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The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication administration process on the floor. | PSNet

psnet.ahrq.gov/issue/amelie-project-failure-mode-effects-and-criticality-analysis-model-evaluate-nurse-medication

September 24, 2016 - to evaluate the nurse medication administration process on the floor. … The AMÉLIE project: failure mode, effects and criticality analysis: a model to evaluate the nurse medication … administration process on the floor. … 12, 2014 Use of paediatric early warning systems in Great Britain: has there been a change … December 18, 2013 The relationship between the nursing work environment and the occurrence

Exploring relationships between hospital patient safety culture and adverse events. | PSNet

psnet.ahrq.gov/issue/exploring-relationships-between-hospital-patient-safety-culture-and-adverse-events

August 27, 2012 - View more articles from the same authors. … This study supports the notion that a positive safety culture , measured by the AHRQ Hospital Survey … Adverse events were measured by the AHRQ Patient Safety Indicators . … The authors highlight the need for further investigation to determine if improving safety culture actually … December 12, 2014 Culture change in infection control: applying psychological principles

Multiple patient safety events within a single hospitalization: a national profile in US hospitals. | PSNet

psnet.ahrq.gov/issue/multiple-patient-safety-events-within-single-hospitalization-national-profile-us-hospitals

November 13, 2009 - View more articles from the same authors. … to clinicians, and this study sought to quantify the incidence of this phenomenon. … Using the AHRQ Patient Safety Indicators as a screening tool, the authors found that multiple patient … Same Author(s) "Canary measures" among the AHRQ Patient Safety Indicators. … March 13, 2013 Advancing the science of patient safety.

Impact of fatigue and insufficient sleep on physician and patient outcomes: a systematic review. | PSNet

psnet.ahrq.gov/issue/impact-fatigue-and-insufficient-sleep-physician-and-patient-outcomes-systematic-review

October 19, 2022 - View more articles from the same authors. … , as well as the impact of efforts designed to mitigate fatigue. … Same Author(s) Optimizing Pediatric Patient Safety in the Emergency Care Setting. … June 28, 2010 Call me Ishmael: addressing the white whale of team communication in the … April 5, 2013 Restricting resident work hours: the good, the bad, and the ugly.

Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists. | PSNet

psnet.ahrq.gov/issue/meta-analysis-effect-interactive-communication-between-collaborating-primary-care-physicians

September 20, 2011 - View more articles from the same authors. … The interactive communication methods included joint consultations, scheduled phone discussions, and … Same Author(s) Advancing the science of patient safety. … July 22, 2011 The role of theory in research to develop and evaluate the implementation … as the physicians and nurses.

Paying the piper: investing in infrastructure for patient safety. | PSNet

psnet.ahrq.gov/issue/paying-piper-investing-infrastructure-patient-safety

July 01, 2017 - Paying the piper: investing in infrastructure for patient safety. … View more articles from the same authors. … at the organizational level. … They discuss the infrastructure developed at the patient care, unit or team, and organizational levels … commitment to investing in safety infrastructure through adequate staffing and training of leaders and change

Simulation-based education enhances patient safety behaviors during central venous catheter placement. | PSNet

psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter

May 04, 2022 - View more articles from the same authors. … Insights from the Professionalism Opinions of Medical Students' research. … March 25, 2020 Understanding the "Swiss cheese model" and its application to patient … July 21, 2021 Critical care simulation education program during the COVID-19 pandemic … Stigmatizing language and the transmission of bias in the medical record.

Five system barriers to achieving ultrasafe health care. | PSNet

psnet.ahrq.gov/issue/five-system-barriers-achieving-ultrasafe-health-care

September 29, 2017 - View more articles from the same authors. … The article concludes with graphic presentation of a strategic view of safety in health care and the … March 23, 2022 Breaking the mould in patient safety. … March 9, 2009 Errors and the burden of errors: attitudes, perceptions, and the culture … of safety in pediatric cardiac surgical teams.

Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013. | PSNet

psnet.ahrq.gov/issue/vaccination-errors-reported-vaccine-adverse-event-reporting-system-vaers-united-states-2000

May 18, 2022 - Study Vaccination errors reported to the Vaccine Adverse Event Reporting System ( … Vaccination errors reported to the Vaccine Adverse Event Reporting System, (VAERS) United States, 2000 … View more articles from the same authors. … 10 in the year 2000 to 4324 in 2013, potentially due to the introduction of new vaccines, increasingly … Difficult Airway Society and the Association of Anaesthetists.

