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Showing results for "incident".

  1. psnet.ahrq.gov/issue/perceptual-gaps-between-clinicians-and-technologists-health-information-technology-related
    March 11, 2020 - Study Perceptual gaps between clinicians and technologists on health information technology-related errors in hospitals: observational study. Citation Text: Ndabu T, Mulgund P, Sharman R, et al. Perceptual gaps between clinicians and technologists on health information technology-related…
  2. psnet.ahrq.gov/issue/concept-analysis-psychological-safety-further-understanding-application-health-care
    September 21, 2022 - Review A concept analysis of psychological safety: further understanding for application to health care. Citation Text: Ito A, Sato K, Yumoto Y, et al. A concept analysis of psychological safety: further understanding for application to health care. Nurs Open. 2021;9(1):467-489. doi:10.1…
  3. psnet.ahrq.gov/issue/body-mass-index-category-and-adverse-events-hospitalized-children
    August 03, 2022 - Study Body mass index category and adverse events in hospitalized children. Citation Text: Halvorson EE, Thurtle DP, Easter A, et al. Body mass index category and adverse events in hospitalized children. Acad Pediatr. 2022;22(5):747-753. doi:10.1016/j.acap.2021.09.004. Copy Citation …
  4. psnet.ahrq.gov/issue/squire-guidelines-evaluation-field-5-years-post-release
    November 18, 2016 - Study The SQUIRE Guidelines: an evaluation from the field, 5 years post release. Citation Text: Davies L, Batalden P, Davidoff F, et al. The SQUIRE Guidelines: an evaluation from the field, 5 years post release. BMJ Qual Saf. 2015;24(12):769-75. doi:10.1136/bmjqs-2015-004116. Copy Cita…
  5. psnet.ahrq.gov/issue/effect-lawsuits-professional-well-being-and-medical-error-rates-among-orthopaedic-surgeons
    May 18, 2022 - Study Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. Citation Text: Adelani MA, Hong Z, Miller AN. Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons. J Am Acad Orthop Surg. 2023;31(16):893-9…
  6. psnet.ahrq.gov/issue/second-victim-unanticipated-adverse-events
    February 12, 2020 - Commentary The second victim of unanticipated adverse events. Citation Text: Chen S, Skidmore S, Ferrigno BN, et al. The second victim of unanticipated adverse events. J Thorac Cardiovasc Surg. 2023;166(3):890-894. doi:10.1016/j.jtcvs.2022.09.010. Copy Citation Format: DOI …
  7. psnet.ahrq.gov/issue/impact-patient-communication-problems-risk-preventable-adverse-events-acute-care-settings
    April 22, 2011 - Study Impact of patient communication problems on the risk of preventable adverse events in acute care settings. Citation Text: Bartlett G, Blais R, Tamblyn R, et al. Impact of patient communication problems on the risk of preventable adverse events in acute care settings. CMAJ. 2008;1…
  8. psnet.ahrq.gov/issue/hospital-admissions-associated-medication-non-adherence-systematic-review-prospective
    August 28, 2013 - Review Emerging Classic Hospital admissions associated with medication non-adherence: a systematic review of prospective observational studies. Citation Text: Mongkhon P, Ashcroft DM, Scholfield N, et al. Hospital admissions associated with medication non-adhere…
  9. psnet.ahrq.gov/issue/risk-factors-patient-reported-errors-during-cancer-follow-results-national-survey-denmark
    December 01, 2011 - Study Risk factors for patient-reported errors during cancer follow-up: results from a national survey in Denmark. Citation Text: Christiansen AH, Lipczak H, Knudsen JL, et al. Risk factors for patient-reported errors during cancer follow-up: Results from a national survey in Denmark. Ca…
  10. psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature
    November 16, 2022 - Review The "To Err Is Human Report" and the patient safety literature. Citation Text: Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. Copy Citation Format: Google Scholar P…
  11. psnet.ahrq.gov/issue/hybrid-methodology-modeling-risk-adverse-events-complex-health-care-settings
    November 11, 2015 - Study A hybrid methodology for modeling risk of adverse events in complex health-care settings. Citation Text: Kazemi R, Mosleh A, Dierks M. A Hybrid Methodology for Modeling Risk of Adverse Events in Complex Health-Care Settings. Risk Anal. 2017;37(3):421-440. doi:10.1111/risa.12702. …
  12. psnet.ahrq.gov/issue/verifying-patient-identity-and-site-surgery-improving-compliance-protocol-audit-and-feedback
    October 26, 2010 - Study Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Citation Text: Garnerin P, Arès M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health …
  13. psnet.ahrq.gov/issue/vignette-study-examine-health-care-professionals-attitudes-towards-patient-involvement-error
    March 11, 2013 - Study A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. Citation Text: Schwappach DLB, Frank O, Davis R. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J…
  14. psnet.ahrq.gov/issue/doctor-jazz-lessons-medical-professionals-can-learn-jazz-musicians
    August 10, 2022 - Review "Doctor Jazz": lessons that medical professionals can learn from jazz musicians. Citation Text: van Ark AE, Wijnen-Meijer M. "Doctor Jazz": Lessons that medical professionals can learn from jazz musicians. Med Teach. 2019;41(2):201-206. doi:10.1080/0142159X.2018.1461205. Copy Ci…
  15. psnet.ahrq.gov/issue/important-factors-effective-patient-safety-governance-auditing-questionnaire-survey
    December 04, 2015 - Study Important factors for effective patient safety governance auditing: a questionnaire survey. Citation Text: van Gelderen SC, Zegers M, Robben PB, et al. Important factors for effective patient safety governance auditing: a questionnaire survey. BMC Health Serv Res. 2018;18(1):798. d…
  16. psnet.ahrq.gov/issue/communication-failures-contributing-patient-injury-anaesthesia-malpractice-claims
    August 04, 2021 - Study Communication failures contributing to patient injury in anaesthesia malpractice claims. Citation Text: Douglas RN, Stephens LS, Posner KL, et al. Communication failures contributing to patient injury in anaesthesia malpractice claims. Br J Anaesth. 2021;127(3):470-478. doi:10.1016…
  17. psnet.ahrq.gov/issue/qualitative-positive-deviance-study-explore-exceptionally-safe-care-medical-wards-older
    March 02, 2016 - Study A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. Citation Text: Baxter R, Taylor N, Kellar I, et al. A qualitative positive deviance study to explore exceptionally safe care on medical wards for older people. BMJ Qual Saf. …
  18. psnet.ahrq.gov/issue/role-organizational-and-professional-cultures-medication-safety-scoping-review-literature
    February 12, 2020 - Review The role of organizational and professional cultures in medication safety: a scoping review of the literature. Citation Text: Machen S, Jani Y, Turner S, et al. The role of organizational and professional cultures in medication safety: a scoping review of the literature. Int J Hea…
  19. psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-support-after-severe-maternal-event
    December 15, 2021 - Organizational Policy/Guidelines National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. Citation Text: Morton CH, Hall MF, Shaefer SJM, et al. National Partnership for Maternal Safety: Consensus Bundle on Support After a Severe Maternal Event…
  20. psnet.ahrq.gov/issue/using-lean-improve-medication-administration-safety-search-perfect-dose
    September 16, 2015 - Study Using Lean to improve medication administration safety: in search of the "perfect dose." Citation Text: Ching JM, Long C, Williams BL, et al. Using lean to improve medication administration safety: in search of the "perfect dose". Jt Comm J Qual Patient Saf. 2013;39(5):195-204. C…

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