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Showing results for "descriptions".

6601. Errors in the medication process: frequency, type, and potential clinical consequences. | PSNet
      psnet.ahrq.gov/issue/errors-medication-process-frequency-type-and-potential-clinical-consequences
      July 21, 2021 - Study Errors in the medication process: frequency, type, and potential clinical consequences. Citation Text: Lisby M, Nielsen LP, Mainz J. Errors in the medication process: frequency, type, and potential clinical consequences. Int J Qual Health Care. 2005;17(1):15-22. Copy Citation …

6602. Trends influencing the cost of care and patient safety. | PSNet
      psnet.ahrq.gov/issue/trends-influencing-cost-care-and-patient-safety
      September 25, 2024 - Newspaper/Magazine Article Trends influencing the cost of care and patient safety. Citation Text: Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can improve clinical and economic performance. Health management technology. 2006;27(7):1…

6603. Intentionally harmful violations and patient safety: the example of Harold Shipman. | PSNet
      psnet.ahrq.gov/issue/intentionally-harmful-violations-and-patient-safety-example-harold-shipman
      January 25, 2017 - Commentary Intentionally harmful violations and patient safety: the example of Harold Shipman. Citation Text: Baker R, Hurwitz B. Intentionally harmful violations and patient safety: the example of Harold Shipman. J R Soc Med. 2009;102(6):223-227. doi:10.1258/jrsm.2009.09k028. Copy C…

6604. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. | PSNet
      psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
      May 18, 2011 - Study Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. Citation Text: Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J C…

6605. What do hospital staff in the UK think are the causes of penicillin medication errors? | PSNet
      psnet.ahrq.gov/issue/what-do-hospital-staff-uk-think-are-causes-penicillin-medication-errors
      November 16, 2022 - Study What do hospital staff in the UK think are the causes of penicillin medication errors? Citation Text: Wilcock M, Harding G, Moore L, et al. What do hospital staff in the UK think are the causes of penicillin medication errors? Int J Clin Pharm. 2012;35(1). doi:10.1007/s11096-012-9…

6606. Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. | PSNet
      psnet.ahrq.gov/issue/evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant
      December 15, 2021 - Study Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. Citation Text: Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoidi…

6607. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. | PSNet
      psnet.ahrq.gov/issue/cancelrx-health-it-tool-reduce-medication-discrepancies-outpatient-setting
      March 23, 2022 - Study CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. Citation Text: Watterson TL, Stone JA, Brown RL, et al. CancelRx: a health IT tool to reduce medication discrepancies in the outpatient setting. J Am Med Inform Assoc. 2021;28(7):1526-1533. doi…

6608. 10,000 good catches: increasing safety event reporting in a pediatric health care system. | PSNet
      psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
      April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health care system. Citation Text: Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…

6609. Parent participation in morbidity and mortality review: parent and physician perspectives. | PSNet
      psnet.ahrq.gov/issue/parent-participation-morbidity-and-mortality-review-parent-and-physician-perspectives
      May 18, 2022 - Study Parent participation in morbidity and mortality review: parent and physician perspectives. Citation Text: de Loizaga SR, Clarke-Myers K, R Khoury P, et al. Parent participation in morbidity and mortality review: parent and physician perspectives. J Patient Exp. 2022;9:2374373522110…

6610. "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. | PSNet
      psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
      January 22, 2016 - Study "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. Citation Text: O'Brien CM, Flanagan ME, Bergman AA, et al. "Anybody on this list that you're more worried about?" Qualitative analysis expl…

6611. The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. | PSNet
      psnet.ahrq.gov/issue/social-dimensions-safety-incident-reporting-maternity-care-influence-working-relationships
      September 18, 2024 - Study The social dimensions of safety incident reporting in maternity care: the influence of working relationships and group processes. Citation Text: Lindsay P, Sandall J, Humphrey C. The social dimensions of safety incident reporting in maternity care: the influence of working relati…

6612. A model of disruptive surgeon behavior in the perioperative environment. | PSNet
      psnet.ahrq.gov/issue/model-disruptive-surgeon-behavior-perioperative-environment
      February 05, 2020 - Study A model of disruptive surgeon behavior in the perioperative environment. Citation Text: Cochran A, Elder WB. A model of disruptive surgeon behavior in the perioperative environment. J Am Coll Surg. 2014;219(3):390-8. doi:10.1016/j.jamcollsurg.2014.05.011. Copy Citation Format…

6613. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. | PSNet
      psnet.ahrq.gov/issue/dna-damage-response-and-patient-safety-engaging-our-molecular-biology-oriented-colleagues
      March 11, 2020 - Commentary The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. Citation Text: Pukk K, Aron DC. The DNA damage response and patient safety: engaging our molecular biology-oriented colleagues. International Journal for Quality in Health Care. 2…

6614. Submit Case | PSNet
      psnet.ahrq.gov/submit-case-landing
      March 25, 2025 - Breadcrumb Home Training and Education WebM&M: Case Studies WebM&M Case Submission PSNet is looking for interesting, provocative cases that illustrate key issues in patient safety such as medication errors, diagnostic errors, and adverse events that either had the potential …

6615. Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. | PSNet
      psnet.ahrq.gov/issue/association-polypharmacy-and-potential-drug-drug-interactions-adverse-treatment-outcomes
      May 25, 2016 - Study Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. Citation Text: Mohamed MR, Mohile SG, Juba KM, et al. Association of polypharmacy and potential drug‐drug interactions with adverse treatment outco…

6616. Failure-to-rescue: comparing definitions to measure quality of care. | PSNet
      psnet.ahrq.gov/issue/failure-rescue-comparing-definitions-measure-quality-care
      April 17, 2013 - Study Failure-to-rescue: comparing definitions to measure quality of care. Citation Text: Silber JH, Romano PS, Rosen AK, et al. Failure-to-rescue: comparing definitions to measure quality of care. Med Care. 2007;45(10):918-25. Copy Citation Format: Google Scholar PubMed Bi…

6617. Politi, Mary | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/politi-mary
      January 01, 2024 - Politi, Mary A randomized controlled trial of the implementation of BREASTChoice, a multilevel breast reconstruction decision support tool with personalized risk prediction. Citation Politi MC, Myckatyn TM, Cooksey K, Olsen MA, Smith RM, Foraker R, Parrish K, Phommasathit C, B…

6618. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative
      August 17, 2022 - Review Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. Citation Text: Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati…

6619. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. | PSNet
      psnet.ahrq.gov/issue/teaching-medical-students-about-medical-errors-and-patient-safety-evaluation-required
      June 08, 2022 - Study Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Citation Text: Halbach JL, Sullivan LL. Teaching medical students about medical errors and patient safety: evaluation of a required curriculum. Acad Med. 2005;80(6):600-6. Co…

6620. Using the internet to deliver education on drug safety. | PSNet
      psnet.ahrq.gov/issue/using-internet-deliver-education-drug-safety
      March 23, 2011 - Study Using the internet to deliver education on drug safety. Citation Text: Franklin B, O'Grady K, Parr J, et al. Using the internet to deliver education on drug safety. Qual Saf Health Care. 2006;15(5):329-33. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…