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Showing results for "incident".

  1. Using near-miss events to improve MRI safety in a large academic centre. | PSNet

    psnet.ahrq.gov/issue/using-near-miss-events-improve-mri-safety-large-academic-centre
    May 31, 2017 - Commentary Using near-miss events to improve MRI safety in a large academic centre. Citation Text: Goolsarran N, Martinez J, Garcia C. Using near-miss events to improve MRI safety in a large academic centre. BMJ Open Qual. 2019;8(2):e000593. doi:10.1136/bmjoq-2018-000593. Copy Citation…

  2. Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. | PSNet

    psnet.ahrq.gov/issue/sources-and-magnitude-error-preparing-morphine-infusions-nurse-patient-controlled-analgesia
    January 07, 2015 - Study Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital. Citation Text: Rashed AN, Tomlin S, Aguado V, et al. Sources and magnitude of error in preparing morphine infusions for nurse-patient controlled analge…

  3. Prolonged hospital stay and the resident duty hour rules of 2003. | PSNet

    psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-duty-hour-rules-2003
    February 18, 2011 - Study Prolonged hospital stay and the resident duty hour rules of 2003. Citation Text: Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff. Copy Citation Format: …

  4. Relationship between quality of care and negligence litigation in nursing homes. | PSNet

    psnet.ahrq.gov/issue/relationship-between-quality-care-and-negligence-litigation-nursing-homes
    September 07, 2011 - Study Relationship between quality of care and negligence litigation in nursing homes. Citation Text: Studdert DM, Spittal MJ, Mello MM, et al. Relationship between quality of care and negligence litigation in nursing homes. N Engl J Med. 2011;364(13):1243-1250. doi:10.1056/nejmsa100933…

  5. Medicines safety in anaesthetic practice. | PSNet

    psnet.ahrq.gov/issue/medicines-safety-anaesthetic-practice
    February 02, 2022 - Review Medicines safety in anaesthetic practice. Citation Text: Mackay E, Jennings J, Webber S. Medicines safety in anaesthetic practice. BJA Edu. 2019;19(5):151-157. doi:10.1016/j.bjae.2019.01.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  6. Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. | PSNet

    psnet.ahrq.gov/issue/medication-related-emergency-department-visits-and-hospital-admissions-pediatric-patients
    March 13, 2015 - Review Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. Citation Text: Zed PJ, Haughn C, Black KJL, et al. Medication-related emergency department visits and hospital admissions in pediatric patients: a quali…

  7. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
    January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…

  8. Professionalism: a necessary ingredient in a culture of safety. | PSNet

    psnet.ahrq.gov/issue/professionalism-necessary-ingredient-culture-safety
    November 01, 2011 - Study Professionalism: a necessary ingredient in a culture of safety. Citation Text: Dupree E, Anderson R, McEvoy MD, et al. Professionalism: a necessary ingredient in a culture of safety. Jt Comm J Qual Patient Saf. 2011;37(10):447-55. Copy Citation Format: Google Scholar …

  9. Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. | PSNet

    psnet.ahrq.gov/issue/beliefs-ambulatory-care-physicians-about-accuracy-patient-medication-records-and-technology
    December 03, 2014 - Study Beliefs of ambulatory care physicians about accuracy of patient medication records and technology-enhanced solutions to improve accuracy. Citation Text: Weeks DL, Corbett CF, Stream G. Beliefs of ambulatory care physicians about accuracy of patient medication records and technolo…

  10. Doctors and dentists still flooding U.S. with opioid prescriptions. | PSNet

    psnet.ahrq.gov/issue/doctors-and-dentists-still-flooding-us-opioid-prescriptions
    October 13, 2018 - Newspaper/Magazine Article Doctors and dentists still flooding U.S. with opioid prescriptions. Citation Text: Mann B. Doctors and dentists still flooding U.S. with opioid prescriptions. National Public Radio. 2020;July 17. Copy Citation Format: Google Scholar BibTeX EndNote…

