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Showing results for "caused".

5681. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848035/psn-pdf
      April 26, 2023 - Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review. April 26, 2023 Herasevich S, Soleimani J, Huang C, et al. Diagnostic error among vulnerable populations presenting to the emergency department…

5682. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74833/psn-pdf
      February 16, 2022 - Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. February 16, 2022 Zerah L, Henrard S, Thevelin S, et al. Performance of a trigger tool for detecting drug-related hospital admissions in older people: analysis from the OPERAM trial. Age Ag…

5683. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43436/psn-pdf
      August 13, 2014 - Decreasing handoff-related care failures in children's hospitals. August 13, 2014 Bigham MT, Logsdon TR, Manicone PE, et al. Decreasing handoff-related care failures in children's hospitals. Pediatrics. 2014;134(2):e572-e579. doi:10.1542/peds.2013-1844. https://psnet.ahrq.gov/issue/decreasing-handoff-related-care-…

5684. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866104/psn-pdf
      June 12, 2024 - When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. June 12, 2024 Beauvais B, Pradhan R, Ramamonjiarivelo Z, et al. When agency fails: an analysis of the association between hospital agency staffing and quality outcomes. Risk Manag Healthc Policy. 2024;17:1361-13…

5685. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39931/psn-pdf
      April 24, 2011 - Emotional influences in patient safety. April 24, 2011 Croskerry P, Abbass A, Wu AW. Emotional Influences in Patient Safety. J Patient Saf. 2010;6(4):199-205. doi:10.1097/pts.0b013e3181f6c01a. https://psnet.ahrq.gov/issue/emotional-influences-patient-safety Clinicians are intimately familiar with the pressures of …

5686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35572/psn-pdf
      February 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…

5687. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40750/psn-pdf
      September 07, 2011 - Are temporary staff associated with more severe emergency department medication errors? September 7, 2011 Pham JC, Andrawis M, Shore AD, et al. Are temporary staff associated with more severe emergency department medication errors? J Healthc Qual. 2011;33(4):9-18. doi:10.1111/j.1945-1474.2010.00116.x. https://psne…

5688. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837807/psn-pdf
      August 10, 2022 - Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records. August 10, 2022 Wiering B, Lyratzopoulos G, Hamilton W, et al. Concordance with urgent referral guidelines in patients presenting …

5689. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40993/psn-pdf
      December 14, 2011 - Anticoagulation-associated adverse drug events. December 14, 2011 Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. https://psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events Warfarin and other anticoagulan…

5690. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39670/psn-pdf
      July 07, 2010 - The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. July 7, 2010 Washington DC: National Quality Forum; 2010. https://psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care The landmark Institute of Medicine (IOM) report, To Err Is Human,…

5691. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37478/psn-pdf
      February 22, 2011 - Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. February 22, 2011 Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007- 0414-y. https://p…

5692. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39405/psn-pdf
      March 31, 2010 - ED overcrowding is associated with an increased frequency of medication errors. March 31, 2010 Kulstad EB, Sikka R, Sweis RT, et al. ED overcrowding is associated with an increased frequency of medication errors. Am J Emerg Med. 2010;28(3):304-309. doi:10.1016/j.ajem.2008.12.014. https://psnet.ahrq.gov/issue/ed-ov…

5693. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848819/psn-pdf
      May 10, 2023 - Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial. May 10, 2023 Mortsiefer A, Löscher S, Pashutina Y, et al. Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL…

5694. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46083/psn-pdf
      April 26, 2017 - Impact of commercial computerized provider order entry (CPOE) and clinical decision support systems (CDSSs) on medication errors, length of stay, and mortality in intensive care units: a systematic review and meta- analysis. April 26, 2017 Prgomet M, Li L, Niazkhani Z, et al. Impact of commercial computerized pro…

5695. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50370/psn-pdf
      January 01, 2020 - Debunking the myth that the majority of medical errors are attributed to communication. September 25, 2019 Clapper TC, Ching K. Debunking the myth that the majority of medical errors are attributed to communication. Med Educ. 2020;54(1):74-81. doi:10.1111/medu.13821. https://psnet.ahrq.gov/issue/debunking-myth-maj…

5696. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39193/psn-pdf
      April 21, 2011 - Disclosing harmful mammography errors to patients. April 21, 2011 Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. https://psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients Disclosing errors to pati…

5697. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850161/psn-pdf
      June 07, 2023 - Analysis of the nature and contributory factors of medication safety incidents following hospital discharge using National Reporting and Learning System (NRLS) data from England and Wales: a multi-method study. June 7, 2023 Alqenae FA, Steinke DT, Carson-Stevens A, et al. Analysis of the nature and contributory fa…

5698. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45174/psn-pdf
      November 18, 2016 - Patient safety events and harms during medical and surgical hospitalizations for persons with serious mental illness. November 18, 2016 Daumit GL, McGinty EE, Pronovost P, et al. Patient Safety Events and Harms During Medical and Surgical Hospitalizations for Persons With Serious Mental Illness. Psychiatr Serv. 20…

5699. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35424/psn-pdf
      April 09, 2013 - Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. April 9, 2013 Raab SS, Grzybicki DM, Janosky JE, et al. Clinical impact and frequency of anatomic pathology errors in cancer diagnoses. Cancer. 2005;104(10):2205-13. https://psnet.ahrq.gov/issue/clinical-impact-and-frequency-anatomic-p…

5700. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40304/psn-pdf
      March 23, 2011 - Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds. March 23, 2011 Miller DF, Fortier CR, Garrison KL. Bar Code Medication Administration Technology: Characterization of High-Alert Medication Triggers and Clinician Workarounds. Ann Pharmacoth…