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Showing results for "incident".

  1. psnet.ahrq.gov/issue/comprehensive-evaluation-using-computerised-provider-order-entry-system-hospital-discharge
    August 24, 2015 - Study Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Citation Text: Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. Int J Med Info…
  2. psnet.ahrq.gov/issue/unexpected-death-within-72-hours-emergency-department-visit-were-those-deaths-preventable
    July 08, 2020 - Study Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Citation Text: Goulet H, Guerand V, Bloom B, et al. Unexpected death within 72 hours of emergency department visit: were those deaths preventable? Crit Care. 2015;19(1):154. doi:10.1186/s…
  3. psnet.ahrq.gov/issue/investigation-interventions-reduce-nurses-medication-errors-adult-intensive-care-units
    September 29, 2021 - Review Investigation of interventions to reduce nurses' medication errors in adult intensive care units: a systematic review. Citation Text: Mohanna Z, Kusljic S, Jarden R. Investigation of interventions to reduce nurses’ medication errors in adult intensive care units: a systematic revi…
  4. psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
    July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. Citation Text: Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…
  5. psnet.ahrq.gov/issue/developing-and-implementing-standardized-process-global-trigger-tool-application-across-large
    July 18, 2017 - Study Developing and implementing a standardized process for Global Trigger Tool application across a large health system. Citation Text: Garrett PR, Sammer C, Nelson A, et al. Developing and implementing a standardized process for global trigger tool application across a large health …
  6. psnet.ahrq.gov/issue/insulin-pump-risks-and-benefits-clinical-appraisal-pump-safety-standards-adverse-event
    June 03, 2020 - Review Insulin pump risks and benefits: a clinical appraisal of pump safety standards, adverse event reporting, and research needs: a joint statement of the European Association for the Study of Diabetes and the American Diabetes Association Diabetes Technology Working Group. Citation Text…
  7. psnet.ahrq.gov/issue/its-big-part-being-good-surgeons-surgical-trainees-perceptions-error-recovery-operating-room
    August 26, 2020 - Study "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating room. Citation Text: Gabrysz-Forget F, Zahabi S, Young M, et al. "It's a big part of being good surgeons": surgical trainees' perceptions of error recovery in the operating r…
  8. psnet.ahrq.gov/issue/experience-trigger-tool-identifying-adverse-drug-events-among-older-adults-ambulatory-primary
    June 07, 2023 - Study Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care. Citation Text: Singh R, McLean-Plunckett EA, Kee R, et al. Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary …
  9. psnet.ahrq.gov/issue/handling-anticipated-exceptions-clinical-care-investigating-clinician-use-exit-strategies
    March 24, 2019 - Study Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system. Citation Text: Zheng K, Hanauer DA, Padman R, et al. Handling anticipated exceptions in clinical care: investigating clinician use of 'exit str…
  10. psnet.ahrq.gov/issue/do-clinicians-know-which-their-patients-have-central-venous-catheters-multicenter
    June 08, 2016 - Study Do clinicians know which of their patients have central venous catheters?: A multicenter observational study. Citation Text: Chopra V, Govindan S, Kuhn L, et al. Do clinicians know which of their patients have central venous catheters?: a multicenter observational study. Ann Intern…
  11. psnet.ahrq.gov/issue/preventing-device-associated-infections-us-hospitals-national-surveys-2005-2013
    June 21, 2023 - Study Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. Citation Text: Krein SL, Fowler KE, Ratz D, et al. Preventing device-associated infections in US hospitals: national surveys from 2005 to 2013. BMJ Qual Saf. 2015;24(6):385-92. doi:10.1136/…
  12. psnet.ahrq.gov/issue/application-trigger-tools-detecting-adverse-drug-events-older-people-systematic-review-and
    June 15, 2022 - Review Application of trigger tools for detecting adverse drug events in older people: a systematic review and meta-analysis. Citation Text: Schiavo G, Forgerini M, Varallo FR, et al. Application of trigger tools for detecting adverse drug events in older people: a systematic review and …
  13. psnet.ahrq.gov/issue/development-prescribing-indicators-related-opioid-related-harm-patients-chronic-pain-primary
    April 12, 2019 - Study Development of prescribing indicators related to opioid-related harm in patients with chronic pain in primary care- a modified e-Delphi study. Citation Text: Bansal N, Campbell SM, Lin C-Y, et al. Development of prescribing indicators related to opioid-related harm in patients with…
  14. psnet.ahrq.gov/issue/clinical-predictors-unsafe-direct-discharge-home-patients-intensive-care-units
    January 12, 2011 - Study Clinical predictors for unsafe direct discharge home patients from intensive care units. Citation Text: Lau VI, Priestap FA, Lam JNH, et al. Clinical predictors for unsafe direct discharge home patients from intensive care units. J Intensive Care Med. 2020;35(10):1067-1073. doi:10.…
  15. psnet.ahrq.gov/issue/identifying-and-quantifying-medication-errors-evaluation-rapidly-discontinued-medication
    February 03, 2011 - Study Identifying and quantifying medication errors: evaluation of rapidly discontinued medication orders submitted to a computerized physician order entry system. Citation Text: Koppel R, Leonard CE, Localio R, et al. Identifying and quantifying medication errors: evaluation of rapidl…
  16. psnet.ahrq.gov/issue/critical-events-during-land-based-interfacility-transport
    April 15, 2019 - Study Critical events during land-based interfacility transport. Citation Text: Singh JM, MacDonald RD, Ahghari M. Critical events during land-based interfacility transport. Ann Emerg Med. 2014;64(1):9-15.e2. doi:10.1016/j.annemergmed.2013.12.009. Copy Citation Format: DOI …
  17. psnet.ahrq.gov/issue/analysis-iatrogenic-and-hospital-medication-errors-reported-united-states-poison-centers
    November 28, 2018 - Study Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. Citation Text: Leonard JB, McFadden C, Feemster AA, et al. Analysis of iatrogenic and in-hospital medication errors reported to United States pois…
  18. psnet.ahrq.gov/issue/impact-health-information-technology-management-and-follow-test-results-systematic-review
    August 19, 2020 - Review The impact of health information technology on the management and follow-up of test results—a systematic review. Citation Text: Georgiou A, Li J, Thomas J, et al. The impact of health information technology on the management and follow-up of test results - a systematic review. J A…
  19. psnet.ahrq.gov/issue/prevalence-undiagnosed-diabetes-identified-novel-electronic-medical-record-diabetes-screening
    January 04, 2021 - Study Prevalence of undiagnosed diabetes identified by a novel electronic medical record diabetes screening program in an urban emergency department in the US. Citation Text: Danielson KK, Rydzon B, Nicosia M, et al. Prevalence of undiagnosed diabetes identified by a novel electronic med…
  20. psnet.ahrq.gov/issue/modification-potentially-inappropriate-prescribing-following-fall-related-hospitalizations
    January 19, 2022 - Study Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. Citation Text: Walsh ME, Boland F, Moriarty F, et al. Modification of potentially inappropriate prescribing following fall-related hospitalizations in older adults. Drugs …

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