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Showing results for "surgeries".

9861. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. | PSNet
      psnet.ahrq.gov/issue/hospital-based-transfusion-error-tracking-2005-2010-identifying-key-errors-threatening
      March 09, 2022 - Study Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening patient transfusion safety. Citation Text: Maskens C, Downie H, Wendt A, et al. Hospital-based transfusion error tracking from 2005 to 2010: identifying the key errors threatening …

9862. An intervention to decrease patient identification band errors in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/intervention-decrease-patient-identification-band-errors-childrens-hospital
      October 06, 2016 - Study An intervention to decrease patient identification band errors in a children's hospital. Citation Text: Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qs…

9863. Time-series analysis of health care–associated infections in a new hospital with all private rooms. | PSNet
      psnet.ahrq.gov/issue/time-series-analysis-health-care-associated-infections-new-hospital-all-private-rooms
      July 31, 2019 - Study Time-series analysis of health care–associated infections in a new hospital with all private rooms. Citation Text: McDonald EG, Dendukuri N, Frenette C, et al. Time-Series Analysis of Health Care-Associated Infections in a New Hospital With All Private Rooms. JAMA Intern Med. 2019.…

9864. Does crew resource management training work? An update, an extension, and some critical needs. | PSNet
      psnet.ahrq.gov/issue/does-crew-resource-management-training-work-update-extension-and-some-critical-needs
      January 02, 2017 - Review Does crew resource management training work? An update, an extension, and some critical needs. Citation Text: Salas E, Wilson KA, Burke CS, et al. Does Crew Resource Management Training Work? An Update, an Extension, and Some Critical Needs. Hum Factors. 2006;48(2):392-412. doi:…

9865. Nursing bedside clinical handover—an integrated review of issues and tools. | PSNet
      psnet.ahrq.gov/issue/nursing-bedside-clinical-handover-integrated-review-issues-and-tools
      July 07, 2021 - Review Nursing bedside clinical handover—an integrated review of issues and tools. Citation Text: Anderson J, Malone L, Shanahan K, et al. Nursing bedside clinical handover - an integrated review of issues and tools. J Clin Nurs. 2015;24(5-6):662-671. doi:10.1111/jocn.12706. Copy Citat…

9866. Information handoff and outcomes of critically ill patients transferred between hospitals. | PSNet
      psnet.ahrq.gov/issue/information-handoff-and-outcomes-critically-ill-patients-transferred-between-hospitals
      July 18, 2016 - Study Information handoff and outcomes of critically ill patients transferred between hospitals. Citation Text: Usher MG, Fanning C, Wu D, et al. Information handoff and outcomes of critically ill patients transferred between hospitals. J Crit Care. 2016;36:240-245. doi:10.1016/j.jcrc.20…

9867. Association of state-level opioid-reduction policies with pediatric opioid poisoning. | PSNet
      psnet.ahrq.gov/issue/association-state-level-opioid-reduction-policies-pediatric-opioid-poisoning
      September 09, 2020 - Study Association of state-level opioid-reduction policies with pediatric opioid poisoning. Citation Text: Toce MS, Michelson K, Hudgins J, et al. Association of state-level opioid-reduction policies with pediatric opioid poisoning. JAMA Pediatr. 2020;74(10):961-968. doi:10.1001/jamapedi…

9868. Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. | PSNet
      psnet.ahrq.gov/issue/transcription-errors-blood-glucose-values-and-insulin-errors-intensive-care-unit-secondary
      December 02, 2020 - Study Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability. Citation Text: Sowan AK, Vera A, Malshe A, et al. Transcription Errors of Blood Glucose Values and Insuli…

9869. Differences in medication errors between central and remote site telepharmacies. | PSNet
      psnet.ahrq.gov/issue/differences-medication-errors-between-central-and-remote-site-telepharmacies
      September 21, 2011 - Study Differences in medication errors between central and remote site telepharmacies. Citation Text: Scott DM, Friesner DL, Rathke AM, et al. Differences in medication errors between central and remote site telepharmacies. J Am Pharm Assoc (2003). 2012;52(5):e97-e104. Copy Citation …

