Results

Total Results: over 10,000 records

Showing results for "incident".

9601. A team-based approach to reducing cardiac monitor alarms. | PSNet
      psnet.ahrq.gov/issue/team-based-approach-reducing-cardiac-monitor-alarms
      October 19, 2022 - Study A team-based approach to reducing cardiac monitor alarms. Citation Text: Dandoy CE, Davies SM, Flesch L, et al. A team-based approach to reducing cardiac monitor alarms. Pediatrics. 2014;134(6):e1686-e1694. doi:10.1542/peds.2014-1162. Copy Citation Format: DOI Google …

9602. Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. | PSNet
      psnet.ahrq.gov/issue/twelve-month-review-infusion-pump-near-miss-medication-and-dose-selection-errors-and-user
      November 04, 2020 - Study Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study. Citation Text: Waterson J, Al-Jaber R, Kassab T, et al. Twelve-month review of infusion pump near-miss medication and dose selection …

9603. Strategies for improving patient safety culture in hospitals: a systematic review. | PSNet
      psnet.ahrq.gov/issue/strategies-improving-patient-safety-culture-hospitals-systematic-review
      February 14, 2017 - Review Strategies for improving patient safety culture in hospitals: a systematic review. Citation Text: Morello RT, Lowthian JA, Barker AL, et al. Strategies for improving patient safety culture in hospitals: a systematic review. BMJ Qual Saf. 2013;22(1):11-8. doi:10.1136/bmjqs-2011-0…

9604. Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? | PSNet
      psnet.ahrq.gov/issue/chief-resident-indirect-supervision-training-safety-study-chief-resident-general-surgery
      December 16, 2011 - Study Chief resident indirect supervision in training safety study: is a chief resident general surgery service safe for patients? Citation Text: Speaks L, Helmer SD, Quinn KR, et al. Chief resident indirect supervision in training safety study: is a chief resident general surgery servic…

9605. Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. | PSNet
      psnet.ahrq.gov/issue/healthcare-fragmentation-multimorbidity-potentially-inappropriate-medication-and-mortality
      April 12, 2019 - Study Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: a Danish nationwide cohort study. Citation Text: Prior A, Vestergaard CH, Vedsted P, et al. Healthcare fragmentation, multimorbidity, potentially inappropriate medication, and mortality: …

9606. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. | PSNet
      psnet.ahrq.gov/issue/postdischarge-adverse-events-among-neonates-admitted-neonatal-intensive-care-unit
      October 05, 2022 - Study Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. Citation Text: Tsilimingras D, Natarajan G, Bajaj M, et al. Postdischarge adverse events among neonates admitted to the neonatal intensive care unit. J Patient Saf. 2022;18(5):462-469. doi:10.…

9607. Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. | PSNet
      psnet.ahrq.gov/issue/characterising-complexity-medication-safety-using-human-factors-approach-observational-study
      March 15, 2017 - Study Classic Characterising the complexity of medication safety using a human factors approach: an observational study in two intensive care units. Citation Text: Carayon P, Wetterneck TB, Cartmill R, et al. Characterising the complexity of medication safety us…

9608. About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. | PSNet
      psnet.ahrq.gov/issue/about-politeness-face-and-feedback-exploring-resident-and-faculty-perceptions-how
      June 03, 2020 - Study Emerging Classic About politeness, face, and feedback: exploring resident and faculty perceptions of how institutional feedback culture influences feedback practices. Citation Text: Ramani S, Könings KD, Mann K, et al. About Politeness, Face, and Feedback:…

9609. "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. | PSNet
      psnet.ahrq.gov/issue/are-we-there-yet-ten-persistent-hazards-and-inefficiencies-use-medication-administration
      August 04, 2021 - Study "Are we there yet?" Ten persistent hazards and inefficiencies with the use of medication administration technology from the perspective of practicing nurses. Citation Text: Taft T, Rudd EA, Thraen I, et al. “Are we there yet?” Ten persistent hazards and inefficiencies with the use …

