Results

Total Results: 2,541 records

Showing results for "incident".

1881. Impact of patient safety culture on missed nursing care and adverse patient events. | PSNet
      psnet.ahrq.gov/issue/impact-patient-safety-culture-missed-nursing-care-and-adverse-patient-events
      March 16, 2022 - Study Emerging Classic Impact of patient safety culture on missed nursing care and adverse patient events. Citation Text: Hessels AJ, Paliwal M, Weaver SH, et al. Impact of Patient Safety Culture on Missed Nursing Care and Adverse Patient Events. J Nurs Care Qua…

1882. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. | PSNet
      psnet.ahrq.gov/issue/incorporating-nursing-complexity-reimbursement-coding-systems-potential-impact-missed-care
      September 28, 2022 - Commentary Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. Citation Text: Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;2…

1883. Public sector organizational failure: a study of collective denial in the UK national health service. | PSNet
      psnet.ahrq.gov/issue/public-sector-organizational-failure-study-collective-denial-uk-national-health-service
      June 03, 2020 - Study Public sector organizational failure: a study of collective denial in the UK national health service. Citation Text: Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10…

1884. Development of a pediatric adverse events terminology. | PSNet
      psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology
      November 16, 2022 - Commentary Development of a pediatric adverse events terminology. Citation Text: Gipson DS, Kirkendall E, Gumbs-Petty B, et al. Development of a Pediatric Adverse Events Terminology. Pediatrics. 2017;139(1). doi:10.1542/peds.2016-0985. Copy Citation Format: DOI Google Schol…

1885. Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet
      psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
      November 30, 2012 - Study Classic Missed diagnoses of acute cardiac ischemia in the emergency department. Citation Text: Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…

1886. Identifying diagnostic errors in primary care using an electronic screening algorithm. | PSNet
      psnet.ahrq.gov/issue/identifying-diagnostic-errors-primary-care-using-electronic-screening-algorithm
      April 04, 2011 - Study Identifying diagnostic errors in primary care using an electronic screening algorithm. Citation Text: Singh H, Thomas EJ, Khan MM, et al. Identifying diagnostic errors in primary care using an electronic screening algorithm. Arch Intern Med. 2007;167(3):302-308. Copy Citation …

1887. Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. | PSNet
      psnet.ahrq.gov/issue/factors-associated-barcode-medication-administration-technology-contribute-patient-safety
      September 28, 2010 - Review Factors associated with barcode medication administration technology that contribute to patient safety: an integrative review. Citation Text: Strudwick G, Reisdorfer E, Warnock C, et al. Factors Associated With Barcode Medication Administration Technology That Contribute to Patien…

1888. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. | PSNet
      psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017
      September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. Citation Text: Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm.…

1889. Epidemiology of medical error. | PSNet
      psnet.ahrq.gov/issue/epidemiology-medical-error
      March 29, 2012 - Commentary Classic Epidemiology of medical error. Citation Text: Weingart SN, Wilson R, Gibberd RW, et al. Epidemiology of medical error. BMJ. 2000;320(7237):774-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

1890. Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. | PSNet
      psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
      April 24, 2018 - Commentary Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. Citation Text: Helman S, Lisanti AJ, Adams A, et al. Just-in-Time Training for High-Risk Low-Volume Therapies: An Approach to Ensure Patient Safety. J Nurs Care Qual. 2016;31(1):33-…

1891. The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE | PSNet
      psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
      June 19, 2024 - The economic burden of incident venous thromboembolism in the United States: a review of estimated attributable

1892. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-05/final_may-spotlight-fatal_pca_slides_05.01.2020_cme_review-revised.pdf
      January 01, 2020 - Spotlight Spotlight Fatal PCA Opioid-Induced Respiratory Depression Source and Credits • This presentation is based on the May 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm • Commentary by: Sarina Fazio, PhD, RN and Rachelle Firestone, PharmD, BCCCP o Editors in Chie…

1893. Artificial Intelligence in Health Care: Benefits and Challenges of Technologies to Augment Patient Care. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-technologies-augment-patient-care
      January 08, 2014 - December 1, 2019 Communication and Resolution After an Adverse Health Care Incident.

1894. Preventable Hospitalizations: A Window Into Primary and Preventive Care, 2000. | PSNet
      psnet.ahrq.gov/issue/preventable-hospitalizations-window-primary-and-preventive-care-2000
      October 06, 2016 - October 6, 2016 Training of Hospital Staff To Respond to a Mass Casualty Incident.

1895. Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-project-reduce-perioperative-opioid-oversedation-events-paediatric
      April 13, 2011 - December 11, 2024 Research from webAIRS incident reporting system.

1896. Improving patient safety in radiotherapy by learning from near misses, incidents and errors. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-radiotherapy-learning-near-misses-incidents-and-errors
      July 10, 2017 - May 19, 2021 View More Related Resources Incident learning in radiation

1897. National Center for Patient Safety Falls Toolkit 2004. | PSNet
      psnet.ahrq.gov/issue/national-center-patient-safety-falls-toolkit-2004
      May 24, 2017 - January 1, 2022 System issues leading to "found-on-floor" incidents: a multi-incident

1898. Medication reconciliation in a community, nonteaching hospital. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-community-nonteaching-hospital
      October 19, 2012 - July 1, 2017 Incident learning in radiation oncology: a review.

1899. The need for organizational change in patient safety initiatives. | PSNet
      psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
      May 12, 2010 - July 1, 2020 Medical trainees' formal and informal incident reporting across a five-hospital

1900. Nurse aides' ratings of the resident safety culture in nursing homes. | PSNet
      psnet.ahrq.gov/issue/nurse-aides-ratings-resident-safety-culture-nursing-homes
      November 27, 2012 - July 20, 2022 Long-term care nurses' experiences with patient safety incident management