-
psnet.ahrq.gov/issue/pca-safety-data-review-after-clinical-decision-support-and-smart-pump-technology
October 08, 2016 - Study
PCA safety data review after clinical decision support and smart pump technology implementation.
Citation Text:
Prewitt J, Schneider S, Horvath M, et al. PCA safety data review after clinical decision support and smart pump technology implementation. J Patient Saf. 2013;9(2):103-9…
-
psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-alerts-prescribing-older-patients
September 23, 2020 - Study
Impact of computerized physician order entry alerts on prescribing in older patients.
Citation Text:
Lester PE, Rios-Rojas L, Islam S, et al. Impact of computerized physician order entry alerts on prescribing in older patients. Drugs Aging. 2015;32(3):227-33. doi:10.1007/s40266-015…
-
psnet.ahrq.gov/issue/evaluation-feedback-modalities-and-preferences-regarding-feedback-decision-making-pediatric
September 08, 2021 - Study
Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pediatric emergency department.
Citation Text:
Graham JMK, Ambroggio L, Leonard JE, et al. Evaluation of feedback modalities and preferences regarding feedback on decision-making in a pedia…
-
digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care/annual-summary/2011
January 01, 2011 - Medication Reconciliation to Improve Quality of Transitional Care - 2011
Project Name
Medication Reconciliation to Improve Quality of Transitional Care
Principal Investigator
Weiner, Michael
Organization
Indiana University
Funding Mechanism
PAR: HS08-270: Utilizing …
-
psnet.ahrq.gov/issue/systematic-review-trauma-crew-resource-management-training-what-can-united-states-and-united
July 14, 2021 - Study
A systematic review of trauma crew resource management training: what can the United States and the United Kingdom learn from each other?
Citation Text:
Ashcroft J, Wilkinson A, Khan M. A systematic review of trauma crew resource management training: what can the United States and …
-
psnet.ahrq.gov/node/33730/psn-pdf
June 01, 2012 - RW: Tell us what has happened in the UK around reporting.
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-23-documenting-work-with-practices.pdf
September 01, 2015 - y happened Whe'!
-
psnet.ahrq.gov/node/49610/psn-pdf
October 01, 2010 - limited visual field, two-dimensional image, and lack of tactile feedback for the
surgeon.(10)
What happened
-
psnet.ahrq.gov/web-mm/mistaken-identity
December 18, 2014 - realized that the orthopedic team had evaluated the wrong patient—the patient's roommate, who also happened
-
www.ahrq.gov/ncepcr/care/coordination/atlas/chapter6o.html
June 01, 2014 - from an outside specialist, (2) whether the primary care physician discussed with the patient what happened
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/manapc.html
December 01, 2017 - P say happened? When was the last time she had been taken to the bathroom?
-
psnet.ahrq.gov/node/45664/psn-pdf
July 02, 2017 - Intraoperative adverse events in abdominal surgery: what
happens in the operating room does not stay in the
operating room.
July 2, 2017
Bohnen JD, Mavros MN, Ramly EP, et al. Intraoperative Adverse Events in Abdominal Surgery: What
Happens in the Operating Room Does Not Stay in the Operating Room. Ann Surg. 2017;…
-
psnet.ahrq.gov/node/42567/psn-pdf
September 11, 2013 - What happens to the medication regimens of older adults
during and after an acute hospitalization?
September 11, 2013
Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during
and after an acute hospitalization? J Patient Saf. 2013;9(3):150-3. doi:10.1097/PTS.0b013e3182…
-
psnet.ahrq.gov/node/36149/psn-pdf
September 29, 2010 - When incidents happen.
September 29, 2010
Newfield JS. When Incidents Happen. Home Health Care Manag Pract. 2006;18(5).
doi:10.1177/1084822306287998.
https://psnet.ahrq.gov/issue/when-incidents-happen
The author discusses post-incident documentation for the home care setting and addresses legal issues.
https://ps…
-
psnet.ahrq.gov/node/45874/psn-pdf
February 22, 2017 - Ethics in the pediatric emergency department: when
mistakes happen: an approach to the process, evaluation,
and response to medical errors.
February 22, 2017
Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An
Approach to the Process, Evaluation, and Response to Medical…
-
psnet.ahrq.gov/node/39923/psn-pdf
September 03, 2014 - Sued for misdiagnosis? It could happen to you.
September 3, 2014
Lippman H, Davenport J. Sued for misdiagnosis? It could happen to you. J Fam Pract. 2010;59(9):498-508.
https://psnet.ahrq.gov/issue/sued-misdiagnosis-it-could-happen-you
This article explains how to avoid diagnostic error, minimize litigation, and pr…
-
psnet.ahrq.gov/node/40194/psn-pdf
June 20, 2011 - What happens when things go wrong?
June 20, 2011
Brandom BW, Callahan P, Micalizzi DA. What happens when things go wrong? Paediatr Anaesth.
2011;21(7):730-6. doi:10.1111/j.1460-9592.2010.03513.x.
https://psnet.ahrq.gov/issue/what-happens-when-things-go-wrong
This commentary reveals a personal story of loss and dis…
-
psnet.ahrq.gov/node/38215/psn-pdf
November 14, 2011 - Could it happen here? Learning from other organizations'
safety errors.
November 14, 2011
Conway JB. Could it happen here? Learning from other organizations' safety errors. Healthcare Executive.
2008;23(6):64, 66-67.
https://psnet.ahrq.gov/issue/could-it-happen-here-learning-other-organizations-safety-errors
This…
-
psnet.ahrq.gov/node/39489/psn-pdf
June 11, 2010 - What happens between visits? Adverse and potential
adverse events among a low-income, urban, ambulatory
population with diabetes.
June 11, 2010
Sarkar U, Handley MA, Gupta R, et al. What happens between visits? Adverse and potential adverse
events among a low-income, urban, ambulatory population with diabetes. Qua…
-
psnet.ahrq.gov/node/35181/psn-pdf
June 23, 2009 - Communication during trauma resuscitation: do we know
what is happening?
June 23, 2009
Bergs EAG, Rutten FLPA, Tadros T, et al. Communication during trauma resuscitation: do we know what is
happening? Injury. 2005;36(8):905-11.
https://psnet.ahrq.gov/issue/communication-during-trauma-resuscitation-do-we-know-what-…