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Showing results for "caused".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41959/psn-pdf
    January 16, 2013 - Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. January 16, 2013 Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improv…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36999/psn-pdf
    September 15, 2011 - The nature and occurrence of registration errors in the emergency department. September 15, 2011 Hakimzada AF, Green RA, Sayan OR, et al. The nature and occurrence of registration errors in the emergency department. Int J Med Inform. 2007;77(3). doi:10.1016/j.ijmedinf.2007.04.011. https://psnet.ahrq.gov/issue/natu…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45430/psn-pdf
    September 28, 2016 - Understanding and responding when things go wrong: key principles for primary care educators. September 28, 2016 McNab D, Bowie P, Ross A, et al. Understanding and responding when things go wrong: key principles for primary care educators. Educ Prim Care. 2016;27(4):258-66. doi:10.1080/14739879.2016.1205959. https…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43863/psn-pdf
    July 16, 2015 - Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. July 16, 2015 Goldberg A, Silverman E, Samuelson S, et al. Learning through simulated independent practice leads to better future performance in a simulated …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861777/psn-pdf
    January 31, 2024 - Citing harms, momentum grows to remove race from clinical algorithms. January 31, 2024 Kuehn BM. Citing harms, momentum grows to remove race from clinical algorithms. JAMA. 2024;331(6):463-465. doi:10.1001/jama.2023.25530. https://psnet.ahrq.gov/issue/citing-harms-momentum-grows-remove-race-clinical-algorithms Me…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854257/psn-pdf
    October 04, 2023 - Abbreviation use decreases effective clinical communication and can compromise patient safety. October 4, 2023 Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61(8):509-513. doi:10.1016/j.bjoms.2023…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851885/psn-pdf
    January 01, 2024 - When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. August 2, 2023 Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence?driven nursing care on patient safety. Nurs Inq. 2024;31…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43250/psn-pdf
    December 01, 2016 - Adverse drug event–related emergency department visits associated with complex chronic conditions. December 1, 2016 Feinstein JA, Feudtner C, Kempe A. Adverse drug event-related emergency department visits associated with complex chronic conditions. Pediatrics. 2014;133(6):e1575-85. doi:10.1542/peds.2013-3060. htt…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36758/psn-pdf
    August 10, 2011 - Seven hundred and fifty-nine (759) chances to learn: a 3- year pilot project to analyse transfusion-related near-miss events in the Republic of Ireland. August 10, 2011 Lundy D, Laspina S, Kaplan H, et al. Seven hundred and fifty-nine (759) chances to learn: a 3-year pilot project to analyse transfusion-related ne…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50626/psn-pdf
    November 06, 2019 - Prevalence of medication transfer errors in nephrology patients and potential risk factors. November 6, 2019 Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016/j.ejim.2019.09.003. https://ps…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74710/psn-pdf
    January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further improvement in patient safety. January 26, 2022 Warner MA, Warner ME. The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations to promote further i…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39021/psn-pdf
    October 14, 2009 - Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008. October 14, 2009 Semple SJ, Roughead EE. Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improvi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43172/psn-pdf
    May 14, 2014 - Clinical clerkship students' perceptions of (un)safe transitions for every patient. May 14, 2014 Koch PE, Simpson D, Toth H, et al. Clinical Clerkship Students’ Perceptions of (Un)Safe Transitions for Every Patient. Academic Medicine. 2014;89(3). doi:10.1097/acm.0000000000000153. https://psnet.ahrq.gov/issue/clini…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60630/psn-pdf
    June 24, 2020 - Education is “predictably disappointing” and should never be relied upon alone to improve safety. June 24, 2020 ISMP Medication Safety Alert! Acute care edition. June 4, 2020;25(11):1-4. https://psnet.ahrq.gov/issue/education-predictably-disappointing-and-should-never-be-relied-upon-alone- improve-safety Interven…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38681/psn-pdf
    June 03, 2009 - To Err Is Human — To Delay Is Deadly. June 3, 2009 Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009. https://psnet.ahrq.gov/issue/err-human-delay-deadly The 10 years since the release of the Institute of Medicine's To Err Is Human report have yielded some improvements in patient safety, but this Consumers …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44465/psn-pdf
    November 20, 2015 - Why even good physicians do not wash their hands. November 20, 2015 Redelmeier DA, Shafir E. Why even good physicians do not wash their hands. BMJ Qual Saf. 2015;24(12):744-7. doi:10.1136/bmjqs-2015-004319. https://psnet.ahrq.gov/issue/why-even-good-physicians-do-not-wash-their-hands Insufficient hand hygiene comp…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46051/psn-pdf
    April 12, 2017 - Automated detection of look-alike/sound-alike medication errors. April 12, 2017 Rash-Foanio C, Galanter W, Bryson M, et al. Automated detection of look-alike/sound-alike medication errors. Am J Health Syst Pharm. 2017;74(7):521-527. doi:10.2146/ajhp150690. https://psnet.ahrq.gov/issue/automated-detection-look-alik…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852449/psn-pdf
    August 16, 2023 - Missed nursing care in emergency departments: a scoping review. August 16, 2023 Duhalde H, Bjuresäter K, Karlsson I, et al. Missed nursing care in emergency departments: a scoping review. Int Emerg Nurs. 2023;69:101296. doi:10.1016/j.ienj.2023.101296. https://psnet.ahrq.gov/issue/missed-nursing-care-emergency-depa…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843431/psn-pdf
    January 02, 2001 - The girl who cried pain: a bias against women in the treatment of pain. January 2, 2001 Hoffmann DE, Tarzian AJ. The girl who cried pain: a bias against women in the treatment of pain. J Law Med Ethics. 2001;29(1):13-27. doi:10.1111/j.1748-720x.2001.tb00037.x. https://psnet.ahrq.gov/issue/girl-who-cried-pain-bias-…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837740/psn-pdf
    July 27, 2022 - Reducing near miss medication events using an evidence-based approach. July 27, 2022 Smith-Love J. Reducing near miss medication events using an evidence-based approach. J Nurs Care Qual. 2022;37(4):327-333. doi:10.1097/ncq.0000000000000630. https://psnet.ahrq.gov/issue/reducing-near-miss-medication-events-using-e…
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