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3161. Toward more proactive approaches to safety in the electronic health record era. | PSNet
      psnet.ahrq.gov/issue/toward-more-proactive-approaches-safety-electronic-health-record-era
      December 06, 2023 - Commentary Toward more proactive approaches to safety in the electronic health record … Toward More Proactive Approaches to Safety in the Electronic Health Record Era. … Toward More Proactive Approaches to Safety in the Electronic Health Record Era. … July 19, 2018 Physician burnout in the electronic health record era: are we ignoring … March 1, 2017 View More See More About The Topic Hospitals Facility

3162. Disclosing adverse events to patients: international norms and trends. | PSNet
      psnet.ahrq.gov/issue/disclosing-adverse-events-patients-international-norms-and-trends
      July 29, 2020 - Based on a series of international expert meetings, this qualitative analysis identified key challenges in … In a past AHRQ WebM&M perspective , Dr. … 2017 Physician and nurse well-being and preferred interventions to address burnout in … hospital practice: factors associated with turnover, outcomes, and patient safety. … June 11, 2014 Wisdom through adversity: learning and growing in the wake of an error.

3163. Realistic distractions and interruptions that impair simulated surgical performance by novice surgeons. | PSNet
      psnet.ahrq.gov/issue/realistic-distractions-and-interruptions-impair-simulated-surgical-performance-novice
      August 04, 2021 - In this study involving surgical residents, the introduction of realistic interruptions and distractions … into simulated surgical scenarios resulted in a significantly higher incidence of technical errors … October 23, 2024 Reducing the rate of catheter-associated bloodstream infections in a … August 20, 2014 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … October 19, 2022 Families as partners in hospital error and adverse event surveillance

3164. Disclosure of "nonharmful" medical errors and other events: duty to disclose. | PSNet
      psnet.ahrq.gov/issue/disclosure-nonharmful-medical-errors-and-other-events-duty-disclose
      January 23, 2017 - A critical element in managing medical errors, the duty to disclose is endorsed as a key safety practice … February 17, 2017 A system factors analysis of "line, tube, and drain" incidents in the … 2011 Physician and nurse well-being and preferred interventions to address burnout in … hospital practice: factors associated with turnover, outcomes, and patient safety. … November 21, 2016 In support of the medical apology: the nonlegal arguments.

3165. Canadian Association of University Surgeons' Annual Symposium. Surgical simulation: the solution to safe training or a promise unfulfilled? | PSNet
      psnet.ahrq.gov/issue/canadian-association-university-surgeons-annual-symposium-surgical-simulation-solution-safe
      March 09, 2022 - This review discusses how simulation can improve safety in surgery and recommends that educational … September 2, 2020 Analysis of readmissions in a mobile integrated health transitional … Visitor behaviors can influence the risk of patient harm: an analysis of patient safety reports from 92 hospitals … November 25, 2015 Is the skillset obtained in surgical simulation transferable to the … in high-stakes clinical setting of cardiac surgery.

3166. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet
      psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis
      March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive … Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. … Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. … hospital practice: factors associated with turnover, outcomes, and patient safety. … in situ simulation-based observational study.

3167. Emergency department crowding and risk of preventable medical errors. | PSNet
      psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors
      November 23, 2011 - this study conducted in four Massachusetts EDs. … Increasing adoption of computerized provider order entry, and persistent regional disparities, in … Impact of teamwork and communication training interventions on safety culture and patient safety in … June 7, 2008 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … multistate hospital network--13 academic medical centers, April-June 2020.

3168. Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in Canada, the USA and the UK. | PSNet
      psnet.ahrq.gov/issue/comparative-cross-sectional-study-format-content-and-timing-medication-safety-letters-issued
      March 21, 2012 - Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in … Comparative, cross-sectional study of the format, content and timing of medication safety letters issued in … They found significant differences in the medication safety letters issued by all three agencies with … a multistate hospital network--13 academic medical centers, April-June 2020. … August 7, 2019 Medication Safety in Key Action Areas.

3169. Nursing surveillance: a concept analysis | PSNet
      psnet.ahrq.gov/issue/nursing-surveillance-concept-analysis
      May 26, 2021 - May 26, 2021 Medication errors in anesthesiology: is it time to train by example? … May 11, 2014 The role of nursing surveillance in keeping patients safe. … August 15, 2012 Epidemiology of adverse events in air medical transport. … in the NHS. … Shift-to-shift nursing handover interventions associated with improved inpatient outcomes - falls

3170. Bridging the communication gap in the operating room with medical team training. | PSNet
      psnet.ahrq.gov/issue/bridging-communication-gap-operating-room-medical-team-training
      March 05, 2025 - Bridging the communication gap in the operating room with medical team training. … Bridging the communication gap in the operating room with medical team training. … team training in high-technology surgery: the robotic-assisted surgery olympics. … March 29, 2023 Team communication in the operating room. … January 27, 2012 Representative case series from public hospital admissions 1998 II:

