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Showing results for "developing".

5381. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. | PSNet
      psnet.ahrq.gov/issue/failure-follow-medication-changes-made-hospital-discharge-associated-adverse-events-30-days
      October 16, 2019 - Study Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Citation Text: Weir DL, Motulsky A, Abrahamowicz M, et al. Failure to follow medication changes made at hospital discharge is associated with adverse events in 30 days. Hea…

5382. Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. | PSNet
      psnet.ahrq.gov/issue/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events
      November 08, 2023 - Study Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. Citation Text: Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and …

5383. Making patient safety event data actionable: understanding patient safety analyst needs. | PSNet
      psnet.ahrq.gov/issue/making-patient-safety-event-data-actionable-understanding-patient-safety-analyst-needs
      October 17, 2018 - Study Making patient safety event data actionable: understanding patient safety analyst needs. Citation Text: Puthumana JS, Fong A, Blumenthal J, et al. Making Patient Safety Event Data Actionable: Understanding Patient Safety Analyst Needs. J Patient Saf. 2021;17(6):e509-e514. doi:10.10…

5384. Contribution of adverse events to death of hospitalised patients. | PSNet
      psnet.ahrq.gov/issue/contribution-adverse-events-death-hospitalised-patients
      October 27, 2021 - Study Contribution of adverse events to death of hospitalised patients. Citation Text: Haukland EC, Mevik K, von Plessen C, et al. Contribution of adverse events to death of hospitalised patients. BMJ Open Qual. 2019;8(1):e000377. doi:10.1136/bmjoq-2018-000377. Copy Citation Format…

5385. Identifying risk in the use of tumor markers to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/identifying-risk-use-tumor-markers-improve-patient-safety
      March 09, 2022 - Study Identifying risk in the use of tumor markers to improve patient safety. Citation Text: Moreno-Campoy EE, De la Torre FJM-, Martos-Crespo F, et al. Identifying risk in the use of tumor markers to improve patient safety. Clin Chem Lab Med. 2016;54(12):1947-1953. doi:10.1515/cclm-2015…

5386. The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. | PSNet
      psnet.ahrq.gov/issue/nature-magnitude-and-reporting-compliance-device-related-events-intravenous-patient
      March 20, 2024 - Study The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database. Citation Text: Lawal OD, Mohanty M, Elder H, et al. The nature, magnitude, and reporti…

5387. Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. | PSNet
      psnet.ahrq.gov/issue/differential-safety-between-top-ranked-cancer-hospitals-and-their-affiliates-complex-cancer
      July 24, 2019 - Study Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. Citation Text: Hoag JR, Resio BJ, Monsalve AF, et al. Differential Safety Between Top-Ranked Cancer Hospitals and Their Affiliates for Complex Cancer Surgery. JAMA Netw Open. 20…

5388. Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. | PSNet
      psnet.ahrq.gov/issue/trust-temporality-and-systems-how-do-patients-understand-patient-safety-primary-care
      February 09, 2016 - Study Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. Citation Text: Rhodes P, Campbell S, Sanders C. Trust, temporality and systems: how do patients understand patient safety in primary care? A qualitative study. Health Exp…

5389. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. | PSNet
      psnet.ahrq.gov/issue/preventing-patient-harm-adverse-event-review-apsa-survey-regarding-role-morbidity-and
      May 22, 2019 - Study Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference. Citation Text: Berman L, Ottosen M, Renaud E, et al. Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and…

5390. An mHealth design to promote medication safety in children with medical complexity. | PSNet
      psnet.ahrq.gov/issue/mhealth-design-promote-medication-safety-children-medical-complexity
      July 14, 2010 - Study An mHealth design to promote medication safety in children with medical complexity. Citation Text: Jolliff A, Coller RJ, Kearney H, et al. An mHealth design to promote medication safety in children with medical complexity. Appl Clin Inform. 2024;15(1):45-54. doi:10.1055/a-2214-8000…

5391. A July spike in fatal medication errors: a possible effect of new medical residents. | PSNet
      psnet.ahrq.gov/issue/july-spike-fatal-medication-errors-possible-effect-new-medical-residents
      February 15, 2011 - Study Classic A July spike in fatal medication errors: a possible effect of new medical residents. Citation Text: Phillips DP, Barker GEC. A July spike in fatal medication errors: a possible effect of new medical residents. J Gen Intern Med. 2010;25(8):774-9. …

5392. Multifaceted intervention to improve patient safety incident reporting in intensive care units. | PSNet
      psnet.ahrq.gov/issue/multifaceted-intervention-improve-patient-safety-incident-reporting-intensive-care-units
      January 18, 2023 - Study Multifaceted intervention to improve patient safety incident reporting in intensive care units. Citation Text: Griffeth EM, Gajic O, Schueler N, et al. Multifaceted intervention to improve patient safety incident reporting in intensive care units. J Patient Saf. 2023;19(7):422-428.…

5393. Safety risks and workflow implications associated with nursing-related free-text communication orders. | PSNet
      psnet.ahrq.gov/issue/safety-risks-and-workflow-implications-associated-nursing-related-free-text-communication
      February 17, 2021 - Study Safety risks and workflow implications associated with nursing-related free-text communication orders. Citation Text: Staes CJ, Yusuf S, Hambly M, et al. Safety risks and workflow implications associated with nursing-related free-text communication orders. J Am Med Inform Assoc. 20…

5394. Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. | PSNet
      psnet.ahrq.gov/issue/near-miss-transcription-errors-comparison-reporting-rates-between-novel-error-reporting
      January 31, 2018 - Study Near-miss transcription errors: a comparison of reporting rates between a novel error-reporting mechanism and a current formal reporting system. Citation Text: South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates between a novel error…

5395. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73852/psn-pdf
      October 27, 2021 - Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandemic October 27, 2021 Albott CS, Wozniak JR, McGlinch BP, et al. Battle Buddies: rapid deployment of a psychological resilience intervention for health care workers during the COVID-19 pandem…

5396. Do patient safety indicators explain increased weekend mortality? | PSNet
      psnet.ahrq.gov/issue/do-patient-safety-indicators-explain-increased-weekend-mortality
      June 01, 2011 - Study Do patient safety indicators explain increased weekend mortality? Citation Text: Ricciardi R, Nelson J, Francone TD, et al. Do patient safety indicators explain increased weekend mortality? J Surg Res. 2016;200(1):164-70. doi:10.1016/j.jss.2015.07.030. Copy Citation Format: …

5397. Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. | PSNet
      psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
      May 01, 2004 - Study Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. Citation Text: Aljuffali LA, Almalag HM, Alnaim L. Assessing system thinking in senior pharmacy students using the innovat…

5398. Accuracy of harm scores entered into an event reporting system. | PSNet
      psnet.ahrq.gov/issue/accuracy-harm-scores-entered-event-reporting-system
      October 19, 2022 - Study Accuracy of harm scores entered into an event reporting system. Citation Text: Abbasi T, Adornetto-Garcia D, Johnston PA, et al. Accuracy of harm scores entered into an event reporting system. J Nurs Adm. 2015;45(4):218-225. doi:10.1097/NNA.0000000000000188. Copy Citation For…

5399. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. | PSNet
      psnet.ahrq.gov/issue/interprofessional-handover-and-patient-safety-anaesthesia-observational-study-handovers
      April 18, 2011 - Study Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery room. Citation Text: Smith AF, Pope C, Goodwin D, et al. Interprofessional handover and patient safety in anaesthesia: observational study of handovers in the recovery r…

5400. Discontinued Medications: Are They Really Discontinued? | PSNet
      psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
      January 05, 2017 - January 5, 2017 Developing a tool for assessing competency in root cause analysis.