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Showing results for "processes".

9221. Specimen labeling errors in surgical pathology: an 18-month experience. | PSNet
      psnet.ahrq.gov/issue/specimen-labeling-errors-surgical-pathology-18-month-experience
      January 04, 2012 - Study Specimen labeling errors in surgical pathology: an 18-month experience. Citation Text: Layfield LJ, Anderson GM. Specimen labeling errors in surgical pathology: an 18-month experience. Am J Clin Pathol. 2010;134(3):466-70. doi:10.1309/AJCPHLQHJ0S3DFJK. Copy Citation Format:…

9222. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. | PSNet
      psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric
      June 27, 2011 - Study Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. Citation Text: Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital di…

9223. Using the patient safety huddle as a tool for high reliability. | PSNet
      psnet.ahrq.gov/issue/using-patient-safety-huddle-tool-high-reliability
      March 01, 2023 - Commentary Using the patient safety huddle as a tool for high reliability. Citation Text: Brass SD, Olney G, Glimp R, et al. Using the Patient Safety Huddle as a Tool for High Reliability. Jt Comm J Qual Patient Saf. 2018;44(4):219-226. doi:10.1016/j.jcjq.2017.10.004. Copy Citation …

9224. Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. | PSNet
      psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
      March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Citation Text: Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…

9225. Medication errors in neonatal and paediatric intensive-care units. | PSNet
      psnet.ahrq.gov/issue/medication-errors-neonatal-and-paediatric-intensive-care-units
      February 03, 2011 - Study Classic Medication errors in neonatal and paediatric intensive-care units. Citation Text: Raju TN, Kecskes S, Thornton JP, et al. Medication errors in neonatal and paediatric intensive-care units. Lancet. 1989;2(8659):374-6. Copy Citation Format: …

9226. Is the test result correct? A questionnaire study of blood collection practices in primary health care. | PSNet
      psnet.ahrq.gov/issue/test-result-correct-questionnaire-study-blood-collection-practices-primary-health-care
      February 18, 2009 - Study Is the test result correct? A questionnaire study of blood collection practices in primary health care. Citation Text: Söderberg J, Wallin O, Grankvist K, et al. Is the test result correct? A questionnaire study of blood collection practices in primary health care. J Eval Clin Pr…

9227. Evaluation of contextual influences on the medication administration practice of paediatric nurses. | PSNet
      psnet.ahrq.gov/issue/evaluation-contextual-influences-medication-administration-practice-paediatric-nurses
      January 20, 2021 - Study Evaluation of contextual influences on the medication administration practice of paediatric nurses. Citation Text: Davis L, Ware R, McCann D, et al. Evaluation of contextual influences on the medication administration practice of paediatric nurses. J Adv Nurs. 2009;65(6):1293-9. …

9228. Assessment (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/assessment.docx
      March 01, 2017 - Appendix J. Long-Term Care CAUTI Surveillance Worksheet The purpose of the Long-Term Care CAUTI Surveillance Worksheet is to use it to streamline the surveillance process with reviewing a resident’s chart for a suspected catheter-associated urinary tract infection (CAUTI). The form combines the resident’s health asses…

9229. Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. | PSNet
      psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
      October 17, 2017 - Review Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. Citation Text: Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…

9230. Automatic detection of omissions in medication lists. | PSNet
      psnet.ahrq.gov/issue/automatic-detection-omissions-medication-lists
      December 31, 2014 - Study Automatic detection of omissions in medication lists. Citation Text: Hasan S, Duncan GT, Neill DB, et al. Automatic detection of omissions in medication lists. J Am Med Inform Assoc. 2011;18(4):449-58. doi:10.1136/amiajnl-2011-000106. Copy Citation Format: DOI Googl…

9231. How should medication errors be defined? Development and test of a definition. | PSNet
      psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition
      June 27, 2011 - Study How should medication errors be defined? Development and test of a definition. Citation Text: Lisby M, Nielsen LP, Brock B, et al. How should medication errors be defined? Development and test of a definition. Scand J Public Health. 2012;40(2):203-10. doi:10.1177/1403494811435489.…