3171. A Tale of Two Stories: Contrasting Views of Patient Safety. | PSNet
      psnet.ahrq.gov/issue/tale-two-stories-contrasting-views-patient-safety
      March 27, 2005 - Even readers familiar with root cause analysis will likely find value in many of the case studies. … March 21, 2007 Patient engagement in patient safety: barriers and facilitators. … June 27, 2018 Resilience Engineering in Practice: a Guidebook. … July 13, 2016 Human Error in Medicine. … May 25, 2016 HealthGrades Quality Study: Third Annual Patient Safety in American Hospitals

3172. Proposal for a 'surgical checklist' for ambulatory oral surgery. | PSNet
      psnet.ahrq.gov/issue/proposal-surgical-checklist-ambulatory-oral-surgery
      January 17, 2012 - care units and hospital emergency services. … November 20, 2015 Diagnostic errors and temporal stability in bipolar disorder. … September 8, 2010 Enhancing safe medication use in home care: insights from informal … A comparison of 24 surgical safety checklists in Switzerland. … the Office Setting: reinvigorating safety in office-based gynecologic surgery.

3173. Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet
      psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010
      March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, … Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. … Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. … March 2, 2011 Predictors of in-hospital postoperative opioid overdose after major elective … April 11, 2018 Classifying adverse events in the dental office.

3174. The "July phenomenon": is trauma the exception? | PSNet
      psnet.ahrq.gov/issue/july-phenomenon-trauma-exception
      January 15, 2014 - The 2017 ACGME common work hour standards: promoting physician learning and professional development in … July 29, 2020 Seroprevalence of SARS-CoV-2 among frontline health care personnel in a … multistate hospital network--13 academic medical centers, April-June 2020. … September 2, 2015 Changes in medication safety indicators in England throughout the covid … September 7, 2022 Morbidity and mortality conference in emergency medicine residencies

3175. Error traps in pediatric patient blood management in the perioperative period. | PSNet
      psnet.ahrq.gov/issue/error-traps-pediatric-patient-blood-management-perioperative-period
      January 12, 2022 - Commentary Error traps in pediatric patient blood management in the perioperative … Error traps in pediatric patient blood management in the perioperative period. … Error traps in pediatric patient blood management in the perioperative period. … January 12, 2022 Families as partners in hospital error and adverse event surveillance … December 11, 2024 Wake Up Safe in the USA & international patient safety.

3176. The legibility of prescription medication labelling in Canada: moving from pharmacy-centred to patient-centred labels. | PSNet
      psnet.ahrq.gov/issue/legibility-prescription-medication-labelling-canada-moving-pharmacy-centred-patient-centred
      September 23, 2020 - Study The legibility of prescription medication labelling in Canada: moving from … The legibility of prescription medication labelling in Canada: Moving from pharmacy-centred to patient-centred … the Same Author(s) Seroprevalence of SARS-CoV-2 among frontline health care personnel in … a multistate hospital network--13 academic medical centers, April-June 2020. … 16, 2013 Predictive power of the "trigger tool" for the detection of adverse events in

3177. Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine emergencies. | PSNet
      psnet.ahrq.gov/issue/contextual-information-influences-diagnosis-accuracy-and-decision-making-simulated-emergency
      April 19, 2013 - Study Contextual information influences diagnosis accuracy and decision making in … Contextual information influences diagnosis accuracy and decision making in simulated emergency medicine … January 12, 2022 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … COVID-19 pandemic on cancer survival in the UK: a modelling study. … community hospital.

3178. The nature and occurrence of registration errors in the emergency department. | PSNet
      psnet.ahrq.gov/issue/nature-and-occurrence-registration-errors-emergency-department
      September 28, 2016 - Study The nature and occurrence of registration errors in the emergency department … The nature and occurrence of registration errors in the emergency department. … The nature and occurrence of registration errors in the emergency department. … health records at hospitals and ambulatory sites. … December 10, 2014 Patient safety in the ED.

3179. Inappropriate opioid dosing and prescribing for children: an unintended consequence of the clinical pain score? | PSNet
      psnet.ahrq.gov/issue/inappropriate-opioid-dosing-and-prescribing-children-unintended-consequence-clinical-pain
      October 14, 2020 - Opioid prescribing is gaining attention as a high-risk activity in both general and pediatric care … This commentary explains how well-intentioned efforts to manage pain in children might have unintentionally … June 16, 2019 Association between long-term opioid use in family members and persistent … Right Place, Right Drug, Wrong Strength February 1, 2018 Overdose risk in … October 30, 2010 View More See More About The Topic Hospitals Health

3180. Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. | PSNet
      psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
      July 22, 2020 - Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. … a multistate hospital network--13 academic medical centers, April-June 2020. … September 23, 2020 Optimizing Pediatric Patient Safety in the Emergency Care Setting. … November 15, 2023 Trends in anesthesia-related liability and lessons learned. … September 29, 2010 Fatal errors in nitrous oxide delivery.