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Adverse event protocol for interventional pain medicine: the importance of an organized response. | PSNet

psnet.ahrq.gov/issue/adverse-event-protocol-interventional-pain-medicine-importance-organized-response

January 12, 2022 - January 12, 2022 The MedSafer study-electronic decision support for deprescribing in … 2023 A blinded, prospective study of error detection during physician chart rounds in … October 14, 2020 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … August 28, 2017 Health information exchange in emergency medicine.

Motivational influences on anaesthetists' use of practice guidelines. | PSNet

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April 18, 2011 - April 18, 2011 Identifying violation-provoking conditions in a healthcare setting. … August 4, 2021 Families as partners in hospital error and adverse event surveillance. … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Effects of the introduction of the WHO "Surgical Safety Checklist" on in-hospital … September 27, 2016 Innovation in Perioperative Patient Safety.

Prevention of fatal opioid overdose. | PSNet

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October 03, 2018 - Same Author(s) Potentially inappropriate opioid prescribing, overdose, and mortality in … 23, 2019 Are opioid dependence and methadone maintenance treatment (MMT) documented in … July 29, 2020 Doing the right things and doing them the right way: association between hospital … a multistate hospital network--13 academic medical centers, April-June 2020. … Medications) September 1, 2014 View More See More About The Topic Hospitals

A human factors curriculum for surgical clerkship students. | PSNet

psnet.ahrq.gov/issue/human-factors-curriculum-surgical-clerkship-students

September 24, 2008 - A one-day course on human factors for medical students resulted in improved communication between the … the COVID-19 pandemic on cancer survival in the UK: a modelling study. … a multistate hospital network--13 academic medical centers, April-June 2020. … five Veterans Health Administration (VHA) hospitals. … January 27, 2019 Survival from in-hospital cardiac arrest during nights and weekends.

Weaving a healthcare tapestry of safety and communication. | PSNet

psnet.ahrq.gov/issue/weaving-healthcare-tapestry-safety-and-communication

September 29, 2017 - August 19, 2020 Does overlapping surgery result in worse surgical outcomes? … Frequency and severity of parenteral nutrition medication errors at a large children's hospital … January 12, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … when patients are in jeopardy. … September 23, 2009 View More See More About The Topic Hospitals Nurses

Using a survey of incident reporting and learning practices to improve organisational learning at a cancer care centre. | PSNet

psnet.ahrq.gov/issue/using-survey-incident-reporting-and-learning-practices-improve-organisational-learning-cancer

June 30, 2011 - April 12, 2023 Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … September 20, 2011 To do no harm - and the most good - with AI in health care. … June 16, 2009 Perspective Organizational Change in the … Experience May 1, 2005 View More See More About The Topic Specialty Hospitals

ASPEN parenteral nutrition safety consensus recommendations. | PSNet

psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations

June 12, 2018 - 23, 2017 Predictive power of the "trigger tool" for the detection of adverse events in … January 12, 2022 Nurses' perceptions and demands regarding COVID-19 care delivery in … critical care units and hospital emergency services. … August 14, 2019 ASHP guidelines on preventing medication errors in hospitals. … February 13, 2008 View More See More About The Topic Hospitals Health

Consensus-based recommendations for standardizing terminology and reporting adverse events for emergency department procedural sedation and analgesia in children. | PSNet

psnet.ahrq.gov/issue/consensus-based-recommendations-standardizing-terminology-and-reporting-adverse-events

December 22, 2018 - a multistate hospital network--13 academic medical centers, April-June 2020. … hospital practice: factors associated with turnover, outcomes, and patient safety. … December 18, 2014 Medication errors in the management of anaphylaxis in a pediatric emergency … May 20, 2009 Patient Safety in Canada: An Update. … August 29, 2007 View More See More About The Topic Children's Hospitals

A system-based approach to managing patient safety in ambulatory care (and beyond). | PSNet

psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond

December 09, 2020 - Newspaper/Magazine Article A system-based approach to managing patient safety in … Citation Text: A system-based approach to managing patient safety in ambulatory care (and beyond). … use at 60 United States hospitals: a descriptive study. … May 26, 2011 Experience of hospital-initiated medication changes in older people with … hospital admissions in Multimorbid older people (OPERAM) trial.

High fidelity simulation-based training in neonatal nursing. | PSNet

psnet.ahrq.gov/issue/high-fidelity-simulation-based-training-neonatal-nursing

April 11, 2011 - Study High fidelity simulation-based training in neonatal nursing. … High-fidelity simulation-based training in neonatal nursing. … a multistate hospital network--13 academic medical centers, April-June 2020. … November 16, 2022 Families as partners in hospital error and adverse event surveillance … hospital practice: factors associated with turnover, outcomes, and patient safety.

