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Showing results for "references".

2061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836723/psn-pdf
      March 09, 2022 - Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospitals, 2007-2017. March 9, 2022 Zheng MY, Lui H, Patino G, et al. Morbidity and mortality caused by noncompliance with California hospital licensure: immediate jeopardies in California hospita…

2062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836865/psn-pdf
      April 06, 2022 - Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events. April 6, 2022 Rhodus EK, Lancaster EA, Hunter EG, et al. Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls l…

2063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73060/psn-pdf
      March 24, 2021 - How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. March 24, 2021 Fridrich A, Imhof A, Schwappach DLB. How much and what local adaptation is acceptable? A comparison of 24 surgical safety checklists in Switzerland. J Patient Saf. 2021;17(3):217-222. doi…

2064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74701/psn-pdf
      January 26, 2022 - Non-conveyance of older adult patients and association with subsequent clinical and adverse events after initial assessment by ambulance clinicians: a cohort analysis. January 26, 2022 Lederman J, Lindström V, Elmqvist C, et al. Non-conveyance of older adult patients and association with subsequent clinical and ad…

2065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34656/psn-pdf
      May 27, 2011 - A look into the nature and causes of human errors in the intensive care unit. May 27, 2011 Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300. https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-…

2066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43853/psn-pdf
      March 11, 2015 - Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. March 11, 2015 Lee H, Cumin D, Devcich DA, et al. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. J Adv Nurs. 2015;71(1):…

2067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74719/psn-pdf
      February 02, 2022 - Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient. February 2, 2022 Sujan M, Bilbro N, Ross A, et al. Failure to rescue following emergency surgery: A FRAM analysis of the management of the deteriorating patient. Appl Ergon. 2022;98:103608. doi:10.1016/j.a…

2068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34769/psn-pdf
      March 28, 2005 - The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. March 28, 2005 Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN 9780226851754. https://psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa A model of root cause analysis on a syste…

2069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865419/psn-pdf
      March 27, 2024 - Department of Pediatrics Medical Director for Healthcare Quality UC Davis Health ushaikh@ucdavis.edu References

2070. An Outpatient 'Zebra' | PSNet
      psnet.ahrq.gov/web-mm/outpatient-zebra
      January 23, 2020 - An Outpatient 'Zebra' Citation Text: Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

2071. In Conversation with... Connor Wesley, RN, BSN on Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - transgender and whose gender is aligned with the sex assigned at birth (sometimes abbreviated as cis). 22 References

2072. Patient Safety Concerns and the LGBTQ Population | PSNet
      psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
      February 01, 2023 - transgender and whose gender is aligned with the sex assigned at birth (sometimes abbreviated as cis). 22 References

2073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837507/psn-pdf
      June 22, 2022 - Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: a comparative cross- sectional study. June 22, 2022 Falk A-C, Nymark C, Göransson KE, et al. Missed nursing care in the critical care unit, before and during the COVID-19 pandemic: A comparative cross-sectional study. Intensive…

2074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837035/psn-pdf
      May 04, 2022 - Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? May 4, 2022 Riblet NB, Gottlieb DJ, Watts BV, et al. Is it time for the mental health field to consider unplanned discharge a key metric of patient safety? J Nerv Ment Dis. 2022;210(3):227-230. doi:10.1097/nmd.00…

2075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836916/psn-pdf
      April 13, 2022 - Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. April 13, 2022 Nether KG, Thomas EJ, Khan A, et al. Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm. J Healthc Qual. 2022;44(1):23-30. doi:10.1097/jhq.000000000…

2076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45969/psn-pdf
      January 07, 2019 - The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. January 7, 2019 Han K, Bohnen JD, Peponis T, et al. The surgeon as the second victim? Results of the Boston Intraoperative Adverse Events Surgeons' Attitude (BISA) study. J Am Coll Surg. 2017;224(…

2077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866588/psn-pdf
      August 28, 2024 - The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized crossover study. August 28, 2024 Millan PD, Kleiman AM, Friedman JF, et al. The impact of hindsight bias on the diagnosis of perioperative events by anesthesia providers: a multicenter randomized…

2078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73983/psn-pdf
      October 20, 2021 - Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. October 20, 2021 Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. Br J Gen Pract. 2021;71(70…

2079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72469/psn-pdf
      November 18, 2020 - Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. November 18, 2020 Mekonnen B, Wang G, Rajbhandari-Thapa J, et al. Weekend effect on in-hospital mortality for ischemic and hemorrhagic stroke in US rural and urban hospitals. J Stroke Cerebrovasc Dis. 2020;2…

2080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40116/psn-pdf
      January 05, 2011 - Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011 Speroff T, Nwosu S, Greevy R, et al. Organisational culture: variation across hospitals and connection to patient safety climate. Qual Saf Health Care. 2010;19(6):592-6. doi:10.1136/qshc.2009.039511. https:…