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Showing results for "incident".

  1. psnet.ahrq.gov/issue/rural-community-members-perceptions-harm-medical-mistakes-high-plains-research-network-hprn
    February 03, 2011 - Study Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. Citation Text: Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN…
  2. psnet.ahrq.gov/issue/what-evidence-pharmacy-team-working-acute-or-emergency-medicine-department-improves-outcomes
    August 10, 2022 - Review What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review. Citation Text: Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or emergency medic…
  3. psnet.ahrq.gov/issue/consequences-running-more-operating-theatres-anaesthetists-staff-them-stochastic-simulation
    October 19, 2022 - Study Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Citation Text: Paoletti X, Marty J. Consequences of running more operating theatres than anaesthetists to staff them: a stochastic simulation study. Br J Anaesth. 2007…
  4. psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
    June 15, 2022 - Study Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. Citation Text: Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4)…
  5. psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
    December 06, 2013 - Study Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Citation Text: Tjia J, Field T, Garber LD, et al. Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting. Am J Manag Care. 2010;…
  6. psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
    March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. Citation Text: Gruen RL, Jurkovich GJ, McIntyre LK, et al. Patterns of Errors Contributing to Trauma Mortality. Transactions of the .. Meeting of the American Surgical Association. 2006;124. d…
  7. psnet.ahrq.gov/issue/errors-mri-evaluation-musculoskeletal-tumors-and-tumorlike-lesions
    September 04, 2019 - Study Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Citation Text: Heck RK, O'Malley AM, Kellum EL, et al. Errors in the MRI evaluation of musculoskeletal tumors and tumorlike lesions. Clin Orthop Relat Res. 2007;459:28-33. Copy Citation Format: …
  8. psnet.ahrq.gov/issue/evaluating-implementation-rapid-response-team-considering-alternative-outcome-measures
    October 19, 2022 - Study Evaluating implementation of a rapid response team: considering alternative outcome measures. Citation Text: Moriarty JP, Schiebel NE, Johnson MG, et al. Evaluating implementation of a rapid response team: considering alternative outcome measures. Int J Qual Health Care. 2014;26(1)…
  9. psnet.ahrq.gov/issue/situ-simulation-detection-safety-threats-and-teamwork-training-high-risk-emergency-department
    May 23, 2013 - Study In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. Citation Text: Patterson M, Geis GL, Falcone RA, et al. In situ simulation: detection of safety threats and teamwork training in a high risk emergency department. BMJ Qual Saf…
  10. psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
    September 23, 2020 - Study Lacerations and embedded needles caused by epinephrine autoinjector use in children. Citation Text: Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…
  11. psnet.ahrq.gov/issue/classifying-adverse-events-dental-office
    July 09, 2014 - Study Classifying adverse events in the dental office. Citation Text: Kalenderian E, Obadan-Udoh E, Maramaldi P, et al. Classifying Adverse Events in the Dental Office. J Patient Saf. 2021;17(6):e540-e356. doi:10.1097/PTS.0000000000000407. Copy Citation Format: DOI Google S…
  12. psnet.ahrq.gov/issue/compliance-patient-safety-bundle-management-placenta-accreta-spectrum
    October 19, 2022 - Study The compliance with a patient safety bundle for management of placenta accreta spectrum. Citation Text: Quist-Nelson J, Crank A, Oliver EA, et al. The compliance with a patient-safety bundle for management of placenta accreta spectrum†. J Matern Fetal Neonatal Med. 2021;34(17):2880…
  13. psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
    November 30, 2012 - Study Classic Missed diagnoses of acute cardiac ischemia in the emergency department. Citation Text: Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…
  14. psnet.ahrq.gov/issue/effect-medication-reconciliation-elderly-patients-hospital-discharge
    February 04, 2009 - Study The effect of medication reconciliation in elderly patients at hospital discharge. Citation Text: Midlöv P, Bahrani L, Seyfali M, et al. The effect of medication reconciliation in elderly patients at hospital discharge. Int J Clin Pharm. 2012;34(1):113-9. doi:10.1007/s11096-011-9…
  15. psnet.ahrq.gov/issue/nurses-workarounds-acute-healthcare-settings-scoping-review
    December 08, 2021 - Review Nurses' workarounds in acute healthcare settings: a scoping review. Citation Text: Debono DS, Greenfield D, Travaglia J, et al. Nurses' workarounds in acute healthcare settings: a scoping review. BMC Health Serv Res. 2013;13:175. doi:10.1186/1472-6963-13-175. Copy Citation …
  16. psnet.ahrq.gov/issue/pediatric-weight-errors-and-resultant-medication-dosing-errors-emergency-department
    August 04, 2021 - Study Pediatric weight errors and resultant medication dosing errors in the emergency department. Citation Text: Hirata KM, Kang AH, Ramirez G, et al. Pediatric Weight Errors and Resultant Medication Dosing Errors in the Emergency Department. Pediatr Emerg Care. 2019;35(9):637-642. doi:1…
  17. psnet.ahrq.gov/issue/hospitalized-patients-attitudes-about-and-participation-error-prevention
    December 22, 2008 - Study Hospitalized patients' attitudes about and participation in error prevention. Citation Text: Waterman AD, Gallagher TH, Garbutt J, et al. Brief report: Hospitalized patients' attitudes about and participation in error prevention. J Gen Intern Med. 2006;21(4):367-70. Copy Citati…
  18. psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic
    March 09, 2022 - Commentary Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Citation Text: Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…
  19. psnet.ahrq.gov/issue/classification-opioid-dependence-abuse-or-overdose-opioid-naive-patients-never-event
    September 21, 2022 - Commentary Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". Citation Text: Barth RJ, Waljee JF. Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event". JAMA Surg. 2020;155(7):543-544. doi:10.…
  20. psnet.ahrq.gov/issue/understanding-effect-resident-duty-hour-reform-qualitative-study
    March 23, 2011 - Study Understanding the effect of resident duty hour reform: a qualitative study. Citation Text: Pattani R, Wu PE, Dhalla IA. Resident duty hours in Canada: past, present and future. Can Med Assoc J. 2014;186(10). doi:10.1503/cmaj.131053. Copy Citation Format: DOI Google Sc…