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Showing results for "incident".

  1. The need for closed-loop systems for management of abnormal test results. | PSNet

    psnet.ahrq.gov/issue/need-closed-loop-systems-management-abnormal-test-results
    May 20, 2019 - Study The need for closed-loop systems for management of abnormal test results. Citation Text: Zuccotti G, Samal L, Maloney FL, et al. The Need for Closed-Loop Systems for Management of Abnormal Test Results. Ann Intern Med. 2018;168(11):820-821. doi:10.7326/M17-2425. Copy Citation …

  2. Diagnostic errors in paediatric cardiac intensive care. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care
    June 24, 2020 - Study Diagnostic errors in paediatric cardiac intensive care. Citation Text: Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906. Copy Citation Format: DOI Google S…

  3. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. | PSNet

    psnet.ahrq.gov/issue/prehospital-naloxone-and-emergency-department-adverse-events-dose-dependent-relationship
    March 02, 2022 - Study Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. Citation Text: Maloney LM, Alptunaer T, Coleman G, et al. Prehospital naloxone and emergency department adverse events: a dose-dependent relationship. J Emerg Med. 2020;59(6):872-883. doi:1…

  4. "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. | PSNet

    psnet.ahrq.gov/issue/whats-psychology-got-do-it-applying-psychological-theory-understanding-failures-modern
    July 10, 2017 - Commentary "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. Citation Text: Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare sett…

  5. A piece of my mind. Hard times and hard stops. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-hard-times-and-hard-stops
    December 11, 2024 - Commentary A piece of my mind. Hard times and hard stops. Citation Text: Lifflander AL. Hard Times and Hard Stops. JAMA. 2019;321(9):837-838. doi:10.1001/jama.2019.1208. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMe…

  6. Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. | PSNet

    psnet.ahrq.gov/issue/epidural-pump-programming-error-leading-inadvertent-10-fold-dosing-error-during-epidural
    May 13, 2009 - Commentary Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine. Citation Text: Thyen AB, McAllister RK, Councilman LM. Epidural Pump Programming Error Leading to Inadvertent 10-Fold Dosing Error During Epidural La…

  7. Anticoagulant medication errors in hospitals and primary care: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/anticoagulant-medication-errors-hospitals-and-primary-care-cross-sectional-study
    August 18, 2010 - Study Anticoagulant medication errors in hospitals and primary care: a cross-sectional study. Citation Text: Dreijer AR, Diepstraten J, Bukkems VE, et al. Anticoagulant medication errors in hospitals and primary care: a cross-sectional study. Int J Qual Health Care. 2019;31(5):346-352. d…

  8. A framework for health care organizations to develop and evaluate a safety scorecard. | PSNet

    psnet.ahrq.gov/issue/framework-health-care-organizations-develop-and-evaluate-safety-scorecard
    September 17, 2010 - Commentary A framework for health care organizations to develop and evaluate a safety scorecard. Citation Text: Pronovost P, Berenholtz SM, Needham DM. A framework for health care organizations to develop and evaluate a safety scorecard. JAMA. 2007;298(17):2063-5. Copy Citation F…

  9. Nursing practice with hospitalised older people: safety and harm. | PSNet

    psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
    April 24, 2018 - Review Nursing practice with hospitalised older people: safety and harm. Citation Text: Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220. Copy Citation Format: …

  10. Participation in a system-thinking simulation experience changes adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/participation-system-thinking-simulation-experience-changes-adverse-event-reporting
    July 30, 2014 - Study Participation in a system-thinking simulation experience changes adverse event reporting. Citation Text: Sanko JS, Mckay M. Participation in a system-thinking simulation experience changes adverse event reporting. Simul Healthc. 2020;15(3):167-171. doi:10.1097/sih.0000000000000473.…

  11. Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. | PSNet

    psnet.ahrq.gov/issue/pediatric-crisis-resource-management-training-improves-emergency-medicine-trainees-perceived
    March 25, 2020 - Study Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. Citation Text: Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine t…

