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Showing results for "incident".

  1. Using video recording to identify management errors in pediatric trauma resuscitation. | PSNet

    psnet.ahrq.gov/issue/using-video-recording-identify-management-errors-pediatric-trauma-resuscitation
    July 01, 2020 - Study Using video recording to identify management errors in pediatric trauma resuscitation. Citation Text: Oakley E, Stocker S, Staubli G, et al. Using video recording to identify management errors in pediatric trauma resuscitation. Pediatrics. 2006;117(3):658-664. Copy Citation …

  2. Progress in patient safety: a glass fuller than it seems. | PSNet

    psnet.ahrq.gov/issue/progress-patient-safety-glass-fuller-it-seems
    March 13, 2013 - Commentary Progress in patient safety: a glass fuller than it seems. Citation Text: Pronovost P, Wachter R. Progress in patient safety: a glass fuller than it seems. Am J Med Qual. 2014;29(2):165-9. doi:10.1177/1062860613495554. Copy Citation Format: DOI Google Scholar Pu…

  3. Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3
    November 30, 2016 - Commentary Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Citation Text: Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Intensive Care Med. 2016;42(4):591-601. Copy Citation Save Save to your library Print Download…

  4. Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-end-life-care-common-issues-perspectives-and-strategies-improving-care
    June 30, 2021 - Review Patient safety and end-of-life care: common issues, perspectives, and strategies for improving care. Citation Text: Dy SM. Patient Safety and End-of-Life Care: Common Issues, Perspectives, and Strategies for Improving Care. Am J Hosp Palliat Care. 2016;33(8):791-6. doi:10.1177/104…

  5. Limits on opioid prescribing leave patients with chronic pain vulnerable. | PSNet

    psnet.ahrq.gov/issue/limits-opioid-prescribing-leave-patients-chronic-pain-vulnerable
    March 27, 2019 - Commentary Limits on opioid prescribing leave patients with chronic pain vulnerable. Citation Text: Rubin R. Limits on Opioid Prescribing Leave Patients With Chronic Pain Vulnerable. JAMA. 2019;321(21):2059-2062. doi:10.1001/jama.2019.5188. Copy Citation Format: DOI Google …

  6. Sir Karl Popper, swans, and the general practitioner. | PSNet

    psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner
    March 05, 2025 - Commentary Sir Karl Popper, swans, and the general practitioner. Citation Text: Berghmans R, Schouten HC. Sir Karl Popper, swans, and the general practitioner. BMJ. 2011;343:d5469. doi:10.1136/bmj.d5469. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

  7. Diagnostic errors: impact of an educational intervention on pediatric primary care. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-impact-educational-intervention-pediatric-primary-care
    July 22, 2020 - Study Diagnostic errors: impact of an educational intervention on pediatric primary care. Citation Text: Walsh JN, Knight M, Lee AJ. Diagnostic Errors: Impact of an Educational Intervention on Pediatric Primary Care. Journal of Pediatric Health Care. 2017;32(1). doi:10.1016/j.pedhc.2017.…

  8. Pay-for-performance and patient safety in acute care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/pay-performance-and-patient-safety-acute-care-systematic-review
    October 09, 2024 - Review Pay-for-performance and patient safety in acute care: a systematic review. Citation Text: Slawomirski L, Hensher M, Campbell JL, et al. Pay-for-performance and patient safety in acute care: a systematic review. Health Policy. 2024;143:105051. doi:10.1016/j.healthpol.2024.105051. …

  9. Hand hygiene deficiency citations in nursing homes. | PSNet

    psnet.ahrq.gov/issue/hand-hygiene-deficiency-citations-nursing-homes
    June 02, 2010 - Study Hand hygiene deficiency citations in nursing homes. Citation Text: Castle NG, Wagner LM, Ferguson J, et al. Hand Hygiene Deficiency Citations in Nursing Homes. Journal of Applied Gerontology. 2012;33(1). doi:10.1177/0733464812449903. Copy Citation Format: DOI Google…

