Results

Total Results: over 10,000 records

Showing results for "incident".

9641. Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/identification-and-characterization-failures-infectious-agent-transmission-precaution
      October 13, 2018 - Study Emerging Classic Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study. Citation Text: Krein SL, Mayer J, Harrod M, et al. Identification and Characterization of Failures in …

9642. Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. | PSNet
      psnet.ahrq.gov/issue/perioperative-covid-19-defense-evidence-based-approach-optimization-infection-control-and
      November 30, 2012 - Commentary Classic Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management. Citation Text: Dexter F, Parra MC, Brown JR, et al. Perioperative COVID-19 defense: an evidence-based approach for …

9643. Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments. | PSNet
      psnet.ahrq.gov/issue/radiologists-make-more-errors-interpreting-hours-body-ct-studies-during-overnight-assignments
      November 16, 2022 - Study Radiologists make more errors interpreting off-hours body CT studies during overnight assignments as compared with daytime assignments. Citation Text: Patel AG, Pizzitola VJ, Johnson CD, et al. Radiologists Make More Errors Interpreting Off-Hours Body CT Studies during Overnight As…

9644. Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? | PSNet
      psnet.ahrq.gov/issue/facilitation-surgical-innovation-it-possible-speed-introduction-new-technology-while
      August 20, 2018 - Study Facilitation of surgical innovation: is it possible to speed the introduction of new technology while simultaneously improving patient safety? Citation Text: Marcus RK, Lillemoe HA, Caudle AS, et al. Facilitation of Surgical Innovation: Is It Possible to Speed the Introduction of N…

9645. Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. | PSNet
      psnet.ahrq.gov/issue/human-factors-and-ergonomics-time-crises-italian-experience-coping-covid19
      December 09, 2020 - Commentary Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. Citation Text: Albolino S, Dagliana G, Tanzini M, et al. Human factors and ergonomics at time of crises: the Italian experience coping with COVID-19. Int J Qual Health Care. 2021;33(1)…

9646. The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. | PSNet
      psnet.ahrq.gov/issue/fifth-vital-sign-nurse-worry-predicts-inpatient-deterioration-within-24-hours
      October 14, 2015 - Study The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Citation Text: The fifth vital sign? Nurse worry predicts inpatient deterioration within 24 hours. Romero-Brufau S, Gaines K, Nicolas CT, et al. JAMIA Open. 2019;2(4):465-470. Copy Citation …

9647. National Partnership for Maternal Safety: consensus bundle on support after a severe maternal event. | PSNet
      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…

9648. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. | PSNet
      psnet.ahrq.gov/issue/prevalence-potentially-inappropriate-medication-prescribing-us-nursing-homes-2013-2017
      March 27, 2024 - Study Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. Citation Text: Riester MR, Goyal P, Steinman MA, et al. Prevalence of potentially inappropriate medication prescribing in US nursing homes, 2013-2017. J Gen Intern Med. 2023;38(6):1563-15…

9649. Preventable harm occurring to critically ill children. | PSNet
      psnet.ahrq.gov/issue/preventable-harm-occurring-critically-ill-children
      September 28, 2010 - Study Preventable harm occurring to critically ill children. Citation Text: Larsen G, Donaldson AE, Parker HB, et al. Preventable harm occurring to critically ill children. Pediatr Crit Care Med. 2007;8(4):331-336. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

9650. Making communication and resolution programmes mission critical in healthcare organisations. | PSNet
      psnet.ahrq.gov/issue/making-communication-and-resolution-programmes-mission-critical-healthcare-organisations
      September 09, 2020 - Commentary Making communication and resolution programmes mission critical in healthcare organisations. Citation Text: Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):87…

9651. Patient perceptions of mistakes in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
      July 29, 2015 - Study Patient perceptions of mistakes in ambulatory care. Citation Text: Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. Copy Citation Format: DOI Google …

9652. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. | PSNet
      psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
      September 24, 2018 - Study Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. Citation Text: McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiologic…

9653. 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…

9654. Relationship between nurse burnout, patient and organizational outcomes: systematic review. | PSNet
      psnet.ahrq.gov/issue/relationship-between-nurse-burnout-patient-and-organizational-outcomes-systematic-review
      December 01, 2021 - Review Relationship between nurse burnout, patient and organizational outcomes: systematic review. Citation Text: Jun J, Ojemeni MM, Kalamani R, et al. Relationship between nurse burnout, patient and organizational outcomes: systematic review. Int J Nurs Stud. 2021;119:103933. doi:10.101…

9655. Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. | PSNet
      psnet.ahrq.gov/issue/medication-dispensing-errors-and-potential-adverse-drug-events-and-after-implementing-bar
      June 28, 2010 - Study Classic Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. Citation Text: Poon EG, Cina J, Churchill WW, et al. Medication dispensing errors and potential adverse drug events …

9656. The potential for leveraging machine learning to filter medication alerts. | PSNet
      psnet.ahrq.gov/issue/potential-leveraging-machine-learning-filter-medication-alerts
      July 22, 2020 - Study The potential for leveraging machine learning to filter medication alerts. Citation Text: Liu S, Kawamoto K, Del Fiol G, et al. The potential for leveraging machine learning to filter medication alerts. J Am Med Inform Assoc. 2022;29(5):891-899. doi:10.1093/jamia/ocab292. Copy Ci…

9657. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. | PSNet
      psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation-trainee-well
      January 26, 2022 - Study Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. Citation Text: Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being…

9658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33762/psn-pdf
      March 01, 2014 - In much of the patient safety world, we rely on voluntary incident reporting, which hasn't worked very

9659. Diagnostic Error in Medicine 16th International Conference. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-medicine-16th-international-conference
      October 12, 2018 - June 23, 2021 Radiation Oncology Incident Learning System.

9660. ISMP Survey on the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet
      psnet.ahrq.gov/issue/ismp-survey-2022-2023-targeted-medication-safety-best-practices-hospitals
      January 26, 2023 - June 7, 2017 Fluorouracil Incident Root Cause Analysis Report.