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Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. | PSNet

psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine

November 09, 2022 - View more articles from the same authors. … Opioid use by older adults increases the risk of falls. … This study examined electronic health record data to determine the proportion of older adults presenting … to the emergency room or urgent care due to a fall who receive an opioid prescription, particularly … Same Author(s) Transparency, public reporting, and a culture of change to quality and

Patient outcomes compared between admissions coordinated by the transfer center and emergency department at a U.S. tertiary care hospital. | PSNet

psnet.ahrq.gov/issue/patient-outcomes-compared-between-admissions-coordinated-transfer-center-and-emergency

April 29, 2015 - Study Patient outcomes compared between admissions coordinated by the transfer center … View more articles from the same authors. … to the inpatient setting. … May 8, 2024 Closed-loop communication in interprofessional emergency teams: a cross-sectional … observation study on the use of closed-loop communication among anesthesia personnel.

Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet

psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study

August 26, 2020 - View more articles from the same authors. … nursing homes with diverse safety climate ratings (high, medium, low) were interviewed to understand the … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … August 26, 2020 Organizational readiness to change as a leverage point for improving … the world.

Nurse burnout syndrome and work environment impact patient safety grade. | PSNet

psnet.ahrq.gov/issue/nurse-burnout-syndrome-and-work-environment-impact-patient-safety-grade

August 04, 2021 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … April 21, 2021 The relationship between patient safety culture and the intentions of … the nursing staff to report a near-miss event during the COVID-19 crisis. … October 13, 2021 Suicide risk, changing jobs, or leaving the nursing profession in the

Why and how to approach user experience in safety-critical domains: the example of health care. | PSNet

psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care

May 05, 2021 - The authors suggest that consideration of the user is critical to improving interaction with technology … March 14, 2016 The devil is in the detail: how a closed-loop documentation system for … to change prescriber behaviour and improve safety. … November 25, 2020 The Psychological Safety Scale of the Safety, Communication, Operational … June 16, 2019 The wicked problem of patient misidentification: how could the technological

Prevalence, types, and sources of bullying reported by US general surgery residents in 2019. | PSNet

psnet.ahrq.gov/issue/prevalence-types-and-sources-bullying-reported-us-general-surgery-residents-2019

May 06, 2020 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … teamwork behaviour in the operating theatre. … performance and outcome in the operating theatre. … of the error.

The physiology of failure: identifying risk factors for mortality in emergency general surgery patients using a regional health system integrated electronic medical record. | PSNet

psnet.ahrq.gov/issue/physiology-failure-identifying-risk-factors-mortality-emergency-general-surgery-patients

March 23, 2022 - View more articles from the same authors. … Results of the Harvard Medical Practice Study I. … April 21, 2015 Bariatric surgery with operating room teams that stayed fixed during the … July 24, 2010 The "July phenomenon": is trauma the exception? … ; The impact of missed abdominal injuries in the era of nonoperative management.

Using failure mode and effects analysis to increase patient safety in cancer chemotherapy. | PSNet

psnet.ahrq.gov/issue/using-failure-mode-and-effects-analysis-increase-patient-safety-cancer-chemotherapy

August 18, 2021 - View more articles from the same authors. … Using failure mode and effects analysis (FMEA), researchers identified potential failures related to the … August 18, 2021 Mapping the resilience performance of community pharmacy to maintain … patient safety during the Covid-19 pandemic. … January 2, 2017 Interruptions during the delivery of high-risk medications.

Improving safety outcomes through medical error reduction via virtual reality-based clinical skills training. | PSNet

psnet.ahrq.gov/issue/improving-safety-outcomes-through-medical-error-reduction-virtual-reality-based-clinical

July 27, 2022 - View more articles from the same authors. … In this study, researchers compared the impact of traditional clinical skills training with or without … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … August 7, 2024 The ritualisation of the surgical safety checklist and its decoupling … July 24, 2019 Controversies in diagnosis: contemporary debates in the diagnostic safety

'Saying it without words': a qualitative study of oncology staff's experiences with speaking up about safety concerns. | PSNet

psnet.ahrq.gov/issue/saying-it-without-words-qualitative-study-oncology-staffs-experiences-speaking-about-safety

November 05, 2014 - View more articles from the same authors. … In these circumstances, staff frequently relied on non-verbal gestures, such as handing the physician … September 7, 2016 Oncology nurses' beliefs and attitudes towards the double-check of … A review of the literature. … February 6, 2014 Hand hygiene and healthcare system change within multi-modal promotion

