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Showing results for "caused".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47995/psn-pdf
    July 24, 2019 - Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC). July 24, 2019 Gates PJ, Baysari M, Mumford V, et al. Standardising the Classification of Harm Associated with Medication Errors: The Harm Associated with Medication Error Cl…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46777/psn-pdf
    January 24, 2018 - Safety analysis over time: seven major changes to adverse event investigation. January 24, 2018 Vincent CA, Carthey J, Macrae C, et al. Safety analysis over time: seven major changes to adverse event investigation. Implementation Science. 2017;12(1). doi:10.1186/s13012-017-0695-4. https://psnet.ahrq.gov/issue/safe…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46364/psn-pdf
    September 24, 2017 - Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. September 24, 2017 Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf. 2017;16(10):…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845642/psn-pdf
    March 08, 2023 - Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce racial disparities in the NICU. March 8, 2023 McCarty DB. Recognizing our biases, understanding the evidence, and responding equitably: application of the socioecological model to reduce…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866814/psn-pdf
    September 25, 2024 - Accuracy of a proprietary large language model in labeling obstetric incident reports. September 25, 2024 Johnson J, Brown C, Lee GM, et al. Accuracy of a proprietary large language model in labeling obstetric incident reports. Jt Comm J Qual Patient Saf. 2024;50(12):877-881. doi:10.1016/j.jcjq.2024.08.001. https:…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45278/psn-pdf
    September 07, 2016 - Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. September 7, 2016 Schwappach DLB, Pfeiffer Y, Taxis K. Medication double-checking procedures in clinical practice: a cross- sectional survey of oncology nurses' experiences. BMJ Open. 2016;6(6). do…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851201/psn-pdf
    July 05, 2023 - ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. July 5, 2023 Gammon K. STAT. June 26, 2023. https://psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us- health-care The maternal mental health crisis results in …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47836/psn-pdf
    May 29, 2019 - FDA to end program that hid millions of reports on faulty medical devices. May 29, 2019 Jewett C. Kaiser Health News. May 3, 2019. https://psnet.ahrq.gov/issue/fda-end-program-hid-millions-reports-faulty-medical-devices Transparency has been heralded as a cornerstone to improvement in health care. This news articl…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34670/psn-pdf
    January 01, 2006 - Hindsight ? foresight: the effect of outcome knowledge on judgment under uncertainty. March 7, 2005 Fischhoff B. Hindsight is not equal to foresight: The effect of outcome knowledge on judgment under uncertainty. Journal of Experimental Psychology: Human Perception and Performance. 2006;1(3). doi:10.1037/0096-1523…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43093/psn-pdf
    August 12, 2014 - Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids. August 12, 2014 Franklin BD, Panesar S, Vincent CA, et al. Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46129/psn-pdf
    September 28, 2017 - Missed diagnosis of cardiovascular disease in outpatient general medicine: insights from malpractice claims data. September 28, 2017 Quinn GR, Ranum D, Song E, et al. Missed Diagnosis of Cardiovascular Disease in Outpatient General Medicine: Insights from Malpractice Claims Data. Jt Comm J Qual Patient Saf. 2017;43…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35850/psn-pdf
    May 27, 2011 - Computerization can create safety hazards: a bar-coding near miss. May 27, 2011 McDonald CJ. Computerization can create safety hazards: a bar-coding near miss. Ann Intern Med. 2006;144(7):510-6. https://psnet.ahrq.gov/issue/computerization-can-create-safety-hazards-bar-coding-near-miss This case study shares the …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837983/psn-pdf
    August 31, 2022 - Identifying and Understanding Ways to Address the Impact of Racism on Patient Safety in Health Care Settings. August 31, 2022 Schulson LB, Thomas AD, Tsuei J, et al.  Santa Monica, CA: RAND Corporation; 2022 https://psnet.ahrq.gov/issue/identifying-and-understanding-ways-address-impact-racism-patient-safety- …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844783/psn-pdf
    September 04, 2019 - A lethal hidden curriculum—death of a medical student from opioid use disorder. September 4, 2019 Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. https://psnet.ahrq.gov/issue/lethal-hidden-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44653/psn-pdf
    November 18, 2015 - Data quality associated with handwritten laboratory test requests: classification and frequency of data-entry errors for outpatient serology tests. November 18, 2015 Vecellio E, Toouli G, Georgiou A, et al. Data quality associated with handwritten laboratory test requests: classification and frequency of data-entr…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866958/psn-pdf
    October 16, 2024 - Beyond error: a qualitative study of human factors in serious adverse events. October 16, 2024 Mujuru C, Peisah C. Beyond error: a qualitative study of human factors in serious adverse events. J Healthc Risk Manag. 2024;44(2):7-13. doi:10.1002/jhrm.21583. https://psnet.ahrq.gov/issue/beyond-error-qualitative-study…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866857/psn-pdf
    October 02, 2024 - Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. October 2, 2024 Morrissey LK, Ho P, Ilowite M, et al. Reducing falls in hospitalized children and adolescents with cancer and blood disorders: a quality improvement journey. Pediatr Qual Saf. 202…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854830/psn-pdf
    January 01, 2024 - The effect of evidence in crisis learning: based on a perspective integration framework. October 25, 2023 Wang B, Li D, Wang Y. The effect of evidence in crisis learning: based on a perspective integration framework. J Contingencies Crisis Manag. 2024;32(1):e12506. doi:10.1111/1468-5973.12506. https://psnet.ahrq.g…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44006/psn-pdf
    April 22, 2015 - One fourth of unplanned transfers to a higher level of care are associated with a highly preventable adverse event: a patient record review in six Belgian hospitals. April 22, 2015 Marquet K, Claes N, De Troy E, et al. One fourth of unplanned transfers to a higher level of care are associated with a highly prevent…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837669/psn-pdf
    January 01, 2023 - Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. July 13, 2022 Hoff JJ, Zimmerman A, Tupetz A, et al. Shame and guilt in EMS: a qualitative analysis of culture and attitudes in prehospital emergency care. Prehosp Emerg Care. 2023;27(4):418-426. doi:10.1080/1090…
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