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Showing results for "incident".

9001. Automatic errors: a case series on the errors inherent in electronic prescribing. | PSNet
      psnet.ahrq.gov/issue/automatic-errors-case-series-errors-inherent-electronic-prescribing
      March 14, 2022 - Commentary Automatic errors: a case series on the errors inherent in electronic prescribing. Citation Text: Lourenco LM, Bursua A, Groo VL. Automatic Errors: A Case Series on the Errors Inherent in Electronic Prescribing. J Gen Intern Med. 2016;31(7):808-811. doi:10.1007/s11606-016-3606-…

9002. Safety stop: a valuable addition to the pediatric universal protocol. | PSNet
      psnet.ahrq.gov/issue/safety-stop-valuable-addition-pediatric-universal-protocol
      June 21, 2015 - Commentary Safety stop: a valuable addition to the pediatric universal protocol. Citation Text: Caruso TJ, Munshey F, Aldorfer B, et al. Safety Stop: A Valuable Addition to the Pediatric Universal Protocol. Jt Comm J Qual Patient Saf. 2018;44(9):552-556. doi:10.1016/j.jcjq.2018.03.015. …

9003. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. | PSNet
      psnet.ahrq.gov/issue/time-out-procedure-institutional-ethnography-how-it-conducted-actual-clinical-practice
      November 06, 2015 - Study The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. Citation Text: Braaf S, Manias E, Riley R. The 'time-out' procedure: an institutional ethnography of how it is conducted in actual clinical practice. BMJ Qual Saf. 2013;22(8)…

9004. Examining nurses' decision process for medication management in home care. | PSNet
      psnet.ahrq.gov/issue/examining-nurses-decision-process-medication-management-home-care
      December 21, 2018 - Commentary Examining nurses' decision process for medication management in home care. Citation Text: Kovner C, Menezes J, Goldberg JD. Examining nurses' decision process for medication management in home care. Jt Comm J Qual Patient Saf. 2005;31(7):379-85. Copy Citation Format: …

9005. The SAGES FUSE program: bridging a patient safety gap. | PSNet
      psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap
      April 05, 2017 - Commentary The SAGES FUSE program: bridging a patient safety gap. Citation Text: Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27. Copy Citation Format: Google Scholar PubMed BibTeX End…

9006. Examining markers of safety in homecare using the international classification for patient safety. | PSNet
      psnet.ahrq.gov/issue/examining-markers-safety-homecare-using-international-classification-patient-safety
      March 02, 2016 - Review Examining markers of safety in homecare using the international classification for patient safety. Citation Text: Macdonald M, Lang A, Storch J, et al. Examining markers of safety in homecare using the international classification for patient safety. BMC Health Serv Res. 2013;13:…

9007. Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. | PSNet
      psnet.ahrq.gov/issue/pharmacist-outpatient-prescription-review-emergency-department-pediatric-tertiary-hospital
      March 15, 2016 - Study Pharmacist outpatient prescription review in the emergency department: a pediatric tertiary hospital experience. Citation Text: Shah D, Manzi S. Pharmacist Outpatient Prescription Review in the Emergency Department: A Pediatric Tertiary Hospital Experience. Pediatr Emerg Care. 2018…

9008. Committed to Safety: Ten Case Studies on Reducing Harm to Patients. | PSNet
      psnet.ahrq.gov/issue/committed-safety-ten-case-studies-reducing-harm-patients
      July 31, 2012 - Book/Report Committed to Safety: Ten Case Studies on Reducing Harm to Patients. Citation Text: Committed to Safety: Ten Case Studies on Reducing Harm to Patients. McCarthy D, Blumenthal D. New York, NY: Commonwealth Fund; 2006. Copy Citation Save Save to you…

9009. The road to zero preventable birth injuries. | PSNet
      psnet.ahrq.gov/issue/road-zero-preventable-birth-injuries
      January 05, 2012 - Commentary The road to zero preventable birth injuries. Citation Text: Mazza F, Kitchens J, Akin M, et al. The road to zero preventable birth injuries. Jt Comm J Qual Patient Saf. 2008;34(4):201-205. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

