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Showing results for "caused".

  1. psnet.ahrq.gov/issue/how-prevent-or-reduce-prescribing-errors-evidence-brief-policy-authors
    July 27, 2022 - Review How to prevent or reduce prescribing errors: an evidence brief for policy authors. Citation Text: de Araújo BC, de Melo RC, de Bortoli MC, et al. How to prevent or reduce prescribing errors: an evidence brief for policy authors. Front Pharmacol. 2019;10:439. doi:10.3389/fphar.2019…
  2. psnet.ahrq.gov/issue/designing-and-evaluating-automated-system-real-time-medication-administration-error-detection
    November 04, 2020 - Study Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit. Citation Text: Ni Y, Lingren T, Hall ES, et al. Designing and evaluating an automated system for real-time medication administration error detecti…
  3. psnet.ahrq.gov/issue/reductions-sepsis-mortality-and-costs-after-design-and-implementation-nurse-based-early
    March 09, 2016 - Study Reductions in sepsis mortality and costs after design and implementation of a nurse-based early recognition and response program. Citation Text: Jones SL, Ashton CM, Kiehne L, et al. Reductions in sepsis mortality and costs after design and implementation of a nurse-based early rec…
  4. psnet.ahrq.gov/issue/exploring-pharmacist-experiences-delivering-individualised-prescribing-error-feedback-acute
    May 30, 2016 - Study Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospital setting. Citation Text: Lloyd M, Watmough SD, O'Brien S, et al. Exploring pharmacist experiences of delivering individualised prescribing error feedback in an acute hospita…
  5. www.ahrq.gov/news/newsroom/case-studies/202101.html
    June 01, 2021 - Duke’s Private Diagnostic Clinic Used TeamSTEPPS to Improve Teamwork and Communications Search All Impact Case Studies June 2021 Eighty to 90 percent of medical center leaders at Private Diagnostic Clinic (PDC), a multispecialty physician practice affiliated with Duke Health, reported fewer communications b…
  6. psnet.ahrq.gov/issue/patient-safety-leadership-walkroundstm-partners-healthcare-learning-implementation
    January 04, 2017 - Study Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. Citation Text: Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37…
  7. psnet.ahrq.gov/issue/it-depends-complexity-allowing-residents-fail-perspective-clinical-supervisors
    December 14, 2022 - Study 'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors. Citation Text: Klasen JM, Teunissen PW, Driessen EW, et al. ‘It depends’: the complexity of allowing residents to fail from the perspective of clinical supervisors. Med Teach. 2…
  8. psnet.ahrq.gov/issue/medicines-related-problems-mrps-originating-primary-care-settings-older-adults-systematic
    March 04, 2015 - Review Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review. Citation Text: Ude-Okeleke RC, Aslanpour Z, Dhillon S, et al. Medicines related problems (MRPs) originating in primary care settings in older adults - a systematic review.…
  9. psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
    March 11, 2011 - Study The safety of warfarin therapy in the nursing home setting. Citation Text: Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…
  10. psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
    March 02, 2022 - Study What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. Citation Text: Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…
  11. psnet.ahrq.gov/issue/recognition-adverse-drug-events-older-hospitalized-medical-patients
    August 10, 2022 - Study Recognition of adverse drug events in older hospitalized medical patients. Citation Text: Klopotowska JE, Wierenga PC, Smorenburg SM, et al. Recognition of adverse drug events in older hospitalized medical patients. Eur J Clin Pharmacol. 2013;69(1):75-85. doi:10.1007/s00228-012-1…
  12. psnet.ahrq.gov/issue/inequities-inpatient-pediatric-patient-safety-events-category
    April 01, 2009 - Study Inequities in inpatient pediatric patient safety events by category. Citation Text: Pantell MS, Karvonen KL, Porter P, et al. Inequities in inpatient pediatric patient safety events by category. Hosp Pediatr. 2024;14(12):953-962. doi:10.1542/hpeds.2023-007129. Copy Citation F…
  13. psnet.ahrq.gov/issue/relationship-between-culture-safety-and-rate-adverse-events-long-term-care-facilities
    June 09, 2021 - Study The relationship between culture of safety and rate of adverse events in long-term care facilities. Citation Text: Abusalem S, Polivka B, Coty M-B, et al. The Relationship Between Culture of Safety and Rate of Adverse Events in Long-Term Care Facilities. J Patient Saf. 2021;17(4):2…
  14. psnet.ahrq.gov/issue/receipt-antibiotics-hospitalized-patients-and-risk-clostridium-difficile-infection-subsequent
    September 29, 2017 - Study Receipt of antibiotics in hospitalized patients and risk for Clostridium difficile infection in subsequent patients who occupy the same bed. Citation Text: Freedberg DE, Salmasian H, Cohen B, et al. Receipt of Antibiotics in Hospitalized Patients and Risk for Clostridium difficile …
  15. psnet.ahrq.gov/issue/patterns-error-interpretive-pathology
    April 07, 2021 - Study Patterns of error in interpretive pathology. Citation Text: Packer MDC, Ravinsky E, Azordegan N. Patterns of error in interpretive pathology. Am J Clin Pathol. 2022;157(5):767-773. doi:10.1093/ajcp/aqab190. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…
  16. psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
    April 24, 2018 - Commentary Flying lessons for clinicians: developing system 2 practice. Citation Text: Gregoire JN, Alfes CM, Reimer AP, et al. Flying Lessons for Clinicians: Developing System 2 Practice. Air Med J. 2017;36(3):135-137. doi:10.1016/j.amj.2017.02.003. Copy Citation Format: D…
  17. psnet.ahrq.gov/issue/closing-loop-follow-and-feedback-patient-safety-program
    January 04, 2017 - Study Closing the loop: follow-up and feedback in a patient safety program. Citation Text: Gandhi TK, Graydon-Baker E, Huber CN, et al. Closing the loop: follow-up and feedback in a patient safety program. Jt Comm J Qual Patient Saf. 2005;31(11):614-21. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/how-well-quality-improvement-described-perioperative-care-literature-systematic-review
    January 19, 2022 - Review How well is quality improvement described in the perioperative care literature? A systematic review. Citation Text: Jones EL, Lees N, Martin G, et al. How Well Is Quality Improvement Described in the Perioperative Care Literature? A Systematic Review. Jt Comm J Qual Patient Saf. 2…
  19. psnet.ahrq.gov/issue/diagnostic-error-emergency-department-learning-national-patient-safety-incident-report
    January 12, 2022 - Study Diagnostic error in the emergency department: learning from national patient safety incident report analysis. Citation Text: Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. B…
  20. psnet.ahrq.gov/issue/understanding-diagnostic-safety-emergency-medicine-case-case-review-closed-ed-malpractice
    May 11, 2019 - Study Understanding diagnostic safety in emergency medicine: a case‐by‐case review of closed ED malpractice claims. Citation Text: Lemoine N, Dajer A, Konwinski J, et al. Understanding diagnostic safety in emergency medicine: A case-by-case review of closed ED malpractice claims. J Healt…