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Nurses discuss bedside handover and using written handover sheets. | PSNet

psnet.ahrq.gov/issue/nurses-discuss-bedside-handover-and-using-written-handover-sheets

January 24, 2018 - View more articles from the same authors. Improving handoffs is a patient safety priority. … This qualitative study used focus groups to explore how nurses perceived the introduction of bedside … January 24, 2018 The application of Aronson's taxonomy to medication errors in nursing … June 9, 2021 Bedside shift reports: what does the evidence say? … February 4, 2011 Implementing bedside handover: strategies for change management.

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose. | PSNet

psnet.ahrq.gov/issue/sages-fundamental-use-surgical-energy-program-fuse-history-development-and-purpose

April 05, 2017 - View more articles from the same authors. … Surgical fires have the potential to cause considerable patient harm. … the surgical team in skill enhancement. … May 18, 2022 View More Related Resources The nature of the response … August 11, 2021 Back to basics: the Universal Protocol.

FDA Safety Communication: recommendations to reduce surgical fires and related patient injury. | PSNet

psnet.ahrq.gov/issue/fda-safety-communication-recommendations-reduce-surgical-fires-and-related-patient-injury

October 19, 2022 - Copy Citation Related Resources From the Same Author(s) Golden State Medical … Hospira Carpuject pre-filled cartridges—drug alert: products may contain more than the … February 10, 2021 FDA alerts health care professionals to the temporary absence of warning … statement on the vial caps of two neuromuscular blocking agents. … September 29, 2010 View More See More About The Topic Operating Room

Medication safety messages for patients via the web portal: the MedCheck intervention. | PSNet

psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention

September 11, 2013 - Study Medication safety messages for patients via the web portal: the MedCheck intervention … Medication safety messages for patients via the web portal: the MedCheck intervention. … The authors conclude that the system helped physicians identify and address adverse drug events . … Medication safety messages for patients via the web portal: the MedCheck intervention. … November 4, 2015 Bridging the gap: a framework and strategies for integrating the quality

Association between long-term opioid use in family members and persistent opioid use after surgery among adolescents and young adults. | PSNet

psnet.ahrq.gov/issue/association-between-long-term-opioid-use-family-members-and-persistent-opioid-use-after

January 29, 2020 - View more articles from the same authors. … The study team recommends preoperative screening for long-term opioid use in family members as part of … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … August 16, 2017 Association of hydrocodone schedule change with opioid prescriptions … April 24, 2018 Complexity and challenges of the clinical diagnosis and management of

Intimidation: practitioners speak up about this unresolved problem. | PSNet

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September 26, 2017 - View more articles from the same authors. … care providers' views to assess the prevalence of intimidation in patient care settings. … The authors conclude with recommendations to promote cultural change. … Same Author(s) Assessing the state of safe medication practices using the ISMP Medication … of the beholder.

Diagnostic errors in hospitalized adults who died or were transferred to intensive care. | PSNet

psnet.ahrq.gov/issue/diagnostic-errors-hospitalized-adults-who-died-or-were-transferred-intensive-care

October 13, 2021 - View more articles from the same authors. … to the intensive care unit (ICU) and/or died in the hospital to estimate frequency, cause, and harms … of expanded peer support for the entire health care team: no one left behind. … April 1, 2024 The emotional fallout from the culture of blame and shame. … July 20, 2022 View More Related Resources The nature of the response

Nursing home administrators' opinions of the resident safety culture in nursing homes. | PSNet

psnet.ahrq.gov/issue/nursing-home-administrators-opinions-resident-safety-culture-nursing-homes

April 06, 2011 - Nursing home administrators' opinions of the resident safety culture in nursing homes. … View more articles from the same authors. … Nursing home administrators' opinions of the resident safety culture in nursing homes. … April 6, 2011 The effect of the fit between organizational culture and structure on medication … January 14, 2011 Organizational readiness to change as a leverage point for improving

To forgive, divine. | PSNet

psnet.ahrq.gov/issue/forgive-divine

November 11, 2020 - View more articles from the same authors. … The author discusses the importance of finding support and sharing experiences with colleagues who … August 21, 2024 Did the organization of primary care practices during the COVID-19 pandemic … October 13, 2021 Suicide risk, changing jobs, or leaving the nursing profession in the … April 22, 2020 Assessing the perceived level of institutional support for the second

Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction. | PSNet

psnet.ahrq.gov/issue/diagnostic-blood-loss-phlebotomy-and-hospital-acquired-anemia-during-acute-myocardial

March 14, 2022 - View more articles from the same authors. … An accompanying editorial [see additional link below] discusses this hazard of hospitalization in the … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … Association of hospital markup with preventable adverse events following pancreatic surgery in the … December 30, 2014 The impact of resident duty hour reform on hospital readmission rates

Emergency department checklist: an innovation to improve safety in emergency care. | PSNet

psnet.ahrq.gov/issue/emergency-department-checklist-innovation-improve-safety-emergency-care

December 20, 2023 - View more articles from the same authors. … This commentary describes the development and testing of a checklist to improve rapid identification … of complications and patient deterioration in the emergency department. … adverse events in the emergency department. … April 7, 2010 Pediatric medication safety in the emergency department.

