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Showing results for "suggests".

1801. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38350/psn-pdf
      March 01, 2011 - A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards and improving patient safety. March 1, 2011 Rodriguez-Paz JM, Mark L, Herzer KR, et al. A novel process for introducing a new intraoperative program: a multidisciplinary paradigm for mitigating hazards…

1802. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45173/psn-pdf
      November 18, 2016 - Impact of hospital-acquired conditions on financial liabilities for Medicare patients. November 18, 2016 Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.03.025. https://psnet.ahrq.gov…

1803. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35253/psn-pdf
      April 06, 2011 - Real time patient safety audits: improving safety every day. April 6, 2011 Ursprung R. Real time patient safety audits: improving safety every day. Qual Saf Health Care. 2005;14(4):284-289. doi:10.1136/qshc.2004.012542. https://psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day This p…

1804. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851199/psn-pdf
      July 05, 2023 - Understanding the root cause analysis process to increase safety event reporting. July 5, 2023 Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. https://psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-inc…

1805. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44807/psn-pdf
      September 29, 2017 - Legal and policy interventions to improve patient safety. September 29, 2017 Kachalia A, Mello MM, Nallamothu BK, et al. Legal and Policy Interventions to Improve Patient Safety. Circulation. 2016;133(7):661-71. doi:10.1161/CIRCULATIONAHA.115.015880. https://psnet.ahrq.gov/issue/legal-and-policy-interventions-impro…

1806. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43777/psn-pdf
      January 01, 2015 - Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. December 17, 2014 Johnston MJ, King D, Arora S, et al. Smartphones let surgeons know WhatsApp: an analysis of communication in emergency surgical teams. Am J Surg. 2015;209(1):45-51. doi:10.1016/j.amjsurg.2014.08.030.…

1807. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42997/psn-pdf
      May 28, 2014 - Exploring perinatal shift-to-shift handover communication and process: an observational study. May 28, 2014 Poot EP, de Bruijne M, Wouters MGAJ, et al. Exploring perinatal shift-to-shift handover communication and process: an observational study. J Eval Clin Pract. 2014;20(2):166-75. doi:10.1111/jep.12103. https:/…

1808. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45178/psn-pdf
      December 04, 2016 - Do physicians clean their hands? Insights from a covert observational study. December 4, 2016 Kovacs-Litman A, Wong K, Shojania KG, et al. Do physicians clean their hands? Insights from a covert observational study. J Hosp Med. 2016;11(12):862-864. doi:10.1002/jhm.2632. https://psnet.ahrq.gov/issue/do-physicians-c…

1809. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47021/psn-pdf
      May 02, 2018 - The impact of improving teamwork on patient outcomes in surgery: a systematic review. May 2, 2018 Sun R, Marshall DC, Sykes MC, et al. The impact of improving teamwork on patient outcomes in surgery: A systematic review. Int J Surg. 2018;53:171-177. doi:10.1016/j.ijsu.2018.03.044. https://psnet.ahrq.gov/issue/impa…

1810. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35174/psn-pdf
      June 23, 2009 - Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. June 23, 2009 Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures to Detect the Foreign Body on Chest Radiog…

1811. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33932/psn-pdf
      May 27, 2011 - Preventable anesthesia mishaps: a study of human factors. May 27, 2011 Cooper JB, Newbower RS, Long CD, et al. Preventable anesthesia mishaps: a study of human factors. Anesthesiology. 1978;49(6):399-406. https://psnet.ahrq.gov/issue/preventable-anesthesia-mishaps-study-human-factors This study reports on the ret…

1812. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854379/psn-pdf
      October 11, 2023 - The limits of psychological safety: nonlinear relationships with performance. October 11, 2023 Eldor L, Hodor M, Cappelli P. The limits of psychological safety: nonlinear relationships with performance. Org Behav Human Decision Proc. 2023;177:104255. doi:10.1016/j.obhdp.2023.104255. https://psnet.ahrq.gov/issue/li…

1813. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46457/psn-pdf
      December 20, 2017 - Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. December 20, 2017 Juriga LL, Murray DJ, Boulet JR, et al. Simulation and the diagnostic process: a pilot study of trauma and rapid response teams. Diagnosis (Berl). 2017;4(4):241-249. doi:10.1515/dx-2017-0010. https://psnet.ah…

1814. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38781/psn-pdf
      July 15, 2009 - Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi. July 15, 2009 Kumar S, Chaudhary S. Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi. J Emerg Trauma Shock. 2…

1815. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39614/psn-pdf
      June 18, 2021 - Preventing violence in the health care setting. June 18, 2021 Preventing violence in the health care setting. Sentinel Event Alert. 2010;(45):1-3. https://psnet.ahrq.gov/issue/preventing-violence-health-care-setting Revised June 2021. The Joint Commission issues sentinel event alerts to highlight areas of high risk…

1816. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35374/psn-pdf
      January 02, 2017 - Intimidation: practitioners speak up about this unresolved problem. January 2, 2017 Smetzer JL, Cohen MR. Intimidation: Practitioners Speak Up About This Unresolved Problem. Jt Comm J Qual Patient Saf. 2016;31(10):594-599. doi:10.1016/s1553-7250(05)31077-4. https://psnet.ahrq.gov/issue/intimidation-practitioners-s…

1817. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35127/psn-pdf
      February 24, 2011 - Beyond the medical record: other modes of error acknowledgment. February 24, 2011 Rosenthal M, Cornett PL, Sutcliffe K, et al. Beyond the medical record: other modes of error acknowledgment. J Gen Intern Med. 2005;20(5):404-9. https://psnet.ahrq.gov/issue/beyond-medical-record-other-modes-error-acknowledgment Thi…

1818. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34786/psn-pdf
      March 28, 2005 - Errors in drug computations during newborn intensive care. March 28, 2005 Perlstein PH, Callison C, White M, et al. Errors in Drug Computations During Newborn Intensive Care. Arch Pediatr Adolesc Med. 1979;133(4):376-379. doi:10.1001/archpedi.1979.02130040030006. https://psnet.ahrq.gov/issue/errors-drug-computatio…

1819. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34644/psn-pdf
      December 23, 2008 - Medication-prescribing errors in a teaching hospital: a 9- year experience. December 23, 2008 Lesar TS, Lomaestro BM, Pohl H. Medication-prescribing errors in a teaching hospital. A 9-year experience. Arch Intern Med. 1997;157(14):1569-76. https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospita…

1820. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840169/psn-pdf
      November 16, 2022 - ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. November 16, 2022 Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/ismp-survey-tall-man-mixed-case-lettering-reduce-drug-name-confusion Mixed case letters are one suggested strategy to reduce look-alike medication na…