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Showing results for "incident".

  1. Reason's accident causation model: application to adverse events in acute care. | PSNet

    psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
    October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …

  2. The association of shift-level nurse staffing with adverse patient events. | PSNet

    psnet.ahrq.gov/issue/association-shift-level-nurse-staffing-adverse-patient-events
    October 06, 2016 - Study The association of shift-level nurse staffing with adverse patient events. Citation Text: Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf. Copy Ci…

  3. Hospital RNs' experiences with disruptive behavior: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/hospital-rns-experiences-disruptive-behavior-qualitative-study
    September 09, 2015 - Study Hospital RNs' experiences with disruptive behavior: a qualitative study. Citation Text: Walrath JM, Dang D, Nyberg D. Hospital RNs' experiences with disruptive behavior: a qualitative study. J Nurs Care Qual. 2010;25(2):105-116. doi:10.1097/NCQ.0b013e3181c7b58e. Copy Citation …

  4. Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'  | PSNet

    psnet.ahrq.gov/issue/selection-indicators-continuous-monitoring-patient-safety-recommendations-project-safety
    June 22, 2016 - Commentary Selection of indicators for continuous monitoring of patient safety: recommendations of the project 'safety improvement for patients in Europe.'  Citation Text: Kristensen S, Mainz J, Bartels P. Selection of indicators for continuous monitoring of patient safety: recommendat…

  5. Characteristics of quality and patient safety curricula in major teaching hospitals. | PSNet

    psnet.ahrq.gov/issue/characteristics-quality-and-patient-safety-curricula-major-teaching-hospitals
    February 16, 2011 - Study Characteristics of quality and patient safety curricula in major teaching hospitals. Citation Text: Pingleton SK, Davis DA, Dickler RM. Characteristics of quality and patient safety curricula in major teaching hospitals. Am J Med Qual. 2010;25(4):305-11. doi:10.1177/1062860610367…

  6. High-fidelity simulation and safety: an integrative review. | PSNet

    psnet.ahrq.gov/issue/high-fidelity-simulation-and-safety-integrative-review
    September 09, 2015 - Review High-fidelity simulation and safety: an integrative review. Citation Text: Shearer JE. High-fidelity simulation and safety: an integrative review. J Nurs Edu. 2013;52(1):39-45. doi:10.3928/01484834-20121121-01. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  7. Primary medication non-adherence: analysis of 195,930 electronic prescriptions. | PSNet

    psnet.ahrq.gov/issue/primary-medication-non-adherence-analysis-195930-electronic-prescriptions
    July 27, 2016 - Study Primary medication non-adherence: analysis of 195,930 electronic prescriptions. Citation Text: Fischer MA, Stedman MR, Lii J, et al. Primary medication non-adherence: analysis of 195,930 electronic prescriptions. J Gen Intern Med. 2010;25(4):284-90. doi:10.1007/s11606-010-1253-9.…

  8. State of science: evolving perspectives on ‘human error’. | PSNet

    psnet.ahrq.gov/issue/state-science-evolving-perspectives-human-error
    February 22, 2023 - Commentary State of science: evolving perspectives on ‘human error’. Citation Text: Read GJM, Shorrock S, Walker GH, et al. State of science: evolving perspectives on ‘human error’. Ergonomics. 2021;64(9):1091-1114. doi:10.1080/00140139.2021.1953615. Copy Citation Format: D…

  9. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. | PSNet

    psnet.ahrq.gov/issue/observational-study-direct-oral-anticoagulant-awareness-indicating-inadequate-recognition
    April 24, 2018 - Study An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm. Citation Text: Olaiya A, Lurie B, Watt B, et al. An observational study of direct oral anticoagulant awareness indicating inadequate recognition with pot…

  10. The inevitability of physician burnout: implications for interventions. | PSNet

    psnet.ahrq.gov/issue/inevitability-physician-burnout-implications-interventions
    April 17, 2024 - Commentary The inevitability of physician burnout: implications for interventions. Citation Text: Montgomery A. The inevitability of physician burnout: Implications for interventions. Burn Res. 2014;1(1). doi:10.1016/j.burn.2014.04.002. Copy Citation Format: DOI Google Scho…

