Results

Total Results: over 10,000 records

Showing results for "failures".

8061. Medication reconciliation in oncological patients: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-oncological-patients-randomized-clinical-trial
      March 09, 2022 - Study Medication reconciliation in oncological patients: a randomized clinical trial. Citation Text: Vega TG-C, Sierra-Sánchez JF, Martínez-Bautista MJ, et al. Medication Reconciliation in Oncological Patients: A Randomized Clinical Trial. J Manag Care Spec Pharm. 2016;22(6):734-40. doi:…

8062. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. | PSNet
      psnet.ahrq.gov/issue/role-communicating-diagnostic-uncertainty-safety-netting-process-insights-vignette-study
      February 20, 2019 - Study Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. Citation Text: Cox C, Hatfield T, Fritz Z. Role of communicating diagnostic uncertainty in the safety-netting process: insights from a vignette study. BMJ Qual Saf. 2024;33(1…

8063. Assuring safe patient care in a level III NICU in anticipation of hospital closure. | PSNet
      psnet.ahrq.gov/issue/assuring-safe-patient-care-level-iii-nicu-anticipation-hospital-closure
      April 22, 2016 - Study Assuring safe patient care in a level III NICU in anticipation of hospital closure. Citation Text: Fleishman R, Anday E, Bhandari V. Assuring safe patient care in a level III NICU in anticipation of hospital closure. J Perinatol. 2020. doi:10.1038/s41372-020-0648-7. Copy Citation…

8064. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. | PSNet
      psnet.ahrq.gov/issue/effect-rapid-response-system-patients-shock-time-treatment-and-mortality-during-5-years
      October 19, 2022 - Study Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Citation Text: Sebat F, Musthafa AA, Johnson D, et al. Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years. Crit Care M…

8065. Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. | PSNet
      psnet.ahrq.gov/issue/narrative-feedback-or-personnel-about-safety-their-surgical-practice-and-after-surgical
      May 09, 2018 - Study Narrative feedback from OR personnel about the safety of their surgical practice before and after a surgical safety checklist intervention. Citation Text: Alidina S, Hur H-C, Berry WR, et al. Narrative feedback from OR personnel about the safety of their surgical practice before an…

8066. Emergency department visits for medical device–associated adverse events among children. | PSNet
      psnet.ahrq.gov/issue/emergency-department-visits-medical-device-associated-adverse-events-among-children
      March 03, 2019 - Study Emergency department visits for medical device–associated adverse events among children. Citation Text: Wang C, Hefflin B, Cope JU, et al. Emergency department visits for medical device-associated adverse events among children. Pediatrics. 2010;126(2):247-59. doi:10.1542/peds.2010-…

8067. Beyond the team: understanding interprofessional work in two North American ICUs. | PSNet
      psnet.ahrq.gov/issue/beyond-team-understanding-interprofessional-work-two-north-american-icus
      January 14, 2014 - Study Beyond the team: understanding interprofessional work in two North American ICUs. Citation Text: Alexanian JA, Kitto S, Rak KJ, et al. Beyond the Team: Understanding Interprofessional Work in Two North American ICUs. Crit Care Med. 2015;43(9):1880-6. doi:10.1097/CCM.000000000000113…

8068. Adverse events are common on the intensive care unit: results from a structured record review. | PSNet
      psnet.ahrq.gov/issue/adverse-events-are-common-intensive-care-unit-results-structured-record-review
      January 28, 2010 - Study Adverse events are common on the intensive care unit: results from a structured record review. Citation Text: Nilsson L, Pihl A, Tågsjö M, et al. Adverse events are common on the intensive care unit: results from a structured record review. Acta Anaesthesiol Scand. 2012;56(8):959…

8069. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. | PSNet
      psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state
      September 12, 2016 - Study The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. Citation Text: Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the st…

8070. Designing a critical care nurse–led rapid response team using only available resources: 6 years later. | PSNet
      psnet.ahrq.gov/issue/designing-critical-care-nurse-led-rapid-response-team-using-only-available-resources-6-years
      December 21, 2014 - Study Designing a critical care nurse–led rapid response team using only available resources: 6 years later. Citation Text: Mitchell A, Schatz M, Francis H. Designing a critical care nurse-led rapid response team using only available resources: 6 years later. Crit Care Nurse. 2014;34(3):…

