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Showing results for "incident".

  1. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. | PSNet

    psnet.ahrq.gov/issue/how-rns-rescue-patients-qualitative-study-rns-perceived-involvement-rapid-response-teams
    June 19, 2013 - Study How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Citation Text: Leach LS, Mayo A, O'Rourke M. How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams. Qual Saf Health Care. 2010;19(5):e1…

  2. A quality improvement approach to standardization and sustainability of the hand-off process. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-approach-standardization-and-sustainability-hand-process
    May 15, 2019 - Commentary A quality improvement approach to standardization and sustainability of the hand-off process. Citation Text: Fryman C, Hamo C, Raghavan S, et al. A Quality Improvement Approach to Standardization and Sustainability of the Hand-off Process. BMJ Qual Improv Rep. 2017;6(1). doi:1…

  3. Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. | PSNet

    psnet.ahrq.gov/issue/frequent-diagnostic-errors-cardiac-petct-due-misregistration-ct-attenuation-and-emission-pet
    December 22, 2018 - Study Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections. Citation Text: Gould L, Pan T, Loghin C, et al. Frequent diagnostic errors in cardiac PET/CT due to misre…

  4. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. | PSNet

    psnet.ahrq.gov/issue/effects-educational-patient-safety-campaign-patients-safety-behaviours-and-adverse-events
    November 05, 2013 - Study Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. Citation Text: Schwappach DLB, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract.…

  5. Traditions of research into interruptions in healthcare: a conceptual review. | PSNet

    psnet.ahrq.gov/issue/traditions-research-interruptions-healthcare-conceptual-review
    April 19, 2017 - Review Traditions of research into interruptions in healthcare: a conceptual review. Citation Text: McCurdie T, Sanderson P, Aitken LM. Traditions of research into interruptions in healthcare: A conceptual review. Int J Nurs Stud. 2017;66:23-36. doi:10.1016/j.ijnurstu.2016.11.005. Copy…

  6. Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. | PSNet

    psnet.ahrq.gov/issue/two-sides-every-story-dual-perspectives-method-examining-interruptions-healthcare
    September 29, 2017 - Commentary Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare. Citation Text: McCurdie T, Sanderson P, Aitken LM, et al. Two sides to every story: The Dual Perspectives Method for examining interruptions in healthcare. Appl Ergon. 2017;58:102…

  7. A system-wide hospital child maltreatment patient safety program. | PSNet

    psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
    September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

  8. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-and-monitoring-errors-primary-care-report-practice-partner-research
    January 18, 2013 - Study Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. Citation Text: Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Net…

  9. The predictors of patient safety culture in hospital setting: a systematic review. | PSNet

    psnet.ahrq.gov/issue/predictors-patient-safety-culture-hospital-setting-systematic-review
    March 05, 2014 - Review The predictors of patient safety culture in hospital setting: a systematic review. Citation Text: Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting: a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.00000…

  10. Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet

    psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
    May 20, 2020 - Study Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. Citation Text: Brooks K, Landeg O, Kovats S, et al. Heatwaves, hospitals and health system resilience in England: a qualitative assessment o…

  11. OpenNotes and patient safety: a perilous voyage into uncharted waters. | PSNet

    psnet.ahrq.gov/issue/opennotes-and-patient-safety-perilous-voyage-uncharted-waters
    March 10, 2021 - Commentary OpenNotes and patient safety: a perilous voyage into uncharted waters. Citation Text: Schust G, Manning M, Weil A. OpenNotes and patient safety: a perilous voyage into uncharted waters. J Gen Intern Med. 2022;37(8):2074-2076. doi:10.1007/s11606-021-07384-2. Copy Citation …

  12. A new infusion syringe label system designed to reduce task complexity during drug preparation. | PSNet

    psnet.ahrq.gov/issue/new-infusion-syringe-label-system-designed-reduce-task-complexity-during-drug-preparation
    February 13, 2019 - Study A new infusion syringe label system designed to reduce task complexity during drug preparation. Citation Text: Merry AF, Webster CS, Connell H. A new infusion syringe label system designed to reduce task complexity during drug preparation. Anaesthesia. 2007;62(5). doi:10.1111/j.1…

  13. Cognitive errors detected in anaesthesiology: a literature review and pilot study. | PSNet

    psnet.ahrq.gov/issue/cognitive-errors-detected-anaesthesiology-literature-review-and-pilot-study
    November 21, 2012 - Study Cognitive errors detected in anaesthesiology: a literature review and pilot study. Citation Text: Stiegler MP, Neelankavil JP, Canales C, et al. Cognitive errors detected in anaesthesiology: a literature review and pilot study. Br J Anaesth. 2012;108(2):229-35. doi:10.1093/bja/ae…

  14. Patient empowerment and multimodal hand hygiene promotion: a win–win strategy. | PSNet

    psnet.ahrq.gov/issue/patient-empowerment-and-multimodal-hand-hygiene-promotion-win-win-strategy
    November 13, 2024 - Review Patient empowerment and multimodal hand hygiene promotion: a win–win strategy. Citation Text: McGuckin M, Storr J, Longtin Y, et al. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. Am J Med Qual. 2011;26(1):10-7. doi:10.1177/1062860610373138. Cop…

  15. Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. | PSNet

    psnet.ahrq.gov/issue/missed-ischemic-stroke-diagnosis-emergency-department-emergency-medicine-and-neurology
    August 03, 2017 - Study Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. Citation Text: Arch AE, Weisman DC, Coca S, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services. Stroke. 2016;47(3…

  16. The practice of medicine: understanding diagnostic error. | PSNet

    psnet.ahrq.gov/issue/practice-medicine-understanding-diagnostic-error
    July 22, 2020 - Commentary The practice of medicine: understanding diagnostic error. Citation Text: Cantey C. The practice of medicine: understanding diagnostic error. J Nurs Pract. 2020;16(8):582-585. doi:10.1016/j.nurpra.2020.05.014. Copy Citation Format: DOI Google Scholar BibTeX EndNot…

  17. The effects of power, leadership and psychological safety on resident event reporting. | PSNet

    psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting
    November 16, 2022 - Study The effects of power, leadership and psychological safety on resident event reporting. Citation Text: Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947…

  18. Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

    psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
    July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

  19. Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. | PSNet

    psnet.ahrq.gov/issue/communicating-doses-pediatric-liquid-medicines-parentscaregivers-comparison-written-dosing
    July 10, 2024 - Study Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Citation Text: Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to p…

  20. Resident perceptions of the impact of work hour limitations. | PSNet

    psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations
    August 04, 2021 - Study Resident perceptions of the impact of work hour limitations. Citation Text: Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…
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