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Awareness with recall during general anaesthesia: a prospective observational evaluation of 4001 patients. | PSNet

psnet.ahrq.gov/issue/awareness-recall-during-general-anaesthesia-prospective-observational-evaluation-4001

March 09, 2022 - View more articles from the same authors. … Medication dosing errors and human factors were the predominant causes of failure to detect anesthesia … Same Author(s) Predictive power of the "trigger tool" for the detection of adverse events … December 2, 2020 Prevalence of adverse events in the hospitals of five Latin American … countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS).

Incidents and errors in neonatal intensive care: a review of the literature. | PSNet

psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature

June 15, 2011 - Incidents and errors in neonatal intensive care: a review of the literature. … View more articles from the same authors. … Incidents and errors in neonatal intensive care: a review of the literature. … March 9, 2010 Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital … April 13, 2022 Diagnostic errors in the neonatal intensive care unit: state of the science

Which aspects of safety culture predict incident reporting behavior in neonatal intensive care units? A multilevel analysis. | PSNet

psnet.ahrq.gov/issue/which-aspects-safety-culture-predict-incident-reporting-behavior-neonatal-intensive-care

June 15, 2011 - View more articles from the same authors. … November 12, 2014 Cluster randomized trial to evaluate the impact of team training on … June 26, 2019 Outcomes associated with the nationwide introduction of rapid response … systems in the Netherlands. … September 3, 2011 Patient safety in the NICU: a comprehensive review.

Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. | PSNet

psnet.ahrq.gov/issue/clinical-scenarios-enhancing-skill-set-nurse-vigilant-guardian

July 19, 2023 - Study Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian … Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. … View more articles from the same authors. … Clinical scenarios: enhancing the skill set of the nurse as a vigilant guardian. … March 5, 2010 The content and context of change of shift report on medical and surgical

Can incident reporting improve safety? Healthcare practitioners' views of the effectiveness of incident reporting. | PSNet

psnet.ahrq.gov/issue/can-incident-reporting-improve-safety-healthcare-practitioners-views-effectiveness-incident

August 10, 2011 - Healthcare practitioners' views of the effectiveness of incident reporting. … Healthcare practitioners' views of the effectiveness of incident reporting. … View more articles from the same authors. … Healthcare practitioners' views of the effectiveness of incident reporting. … November 21, 2017 Beyond the clinical team: evaluating the human factors-oriented training

Developing an action plan for patient radiation safety in adult cardiovascular medicine. | PSNet

psnet.ahrq.gov/issue/developing-action-plan-patient-radiation-safety-adult-cardiovascular-medicine

August 04, 2021 - Developing an action plan for patient radiation safety in adult cardiovascular medicine: proceedings from the … View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … April 19, 2017 A patient safety checklist for the cardiac catheterisation laboratory. … December 4, 2014 Application of the WHO surgical safety checklist outside the operating

Adverse drug events in a paediatric intensive care unit: a prospective cohort. | PSNet

psnet.ahrq.gov/issue/adverse-drug-events-paediatric-intensive-care-unit-prospective-cohort

April 24, 2018 - View more articles from the same authors. … This study used trigger tools to identify the incidence and risk factors for medication errors in … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … July 26, 2017 The impact of nursing practice environments on patient safety culture in … April 27, 2019 Perceptions of risk to patient safety in the pediatric ICU, a study of

Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. | PSNet

psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help

June 15, 2012 - View more articles from the same authors. … June 15, 2012 Improving anesthesiologists' ability to speak up in the operating room: … September 16, 2015 Establishing a safe container for learning in simulation: the role … of the presimulation briefing. … , and routine interruptions in the emergency department.

Improving anesthesiologists' ability to speak up in the operating room: a randomized controlled experiment of a simulation-based intervention and a qualitative analysis of hurdles and enablers. | PSNet

psnet.ahrq.gov/issue/improving-anesthesiologists-ability-speak-operating-room-randomized-controlled-experiment

June 15, 2012 - Improving Anesthesiologists’ Ability to Speak Up in the Operating Room. … View more articles from the same authors. … of the presimulation briefing. … knowledge of critical information, perception of safety, and possibly perception of teamwork in anesthesia teams … eye of the beholder.

Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet

psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet

May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. … Reducing prescribing errors in hospitalized children on the ketogenic diet. … View more articles from the same authors. … Reducing prescribing errors in hospitalized children on the ketogenic diet. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the

In-facility delirium programs as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review

March 13, 2013 - View more articles from the same authors. … Several types of interventions are effective at preventing the development of delirium in hospitalized … patients, according to this review conducted as part of the AHRQ Making Health Care Safer II report … May 31, 2023 Reducing Unnecessary Hospital Readmissions: The Role of the Patient Safety … March 21, 2012 Systematic review of safety checklists for use by medical care teams in

Practically speaking: rethinking hand hygiene improvement programs in health care settings. | PSNet

psnet.ahrq.gov/issue/practically-speaking-rethinking-hand-hygiene-improvement-programs-health-care-settings

September 03, 2011 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … June 14, 2017 Examining patient safety events using the behaviour change wheel: a cross-sectional … July 17, 2024 A study of error reporting by nurses: the significant impact of nursing … June 9, 2011 Infection Control in the Intensive Care Unit.

Antiretroviral medication prescribing errors are common with hospitalization of HIV-infected patients. | PSNet

psnet.ahrq.gov/issue/antiretroviral-medication-prescribing-errors-are-common-hospitalization-hiv-infected-patients

September 08, 2016 - View more articles from the same authors. … More than half of these errors were never corrected during the hospitalization. … Same Author(s) The impact of anti-infective drug shortages on hospitals in the United … April 22, 2013 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … March 10, 2021 ICD-11 for quality and safety: overview of the WHO Quality and Safety

Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. | PSNet

psnet.ahrq.gov/issue/prospective-memory-icu-effect-visual-cues-task-execution-representative-simulation

April 24, 2018 - Study Prospective memory in the ICU: the effect of visual cues on task execution … Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation … View more articles from the same authors. … Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation … Results of the Harvard Medical Practice Study II.

'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet

psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine

November 05, 2014 - View more articles from the same authors. … This survey of physicians about the UK equivalent of the " July effect "—a tradition of nearly 50,000 … May 1, 2019 Systematic review of the application of the plan-do-study-act method to improve … January 6, 2016 Breaking the silence of the switch—increasing transparency about trainee … October 3, 2017 The role of the medical emergency team in end-of-life care: a multicenter

A root cause analysis of clinical error: confronting the disjunction between formal rules and situated clinical activity. | PSNet

psnet.ahrq.gov/issue/root-cause-analysis-clinical-error-confronting-disjunction-between-formal-rules-and-situated

June 14, 2011 - The authors present the results of a root cause analysis (RCA) of an accidental morphine overdose and … discuss challenges the team faced in using RCA to understand the error. … Same Author(s) Turning the medical gaze in upon itself: root cause analysis and the investigation … September 15, 2009 Perspective Organizational Change in … the Face of Highly Public Errors—I.

Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics

July 10, 2008 - View more articles from the same authors. … This article describes the implementation of the Clinician-Directed Performance Improvement (CDPI) program … and the rate of adverse drug events. … September 6, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic … change.

Medication errors in injured patients. | PSNet

psnet.ahrq.gov/issue/medication-errors-injured-patients

April 03, 2019 - View more articles from the same authors. … health care system during a pandemic: the University of Wisconsin Experience. … December 5, 2018 Optimizing the patient handoff between EMS and the emergency department … and emergency department staff in the deteriorating patient. … October 30, 2013 'The ABC of Handover': impact on shift handover in the emergency department

"See One, Sim One, Do One"—a national pre-internship boot-camp to ensure a safer "student to doctor" transition. | PSNet

psnet.ahrq.gov/issue/see-one-sim-one-do-one-national-pre-internship-boot-camp-ensure-safer-student-doctor

February 16, 2011 - View more articles from the same authors. … These results add to the evidence supporting simulation for patient safety education. … Same Author(s) The Israel Center for Medical Simulation: a paradigm for cultural change … January 4, 2017 Medication prescribing errors in the prehospital setting and in the ED … autonomy, consultation, and familiarity with the literature.

Participation in EHR based simulation improves recognition of patient safety issues. | PSNet

psnet.ahrq.gov/issue/participation-ehr-based-simulation-improves-recognition-patient-safety-issues

April 24, 2013 - View more articles from the same authors. … In this educational study, medical residents missed patient safety issues in a simulated review of the … These findings support the widespread concern that problems with electronic health record usability … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … April 24, 2013 Safe use of the EHR by medical scribes: a qualitative study.

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