9232. Work overload is related to increased risk of error during chemotherapy preparation. | PSNet
      psnet.ahrq.gov/issue/work-overload-related-increased-risk-error-during-chemotherapy-preparation
      June 30, 2011 - Study Work overload is related to increased risk of error during chemotherapy preparation. Citation Text: Carrez L, Bouchoud L, Fleury S, et al. Work overload is related to increased risk of error during chemotherapy preparation. J Oncol Pharm Pract. 2019;25(6):1456-1466. doi:10.1177/107…

9233. Devastatingly human: an analysis of registered nurses' medication error accounts. | PSNet
      psnet.ahrq.gov/issue/devastatingly-human-analysis-registered-nurses-medication-error-accounts
      June 27, 2018 - Study Devastatingly human: an analysis of registered nurses' medication error accounts. Citation Text: Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts. Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228. Copy Cita…

9234. Appendix K. Quality Improvement Study Framework - Implementation Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/implementation-guide/study.html
      May 01, 2017 - Appendix K. Quality Improvement Study Framework - Implementation Guide Study Elements Element Definition Things To Keep in Mind The Purpose Define the problem and why it is important. Avoid suggesting causes in the purpose statement. Cause determination will come later afte…

9235. The effect of physicians' long-term use of CPOE on their test management work practices. | PSNet
      psnet.ahrq.gov/issue/effect-physicians-long-term-use-cpoe-their-test-management-work-practices
      March 23, 2011 - Study The effect of physicians' long-term use of CPOE on their test management work practices. Citation Text: Callen JL, Westbrook JI, Braithwaite J. The effect of physicians' long-term use of CPOE on their test management work practices. J Am Med Inform Assoc. 2006;13(6):643-52. Cop…

9236. Advancing diagnostic safety research: results of a systematic research priority setting exercise. | PSNet
      psnet.ahrq.gov/issue/advancing-diagnostic-safety-research-results-systematic-research-priority-setting-exercise
      April 05, 2023 - Commentary Advancing diagnostic safety research: results of a systematic research priority setting exercise. Citation Text: Zwaan L, El-Kareh R, Meyer AND, et al. Advancing diagnostic safety research: results of a systematic research priority setting exercise. J Gen Intern Med. 2021;36(1…

9237. Minimising treatment-associated risks in systemic cancer therapy. | PSNet
      psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
      December 22, 2021 - Review Minimising treatment-associated risks in systemic cancer therapy. Citation Text: Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy. Pharm World Sci. 2008;30(2):161-8. Copy Citation Format: Google Scholar PubMed B…

9238. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. | PSNet
      psnet.ahrq.gov/issue/using-computerized-prescriber-order-entry-limit-overrides-automated-dispensing-cabinets
      May 18, 2022 - Commentary Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Citation Text: Drake E, Srinivas P, Trujillo T. Using computerized prescriber order entry to limit overrides from automated dispensing cabinets. Am J Health-Syst Pharm. 2016;73(14)…

9239. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. | PSNet
      psnet.ahrq.gov/issue/practical-framework-patient-care-teams-prospectively-identify-and-mitigate-clinical-hazards
      March 01, 2011 - Commentary A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Citation Text: Herzer KR, Rodriguez-Paz JM, Doyle PA, et al. A practical framework for patient care teams to prospectively identify and mitigate clinical hazards. Jt Comm J Qu…

9240. Fumbled handoffs: one dropped ball after another. | PSNet
      psnet.ahrq.gov/issue/fumbled-handoffs-one-dropped-ball-after-another
      April 10, 2024 - Commentary Fumbled handoffs: one dropped ball after another. Citation Text: Gandhi TK. Fumbled handoffs: one dropped ball after another. Ann Intern Med. 2005;142(5):352-358. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…