  12. Room of horrors simulation in healthcare education: a systematic review. | PSNet

    psnet.ahrq.gov/issue/room-horrors-simulation-healthcare-education-systematic-review
    September 09, 2020 - Review Room of horrors simulation in healthcare education: a systematic review. Citation Text: Lee SE, Repsha C, Seo WJ, et al. Room of horrors simulation in healthcare education: a systematic review. Nurse Educ Today. 2023;126:105824. doi:10.1016/j.nedt.2023.105824. Copy Citation …

  13. Evidence-based organization and patient safety strategies in European hospitals. | PSNet

    psnet.ahrq.gov/issue/evidence-based-organization-and-patient-safety-strategies-european-hospitals
    January 20, 2016 - Study Evidence-based organization and patient safety strategies in European hospitals. Citation Text: Suñol R, Wagner C, Arah OA, et al. Evidence-based organization and patient safety strategies in European hospitals. Int J Qual Health Care. 2014;26 Suppl 1:47-55. doi:10.1093/intqhc/mzu0…

  14. Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. | PSNet

    psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
    May 26, 2011 - Study Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions. Citation Text: Malone DC, Abarca J, Skrepnek GH, et al. Pharmacist workload and pharmacy characteristics associated with the dispensing of p…

  15. Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? | PSNet

    psnet.ahrq.gov/issue/comparative-issues-aviation-and-surgical-crew-resource-management-1-are-we-too-solution
    October 30, 2013 - Commentary Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused? Citation Text: Hunt GJF, Callaghan KSN. COMPARATIVE ISSUES IN AVIATION AND SURGICAL CREW RESOURCE MANAGEMENT: (1) ARE WE TOO SOLUTION FOCUSED? ANZ J Surg. 2008;78(8). doi:1…

  16. Assessing and supporting late career practitioners: four key questions. | PSNet

    psnet.ahrq.gov/issue/assessing-and-supporting-late-career-practitioners-four-key-questions
    May 18, 2022 - Commentary Assessing and supporting late career practitioners: four key questions. Citation Text: White AA, Sage WM, Mazor KM, et al. Assessing and supporting late career practitioners: four key questions. Jt Comm J Qual Patient Saf. 2020;46(10):591-595. doi:10.1016/j.jcjq.2020.07.001. …

  17. Accidental iatrogenic pneumothorax in hospitalized patients. | PSNet

    psnet.ahrq.gov/issue/accidental-iatrogenic-pneumothorax-hospitalized-patients
    April 03, 2005 - Study Accidental iatrogenic pneumothorax in hospitalized patients. Citation Text: Zhan C, Smith M, Stryer D. Accidental iatrogenic pneumothorax in hospitalized patients. Med Care. 2006;44(2):182-186. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  18. Physicians' needs in coping with emotional stressors: the case for peer support. | PSNet

    psnet.ahrq.gov/issue/physicians-needs-coping-emotional-stressors-case-peer-support
    September 09, 2008 - Study Physicians' needs in coping with emotional stressors: the case for peer support. Citation Text: Hu Y-Y, Fix ML, Hevelone ND, et al. Physicians' needs in coping with emotional stressors: the case for peer support. Arch Surg. 2012;147(3):212-217. doi:10.1001/archsurg.2011.312. Copy…

  19. Minimising treatment-associated risks in systemic cancer therapy. | PSNet

    psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
    December 22, 2021 - Review Minimising treatment-associated risks in systemic cancer therapy. Citation Text: Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy. Pharm World Sci. 2008;30(2):161-8. Copy Citation Format: Google Scholar PubMed B…

  20. Supporting perioperative safety during a disaster through clinical crisis education. | PSNet

    psnet.ahrq.gov/issue/supporting-perioperative-safety-during-disaster-through-clinical-crisis-education
    July 05, 2017 - Commentary Supporting perioperative safety during a disaster through clinical crisis education. Citation Text: Kirkman A, Tripp H, Ward L, et al. Supporting perioperative safety during a disaster through clinical crisis education. AORN J. 2024;120(4):226-237. doi:10.1002/aorn.14217. Co…
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