  11. Paediatric dosing errors before and after electronic prescribing. | PSNet

    psnet.ahrq.gov/issue/paediatric-dosing-errors-and-after-electronic-prescribing
    February 13, 2008 - Study Paediatric dosing errors before and after electronic prescribing. Citation Text: Jani Y, Barber N, Wong ICK. Paediatric dosing errors before and after electronic prescribing. Qual Saf Health Care. 2010;19(4):337-40. doi:10.1136/qshc.2009.033068. Copy Citation Format: …

  12. Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-comparing-customized-medication-history-form-standard-medication
    September 23, 2020 - Study Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2). Citation Text: Ryan GJ, Caudle JM, Rhee MK, et al. Medication reconciliation: comparing a customized medication history form to a standard medi…

  13. Call to action: addressing pediatric fall safety in ambulatory environments. | PSNet

    psnet.ahrq.gov/issue/call-action-addressing-pediatric-fall-safety-ambulatory-environments
    June 30, 2021 - Study Call to action: addressing pediatric fall safety in ambulatory environments. Citation Text: Benning S, Wolfe R, Banes M, et al. Call to action: addressing pediatric fall safety in ambulatory environments. J Pediatr Nurs. 2021;61:372-377. doi:10.1016/j.pedn.2021.09.012. Copy Citat…

  14. Developing a programme for medication reconciliation at the time of admission into hospital. | PSNet

    psnet.ahrq.gov/issue/developing-programme-medication-reconciliation-time-admission-hospital
    March 09, 2022 - Study Developing a programme for medication reconciliation at the time of admission into hospital. Citation Text: Manzorro ÁG, Zoni AC, Rieiro CR, et al. Developing a programme for medication reconciliation at the time of admission into hospital. Int J Clin Pharm. 2011;33(4):603-9. doi…

  15. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. | PSNet

    psnet.ahrq.gov/issue/pharmacist-versus-physician-acquired-medication-history-prospective-study-emergency
    June 17, 2014 - Study Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Citation Text: De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf…

  16. Provider interruptions and patient perceptions of care: an observational study in the emergency department. | PSNet

    psnet.ahrq.gov/issue/provider-interruptions-and-patient-perceptions-care-observational-study-emergency-department
    June 26, 2024 - Study Provider interruptions and patient perceptions of care: an observational study in the emergency department. Citation Text: Schneider A, Wehler M, Weigl M. Provider interruptions and patient perceptions of care: an observational study in the emergency department. BMJ Qual Saf. 2019;…

  17. Unexpected hypoglycemia in a critically ill patient. | PSNet

    psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient
    July 25, 2018 - Study Classic Unexpected hypoglycemia in a critically ill patient. Citation Text: Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  18. Safety climate, safety climate strength, and length of stay in the NICU. | PSNet

    psnet.ahrq.gov/issue/safety-climate-safety-climate-strength-and-length-stay-nicu
    February 06, 2019 - Study Safety climate, safety climate strength, and length of stay in the NICU. Citation Text: Tawfik DS, Thomas EJ, Vogus TJ, et al. Safety climate, safety climate strength, and length of stay in the NICU. BMC Health Serv Res. 2019;19(1):738. doi:10.1186/s12913-019-4592-1. Copy Citatio…

  19. Hospital autopsy: endangered or extinct? | PSNet

    psnet.ahrq.gov/issue/hospital-autopsy-endangered-or-extinct
    November 21, 2021 - Study Hospital autopsy: endangered or extinct? Citation Text: Turnbull A, Osborn M, Nicholas N. Hospital autopsy: Endangered or extinct? J Clin Pathol. 2015;68(8):601-604. doi:10.1136/jclinpath-2014-202700. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  20. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. | PSNet

    psnet.ahrq.gov/issue/effect-cluster-randomised-team-training-intervention-adverse-perinatal-and-maternal-outcomes
    April 04, 2018 - Study Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcomes: a stepped wedge study. Citation Text: Romijn A, Ravelli A, de Bruijne MC, et al. Effect of a cluster randomised team training intervention on adverse perinatal and maternal outcome…
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