  10. Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. | PSNet

    psnet.ahrq.gov/issue/improving-disclosure-and-management-medical-error-opportunity-transform-surgeons-tomorrow
    April 11, 2012 - Review Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. Citation Text: Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11…

  11. A piece of my mind. Copy-and-paste. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-copy-and-paste
    July 01, 2012 - Commentary Classic A piece of my mind. Copy-and-paste. Citation Text: Hirschtick RE. A piece of my mind. Copy-and-paste. JAMA. 2006;295(20):2335-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

  12. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. | PSNet

    psnet.ahrq.gov/issue/implementing-smart-infusion-pumps-dose-error-reduction-software-real-world-experiences
    May 26, 2021 - Commentary Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Citation Text: Heron C. Implementing smart infusion pumps with dose-error reduction software: real-world experiences. Br J Nurs. 2017;26(8):S13-S16. doi:10.12968/bjon.2017.26.8.S13. …

  13. Just culture: it's more than policy. | PSNet

    psnet.ahrq.gov/issue/just-culture-its-more-policy
    July 05, 2017 - Study Just culture: it's more than policy. Citation Text: Paradiso L, Sweeney N. Just culture: It's more than policy. Nurs Manage. 2019;50(6):38-45. doi:10.1097/01.NUMA.0000558482.07815.ae. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML …

  14. The pros and cons of electronic prescribing for children. | PSNet

    psnet.ahrq.gov/issue/pros-and-cons-electronic-prescribing-children
    October 30, 2024 - Commentary The pros and cons of electronic prescribing for children. Citation Text: Caldwell NA, Power B. The pros and cons of electronic prescribing for children. Arch Dis Child. 2011;97(2). doi:10.1136/adc.2010.204446. Copy Citation Format: DOI Google Scholar BibTeX End…

  15. Getting boards on board: engaging governing boards in quality and safety.  | PSNet

    psnet.ahrq.gov/issue/getting-boards-board-engaging-governing-boards-quality-and-safety
    February 17, 2017 - Commentary Getting boards on board: engaging governing boards in quality and safety.  Citation Text: Conway JB. Getting boards on board: engaging governing boards in quality and safety. Jt Comm J Qual Saf. 2008;34(4):214-220. Copy Citation Format: Google Scholar PubMed Bi…

  16. Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. | PSNet

    psnet.ahrq.gov/issue/inside-closed-loop-medication-strategy-medication-management-targets-stages-which-errors
    January 30, 2013 - Study Inside a closed-loop medication strategy: medication management targets stages in which errors occur, step by step. Citation Text: Williams CT. Inside a closed-loop medication strategy. Nurs Manag. 2004;35 Suppl 5:8-9, 24. Copy Citation Format: Google Scholar PubMed…

  17. Addressing prehospital patient safety using the science of injury prevention and control. | PSNet

    psnet.ahrq.gov/issue/addressing-prehospital-patient-safety-using-science-injury-prevention-and-control
    April 12, 2019 - Commentary Addressing prehospital patient safety using the science of injury prevention and control. Citation Text: Meisel ZF, Hargarten S, Vernick J. Addressing prehospital patient safety using the science of injury prevention and control. Prehosp Emerg Care. 2008;12(4):411-6. doi:10.1…

  18. Measure twice, cut once. | PSNet

    psnet.ahrq.gov/issue/measure-twice-cut-once
    June 14, 2023 - Commentary Measure twice, cut once. Citation Text: Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

  19. Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. | PSNet

    psnet.ahrq.gov/issue/trends-potentially-preventable-inpatient-hospital-admissions-and-emergency-department-visits
    January 11, 2017 - Book/Report Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Citation Text: Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits. Fingar KR, Barrett ML, Elixhauser A, et al. HCUP Statistical Brief …

  20. Clinical nurse specialists as leaders in rapid response. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialists-leaders-rapid-response
    July 19, 2023 - Commentary Clinical nurse specialists as leaders in rapid response. Citation Text: Jenkins SD, Lindsey PL. Clinical nurse specialists as leaders in rapid response. Clin Nurse Spec. 2010;24(1):24-30. doi:10.1097/NUR.0b013e3181c4abe9. Copy Citation Format: DOI Google Schola…
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