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Showing results for "incident".

  1. Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors. | PSNet

    psnet.ahrq.gov/issue/training-safe-opioid-prescribing-and-treatment-opioid-use-disorder-internal-medicine
    March 17, 2021 - Study Training in safe opioid prescribing and treatment of opioid use disorder in internal medicine residencies: a national survey of program directors. Citation Text: Windish DM, Catalanotti JS, Zaas A, et al. Training in safe opioid prescribing and treatment of opioid use disorder in i…

  2. Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. | PSNet

    psnet.ahrq.gov/issue/analysis-lawsuits-related-diagnostic-errors-point-care-ultrasound-internal-medicine
    October 27, 2021 - Study Analysis of lawsuits related to diagnostic errors from point-of-care ultrasound in internal medicine, paediatrics, family medicine and critical care in the USA. Citation Text: Reaume M, Farishta M, Costello JA, et al. Analysis of lawsuits related to diagnostic errors from point-of-…

  3. Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. | PSNet

    psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation
    April 12, 2023 - Study Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. Citation Text: Schnipper JL, Reyes Nieva H, Mallouk M, et al. Effects of a refined evidence-based toolkit and mentored implementation…

  4. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. | PSNet

    psnet.ahrq.gov/issue/use-fmea-analysis-reduce-risk-errors-prescribing-and-administering-drugs-paediatric-wards
    March 08, 2023 - Study Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in paediatric wards: a quality improvement report. Citation Text: Lago P, Bizzarri G, Scalzotto F, et al. Use of FMEA analysis to reduce risk of errors in prescribing and administering drugs in p…

  5. Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS). | PSNet

    psnet.ahrq.gov/issue/effects-resident-work-hours-sleep-duration-and-work-experience-randomized-order-safety-trial
    March 10, 2021 - Study Effects on resident work hours, sleep duration and work experience in a Randomized Order Safety Trial Evaluating Resident-physician Schedules (ROSTERS). Citation Text: Barger LK, Sullivan JP, Blackwell T, et al. Effects on resident work hours, sleep duration, and work experience in…

  6. Diagnostic error in medicine: analysis of 583 physician-reported errors. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-medicine-analysis-583-physician-reported-errors
    June 24, 2009 - Study Classic Diagnostic error in medicine: analysis of 583 physician-reported errors. Citation Text: Schiff G, Hasan O, Kim S, et al. Diagnostic error in medicine: analysis of 583 physician-reported errors. Arch Intern Med. 2009;169(20):1881-1887. doi:10.1001/a…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866579/psn-pdf
    August 28, 2024 - Infection After Carpal Tunnel Surgery August 28, 2024 Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery The Case A woman presented for surgery on her right wrist as a treatment for carpal tunnel syndrome. There were no repo…

  8. One Bronchoscopy, Two Errors | PSNet

    psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
    December 09, 2020 - References Figures Related Resources From the Same Author(s) Learning from incident

  9. No BP During NIBP | PSNet

    psnet.ahrq.gov/web-mm/no-bp-during-nibp
    March 01, 2011 - Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and

  10. Discontinued Medications: Are They Really Discontinued? | PSNet

    psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
    January 05, 2017 - July 22, 2015 Exploring health care professionals' perceptions of incidents and incident

  11. The Wrong Channel | PSNet

    psnet.ahrq.gov/web-mm/wrong-channel
    February 01, 2003 - compared the error rates seen under direct observation with those reported through the institution’s incident

  12. Dropping the Ball Despite an Integrated EMR | PSNet

    psnet.ahrq.gov/web-mm/dropping-ball-despite-integrated-emr
    January 07, 2015 - Although the case refers to the incident as an error, it is not clear that the events in the case meet

  13. Medical Devices in the "Wild" | PSNet

    psnet.ahrq.gov/web-mm/medical-devices-wild
    March 27, 2024 - where the fall occurred called a multidisciplinary "fall huddle" to reenact the circumstances of the incident

  14. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability | PSNet

    psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
    May 27, 2020 - The patient remained intubated, and was transported back to the PICU without incident, although still

  15. Caution, Interrupted | PSNet

    psnet.ahrq.gov/web-mm/caution-interrupted
    October 01, 2016 - Interruptions Although this specific incident involves the interruption and distraction of a nurse,

  16. Danger in Disruption | PSNet

    psnet.ahrq.gov/web-mm/danger-disruption
    July 29, 2020 - The child was apneic briefly but recovered without incident.

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49819/psn-pdf
    February 01, 2018 - In the above case, a positive outcome of the incident was the decision to leverage graduate medical

  18. The Forgotten Line | PSNet

    psnet.ahrq.gov/web-mm/forgotten-line
    March 11, 2011 - The incident was reported and investigated, revealing several contributing factors.

  19. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet

    psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - The Commentary By Christian Bohringer MD This incident describes a common type of adverse drug

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33881/psn-pdf
    August 01, 2019 - In most cases, we're not looking at things that fail in the sense there's an accident or an incident
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