9610. Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. | PSNet
      psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
      February 15, 2011 - Study Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: an observational and interventional study. Citation Text: Alassaad A, Gillespie U, Bertilsson M, et al. Prescription and transcription errors in multidose-dispensed medications on…

9611. Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. | PSNet
      psnet.ahrq.gov/issue/patient-groups-clinicians-and-healthcare-professionals-agree-all-test-results-need-be-seen
      September 27, 2023 - Study Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up. Citation Text: Dahm MR, Georgiou A, Herkes R, et al. Patient groups, clinicians and healthcare professionals agree - all test results need to be seen, underst…

9612. Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice | PSNet
      psnet.ahrq.gov/issue/communicating-patients-about-diagnostic-errors-breast-cancer-care-providers-attitudes
      March 11, 2013 - Study Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice Citation Text: Reisch LM, Prouty CD, Elmore JG, et al. Communicating with patients about diagnostic errors in breast cancer care: Providers’ attitudes, experienc…

9613. A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. | PSNet
      psnet.ahrq.gov/issue/steep-increase-domestic-fatal-medication-errors-use-alcohol-andor-street-drugs
      September 20, 2011 - Study A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Citation Text: Phillips DP, Barker GEC, Eguchi MM. A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs. Arch Intern Med. 2008;168(14):1561-6. doi:1…

9614. Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. | PSNet
      psnet.ahrq.gov/issue/primary-care-patient-safe-setting-prevalence-severity-nature-and-causes-adverse-events
      November 08, 2023 - Study Is primary care a patient-safe setting? Prevalence, severity, nature, and causes of adverse events: numerous and mostly avoidable. Citation Text: Garzón González G, Alonso Safont T, Zamarrón Fraile E, et al. Is primary care a patient-safe setting? Prevalence, severity, nature, and …

9615. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. | PSNet
      psnet.ahrq.gov/issue/care-homes-use-medicines-study-prevalence-causes-and-potential-harm-medication-errors-care
      April 22, 2011 - Study Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people. Citation Text: Barber ND, Alldred DP, Raynor DK, et al. Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in…

9616. Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. | PSNet
      psnet.ahrq.gov/issue/initiative-deprescribe-high-risk-drugs-older-adults-presenting-emergency-department-after
      August 18, 2021 - Study Initiative to deprescribe high-risk drugs for older adults presenting to the emergency department after falls. Citation Text: Selman K, Roberts E, Niznik J, et al. Initiative to deprescribe high‐risk drugs for older adults presenting to the emergency department after falls. J Am Ge…

9617. Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. | PSNet
      psnet.ahrq.gov/issue/perspectives-emergency-clinicians-about-medical-errors-resulting-patient-harm-or-malpractice
      October 13, 2021 - Study Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. Citation Text: Ostrovsky D, Novack V, Smulowitz PB, et al. Perspectives of emergency clinicians about medical errors resulting in patient harm or malpractice litigation. J…

9618. Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. | PSNet
      psnet.ahrq.gov/issue/influence-general-practice-pharmacist-medication-management-patients-risk-medicine-related
      May 19, 2021 - Study Influence of a general practice pharmacist on medication management for patients at risk of medicine-related harm: a qualitative evaluation. Citation Text: Jordan M, Young-Whitford M, Mullan J, et al. Influence of a general practice pharmacist on medication management for patients …

9619. Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. | PSNet
      psnet.ahrq.gov/issue/preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events
      August 12, 2020 - Study Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. Citation Text: Beaudoin FL, Merchant RC, Janicki A, et al. Preventing iatrogenic overdose: a review of in-emergency department opioid-related adverse drug e…

9620. Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. | PSNet
      psnet.ahrq.gov/issue/quality-and-variability-patient-directions-electronic-prescriptions-ambulatory-care-setting
      May 08, 2017 - Study Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. Citation Text: Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Car…