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Showing results for "incident".

  1. 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.…
  2. psnet.ahrq.gov/issue/undertaking-risk-and-relational-work-manage-vulnerability-acute-medical-patients-involvement
    September 29, 2021 - Study Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS. Citation Text: Sutton E, Martin G, Eborall H, et al. Undertaking risk and relational work to manage vulnerability: acute medical patients’ involvement in …
  3. psnet.ahrq.gov/issue/risky-procedures-nurses-hospitals-problems-and-contemplated-refusals-orders-physicians-and
    February 14, 2024 - Study Risky procedures by nurses in hospitals: problems and (contemplated) refusals of orders by physicians, and views of physicians and nurses: a questionnaire survey.   Citation Text: de Bie J, Cuperus-Bosma JM, van der Jagt MAB, et al. Risky procedures by nurses in hospitals: proble…
  4. 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…
  5. psnet.ahrq.gov/issue/graded-autonomy-medical-education-managing-things-go-bump-night
    July 22, 2020 - Commentary Graded autonomy in medical education—managing things that go bump in the night. Citation Text: Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. Copy Citation…
  6. psnet.ahrq.gov/issue/how-reliable-are-patient-completed-medication-reconciliation-forms-compared-pharmacy-lists
    April 24, 2018 - Study How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Citation Text: Meyer C, Stern M, Woolley W, et al. How reliable are patient-completed medication reconciliation forms compared with pharmacy lists? Am J Emerg Med. 2012;30(7):1048-54.…
  7. psnet.ahrq.gov/issue/effect-staged-emergency-department-specific-rapid-response-system-reporting-clinical
    March 24, 2021 - Study The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Citation Text: Considine J, Rawet J, Currey J. The effect of a staged, emergency department specific rapid response system on reporting of clinical deterioration. Aus…
  8. psnet.ahrq.gov/issue/hospitalwide-adverse-drug-events-and-after-limiting-weekly-work-hours-medical-residents-80
    May 04, 2010 - Study Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Citation Text: Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Am J Health Sys…
  9. psnet.ahrq.gov/issue/patient-safety-after-implementation-coproduced-family-centered-communication-programme
    April 24, 2018 - Study Emerging Classic Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study. Citation Text: Khan A, Spector ND, Baird JD, et al. Patient safety after implementation of a copr…
  10. psnet.ahrq.gov/issue/changes-medical-errors-after-implementation-handoff-program
    April 24, 2018 - Study Classic Changes in medical errors after implementation of a handoff program. Citation Text: Starmer AJ, Spector ND, Srivastava R, et al. Changes in medical errors after implementation of a handoff program. New Engl J Med. 2014;371(19):1803-1812. doi:10.105…
  11. psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
    July 06, 2022 - Study Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. Citation Text: Sterling MR, Lau J, Rajan M, et al. Self‐reported gaps in care coordination and preventable adverse outcomes among older adults receiving home heal…
  12. psnet.ahrq.gov/issue/relationship-between-physician-burnout-and-quality-and-cost-care-medicare-beneficiaries
    August 12, 2020 - Study Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Citation Text: Casalino LP, Li J, Peterson LE, et al. Relationship between physician burnout and the quality and cost of care for Medicare beneficiaries is complex. Health…
  13. psnet.ahrq.gov/issue/program-provide-clinicians-feedback-their-diagnostic-performance-learning-health-system
    October 12, 2022 - Study A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Citation Text: Meyer AND, Upadhyay DK, Collins CA, et al. A program to provide clinicians with feedback on their diagnostic performance in a learning health system. Jt Comm J …
  14. psnet.ahrq.gov/issue/tipping-balance-systematic-review-and-meta-ethnography-unfold-complexity-surgical
    August 04, 2021 - Review Tipping the balance: a systematic review and meta-ethnography to unfold the complexity of surgical antimicrobial prescribing behavior in hospital settings. Citation Text: Parker H, Frost J, Day J, et al. Tipping the balance: a systematic review and meta-ethnography to unfold the c…
  15. 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-…
  16. psnet.ahrq.gov/issue/clinical-deterioration-and-hospital-acquired-complications-adult-patients-isolation
    September 23, 2020 - Review Clinical deterioration and hospital‐acquired complications in adult patients with isolation precautions for infection control: a systematic review. Citation Text: Berry D, Wakefield E, Street M, et al. Clinical deterioration and hospital‐acquired complications in adult patients wi…
  17. psnet.ahrq.gov/issue/provider-patient-communication-and-hospital-ratings-perceived-gaps-and-forward-thinking-about
    December 16, 2020 - Study Provider-patient communication and hospital ratings: perceived gaps and forward thinking about the effects of COVID-19. Citation Text: Belasen AT, Hertelendy AJ, Belasen AR, et al. Provider–patient communication and hospital ratings: perceived gaps and forward thinking about the ef…
  18. psnet.ahrq.gov/issue/risk-factors-associated-medication-ordering-errors
    December 02, 2020 - Study Risk factors associated with medication ordering errors. Citation Text: Abraham J, Galanter WL, Touchette DR, et al. Risk factors associated with medication ordering errors. J Am Med Inform Assoc. 2021;18(1):86-94. doi:10.1093/jamia/ocaa264. Copy Citation Format: DOI …
  19. psnet.ahrq.gov/issue/mixed-methods-study-examining-teamwork-shared-mental-models-interprofessional-teams-during
    January 08, 2020 - Study A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge. Citation Text: Manges K, Groves PS, Farag A, et al. A mixed methods study examining teamwork shared mental models of interprofessional teams during hospital discharge…
  20. psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network
    October 19, 2022 - Study Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. Citation Text: Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a mu…

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