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Total Results: over 10,000 records

Showing results for "incidence".

9721. Rethinking use of air-safety principles to reduce fatal hospital errors. | PSNet
      psnet.ahrq.gov/issue/rethinking-use-air-safety-principles-reduce-fatal-hospital-errors
      May 15, 2024 - Newspaper/Magazine Article Rethinking use of air-safety principles to reduce fatal hospital errors. Citation Text: Rethinking use of air-safety principles to reduce fatal hospital errors. doi:10.1377/forefront.20220824.965364. Copy Citation Format: DOI Google Scholar BibTeX…

9722. The WakeWings journey: creating a patient safety program. | PSNet
      psnet.ahrq.gov/issue/wakewings-journey-creating-patient-safety-program
      September 23, 2020 - Commentary The WakeWings journey: creating a patient safety program. Citation Text: Mills E. The WakeWings Journey: Creating a Patient Safety Program. AORN J. 2016;103(6):636-9. doi:10.1016/j.aorn.2016.04.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

9723. Tracking with virtual slides: a tool to study diagnostic error in histopathology. | PSNet
      psnet.ahrq.gov/issue/tracking-virtual-slides-tool-study-diagnostic-error-histopathology
      January 08, 2020 - Study Tracking with virtual slides: a tool to study diagnostic error in histopathology. Citation Text: Treanor D, Lim CH, Magee D, et al. Tracking with virtual slides: a tool to study diagnostic error in histopathology. Histopathology. 2009;55(1):37-45. doi:10.1111/j.1365-2559.2009.033…

9724. 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 - Commentary A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Citation Text: Pragst F, Correns A, Priem F, et al. A sudden death with lung embolism after inadvertent infusion of zinc oxide shake lotion. Forensic Sci Int. 2007;170(2-3):207-12. Cop…

9725. How safe is my intensive care unit? An overview of error causation and prevention. | PSNet
      psnet.ahrq.gov/issue/how-safe-my-intensive-care-unit-overview-error-causation-and-prevention
      November 25, 2020 - Review How safe is my intensive care unit? An overview of error causation and prevention. Citation Text: Valentin A, Bion J. How safe is my intensive care unit? An overview of error causation and prevention. Curr Opin Crit Care. 2007;13(6):697-702. Copy Citation Format: G…

9726. Quality and safety education for nurses: a nursing leadership skills exercise. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-education-nurses-nursing-leadership-skills-exercise
      July 29, 2020 - Commentary Quality and safety education for nurses: a nursing leadership skills exercise. Citation Text: Harrison EM. Quality and safety education for nurses: a nursing leadership skills exercise. J Nurs Educ. 2014;53(6):356-361. doi:10.3928/01484834-20140512-01. Copy Citation Form…

9727. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. | PSNet
      psnet.ahrq.gov/issue/quality-outpatient-clinical-notes-stakeholder-definition-derived-through-qualitative-research
      September 09, 2013 - Study Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. Citation Text: Hanson JL, Stephens MB, Pangaro LN, et al. Quality of outpatient clinical notes: a stakeholder definition derived through qualitative research. BMC Health Serv Res. …

9728. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. | PSNet
      psnet.ahrq.gov/issue/reducing-disruptive-effects-interruption-cognitive-framework-analysing-costs-and-benefits
      September 11, 2013 - Commentary Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs and benefits of intervention strategies. Citation Text: Boehm-Davis DA, Remington R. Reducing the disruptive effects of interruption: a cognitive framework for analysing the costs an…

9729. Addressing patient safety in rapid response activations for nonhospitalized persons. | PSNet
      psnet.ahrq.gov/issue/addressing-patient-safety-rapid-response-activations-nonhospitalized-persons
      June 18, 2014 - Study Addressing patient safety in rapid response activations for nonhospitalized persons. Citation Text: Lakshminarayana PH, Darby JM, Simmons RL. Addressing Patient Safety in Rapid Response Activations for Nonhospitalized Persons. J Patient Saf. 2017;13(1):14-19. doi:10.1097/PTS.000000…

