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Showing results for "incidence".

  1. Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. | PSNet

    psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medications-tomah-va-medical-center-tomah
    October 12, 2022 - Government Resource Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Citation Text: Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. Washington, DC: VA …

  2. Intensive care medicine in 2050: preventing harm. | PSNet

    psnet.ahrq.gov/issue/intensive-care-medicine-2050-preventing-harm
    November 25, 2020 - Commentary Intensive care medicine in 2050: preventing harm. Citation Text: Beet C, Benoit D, Bion J. Intensive care medicine in 2050: preventing harm. Intensive Care Med. 2019;45(4):505-507. doi:10.1007/s00134-018-5353-z. Copy Citation Format: DOI Google Scholar PubMed Bib…

  3. Developing perioperative Covid-19 testing protocols to restore surgical services. | PSNet

    psnet.ahrq.gov/issue/developing-perioperative-covid-19-testing-protocols-restore-surgical-services
    February 12, 2020 - Commentary Developing perioperative Covid-19 testing protocols to restore surgical services. Citation Text: Hamilton BCS, Kratz JR, Sosa JA, et al. Developing perioperative Covid-19 testing protocols to restore surgical services. NEJM Catalyst. 2020;June 19. Copy Citation Format: …

  4. Why and how to approach user experience in safety-critical domains: the example of health care. | PSNet

    psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care
    May 05, 2021 - Commentary Why and how to approach user experience in safety-critical domains: the example of health care. Citation Text: Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…

  5. What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. | PSNet

    psnet.ahrq.gov/issue/what-do-patients-and-families-observe-about-pediatric-safety-thematic-analysis-real-time
    March 02, 2022 - Study What do patients and families observe about pediatric safety?: A thematic analysis of real-time narratives. Citation Text: Studenmund C, Lyndon A, Stotts JR, et al. What do patients and families observe about pediatric safety?: A thematic analysis of real‐time narratives. J Hosp Me…

  6. Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. | PSNet

    psnet.ahrq.gov/issue/will-covid-19-pandemic-transform-infection-prevention-and-control-surgery-seeking-leverage
    February 09, 2022 - Commentary Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational learning. Citation Text: Will the COVID-19 pandemic transform infection prevention and control in surgery? Seeking leverage points for organizational le…

  7. Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet

    psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
    February 14, 2024 - Study Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. Citation Text: Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…

  8. The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. | PSNet

    psnet.ahrq.gov/issue/influence-personality-psychological-safety-presence-stress-and-chosen-professional-roles
    September 22, 2021 - Study The influence of personality on psychological safety, the presence of stress and chosen professional roles in the healthcare environment. Citation Text: Grailey K, Lound A, Murray E, et al. The influence of personality on psychological safety, the presence of stress and chosen prof…

  9. Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. | PSNet

    psnet.ahrq.gov/issue/factors-differentiating-nursing-homes-strong-resident-safety-climate-qualitative-study
    August 26, 2020 - Study Factors differentiating nursing homes with strong resident safety climate: a qualitative study of leadership and staff perspectives. Citation Text: Engle RL, Gillespie C, Clark VA, et al. Factors differentiating nursing homes with strong resident safety climate: a qualitative study…

  10. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. | PSNet

    psnet.ahrq.gov/issue/overstating-inpatient-deaths-due-medical-error-erodes-trust-healthcare-and-patient-safety
    April 01, 2020 - Commentary Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. Citation Text: Gunderson CG, Rodwin BA. Overstating inpatient deaths due to medical error erodes trust in healthcare and the patient safety movement. J Hosp Med. 2022;…

  11. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. | PSNet

    psnet.ahrq.gov/issue/timeout-procedure-paediatric-surgery-effective-tool-or-lip-service-randomised-prospective
    April 06, 2022 - Study Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observational study. Citation Text: Muensterer OJ, Kreutz H, Poplawski A, et al. Timeout procedure in paediatric surgery: effective tool or lip service? A randomised prospective observa…

  12. The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. | PSNet

    psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
    September 19, 2016 - Study The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. Citation Text: Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an …

  13. Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet

    psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive
    August 12, 2014 - Study Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. Citation Text: Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the ex…

  14. Impact of a daily huddle on safety in perioperative services. | PSNet

    psnet.ahrq.gov/issue/impact-daily-huddle-safety-perioperative-services
    March 03, 2021 - Study Impact of a daily huddle on safety in perioperative services. Citation Text: Tuyishime H, Claure RE, Balakrishnan K, et al. Impact of a daily huddle on safety in perioperative services. Jt Comm J Qual Patient Saf. 2024;50(9):678-683. doi:10.1016/j.jcjq.2024.04.012. Copy Citation …

  15. New persistent opioid use after postoperative intensive care in US veterans. | PSNet

    psnet.ahrq.gov/issue/new-persistent-opioid-use-after-postoperative-intensive-care-us-veterans
    July 10, 2024 - Study New persistent opioid use after postoperative intensive care in US veterans. Citation Text: Karamchandani K, Pyati S, Bryan W, et al. New Persistent Opioid Use After Postoperative Intensive Care in US Veterans. JAMA Surg. 2019;154(8):778-780. doi:10.1001/jamasurg.2019.0899. Copy …

  16. Association between implementation of an intensivist-led medical emergency team and mortality. | PSNet

    psnet.ahrq.gov/issue/association-between-implementation-intensivist-led-medical-emergency-team-and-mortality
    July 13, 2010 - Study Association between implementation of an intensivist-led medical emergency team and mortality. Citation Text: Karvellas CJ, de Souza IAO, Gibney RTN, et al. Association between implementation of an intensivist-led medical emergency team and mortality. BMJ Qual Saf. 2012;21(2):152…

  17. Five reasons for optimism on World Patient Safety Day. | PSNet

    psnet.ahrq.gov/issue/five-reasons-optimism-world-patient-safety-day
    March 30, 2022 - Commentary Five reasons for optimism on World Patient Safety Day. Citation Text: Fontana G, Flott K, Dhingra-Kumar N, et al. Five reasons for optimism on World Patient Safety Day. Lancet. 2019;394(10203):993-995. doi:10.1016/S0140-6736(19)32134-8. Copy Citation Format: DOI …

  18. Principles of automation for patient safety in intensive care: learning from aviation. | PSNet

    psnet.ahrq.gov/issue/principles-automation-patient-safety-intensive-care-learning-aviation
    April 20, 2022 - Commentary Principles of automation for patient safety in intensive care: learning from aviation. Citation Text: Dominiczak J, Khansa L. Principles of Automation for Patient Safety in Intensive Care: Learning From Aviation. Jt Comm J Qual Patient Saf. 2018;44(6):366-371. doi:10.1016/j.jc…

  19. Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. | PSNet

    psnet.ahrq.gov/issue/association-hospital-participation-regional-trauma-quality-improvement-collaborative-patient
    August 20, 2018 - Study Association of hospital participation in a regional trauma quality improvement collaborative with patient outcomes. Citation Text: Hemmila MR, Cain-Nielsen AH, Jakubus JL, et al. Association of Hospital Participation in a Regional Trauma Quality Improvement Collaborative With Patie…

  20. Use of administrative data to find substandard care: validation of the complications screening program. | PSNet

    psnet.ahrq.gov/issue/use-administrative-data-find-substandard-care-validation-complications-screening-program
    September 30, 2015 - Study Classic Use of administrative data to find substandard care: validation of the complications screening program. Citation Text: Weingart SN, Iezzoni LI, Davis RB, et al. Use of Administrative Data to Find Substandard Care. Med Care. 2003;38(8):796-806. do…
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