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Showing results for "recommendation".
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1641. A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. | PSNet
      psnet.ahrq.gov/issue/multicenter-collaborative-effort-reduce-preventable-patient-harm-due-retained-surgical-items
      March 20, 2019 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1642. Wrong-site surgery, retained surgical items, and surgical fires: a systematic review of surgical never events. | PSNet
      psnet.ahrq.gov/issue/wrong-site-surgery-retained-surgical-items-and-surgical-fires-systematic-review-surgical
      March 13, 2013 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1643. A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes. | PSNet
      psnet.ahrq.gov/issue/prospective-study-paediatric-cardiac-surgical-microsystems-assessing-relationships-between
      February 14, 2024 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1644. Defining near misses: towards a sharpened definition based on empirical data about error handling processes. | PSNet
      psnet.ahrq.gov/issue/defining-near-misses-towards-sharpened-definition-based-empirical-data-about-error-handling
      June 28, 2011 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1645. Impact of fatigue on anaesthesia providers: a scoping review. | PSNet
      psnet.ahrq.gov/issue/impact-fatigue-anaesthesia-providers-scoping-review
      November 21, 2021 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1646. Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet
      psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
      February 14, 2024 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1647. Nurses' perceptions of an electronic patient record from a patient safety perspective: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/nurses-perceptions-electronic-patient-record-patient-safety-perspective-qualitative-study
      October 09, 2013 - November 17, 2010 Implementing situation-background-assessment-recommendation in an anaesthetic

1648. Creating a just culture in the perioperative setting. | PSNet
      psnet.ahrq.gov/issue/creating-just-culture-perioperative-setting
      July 13, 2009 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1649. Learning from preventable deaths: exploring case record reviewers' narratives using change analysis. | PSNet
      psnet.ahrq.gov/issue/learning-preventable-deaths-exploring-case-record-reviewers-narratives-using-change-analysis
      June 17, 2014 - April 29, 2015 Mind the gap between recommendation and implementation—principles and

1650. Do physicians clean their hands? Insights from a covert observational study. | PSNet
      psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
      July 02, 2019 - August 14, 2014 Mind the gap between recommendation and implementation—principles and

1651. Systems thinking and incivility in nursing practice: an integrative review. | PSNet
      psnet.ahrq.gov/issue/systems-thinking-and-incivility-nursing-practice-integrative-review
      December 18, 2017 - September 23, 2020 White paper on recommendation for systems-based practice competency

1652. Crisis recovery in surgery: error management and problem solving in safety-critical situations. | PSNet
      psnet.ahrq.gov/issue/crisis-recovery-surgery-error-management-and-problem-solving-safety-critical-situations
      November 30, 2022 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1653. The effect of a checklist on the quality of patient handover from the operating room to the intensive care unit: a randomized controlled trial. | PSNet
      psnet.ahrq.gov/issue/effect-checklist-quality-patient-handover-operating-room-intensive-care-unit-randomized
      April 03, 2013 - October 8, 2016 Implementing situation-background-assessment-recommendation in an anaesthetic

1654. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet
      psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
      October 06, 2021 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1655. Improving patient safety in the ICU by prospective identification of missing safety barriers using the Bow-Tie prospective risk analysis model. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-icu-prospective-identification-missing-safety-barriers-using-bow-tie
      February 14, 2024 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1656. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. | PSNet
      psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
      January 24, 2018 - June 3, 2016 Exploring the "Black Box" of recommendation generation in local health care

1657. Exploring perinatal shift-to-shift handover communication and process: an observational study. | PSNet
      psnet.ahrq.gov/issue/exploring-perinatal-shift-shift-handover-communication-and-process-observational-study
      April 04, 2018 - handoffs in a labor and delivery ward revealed that key elements ( situation, background, assessment, recommendation

1658. Learning from incidents in healthcare: the journey, not the arrival, matters. | PSNet
      psnet.ahrq.gov/issue/learning-incidents-healthcare-journey-not-arrival-matters
      June 12, 2024 - ) Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation

1659. Handshake antimicrobial stewardship as a model to recognize and prevent diagnostic errors. | PSNet
      psnet.ahrq.gov/issue/handshake-antimicrobial-stewardship-model-recognize-and-prevent-diagnostic-errors
      September 29, 2021 - These cases included a diagnostic recommendation from the HS-ASP team (e.g., recommendations to consider

1660. Systematic workup of transfusion reactions reveals passive co-reporting of handling errors. | PSNet
      psnet.ahrq.gov/issue/systematic-workup-transfusion-reactions-reveals-passive-co-reporting-handling-errors
      December 21, 2016 - Grading recommendations for enhanced patient safety in sentinel event analysis: the recommendation