9870. Reasons for repeat rapid response team calls, and associations with in-hospital mortality. | PSNet
      psnet.ahrq.gov/issue/reasons-repeat-rapid-response-team-calls-and-associations-hospital-mortality
      March 03, 2020 - Study Reasons for repeat rapid response team calls, and associations with in-hospital mortality. Citation Text: Chalwin R, Giles L, Salter A, et al. Reasons for Repeat Rapid Response Team Calls, and Associations with In-Hospital Mortality. Jt Comm J Qual Patient Saf. 2019;45(4):268-275. …

9871. Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency. | PSNet
      psnet.ahrq.gov/issue/gender-power-and-leadership-effect-superiors-gender-respiratory-therapists-ability-challenge
      December 02, 2015 - Study Gender, power and leadership: the effect of a superior's gender on respiratory therapists' ability to challenge leadership during a life-threatening emergency. Citation Text: Pattni N, Bould MD, Hayter MA, et al. Gender, power and leadership: the effect of a superior's gender on re…

9872. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. | PSNet
      psnet.ahrq.gov/issue/overlooked-guide-wire-multicomplicated-swiss-cheese-model-example-analysis-case-and-review
      September 15, 2021 - Commentary Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature. Citation Text: Thonon H, Espeel F, Frederic F, et al. Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of t…

9873. | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/publications/search.html?page=11
      October 01, 2015 - Search Publications The Agency for Healthcare Research and Quality (AHRQ)'s publications offer practical information to help a variety of health care organizations, providers, and others make care safer in all health care settings. 111 - 120 of 191 Publications displayed Find Publications by Keyword or To…

9874. The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. | PSNet
      psnet.ahrq.gov/issue/impact-prolonged-continuous-wakefulness-resident-clinical-performance-intensive-care-unit
      November 21, 2016 - Study The impact of prolonged continuous wakefulness on resident clinical performance in the intensive care unit: a patient simulator study. Citation Text: Sharpe R, Koval V, Ronco JJ, et al. The impact of prolonged continuous wakefulness on resident clinical performance in the intensi…

9875. Patient involvement in patient safety: how willing are patients to participate? | PSNet
      psnet.ahrq.gov/issue/patient-involvement-patient-safety-how-willing-are-patients-participate
      September 05, 2013 - Study Classic Patient involvement in patient safety: how willing are patients to participate? Citation Text: Davis R, Sevdalis N, Vincent C. Patient involvement in patient safety: How willing are patients to participate? BMJ Qual Saf. 2011;20(1):108-114. doi:…

9876. Controlled trial to improve resident sign-out in a medical intensive care unit. | PSNet
      psnet.ahrq.gov/issue/controlled-trial-improve-resident-sign-out-medical-intensive-care-unit
      August 04, 2021 - Study Controlled trial to improve resident sign-out in a medical intensive care unit. Citation Text: Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. Co…

9877. A novel approach to increase residents' involvement in reporting adverse events. | PSNet
      psnet.ahrq.gov/issue/novel-approach-increase-residents-involvement-reporting-adverse-events
      September 23, 2020 - Study A novel approach to increase residents' involvement in reporting adverse events. Citation Text: Scott DR, Weimer M, English C, et al. A novel approach to increase residents' involvement in reporting adverse events. Acad Med. 2011;86(6):742-746. doi:10.1097/ACM.0b013e318217e12a. C…

9878. The nature of the response to airway management incident reports in high income countries: a scoping review. | PSNet
      psnet.ahrq.gov/issue/nature-response-airway-management-incident-reports-high-income-countries-scoping-review
      December 15, 2014 - Review The nature of the response to airway management incident reports in high income countries: a scoping review. Citation Text: Endlich Y, Davies EL, Kelly J. The nature of the response to airway management incident reports in high income countries: a scoping review. Anaesth Intensive…

9879. Organizational response to known medical errors: does peer review protection impede improvement? | PSNet
      psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement
      April 24, 2018 - Commentary Organizational response to known medical errors: does peer review protection impede improvement? Citation Text: Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1…

9880. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. | PSNet
      psnet.ahrq.gov/issue/avoiding-handover-fumbles-controlled-trial-structured-handover-tool-versus-traditional
      January 19, 2022 - Study Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. Citation Text: Payne CE, Stein JM, Leong T, et al. Avoiding handover fumbles: a controlled trial of a structured handover tool versus traditional handover methods. BMJ…