IOM: shorten residents' work shifts to reduce fatigue, improve patient safety. | PSNet

psnet.ahrq.gov/issue/iom-shorten-residents-work-shifts-reduce-fatigue-improve-patient-safety

January 31, 2024 - View more articles from the same authors. … This article summarizes findings of the recent Institute of Medicine report , which advises against … March 10, 2021 Rapid expansion of the Healing Emotional Lives of Peers program during … June 6, 2018 Developing tools to enhance the adaptive capacity (Safety II) of health … , training, work/life balance and the role of social support.

Communication and information deficits in patients discharged to rehabilitation facilities: an evaluation of five acute care hospitals. | PSNet

psnet.ahrq.gov/issue/communication-and-information-deficits-patients-discharged-rehabilitation-facilities

January 11, 2017 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … June 23, 2010 Response of practicing chiropractors during the early phase of the COVID … October 16, 2012 Improving the discharge process by embedding a discharge facilitator … February 25, 2009 View More See More About The Topic General Hospitals

Retained foreign bodies: risk and outcomes at the national level. | PSNet

psnet.ahrq.gov/issue/retained-foreign-bodies-risk-and-outcomes-national-level

May 29, 2019 - Retained foreign bodies: risk and outcomes at the national level. … View more articles from the same authors. … Retained foreign bodies: risk and outcomes at the national level. … and setting the agenda. … January 23, 2017 The value from investments in health information technology at the U.S

Crisis preparedness: a systems-based framework for avoiding harm in surgery. | PSNet

psnet.ahrq.gov/issue/crisis-preparedness-systems-based-framework-avoiding-harm-surgery

September 14, 2022 - View more articles from the same authors. … An earlier study by the authors describes the second phase in managing crisis: crisis recovery . … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … December 6, 2023 Managing near-miss reporting in hospitals: the dynamics between staff … June 7, 2023 Just a Cup of Tea – an Introduction to the SEIPS Framework.

Barcode medication administration software technology use in the emergency department and medication error rates. | PSNet

psnet.ahrq.gov/issue/barcode-medication-administration-software-technology-use-emergency-department-and-medication

November 04, 2015 - Study Barcode medication administration software technology use in the emergency … Barcode medication administration software technology use in the emergency department and medication … View more articles from the same authors. … In the emergency department of one Veterans Affairs Medical Center, medication error rates decreased … October 21, 2020 Emergency department monitor alarms rarely change clinical management

Positive deviance: a different approach to achieving patient safety. | PSNet

psnet.ahrq.gov/issue/positive-deviance-different-approach-achieving-patient-safety

May 15, 2024 - View more articles from the same authors. … July 23, 2014 Banning the handshake from the health care setting. … May 29, 2014 The Francis Report: One Year On. … August 13, 2013 Leading clinical handover improvement: a change strategy to implement … best practices in the acute care setting.

What do family physicians consider an error? A comparison of definitions and physician perception. | PSNet

psnet.ahrq.gov/issue/what-do-family-physicians-consider-error-comparison-definitions-and-physician-perception

February 15, 2011 - View more articles from the same authors. … The investigators conducted surveys and literature review to explore how family physicians identified … error and found little agreement on what constituted error both in the field and the research base … December 15, 2011 The management of test results in primary care: does an electronic … April 16, 2010 Electronic health record use and the quality of ambulatory care in the

Educating medical trainees on medication reconciliation: a systematic review. | PSNet

psnet.ahrq.gov/issue/educating-medical-trainees-medication-reconciliation-systematic-review

October 16, 2019 - View more articles from the same authors. … the same. … facilitate team situation awareness in the OR. … June 26, 2019 Optimizing medication safety in the home. … December 14, 2016 Fixing the medication reconciliation breakdown.

Healthcare professionals' encounters with ethnic minority patients: the critical incident approach. | PSNet

psnet.ahrq.gov/issue/healthcare-professionals-encounters-ethnic-minority-patients-critical-incident-approach

July 29, 2020 - View more articles from the same authors. … April 8, 2020 Suicide risk, changing jobs, or leaving the nursing profession in the aftermath … October 12, 2022 The perception of the patient safety climate by health professionals … during the COVID-19 pandemic-international research. … August 31, 2022 Communication of preclinical emergency teams in critical situations:

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