A reduced duty hours model for senior internal medicine residents: a qualitative analysis of residents' experiences and perceptions. | PSNet

psnet.ahrq.gov/issue/reduced-duty-hours-model-senior-internal-medicine-residents-qualitative-analysis-residents

June 25, 2014 - View more articles from the same authors. … Participants reported less fatigue but also expressed concern about the greater number of handoffs , … echoing the ongoing duty-hours debate discussed in a recent PSNet perspective . … September 14, 2016 Understanding the clinical implications of resident involvement in … October 3, 2012 Restricting resident work hours: the good, the bad, and the ugly.

High-fidelity simulation’s impact on clinical reasoning and patient safety: a scoping review. | PSNet

psnet.ahrq.gov/issue/high-fidelity-simulations-impact-clinical-reasoning-and-patient-safety-scoping-review

January 26, 2022 - View more articles from the same authors. … This review examines the effect of high-fidelity simulation (HFS) on clinical reasoning in nursing … Results suggest HFS does improve clinical reasoning, but the included studies typically did not directly … culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project. … : a review of the literature.

Persistent next-day effects of excessive alcohol consumption on laparoscopic surgical performance. | PSNet

psnet.ahrq.gov/issue/persistent-next-day-effects-excessive-alcohol-consumption-laparoscopic-surgical-performance

August 25, 2011 - View more articles from the same authors. … The authors of this study recommend that consideration be given to establishing formal recommendations … July 10, 2017 Changes in medication safety indicators in England throughout the covid … August 25, 2011 Surgeon's vigilance in the operating room. … of the error.

Information transfer and communication in surgery: a systematic review. | PSNet

psnet.ahrq.gov/issue/information-transfer-and-communication-surgery-systematic-review

September 26, 2012 - View more articles from the same authors. … An AHRQ WebM&M commentary discusses the disastrous consequences of an intraoperative communication … January 18, 2013 Engineering the system of communication for safer surgery. … January 19, 2016 Measuring variation in use of the WHO surgical safety checklist in the … to the operating room.

Medical line entanglement: the unspoken patient safety hazard of medical devices. | PSNet

psnet.ahrq.gov/issue/medical-line-entanglement-unspoken-patient-safety-hazard-medical-devices

May 08, 2019 - Study Medical line entanglement: the unspoken patient safety hazard of medical devices … Medical line entanglement: the unspoken patient safety hazard of medical devices. … View more articles from the same authors. … Medical line entanglement: the unspoken patient safety hazard of medical devices. … March 8, 2023 Identifying a list of healthcare 'never events' to effect system change

We need to talk: an observational study of the impact of electronic medical record implementation on hospital communication. | PSNet

psnet.ahrq.gov/issue/we-need-talk-observational-study-impact-electronic-medical-record-implementation-hospital

February 22, 2017 - View more articles from the same authors. … was less agreement about the plan of care . … July 22, 2011 The role of theory in research to develop and evaluate the implementation … July 22, 2011 The Lawrence D. … October 24, 2018 The Veterans Affairs shift change physician-to-physician handoff project

Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. | PSNet

psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure

March 16, 2022 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS Download Citation Related Resources From the … improvement and patient safety from perspectives of interprofessional teams. … January 26, 2022 The role of the informal and formal organisation in voice about concerns … January 25, 2023 Closing the disclosure gap: medical errors in pediatrics.

Patient safety near misses – still missing opportunities to learn. | PSNet

psnet.ahrq.gov/issue/patient-safety-near-misses-still-missing-opportunities-learn

July 10, 2024 - View more articles from the same authors. … November 1, 2017 Improving the quality and safety of care on the medical ward: a review … and synthesis of the evidence base. … October 12, 2022 The perception of the patient safety climate by health professionals … during the COVID-19 pandemic-international research.

Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power. | PSNet

psnet.ahrq.gov/issue/comparing-evolution-risk-culture-radiation-oncology-aviation-and-nuclear-power

October 07, 2020 - View more articles from the same authors. … The authors explored the relationship between risk culture in three fields that require high standards … January 10, 2011 Predictive power of the "trigger tool" for the detection of adverse … a review of the literature. … January 8, 2020 Unleash the power of patients to make care safer around the world: an

The frequency and significance of discrepancies in the surgical count. | PSNet

psnet.ahrq.gov/issue/frequency-and-significance-discrepancies-surgical-count

March 02, 2011 - Study The frequency and significance of discrepancies in the surgical count. … The Frequency and Significance of Discrepancies in the Surgical Count. … process, including the fact that discrepancies in the count were associated with changes in nursing … personnel during the procedure. … The Frequency and Significance of Discrepancies in the Surgical Count.

Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. | PSNet

psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice

January 24, 2018 - View more articles from the same authors. … in the United Kingdom. … 2018 Safety measurement and monitoring in healthcare: a framework to guide clinical teams … October 25, 2023 The WHO surgical safety checklist: survey of patients' views. … A systematic review of the literature.

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