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Showing results for "incident".

  1. Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. | PSNet

    psnet.ahrq.gov/issue/ethics-pediatric-emergency-department-when-mistakes-happen-approach-process-evaluation-and
    December 13, 2013 - Review Ethics in the pediatric emergency department: when mistakes happen: an approach to the process, evaluation, and response to medical errors. Citation Text: Dreisinger N, Zapolsky N. Ethics in the Pediatric Emergency Department: When Mistakes Happen: An Approach to the Process, Eval…

  2. Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. | PSNet

    psnet.ahrq.gov/issue/technology-induced-error-and-usability-relationship-between-usability-problems-and
    June 15, 2022 - Study Technology induced error and usability: the relationship between usability problems and prescription errors when using a handheld application. Citation Text: Kushniruk AW, Triola MM, Borycki EM, et al. Technology induced error and usability: The relationship between usability pro…

  3. Clinically missed cancer: how effectively can radiologists use computer-aided detection? | PSNet

    psnet.ahrq.gov/issue/clinically-missed-cancer-how-effectively-can-radiologists-use-computer-aided-detection
    October 04, 2023 - Study Clinically missed cancer: how effectively can radiologists use computer-aided detection? Citation Text: Nishikawa RM, Schmidt RA, Linver MN, et al. Clinically Missed Cancer: How Effectively Can Radiologists Use Computer-Aided Detection? American Journal of Roentgenology. 2012;198(3…

  4. High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. | PSNet

    psnet.ahrq.gov/issue/high-alert-medication-stratification-tool-revised-exploratory-study-objective-standardized
    September 23, 2020 - Study High-alert medication stratification tool-revised: an exploratory study of an objective, standardized medication safety tool. Citation Text: Washburn NC, Dossett HA, Fritschle AC, et al. High-Alert Medication Stratification Tool-Revised: An Exploratory Study of an Objective, Standa…

  5. Role of computerized physician order entry usability in the reduction of prescribing errors. | PSNet

    psnet.ahrq.gov/issue/role-computerized-physician-order-entry-usability-reduction-prescribing-errors
    June 23, 2021 - Study Role of computerized physician order entry usability in the reduction of prescribing errors. Citation Text: Peikari HR, Zakaria MS, Yasin NM, et al. Role of computerized physician order entry usability in the reduction of prescribing errors. Healthc Inform Res. 2013;19(2):93-101. d…

  6. Prioritising the prevention of medication handling errors. | PSNet

    psnet.ahrq.gov/issue/prioritising-prevention-medication-handling-errors
    October 22, 2008 - Study Prioritising the prevention of medication handling errors. Citation Text: Bertsche T, Niemann D, Mayer Y, et al. Prioritising the prevention of medication handling errors. Pharm World Sci. 2008;30(6):907-15. doi:10.1007/s11096-008-9250-3. Copy Citation Format: DOI…

  7. Patterns of unexpected in-hospital deaths: a root cause analysis. | PSNet

    psnet.ahrq.gov/issue/patterns-unexpected-hospital-deaths-root-cause-analysis
    March 13, 2019 - Review Patterns of unexpected in-hospital deaths: a root cause analysis. Citation Text: Lynn LA, Curry P. Patterns of unexpected in-hospital deaths: a root cause analysis. Patient Saf Surg. 2011;5(1):3. doi:10.1186/1754-9493-5-3. Copy Citation Format: DOI Google Scholar P…

  8. Relationship between patient complaints and surgical complications. | PSNet

    psnet.ahrq.gov/issue/relationship-between-patient-complaints-and-surgical-complications
    January 05, 2011 - Study Relationship between patient complaints and surgical complications. Citation Text: Murff HJ, France DJ, Blackford J, et al. Relationship between patient complaints and surgical complications. Qual Saf Health Care. 2006;15(1):13-6. Copy Citation Format: Google Schola…

  9. Closing the gap and raising the bar: assessing board competency in quality and safety. | PSNet

    psnet.ahrq.gov/issue/closing-gap-and-raising-bar-assessing-board-competency-quality-and-safety
    July 20, 2022 - Study Closing the gap and raising the bar: assessing board competency in quality and safety. Citation Text: McGaffigan PA, Ullem BD, Gandhi TK. Closing the Gap and Raising the Bar: Assessing Board Competency in Quality and Safety. Jt Comm J Qual Patient Saf. 2017;43(6):267-274. doi:10.10…

