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Showing results for "incident".

  1. psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
    February 04, 2018 - Study Guided prescription of psychotropic medications for geriatric inpatients. Citation Text: Peterson JF, Kuperman GJ, Shek C, et al. Guided prescription of psychotropic medications for geriatric inpatients. Arch Intern Med. 2005;165(7):802-7. Copy Citation Format: Goog…
  2. psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
    November 16, 2022 - Study Adverse event reporting: lessons learned from 4 years of Florida office data. Citation Text: Coldiron BM, Fisher AH, Adelman E, et al. Adverse event reporting: lessons learned from 4 years of Florida office data. Dermatol Surg. 2005;31(9 Pt 1):1079-92; discussion 1093. Copy Cit…
  3. psnet.ahrq.gov/issue/what-nhs-safety-thermometer
    November 02, 2016 - Commentary What is the NHS Safety Thermometer? Citation Text: Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  4. psnet.ahrq.gov/issue/safety-culture-nursing-homes-opinions-top-managers
    June 02, 2010 - Study Safety culture of nursing homes: opinions of top managers. Citation Text: Castle NG, Wagner LM, Ferguson JC, et al. Safety culture of nursing homes: opinions of top managers. Health Care Manage Rev. 2011;36(2):175-187. doi:10.1097/HMR.0b013e3182080d5f. Copy Citation Format:…
  5. psnet.ahrq.gov/issue/characteristics-medication-errors-parenteral-cytotoxic-drugs
    July 01, 2017 - Study Characteristics of medication errors with parenteral cytotoxic drugs. Citation Text: Fyhr A, Akselsson R. Characteristics of medication errors with parenteral cytotoxic drugs. Eur J Cancer Care (Engl). 2012;21(5):606-613. doi:10.1111/j.1365-2354.2012.01331.x. Copy Citation …
  6. psnet.ahrq.gov/issue/nature-adverse-events-dentistry
    November 01, 2023 - Study The nature of adverse events in dentistry. Citation Text: Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…
  7. psnet.ahrq.gov/issue/medication-errors-recovered-emergency-department-pharmacists
    December 31, 2014 - Study Medication errors recovered by emergency department pharmacists. Citation Text: Rothschild JM, Churchill WW, Erickson A, et al. Medication errors recovered by emergency department pharmacists. Ann Emerg Med. 2010;55(6):513-21. doi:10.1016/j.annemergmed.2009.10.012. Copy Citatio…
  8. psnet.ahrq.gov/issue/problem-5-whys
    July 19, 2023 - Commentary The problem with the '5 whys.' Citation Text: Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  9. psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason
    June 05, 2018 - Commentary Incorporating indications into medication ordering—time to enter the age of reason. Citation Text: Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp16039…
  10. psnet.ahrq.gov/issue/clinical-transformation-ascension-health-eliminating-all-preventable-injuries-and-deaths
    January 05, 2017 - Commentary The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Citation Text: Pryor DB, Tolchin SF, Hendrich A, et al. The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths. Jt Comm J Qual Patient Sa…
  11. psnet.ahrq.gov/issue/medication-safety-operating-room-literature-and-expert-based-recommendations
    October 19, 2022 - Review Medication safety in the operating room: literature and expert-based recommendations. Citation Text: Wahr JA, Abernathy JH, Lazarra EH, et al. Medication safety in the operating room: literature and expert-based recommendations. Br J Anaesth. 2017;118(1):32-43. doi:10.1093/bja/aew…
  12. psnet.ahrq.gov/issue/implementation-protocol-reduce-occurrence-retained-sponges-after-vaginal-delivery
    May 18, 2022 - Commentary Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Citation Text: Lutgendorf MA, Schindler LL, Hill JB, et al. Implementation of a protocol to reduce occurrence of retained sponges after vaginal delivery. Mil Med. 2011;176(6):702-704.…
  13. psnet.ahrq.gov/issue/liquid-medication-dosing-errors-children-role-provider-counseling-strategies
    August 14, 2014 - Study Liquid medication dosing errors in children: role of provider counseling strategies. Citation Text: Yin S, Dreyer BP, Moreira HA, et al. Liquid medication dosing errors in children: role of provider counseling strategies. Acad Pediatr. 2014;14(3):262-70. doi:10.1016/j.acap.2014.01.…
  14. psnet.ahrq.gov/issue/patient-reported-service-quality-medicine-unit
    February 24, 2011 - Study Patient-reported service quality on a medicine unit. Citation Text: Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care. 2006;18(2):95-101. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…
  15. psnet.ahrq.gov/issue/joint-statement-multiple-patients-ventilator
    May 24, 2015 - Organizational Policy/Guidelines Joint Statement on Multiple Patients Per Ventilator. Citation Text: Joint Statement on Multiple Patients Per Ventilator. The Anesthesia Patient Safety Foundation, Society of Critical Care Medicine, American Association for Respiratory Care, American Soc…
  16. psnet.ahrq.gov/issue/covid-19-and-healthcare-facilities-decalogue-design-strategies-resilient-hospitals
    February 23, 2022 - Commentary COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Citation Text: COVID-19 and healthcare facilities: a decalogue of design strategies for resilient hospitals. Capolongo S, Gola M, Brambilla A, et al. Acta Biomed. 2020;91(9-s):50-60.&…
  17. psnet.ahrq.gov/issue/patient-reports-preventable-problems-and-harms-primary-health-care
    February 03, 2011 - Study Patient reports of preventable problems and harms in primary health care. Citation Text: Kuzel AJ, Woolf SH, Gilchrist VJ, et al. Patient reports of preventable problems and harms in primary health care. Ann Fam Med. 2004;2(4):333-40. Copy Citation Format: Google Sc…
  18. psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
    March 09, 2022 - Commentary Positive deviance: a new tool for infection prevention and patient safety. Citation Text: Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013. Copy Citation Format: Google Sch…
  19. psnet.ahrq.gov/issue/impact-organisational-and-individual-factors-team-communication-surgery-qualitative-study
    March 23, 2011 - Study The impact of organisational and individual factors on team communication in surgery: a qualitative study. Citation Text: Gillespie BM, Chaboyer W, Longbottom P, et al. The impact of organisational and individual factors on team communication in surgery: a qualitative study. Int …
  20. psnet.ahrq.gov/issue/adverse-events-following-emergency-department-visit
    April 22, 2011 - Study Adverse events following an emergency department visit. Citation Text: Forster AJ, Rose NGW, van Walraven C, et al. Adverse events following an emergency department visit. Qual Saf Health Care. 2007;16(1):17-22. Copy Citation Format: Google Scholar PubMed BibTeX End…