  11. Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. | PSNet

    psnet.ahrq.gov/issue/public-comment-period-extended-strategies-improve-patient-safety-draft-report-congress-public
    June 16, 2021 - Press Release/Announcement Public comment period extended for strategies to improve patient safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine. Citation Text: Public comment period extended for strategies to improve patient safety: Draft Re…

  12. Surgical data recording technology: a solution to address medical errors? | PSNet

    psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors
    June 22, 2022 - Commentary Surgical data recording technology: a solution to address medical errors? Citation Text: Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. Copy Citation Format: DOI Google Scholar BibTeX…

  13. Changing the medical malpractice system to align with what we know about patient safety and quality improvement. | PSNet

    psnet.ahrq.gov/issue/changing-medical-malpractice-system-align-what-we-know-about-patient-safety-and-quality
    September 20, 2012 - Commentary Changing the medical malpractice system to align with what we know about patient safety and quality improvement. Citation Text: Sklar DP. Changing the Medical Malpractice System to Align With What We Know About Patient Safety and Quality Improvement. Acad Med. 2017;92(7):891-8…

  14. Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. | PSNet

    psnet.ahrq.gov/issue/teamwork-operating-room-frontline-perspectives-among-hospitals-and-operating-room-personnel
    February 10, 2015 - Study Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Citation Text: Teamwork in the operating room: frontline perspectives among hospitals and operating room personnel. Sexton JB; Makary MA; Tersigni AR; Pryor D; Hendrich A; Thoma…

  15. Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder. | PSNet

    psnet.ahrq.gov/issue/medication-errors-ambulatory-treatment-pediatric-attention-deficit-hyperactivity-disorder
    April 08, 2011 - Study Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder. Citation Text: Bundy DG, Rinke ML, Shore AD, et al. Medication errors in the ambulatory treatment of pediatric attention deficit hyperactivity disorder. Jt Comm J Qual Patient Sa…

  16. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. | PSNet

    psnet.ahrq.gov/issue/detecting-adverse-drug-reactions-paediatric-wards-intensified-surveillance-versus
    May 10, 2023 - Study Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computerised screening of laboratory values. Citation Text: Haffner S, von Laue N, Wirth S, et al. Detecting adverse drug reactions on paediatric wards: intensified surveillance versus computeri…

  17. How do community pharmacies recover from e-prescription errors? | PSNet

    psnet.ahrq.gov/issue/how-do-community-pharmacies-recover-e-prescription-errors
    November 04, 2014 - Study How do community pharmacies recover from e-prescription errors? Citation Text: Odukoya OK, Stone JA, Chui MA. How do community pharmacies recover from e-prescription errors? Res Social Adm Pharm. 2014;10(6):837-852. doi:10.1016/j.sapharm.2013.11.009. Copy Citation Format: …

  18. Prevention of wrong-site tooth extraction: clinical guidelines. | PSNet

    psnet.ahrq.gov/issue/prevention-wrong-site-tooth-extraction-clinical-guidelines
    August 04, 2021 - Commentary Prevention of wrong-site tooth extraction: clinical guidelines. Citation Text: Lee JS, Curley AW, Smith RA, et al. Prevention of wrong-site tooth extraction: clinical guidelines. J Oral Maxillofac Surg. 2007;65(9):1793-9. Copy Citation Format: Google Scholar Pu…

  19. Pre-surgery briefings and safety climate in the operating theatre. | PSNet

    psnet.ahrq.gov/issue/pre-surgery-briefings-and-safety-climate-operating-theatre
    September 27, 2016 - Study Pre-surgery briefings and safety climate in the operating theatre. Citation Text: Allard J, Bleakley A, Hobbs A, et al. Pre-surgery briefings and safety climate in the operating theatre. BMJ Qual Saf. 2011;20(8):711-7. doi:10.1136/bmjqs.2009.032672. Copy Citation Format: …

  20. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. | PSNet

    psnet.ahrq.gov/issue/pharmacist-managed-inpatient-discharge-medication-reconciliation-combined-onsite-and
    July 02, 2019 - Commentary Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Citation Text: Keeys C, Kalejaiye B, Skinner M, et al. Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model. Am J H…
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