The combined effect of psychological and social capital in registered nurses experiencing second victimization: a structural equation model. | PSNet

psnet.ahrq.gov/issue/combined-effect-psychological-and-social-capital-registered-nurses-experiencing-second

December 15, 2021 - View more articles from the same authors. … patient safety in the context of rehabilitation. … December 16, 2020 "Some version, most of the time": the surgical safety checklist, patient … safety, and the everyday experience of practice variation. … October 13, 2021 Suicide risk, changing jobs, or leaving the nursing profession in the

Staffing levels and nursing-sensitive patient outcomes: umbrella review and qualitative study. | PSNet

psnet.ahrq.gov/issue/staffing-levels-and-nursing-sensitive-patient-outcomes-umbrella-review-and-qualitative-study

May 19, 2021 - View more articles from the same authors. … care teams: a qualitative study. … and medication cost of the elderly people living in a nursing home: a before-after study. … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. … health care: a rapid review for the Consensus Development Project.

Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. | PSNet

psnet.ahrq.gov/issue/looking-back-history-patient-safety-opportunity-reflect-and-ponder-future-challenges

July 10, 2019 - Commentary Looking back on the history of patient safety: an opportunity to reflect … Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges … View more articles from the same authors. This commentary discusses Dr. … preventable adverse events or the end of adverse events as a useful metric? … CPOE to change prescriber behaviour and improve safety.

Polypharmacy in hospitalized older adult cancer patients: experience from a prospective, observational study of an oncology-acute care for elders unit. | PSNet

psnet.ahrq.gov/issue/polypharmacy-hospitalized-older-adult-cancer-patients-experience-prospective-observational

July 19, 2023 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … July 19, 2023 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 27, 2010 Coping with errors in the operating room: intraoperative strategies, … January 2, 2009 WebM&M Cases Hold the tPA April 1

Interventions to engage patients and families in patient safety: a systematic review. | PSNet

psnet.ahrq.gov/issue/interventions-engage-patients-and-families-patient-safety-systematic-review

March 04, 2020 - View more articles from the same authors. … In this systematic review, the authors found that information-based interventions (e.g., videos, offline … The effectiveness of interventions involving both information and involvement (e.g., use of decision … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … April 18, 2018 Wake Up Safe in the USA & international patient safety.

Physician behaviors associated with increased physician and nurse communication during bedside interdisciplinary rounds. | PSNet

psnet.ahrq.gov/issue/physician-behaviors-associated-increased-physician-and-nurse-communication-during-bedside

December 14, 2011 - View more articles from the same authors. … In this study, more than 1,000 interdisciplinary rounds were observed to assess the extent and timing … These findings show the importance of including attendings in bedside rounds and medical schools could … stress the importance of interdisciplinary rounds and teamwork. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the

Good people who try their best can have problems: recognition of human factors and how to minimise error. | PSNet

psnet.ahrq.gov/issue/good-people-who-try-their-best-can-have-problems-recognition-human-factors-and-how-minimise

October 29, 2017 - View more articles from the same authors. … October 29, 2017 To do no harm - and the most good - with AI in health care. … review of the literature. … shows has been achieved during the 21st century and what remains. … August 15, 2013 When surgery goes wrong: weighing up the risks.

The fusion of incident learning and failure mode and effects analysis for data-driven patient safety improvements. | PSNet

psnet.ahrq.gov/issue/fusion-incident-learning-and-failure-mode-and-effects-analysis-data-driven-patient-safety

November 17, 2021 - Study The fusion of incident learning and failure mode and effects analysis for data-driven … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … View more articles from the same authors. … The fusion of incident learning and failure mode and effects analysis for data-driven patient safety … February 16, 2022 The Psychological Safety Scale of the Safety, Communication, Operational

Technology-related safety event analysis in community clinical informatics: a case study. | PSNet

psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study

April 03, 2024 - View more articles from the same authors. … This article describes the development of a structured process to enhance the ability of clinical informaticists … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … April 5, 2023 Understanding factors that could influence patient acceptability of the … use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework

Procedural timeout compliance is improved with real-time clinical decision support. | PSNet

psnet.ahrq.gov/issue/procedural-timeout-compliance-improved-real-time-clinical-decision-support

October 11, 2017 - View more articles from the same authors. … a surgical flight board—an electronic display in the operating room that included patient information … Adherence to key elements of the safety checklist improved after the flight board was implemented. … October 18, 2023 Standardization and visualization of the surgical time-out. … July 31, 2019 The Helsinki Declaration on Patient Safety in Anaesthesiology: the past

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