Our other prescription drug problem. | PSNet

psnet.ahrq.gov/issue/our-other-prescription-drug-problem

May 17, 2017 - May 17, 2017 Opioid prescribing patterns among medical providers in the United States … February 1, 2023 6-PACK programme to decrease fall injuries in acute hospitals: cluster … acute care hospitals. … April 5, 2023 Distinguishing high-performing from low-performing hospitals for severe … June 16, 2019 Patterns in outpatient benzodiazepine prescribing in the United States.

Communication errors in radiology—pitfalls and how to avoid them. | PSNet

psnet.ahrq.gov/issue/communication-errors-radiology-pitfalls-and-how-avoid-them

September 24, 2017 - April 13, 2017 Visual illusions in radiology: untrue perceptions in medical images and … a multistate hospital network--13 academic medical centers, April-June 2020. … April 4, 2018 Key principles in quality and safety in radiology. … June 24, 2010 Error rate greatest in hospital radiology. … January 31, 2006 View More See More About The Topic Hospitals Health

Patient safety: a consumer's perspective. | PSNet

psnet.ahrq.gov/issue/patient-safety-consumers-perspective

January 12, 2022 - medical errors, and attempts to redefine the concept of patient-centered care with their experiences in … January 12, 2022 Partners in our care: patient safety from a patient perspective. … 12, 2011 Predictive power of the "trigger tool" for the detection of adverse events in … hospital practice: factors associated with turnover, outcomes, and patient safety. … in hospitals: a qualitative study.

Preparing challenging medications for barcode scanning. | PSNet

psnet.ahrq.gov/issue/preparing-challenging-medications-barcode-scanning

October 19, 2022 - Related Resources From the Same Author(s) Optimizing Pediatric Patient Safety in … September 6, 2023 Lessons learned in implementing a chronic opioid therapy management … December 21, 2022 Nurses' role in medical error recovery: an integrative review. … June 17, 2014 Preventing medication errors in hospitals through a systems approach and … January 27, 2009 View More See More About The Topic Hospitals Pharmacists

A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. | PSNet

psnet.ahrq.gov/issue/sudden-death-lung-embolism-after-inadvertent-infusion-zinc-oxide-shake-lotion

January 12, 2022 - autopsy findings of how misread labels, look-alike syringes, and medication preparation error resulted in … first: developing public performance indicators on patient safety and clinical effectiveness for Dutch hospitals … April 29, 2020 System-related and cognitive errors in laboratory medicine. … August 31, 2011 Preventable hospital admissions related to medication (HARM): cost analysis … February 23, 2009 View More See More About The Topic Hospitals Pathology

Error in medicine. | PSNet

psnet.ahrq.gov/issue/error-medicine

November 02, 2014 - Commentary Classic Error in medicine. … Error in medicine. JAMA. 1994;272(23):1851-1857. … rather than on the systems in which individuals operate. … Error in medicine. JAMA. 1994;272(23):1851-1857. … Related Resources Patient Safety Innovations Preventing Falls

To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. | PSNet

psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients

April 19, 2011 - Classic To tell the truth: ethical and practical issues in … 2021 Effect of pharmacist counseling intervention on health care utilization following hospital … August 14, 2019 Apology and unintended harm in global health. … May 17, 2017 Inpatient Notes: mistakes in the hospital—communicating, apologizing, and … November 18, 2016 Reflection on adverse event disclosure in the postsurgical hospital

Impact of the COVID-19 pandemic on the experiences of hospitalized patients: a scoping review. | PSNet

psnet.ahrq.gov/issue/impact-covid-19-pandemic-experiences-hospitalized-patients-scoping-review

September 21, 2022 - July 8, 2020 Characteristics of critical incident reporting systems in primary care: … critical care units and hospital emergency services. … exploratory sequential multi-method study in primary care. … June 9, 2021 Mental health of staff working in intensive care during COVID-19. … September 23, 2020 View More See More About The Topic Hospitals Facility

Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events. | PSNet

psnet.ahrq.gov/issue/out-sight-out-mind-prospective-observational-study-estimate-duration-hawthorne-effect-hand

September 09, 2020 - hospitals: a descriptive study. … December 12, 2021 Evolving factors in hospital safety: a systematic review and meta-analysis … of hospital adverse events. … September 29, 2021 Incidence of Adverse Events in Indian Health Service Hospitals. … June 25, 2014 View More See More About The Topic Hospitals Quality

Safety of elderly fallers: identifying associated risk factors for 30-day unplanned readmissions using a clinical data warehouse. | PSNet

psnet.ahrq.gov/issue/safety-elderly-fallers-identifying-associated-risk-factors-30-day-unplanned-readmissions

May 04, 2022 - Older adults are at high risk for 30-day unplanned hospital readmission . … older people prior to a potentially preventable drug-related hospital admission. … November 30, 2022 Assessment of requests for medication-related follow-up after hospital … discharge, and the relation to unplanned hospital revisits, in older patients: a multicentre retrospective … June 12, 2020 View More See More About The Topic Hospitals

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