8071. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. | PSNet
      psnet.ahrq.gov/issue/perceptions-us-and-uk-incident-reporting-systems-scoping-review
      January 19, 2022 - Review Perceptions of U.S. and U.K. incident reporting systems: a scoping review. Citation Text: Gampetro PJ, Nickum A, Schultz CM. Perceptions of U.S. and U.K. incident reporting systems: a scoping review. J Patient Saf. 2024;20(5):360-365. doi:10.1097/pts.0000000000001231. Copy Citat…

8072. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. | PSNet
      psnet.ahrq.gov/issue/detection-rates-mild-cognitive-impairment-primary-care-united-states-medicare-population
      February 16, 2022 - Study Detection rates of mild cognitive impairment in primary care for the United States Medicare population. Citation Text: Liu Y, Jun H, Becker A, et al. Detection rates of mild cognitive impairment in primary care for the United States Medicare population. J Prev Alz Dis. 2024;11:7–12…

8073. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. | PSNet
      psnet.ahrq.gov/issue/balancing-safety-comfort-and-fall-risk-intervention-limit-opioid-and-benzodiazepine
      November 09, 2022 - Study Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescriptions for geriatric patients. Citation Text: Bloomer A, Wally M, Bailey G, et al. Balancing safety, comfort, and fall risk: an intervention to limit opioid and benzodiazepine prescr…

8074. An examination of Leapfrog safety measures and Magnet designation. | PSNet
      psnet.ahrq.gov/issue/examination-leapfrog-safety-measures-and-magnet-designation
      January 27, 2021 - Study An examination of Leapfrog safety measures and Magnet designation. Citation Text: Tai TWC, Mattie A, Miller SM, et al. An examination of Leapfrog safety measures and Magnet designation. J Healthc Risk Manag. 2023;42(3-4):21-29. doi:10.1002/jhrm.21533. Copy Citation Format: …

8075. Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? | PSNet
      psnet.ahrq.gov/issue/autopsy-interrogation-emergency-medicine-dispute-cases-how-often-are-clinical-diagnoses
      March 24, 2019 - Study Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? Citation Text: Liu D, Gan R, Zhang W, et al. Autopsy interrogation of emergency medicine dispute cases: how often are clinical diagnoses incorrect? J Clin Pathol. 2018;71(1):67-71…

8076. Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults. | PSNet
      psnet.ahrq.gov/issue/perceived-discrimination-community-pharmacy-cross-sectional-national-survey-adults
      April 03, 2024 - Study Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults. Citation Text: Baffoe JO, Moczygemba LR, Brown CM. Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults. J Am Pharm Assoc (2003). 2023;63(2)…

8077. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. | PSNet
      psnet.ahrq.gov/issue/case-transfusion-error-trauma-patient-subsequent-root-cause-analysis-leading-institutional
      March 30, 2022 - Commentary A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional change. Citation Text: Clifford SP, Mick PB, Derhake BM. A case of transfusion error in a trauma patient with subsequent root cause analysis leading to institutional ch…

8078. Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. | PSNet
      psnet.ahrq.gov/issue/has-improved-hand-hygiene-compliance-reduced-risk-hospital-acquired-infections-among
      July 10, 2024 - Study Has improved hand hygiene compliance reduced the risk of hospital-acquired infections among hospitalized patients in Ontario? Analysis of publicly reported patient safety data from 2008 to 2011. Citation Text: DiDiodato G. Has improved hand hygiene compliance reduced the risk of h…

8079. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. | PSNet
      psnet.ahrq.gov/issue/effects-patient-handoff-characteristics-subsequent-care-systematic-review-and-areas-future
      January 19, 2011 - Review The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Citation Text: Foster S, Manser T. The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research. Acad Med.…

8080. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial | PSNet
      psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-intervention-adverse-drug-events-cluster
      April 29, 2018 - Study Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial Citation Text: Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomi…