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Showing results for "incident".

  1. Understanding whistleblowing: qualitative insights from nurse whistleblowers. | PSNet

    psnet.ahrq.gov/issue/understanding-whistleblowing-qualitative-insights-nurse-whistleblowers
    April 24, 2018 - Study Understanding whistleblowing: qualitative insights from nurse whistleblowers. Citation Text: Jackson D, Peters K, Andrew S, et al. Understanding whistleblowing: qualitative insights from nurse whistleblowers. J Adv Nurs. 2010;66(10):2194-201. doi:10.1111/j.1365-2648.2010.05365.x.…

  2. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet

    psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
    May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

  3. Impact of senior clinical review on patient disposition from the emergency department. | PSNet

    psnet.ahrq.gov/issue/impact-senior-clinical-review-patient-disposition-emergency-department
    August 28, 2024 - Study Impact of senior clinical review on patient disposition from the emergency department. Citation Text: White AL, Armstrong PAR, Thakore S. Impact of senior clinical review on patient disposition from the emergency department. Emerg Med J. 2010;27(4):262-5, 296. doi:10.1136/emj.200…

  4. Sins of omission. Getting too little medical care may be the greatest threat to patient safety. | PSNet

    psnet.ahrq.gov/issue/sins-omission-getting-too-little-medical-care-may-be-greatest-threat-patient-safety
    March 06, 2005 - Study Sins of omission. Getting too little medical care may be the greatest threat to patient safety. Citation Text: Hayward RA, Asch SM, Hogan MM, et al. Sins of omission: getting too little medical care may be the greatest threat to patient safety. J Gen Intern Med. 2005;20(8):686-91…

  5. Reducing central line–associated bloodstream infections in North Carolina NICUs. | PSNet

    psnet.ahrq.gov/issue/reducing-central-line-associated-bloodstream-infections-north-carolina-nicus
    February 15, 2011 - Study Reducing central line–associated bloodstream infections in North Carolina NICUs. Citation Text: Fisher D, Cochran KM, Provost LP, et al. Reducing central line-associated bloodstream infections in North Carolina NICUs. Pediatrics. 2013;132(6):e1664-71. doi:10.1542/peds.2013-2000. …

  6. Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. | PSNet

    psnet.ahrq.gov/issue/factors-associated-adverse-events-resulting-medical-errors-emergency-department-two-work
    July 02, 2019 - Study Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. Citation Text: Freund Y, Goulet H, Bokobza J, et al. Factors associated with adverse events resulting from medical errors in the emergency department: two w…

  7. Estimating hospital-related deaths due to medical error: a perspective from patient advocates. | PSNet

    psnet.ahrq.gov/issue/estimating-hospital-related-deaths-due-medical-error-perspective-patient-advocates
    November 08, 2023 - Commentary Estimating hospital-related deaths due to medical error: a perspective from patient advocates. Citation Text: Kavanagh KT, Saman DM, Bartel R, et al. Estimating Hospital-Related Deaths Due to Medical Error: A Perspective From Patient Advocates. J Patient Saf. 2017;13(1):1-5. d…

  8. Older veterans and emergency department discharge information. | PSNet

    psnet.ahrq.gov/issue/older-veterans-and-emergency-department-discharge-information
    March 02, 2011 - Study Older veterans and emergency department discharge information. Citation Text: Hastings S, Stechuchak K, Oddone E, et al. Older veterans and emergency department discharge information. BMJ Qual Saf. 2012;21(10):835-42. Copy Citation Format: Google Scholar PubMed BibT…

  9. An iconic language for the graphical representation of medical concepts. | PSNet

    psnet.ahrq.gov/issue/iconic-language-graphical-representation-medical-concepts
    March 05, 2025 - Study An iconic language for the graphical representation of medical concepts. Citation Text: Lamy J-B, Duclos C, Bar-Hen A, et al. An iconic language for the graphical representation of medical concepts. BMC Med Inform Decis Mak. 2008;8:16. doi:10.1186/1472-6947-8-16. Copy Citation …

  10. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. | PSNet

    psnet.ahrq.gov/issue/reducing-error-anticoagulant-dosing-multidisciplinary-team-rounding-point-care
    November 16, 2016 - Study Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Citation Text: Sharma M, Krishnamurthy M, Snyder R, et al. Reducing error in anticoagulant dosing via multidisciplinary team rounding at point of care. Clin Pract. 2017;7(2). doi:10.4081/cp…

