unit level. Citation Text: Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  2. Debriefing in the emergency department after clinical events: a practical guide. | PSNet

    psnet.ahrq.gov/issue/debriefing-emergency-department-after-clinical-events-practical-guide
    November 16, 2022 - Commentary Debriefing in the emergency department after clinical events: a practical guide. Citation Text: Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10…

  3. 'Even now it makes me angry': health care students' professionalism dilemma narratives. | PSNet

    psnet.ahrq.gov/issue/even-now-it-makes-me-angry-health-care-students-professionalism-dilemma-narratives
    June 12, 2019 - Study 'Even now it makes me angry': health care students' professionalism dilemma narratives. Citation Text: Monrouxe L, Rees CE, Endacott R, et al. 'Even now it makes me angry': health care students' professionalism dilemma narratives. Med Educ. 2014;48(5):502-17. doi:10.1111/medu.12377…

  4. Description and factors associated with missed nursing care in an acute care community hospital. | PSNet

    psnet.ahrq.gov/issue/description-and-factors-associated-missed-nursing-care-acute-care-community-hospital
    August 15, 2012 - Study Emerging Classic Description and factors associated with missed nursing care in an acute care community hospital. Citation Text: Duffy JR, Culp S, Padrutt T. Description and factors associated with missed nursing care in an acute care community hospital. J…

  5. Operating room briefings and wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/operating-room-briefings-and-wrong-site-surgery
    November 26, 2008 - Study Classic Operating room briefings and wrong-site surgery. Citation Text: Makary MA, Mukherjee A, Sexton B, et al. Operating room briefings and wrong-site surgery. J Am Coll Surg. 2007;204(2):236-43. Copy Citation Format: Google Scholar PubMe…

  6. Americans' Experiences With Medical Errors and Views on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
    January 06, 2015 - Book/Report Classic Americans' Experiences With Medical Errors and Views on Patient Safety. Citation Text: Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…

  7. Good and bad reasons: the Swiss cheese model and its critics. | PSNet

    psnet.ahrq.gov/issue/good-and-bad-reasons-swiss-cheese-model-and-its-critics
    September 14, 2022 - Commentary Classic Good and bad reasons: the Swiss cheese model and its critics. Citation Text: Larouzee J, Le Coze J-C. Good and bad reasons: the Swiss cheese model and its critics. Safety Sci. 2020;126:104660. doi:10.1016/j.ssci.2020.104660. Copy Citation …

  8. Capturing essential information to achieve safe interoperability. | PSNet

    psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability
    February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…

  9. How will state medical boards handle cases involving disclosure and apology for medical errors? | PSNet

    psnet.ahrq.gov/issue/how-will-state-medical-boards-handle-cases-involving-disclosure-and-apology-medical-errors
    September 07, 2022 - Study How will state medical boards handle cases involving disclosure and apology for medical errors? Citation Text: Wojcieszak D. How will state medical boards handle cases involving disclosure and apology for medical errors? J Patient Saf Risk Manag. 2022;27(1):15-20. doi:10.1177/25160…

  10. Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. | PSNet

    psnet.ahrq.gov/issue/challenges-and-opportunities-agency-healthcare-research-and-quality-ahrq-research-summit
    October 04, 2020 - Meeting/Conference Proceedings Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review. Citation Text: Henriksen K, Dymek C, Harrison MI, et al. Challenges and opportunities from the Agency for H…

  11. Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. | PSNet

    psnet.ahrq.gov/issue/proceed-reasonable-care-when-legal-principles-inform-training-prevent-harm-during-childbirth
    July 24, 2013 - Commentary Proceed with reasonable care: when legal principles inform training to prevent harm during the childbirth. Citation Text: Petrovic M, Nicholls J, Siassakos D. Proceed with reasonable care: when legal principles inform training to prevent harm during childbirth. Best Pract Res …

  12. Electronic prescription writing errors in the pediatric emergency department. | PSNet

    psnet.ahrq.gov/issue/electronic-prescription-writing-errors-pediatric-emergency-department
    November 16, 2022 - Study Electronic prescription writing errors in the pediatric emergency department. Citation Text: Nelson CE, Selbst SM. Electronic prescription writing errors in the pediatric emergency department. Pediatr Emerg Care. 2015;31(5):368-72. doi:10.1097/PEC.0000000000000428. Copy Citation …

  13. Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. | PSNet

    psnet.ahrq.gov/issue/factors-associated-barcode-medication-administration-technology-contribute-patient-safety
    September 28, 2010 - Review Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. Citation Text: Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration Technology That Contribute to Patien…

  14. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. Citation Text: Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm.…

  15. Emotional harm from disrespect: the neglected preventable harm. | PSNet

    psnet.ahrq.gov/issue/emotional-harm-disrespect-neglected-preventable-harm
    August 09, 2018 - Commentary Emotional harm from disrespect: the neglected preventable harm. Citation Text: Sokol-Hessner L, Folcarelli P, Sands KEF. Emotional harm from disrespect: the neglected preventable harm. BMJ Qual Saf. 2015;24(9):550-3. doi:10.1136/bmjqs-2015-004034. Copy Citation Format: …

  16. Medication administration and interruptions in nursing homes: a qualitative observational study. | PSNet

    psnet.ahrq.gov/issue/medication-administration-and-interruptions-nursing-homes-qualitative-observational-study
    March 15, 2023 - Study Medication administration and interruptions in nursing homes: a qualitative observational study. Citation Text: Odberg KR, Hansen BS, Aase K, et al. Medication administration and interruptions in nursing homes: A qualitative observational study. J Clin Nurs. 2018;27(5-6):1113-1124.…

  17. Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
    April 24, 2018 - Commentary Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. Citation Text: Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…

  18. Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. | PSNet

    psnet.ahrq.gov/issue/risk-management-or-just-different-risk-national-survey-newborn-units-following-patient-safety
    April 12, 2011 - Study Risk management, or just a different risk: a national survey of newborn units following a patient safety alert. Citation Text: Freer Y. Risk management, or just a different risk? Archives of Disease in Childhood - Fetal and Neonatal Edition. 2006;91(5). doi:10.1136/adc.2005.08954…

  19. Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis. | PSNet

    psnet.ahrq.gov/issue/beyond-dr-google-evidence-consumer-facing-digital-tools-diagnosis
    August 20, 2018 - Review Emerging Classic Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis. Citation Text: Millenson ML, Baldwin JL, Zipperer L, et al. Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis. Diagnosis (Berl). …

  20. Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study. | PSNet

    psnet.ahrq.gov/issue/problems-after-discharge-and-understanding-communication-their-primary-care-physicians-pcps
    March 28, 2018 - Study Problems after discharge and understanding of communication with their primary care physicians (PCPs) among hospitalized seniors: a mixed methods study. Citation Text: Arora V, Prochaska ML, Farnan JM, et al. Problems after discharge and understanding of communication with their p…
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