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Total Results: 1,071 records

Showing results for "suggestions".

81. How Do Providers Recover From Errors? | PSNet
    psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
    May 22, 2024 - Residents' suggestions for reducing errors in teaching hospitals. N Engl J Med. 2003;348:851-855.

82. Alert Fatigue | PSNet
    psnet.ahrq.gov/primer/alert-fatigue
    March 15, 2025 - A  WebM&M provided several additional suggestions on how to minimize alert fatigue in CPOE systems:

83. Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
    January 08, 2025 - Review Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. Citation Text: Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines implemented by health care prof…

84. Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet
    psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
    April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

85. Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. | PSNet
    psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety-challenges
    March 03, 2021 - Newspaper/Magazine Article Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. Citation Text: Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(…

86. Lethal Vertigo | PSNet
    psnet.ahrq.gov/web-mm/lethal-vertigo
    September 20, 2011 - Lethal Vertigo Citation Text: Furman JM. Lethal Vertigo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

87. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet
    psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
    January 29, 2021 - should be brought into the operating room, but the anesthesiologist assigned to the case rejected the suggestion

88. Diagnostic Safety Improvement | PSNet
    psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
    April 17, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Diagnostic Safety Improvement  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, Cybrarian, AHRQ PSNe…

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33587/psn-pdf
    June 15, 2024 - Missed Nursing Care June 15, 2024 Missed Nursing Care. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/missed-nursing-care PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…

90. Do not let "Depo-" medications be a depot for mistakes. | PSNet
    psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
    March 15, 2022 - Newspaper/Magazine Article Do not let "Depo-" medications be a depot for mistakes. Citation Text: Do not let "Depo-" medications be a depot for mistakes. ISMP Medication Safety Alert! Acute Care Edition. March 24, 2016;21:1-4. Copy Citation Save Save to your libra…

91. Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. | PSNet
    psnet.ahrq.gov/issue/factors-associated-missed-nursing-care-and-nurse-assessed-quality-care-during-covid-19
    June 09, 2021 - Study Factors associated with missed nursing care and nurse-assessed quality of care during the COVID-19 pandemic. Citation Text: Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse‐assessed quality of care during the COVID‐19 pandemic. J Nurs Manag.…

92. Application of electronic trigger tools to identify targets for improving diagnostic safety. | PSNet
    psnet.ahrq.gov/issue/application-electronic-trigger-tools-identify-targets-improving-diagnostic-safety
    January 26, 2022 - Review Emerging Classic Application of electronic trigger tools to identify targets for improving diagnostic safety. Citation Text: Murphy DR, Meyer AN, Sittig DF, et al. Application of electronic trigger tools to identify targets for improving diagnostic safety…

93. Timely diagnosis of esophageal perforation | PSNet
    psnet.ahrq.gov/web-mm/timely-diagnosis-esophageal-perforation
    September 27, 2023 - Timely diagnosis of esophageal perforation Citation Text: Utter GH, Cooke DT. Timely diagnosis of esophageal perforation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX …

94. Periodic Issue | PSNet
    psnet.ahrq.gov/periodic-issue/periodic-issue-469
    December 31, 2024 - diagnostic errors and combining AI with clinician expertise, with the ultimate decision to follow AI’s suggestion … diagnostic errors and combining AI with clinician expertise, with the ultimate decision to follow AI’s suggestion

95. "Recurrent" Appendicitis | PSNet
    psnet.ahrq.gov/web-mm/recurrent-appendicitis
    January 15, 2020 - "Recurrent" Appendicitis Citation Text: Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

96. The five rights: a destination without a map. | PSNet
    psnet.ahrq.gov/issue/five-rights-destination-without-map
    September 14, 2016 - Newspaper/Magazine Article The five rights: a destination without a map. Citation Text: The five rights: a destination without a map. ISMP Medication Safety Alert! Acute care edition. January 25, 2007. Copy Citation Save Save to your library Print Downlo…

97. Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. | PSNet
    psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation-report
    November 02, 2016 - Book/Report Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Citation Text: Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. …

98. A recurring call to action: every healthcare organization needs a medication safety officer! | PSNet
    psnet.ahrq.gov/issue/recurring-call-action-every-healthcare-organization-needs-medication-safety-officer
    March 03, 2021 - Newspaper/Magazine Article A recurring call to action: every healthcare organization needs a medication safety officer! Citation Text: A recurring call to action: every healthcare organization needs a medication safety officer! ISMP Medication Safety Alert! Acute care edition. February…

99. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet
    psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
    June 24, 2020 - People closest to the mishap often feel responsible and eager to help with suggestions for improvement

100. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet
     psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
     March 12, 2021 - kits may have valuable ideas for improving accuracy and efficiency and should be engaged regularly for suggestions