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Showing results for "adverse event".
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9981. Critical phase distractions in anaesthesia and the sterile cockpit concept. | PSNet
      psnet.ahrq.gov/issue/critical-phase-distractions-anaesthesia-and-sterile-cockpit-concept
      April 24, 2018 - Related Resources From the Same Author(s) Families as partners in hospital error and adverse … event surveillance.

9982. A decade after Francis: is the NHS safer and more open? | PSNet
      psnet.ahrq.gov/issue/decade-after-francis-nhs-safer-and-more-open
      September 29, 2021 - 29, 2018 Why an open disclosure procedure is and is not followed after an avoidable adverse … event.

9983. The Helsinki Declaration on Patient Safety in Anaesthesiology: the past, present and future. | PSNet
      psnet.ahrq.gov/issue/helsinki-declaration-patient-safety-anaesthesiology-past-present-and-future
      January 14, 2014 - December 19, 2014 Aftermath of an adverse event: supporting health care professionals

9984. Identifying what is known about improving operating room to intensive care handovers: a scoping review. | PSNet
      psnet.ahrq.gov/issue/identifying-what-known-about-improving-operating-room-intensive-care-handovers-scoping-review
      September 23, 2020 - July 19, 2023 Families as partners in hospital error and adverse event surveillance.

9985. Compliance with central line maintenance bundle and infection rates. | PSNet
      psnet.ahrq.gov/issue/compliance-central-line-maintenance-bundle-and-infection-rates
      August 16, 2023 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

9986. Diagnostic stewardship to improve patient outcomes and healthcare-associated infection (HAI) metrics. | PSNet
      psnet.ahrq.gov/issue/diagnostic-stewardship-improve-patient-outcomes-and-healthcare-associated-infection-hai
      May 18, 2022 - November 16, 2022 Families as partners in hospital error and adverse event surveillance

9987. Moving beyond implicit bias in antiracist academic medicine initiatives. | PSNet
      psnet.ahrq.gov/issue/moving-beyond-implicit-bias-antiracist-academic-medicine-initiatives
      May 18, 2022 - CHaMP: A model for building a center to support health care worker well-being after experiencing an adverse … event.

9988. Error in body weight estimation leads to inadequate parenteral anticoagulation. | PSNet
      psnet.ahrq.gov/issue/error-body-weight-estimation-leads-inadequate-parenteral-anticoagulation
      April 14, 2021 - RIS Download Citation Related Resources From the Same Author(s) Adverse … drug event-related admissions to a pediatric emergency unit.

9989. Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. | PSNet
      psnet.ahrq.gov/issue/identifying-and-understanding-ways-address-impact-racism-patient-safety-health-care-settings
      May 21, 2014 - how racism , bias, and patient safety intertwine to affect incident reporting, safety culture, and adverse … event data collection.

9990. Simulation in graduate medical education 2008: a review for emergency medicine. | PSNet
      psnet.ahrq.gov/issue/simulation-graduate-medical-education-2008-review-emergency-medicine
      July 13, 2010 - February 15, 2017 Families as partners in hospital error and adverse event surveillance

9991. Bedside shift reports: what does the evidence say? | PSNet
      psnet.ahrq.gov/issue/bedside-shift-reports-what-does-evidence-say
      October 19, 2022 - May 18, 2022 Families as partners in hospital error and adverse event surveillance.

9992. The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department. | PSNet
      psnet.ahrq.gov/issue/effects-resident-level-training-rate-pediatric-prescription-errors-academic-emergency
      October 19, 2022 - October 19, 2022 Families as partners in hospital error and adverse event surveillance

9993. Does applying technology throughout the medication use process improve patient safety with antineoplastics? | PSNet
      psnet.ahrq.gov/issue/does-applying-technology-throughout-medication-use-process-improve-patient-safety
      October 30, 2024 - The Pursuing Excellence Collaborative: engaging first-year residents and fellows in patient safety event … September 10, 2014 External Inquiry into the adverse incident that occurred at Queen's

9994. Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. | PSNet
      psnet.ahrq.gov/issue/leader-safety-storytelling-qualitative-analysis-attributes-effective-safety-storytelling-and
      November 16, 2022 - April 3, 2019 Families as partners in hospital error and adverse event surveillance.

9995. What is patient safety culture? A review of the literature. | PSNet
      psnet.ahrq.gov/issue/what-patient-safety-culture-review-literature
      July 19, 2023 - February 28, 2018 Families as partners in hospital error and adverse event surveillance

9996. Accuracy of a popular online symptom checker for ophthalmic diagnoses. | PSNet
      psnet.ahrq.gov/issue/accuracy-popular-online-symptom-checker-ophthalmic-diagnoses
      March 04, 2011 - 2015 Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse … event reporting, and research needs: a joint statement of the European Association for the Study of

9997. ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet
      psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
      November 10, 2010 - View More Related Resources Driving Learning and Improvement After RCA2 Event … June 15, 2016 Using simulation to improve root cause analysis of adverse surgical outcomes

9998. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43567/psn-pdf
      October 21, 2016 - National Action Plan for Adverse Drug Event Prevention. … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention This national action … aims to align the efforts of multiple federal programs committed to reducing patient harms related to adverse … common usage and their very high potential to cause clinically significant, preventable, and measurable adverse … https://psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention https://psnet.ahrq.gov

9999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35023/psn-pdf
      March 04, 2011 - Building a framework for trust: critical event analysis of deaths in surgical care. … Building a framework for trust: critical event analysis of deaths in surgical care. … commentary discusses the role of the Scottish Audit of Surgical Mortality (SASM) on trends in adverse … Findings include a decrease over time in the percentage of deaths for which adverse events in management … conclude that voluntary mortality audits may lead to important changes in practice and focusing on adverse

10000. Psn-Pdf (pdf file)
       psnet.ahrq.gov/node/45468/psn-pdf
       October 11, 2017 - Identification and characterization of adverse drug events in primary care. … Identification and Characterization of Adverse Drug Events in Primary Care. … https://psnet.ahrq.gov/issue/identification-and-characterization-adverse-drug-events-primary-care Adverse … drug event during a change in medications. … Less than 10% of patients experienced an adverse drug event, which the authors conclude represents an