  11. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? | PSNet

    psnet.ahrq.gov/issue/does-surgeon-fatigue-influence-outcomes-after-anterior-resection-rectal-cancer
    August 04, 2021 - Study Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Citation Text: Schieman C, MacLean AR, Buie D, et al. Does surgeon fatigue influence outcomes after anterior resection for rectal cancer? Am J Surg. 2008;195(5):684-7; discussion 687-8. doi:10.101…

  12. 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. | PSNet

    psnet.ahrq.gov/issue/2016-updated-american-society-clinical-oncologyoncology-nursing-society-chemotherapy
    February 15, 2023 - Commentary 2016 Updated American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards, including standards for pediatric oncology. Citation Text: Belderson KM, Billett AL. Chemotherapy safety standards: A pediatric perspective. J Oncol Pract.…

  13. Meta-analysis of medication administration errors in African hospitals. | PSNet

    psnet.ahrq.gov/issue/meta-analysis-medication-administration-errors-african-hospitals
    July 10, 2008 - Review Meta-analysis of medication administration errors in African hospitals. Citation Text: Alemu W, Cimiotti JP. Meta-analysis of medication administration errors in African hospitals. J Healthc Qual. 2023;45(4):233-241. doi:10.1097/jhq.0000000000000396. Copy Citation Format: …

  14. Women's safety alerts in maternity care: is speaking up enough? | PSNet

    psnet.ahrq.gov/issue/womens-safety-alerts-maternity-care-speaking-enough
    July 08, 2015 - Study Women's safety alerts in maternity care: is speaking up enough? Citation Text: Rance S, McCourt C, Rayment J, et al. Women's safety alerts in maternity care: is speaking up enough? BMJ Qual Saf. 2013;22(4):348-55. doi:10.1136/bmjqs-2012-001295. Copy Citation Format: …

  15. Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. | PSNet

    psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years
    August 04, 2021 - Review Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. Citation Text: Clayman MA, Clayman SM, Steele MH, et al. Promoting a culture of patient safety: a review of the Florida mo…

  16. What do nursing students learn about patient safety? An integrative literature review. | PSNet

    psnet.ahrq.gov/issue/what-do-nursing-students-learn-about-patient-safety-integrative-literature-review
    October 15, 2016 - Review What do nursing students learn about patient safety? An integrative literature review. Citation Text: Tella S, Liukka M, Jamookeeah D, et al. What do nursing students learn about patient safety? an integrative literature review. J Nurs Educ. 2014;53(1):7-13. doi:10.3928/01484834-…

  17. Do no harm: is it time to rethink the Hippocratic Oath? | PSNet

    psnet.ahrq.gov/issue/do-no-harm-it-time-rethink-hippocratic-oath
    May 04, 2022 - Commentary Do no harm: is it time to rethink the Hippocratic Oath? Citation Text: Walton M, Kerridge I. Do no harm: is it time to rethink the Hippocratic Oath? Med Educ. 2014;48(1):17-27. doi:10.1111/medu.12275. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  18. Association between physician burnout and self-reported errors: meta-analysis. | PSNet

    psnet.ahrq.gov/issue/association-between-physician-burnout-and-self-reported-errors-meta-analysis
    July 19, 2017 - Review Association between physician burnout and self-reported errors: meta-analysis. Citation Text: Owoc J, Mańczak M, Jabłońska M, et al. Association between physician burnout and self-reported errors: meta-analysis. J Patient Saf. 2022;18(1):e180-e188. doi:10.1097/pts.0000000000000724…

  19. How residents think and make medical decisions: implications for education and patient safety. | PSNet

    psnet.ahrq.gov/issue/how-residents-think-and-make-medical-decisions-implications-education-and-patient-safety
    June 07, 2023 - Study How residents think and make medical decisions: implications for education and patient safety. Citation Text: Young JS, Smith RL, Guerlain S, et al. How residents think and make medical decisions: implications for education and patient safety. Am Surg. 2007;73(6):548-553; discuss…

  20. U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. | PSNet

    psnet.ahrq.gov/issue/us-food-and-drug-administration-precertification-pilot-program-digital-health-software
    September 25, 2008 - Commentary Emerging Classic U.S. Food and Drug Administration Precertification pilot program for digital health software: weighing the benefits and risks. Citation Text: Lee TT, Kesselheim AS. U.S. Food and Drug Administration Precertification Pilot Program for …
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