  10. Interventions to improve hand hygiene compliance in patient care. | PSNet

    psnet.ahrq.gov/issue/interventions-improve-hand-hygiene-compliance-patient-care
    September 09, 2020 - Review Interventions to improve hand hygiene compliance in patient care. Citation Text: Gould DJ, Moralejo D, Drey N, et al. Interventions to improve hand hygiene compliance in patient care. Cochrane Database Syst Rev. 2017;9(9):CD005186. doi:10.1002/14651858.cd005186.pub4. Copy Citat…

  11. What is safety leadership? A systematic review of definitions. | PSNet

    psnet.ahrq.gov/issue/what-safety-leadership-systematic-review-definitions
    October 26, 2022 - Review What is safety leadership? A systematic review of definitions. Citation Text: Adra I, Giga S, Hardy C, et al. What is safety leadership? A systematic review of definitions. J Safety Res. 2024;90:181-191. doi:10.1016/j.jsr.2024.04.001. Copy Citation Format: DOI Google…

  12. "That was a close call": endorsing a broad definition of near misses in health care. | PSNet

    psnet.ahrq.gov/issue/was-close-call-endorsing-broad-definition-near-misses-health-care
    August 31, 2016 - Commentary "That was a close call": endorsing a broad definition of near misses in health care. Citation Text: Marks CM, Kasda E, Paine LA, et al. "That was a close call": endorsing a broad definition of near misses in health care. Jt Comm J Qual Patient Saf. 2013;39(10):475-479. Cop…

  13. Multidisciplinary in-hospital teams improve patient outcomes: a review. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve-patient-outcomes-review
    February 03, 2011 - Review Multidisciplinary in-hospital teams improve patient outcomes: a review. Citation Text: Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. Copy Citation Format: D…

  14. From patients to politicians: a cognitive engineering view of patient safety. | PSNet

    psnet.ahrq.gov/issue/patients-politicians-cognitive-engineering-view-patient-safety
    January 29, 2020 - Commentary From patients to politicians: a cognitive engineering view of patient safety. Citation Text: Vicente KJ. From patients to politicians: a cognitive engineering view of patient safety. Qual Saf Health Care. 2002;11(4):302-4. Copy Citation Format: Google Scholar P…

  15. Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. | PSNet

    psnet.ahrq.gov/issue/prevention-design-construction-and-renovation-health-care-facilities-patient-safety-and
    October 17, 2017 - Review Prevention by design: construction and renovation of health care facilities for patient safety and infection prevention. Citation Text: Olmsted RN. Prevention by Design: Construction and Renovation of Health Care Facilities for Patient Safety and Infection Prevention. Infect Dis C…

  16. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. | PSNet

    psnet.ahrq.gov/issue/developing-appreciation-patient-safety-analysis-interprofessional-student-experiences-health
    July 24, 2024 - Study Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Citation Text: Langlois S. Developing an appreciation of patient safety: analysis of interprofessional student experiences with health mentors. Perspect Med Educ. 20…

  17. Structured patient handoff on an internal medicine ward: a cluster randomized control trial. | PSNet

    psnet.ahrq.gov/issue/structured-patient-handoff-internal-medicine-ward-cluster-randomized-control-trial
    September 23, 2020 - Study Structured patient handoff on an internal medicine ward: a cluster randomized control trial. Citation Text: Tam P, Nijjar AP, Fok M, et al. Structured patient handoff on an internal medicine ward: A cluster randomized control trial. PLoS One. 2018;13(4):e0195216. doi:10.1371/journa…

  18. Shifting supervision: implications for safe administration of medication by nursing students. | PSNet

    psnet.ahrq.gov/issue/shifting-supervision-implications-safe-administration-medication-nursing-students
    January 27, 2021 - Study Shifting supervision: implications for safe administration of medication by nursing students. Citation Text: Reid-Searl K, Moxham L, Walker S, et al. Shifting supervision: implications for safe administration of medication by nursing students. J Clin Nurs. 2008;17(20):2750-7. doi…

  19. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. | PSNet

    psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan
    October 29, 2008 - Study Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. Citation Text: Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan te…

  20. Making hospital care safer and better: the structure-process connection leading to adverse events. | PSNet

    psnet.ahrq.gov/issue/making-hospital-care-safer-and-better-structure-process-connection-leading-adverse-events
    November 04, 2020 - Study Making hospital care safer and better: the structure-process connection leading to adverse events. Citation Text: El-Jardali F, Lagacé M. Making hospital care safer and better: the structure-process connection leading to adverse events. Healthc Q. 2005;8(2):40-8. Copy Citation …
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