9730. Using morbidity and mortality conferences to drive quality improvement and reduce errors. | PSNet
      psnet.ahrq.gov/issue/using-morbidity-and-mortality-conferences-drive-quality-improvement-and-reduce-errors
      February 04, 2015 - Commentary Using morbidity and mortality conferences to drive quality improvement and reduce errors. Citation Text: Using morbidity and mortality conferences to drive quality improvement and reduce errors. Lai B, Horn J, Wilkinson J, et al. Fam Pract Manag. 2023;30(2):13-17. Copy Cit…

9731. Interventions to improve teamwork and communications among healthcare staff. | PSNet
      psnet.ahrq.gov/issue/interventions-improve-teamwork-and-communications-among-healthcare-staff
      March 03, 2011 - Review Interventions to improve teamwork and communications among healthcare staff. Citation Text: McCulloch P, Rathbone J, Catchpole K. Interventions to improve teamwork and communications among healthcare staff. Br J Surg. 2011;98(4):469-79. doi:10.1002/bjs.7434. Copy Citation …

9732. Debriefing medical teams: 12 evidence-based best practices and tips. | PSNet
      psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-practices-and-tips
      February 15, 2011 - Commentary Debriefing medical teams: 12 evidence-based best practices and tips. Citation Text: Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. Copy Citation Format: Google…

9733. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. | PSNet
      psnet.ahrq.gov/issue/wake-safe-and-root-cause-analysis-quality-improvement-pediatric-anesthesia
      February 03, 2021 - Commentary Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Citation Text: Tjia I, Rampersad S, Varughese AM, et al. Wake Up Safe and root cause analysis: quality improvement in pediatric anesthesia. Anesth Analg. 2014;119(1):122-136. doi:10.1213/ANE.000…

9734. Case report of a medication error: in the eye of the beholder. | PSNet
      psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
      April 17, 2019 - Commentary Case report of a medication error: in the eye of the beholder. Citation Text: Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore). 2016;95(28):e4186. doi:10.1097/md.0000000000004186. Copy Citation Format: DOI Google S…

9735. Improving reporting of outpatient pediatric medical errors. | PSNet
      psnet.ahrq.gov/issue/improving-reporting-outpatient-pediatric-medical-errors
      March 14, 2022 - Study Improving reporting of outpatient pediatric medical errors. Citation Text: Neuspiel DR, Stubbs EH, Liggin L. Improving Reporting of Outpatient Pediatric Medical Errors. PEDIATRICS. 2011;128(6). doi:10.1542/peds.2011-0477. Copy Citation Format: DOI Google Scholar BibTe…

9736. The cost of nurse-sensitive adverse events. | PSNet
      psnet.ahrq.gov/issue/cost-nurse-sensitive-adverse-events
      June 16, 2021 - Study The cost of nurse-sensitive adverse events. Citation Text: Pappas SH. The cost of nurse-sensitive adverse events. J Nurs Adm. 2008;38(5):230-236. doi:10.1097/01.NNA.0000312770.19481.ce. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 …

9737. Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. | PSNet
      psnet.ahrq.gov/issue/survey-results-smart-pump-data-analytics-pump-metrics-should-be-monitored-improve-safety
      August 08, 2018 - Newspaper/Magazine Article Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. Citation Text: Survey results: smart pump data analytics pump metrics that should be monitored to improve safety. ISMP Medication Safety Alert! Acute care edition…

9738. Nursing student medication errors involving tubing and catheters: a descriptive study. | PSNet
      psnet.ahrq.gov/issue/nursing-student-medication-errors-involving-tubing-and-catheters-descriptive-study
      July 14, 2010 - Study Nursing student medication errors involving tubing and catheters: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Altmiller G, et al. Nursing student medication errors involving tubing and catheters: A descriptive study. Nurse Educ Today. 2009;29(6). doi:10.1016/j.nedt.200…

9739. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. | PSNet
      psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences
      May 26, 2021 - Commentary Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Citation Text: Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. …

9740. Frequency of pediatric medication administration errors and contributing factors. | PSNet
      psnet.ahrq.gov/issue/frequency-pediatric-medication-administration-errors-and-contributing-factors
      November 16, 2022 - Study Frequency of pediatric medication administration errors and contributing factors. Citation Text: Ozkan S, Kocaman G, Ozturk C, et al. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual. 2011;26(2):136-43. doi:10.1097/NCQ.0b013e31820…