9010. Drill down with root cause analysis. | PSNet
      psnet.ahrq.gov/issue/drill-down-root-cause-analysis
      June 15, 2016 - Commentary Drill down with root cause analysis. Citation Text: McDonald A, Leyhane T. Drill down with root cause analysis. Nurs Manage. 2005;36(10):26-32. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9011. A systematic review of nursing practice workarounds. | PSNet
      psnet.ahrq.gov/issue/systematic-review-nursing-practice-workarounds
      April 28, 2021 - Review A systematic review of nursing practice workarounds. Citation Text: McCord JL, Lippincott CR, Abreu E, et al. A systematic review of nursing practice workarounds. Dimens Crit Care Nurs. 2022;41(6):347-356. doi:10.1097/dcc.0000000000000549. Copy Citation Format: DOI G…

9012. Core principles of quality improvement and patient safety. | PSNet
      psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety
      August 01, 2018 - Review Core principles of quality improvement and patient safety. Citation Text: Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 X…

9013. Case report of a medication error: in the eye of the beholder. | PSNet
      psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
      April 17, 2019 - Commentary Case report of a medication error: in the eye of the beholder. Citation Text: Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore). 2016;95(28):e4186. doi:10.1097/md.0000000000004186. Copy Citation Format: DOI Google S…

9014. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. | PSNet
      psnet.ahrq.gov/issue/quality-safety-and-outcomes-anaesthesia-whats-be-done-international-perspective
      November 11, 2020 - Commentary Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Citation Text: Peden CJ, Campbell M, Aggarwal G. Quality, safety, and outcomes in anaesthesia: what's to be done? An international perspective. Br J Anaesth. 2017;119. doi:10.1093/bj…

9015. The use of human factors methods to identify and mitigate safety issues in radiation therapy. | PSNet
      psnet.ahrq.gov/issue/use-human-factors-methods-identify-and-mitigate-safety-issues-radiation-therapy
      March 22, 2011 - Study The use of human factors methods to identify and mitigate safety issues in radiation therapy. Citation Text: Chan AJ, Islam MK, Rosewall T, et al. The use of human factors methods to identify and mitigate safety issues in radiation therapy. Radiother Oncol. 2010;97(3):596-600. do…

9016. Tracing the foundations of a conceptual framework for a patient safety ontology. | PSNet
      psnet.ahrq.gov/issue/tracing-foundations-conceptual-framework-patient-safety-ontology
      March 23, 2011 - Commentary Tracing the foundations of a conceptual framework for a patient safety ontology. Citation Text: Runciman WB, Baker GR, Michel P, et al. Tracing the foundations of a conceptual framework for a patient safety ontology. BMJ Qual Saf. 2010;19(6). doi:10.1136/qshc.2009.035147. …

9017. Trends in anesthesia-related liability and lessons learned. | PSNet
      psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
      August 22, 2018 - Review Trends in anesthesia-related liability and lessons learned. Citation Text: Mora JC, Kaye AD, Romankowski ML, et al. Trends in Anesthesia-Related Liability and Lessons Learned. Adv Anesth. 2018;36(1):231-249. doi:10.1016/j.aan.2018.07.009. Copy Citation Format: DOI Go…

9018. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. | PSNet
      psnet.ahrq.gov/issue/perceptions-medical-errors-cancer-care-analysis-how-news-media-describe-sentinel-events
      September 11, 2013 - Study Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. Citation Text: Li JW, Morway L, Velasquez A, et al. Perceptions of medical errors in cancer care: an analysis of how the news media describe sentinel events. J Patient Saf. 201…

9019. Patients' and health care professionals' attitudes towards the PINK patient safety video. | PSNet
      psnet.ahrq.gov/issue/patients-and-health-care-professionals-attitudes-towards-pink-patient-safety-video
      December 16, 2013 - Study Patients' and health care professionals' attitudes towards the PINK patient safety video. Citation Text: Davis R, Pinto A, Sevdalis N, et al. Patients' and health care professionals' attitudes towards the PINK patient safety video. J Eval Clin Pract. 2012;18(4):848-53. doi:10.111…

9020. Medication error identification rates by pharmacy, medical, and nursing students. | PSNet
      psnet.ahrq.gov/issue/medication-error-identification-rates-pharmacy-medical-and-nursing-students
      June 02, 2021 - Study Medication error identification rates by pharmacy, medical, and nursing students. Citation Text: Warholak TL, Queiruga C, Roush R, et al. Medication error identification rates by pharmacy, medical, and nursing students. Am J Pharm Educ. 2011;75(2):24. Copy Citation Format: …