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Showing results for "incident".

  1. Maternal mortality: near-miss events in middle-income countries, a systematic review. | PSNet

    psnet.ahrq.gov/issue/maternal-mortality-near-miss-events-middle-income-countries-systematic-review
    October 13, 2021 - Review Maternal mortality: near-miss events in middle-income countries, a systematic review. Citation Text: Heitkamp A, Meulenbroek A, van Roosmalen J, et al. Maternal mortality: near-miss events in middle-income countries, a systematic review. Bull World Health Organ. 2021;99(10):693-70…

  2. Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. | PSNet

    psnet.ahrq.gov/issue/preventable-anesthesia-related-adverse-events-large-tertiary-care-center-nine-year
    November 12, 2014 - Study Preventable anesthesia-related adverse events at a large tertiary care center: a nine-year retrospective analysis. Citation Text: Curatolo CJ, McCormick PJ, Hyman JB, et al. Preventable Anesthesia-Related Adverse Events at a Large Tertiary Care Center: A Nine-Year Retrospective Ana…

  3. Discrepancies between home medications listed at hospital admission and reported medical conditions. | PSNet

    psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
    November 03, 2021 - Study Discrepancies between home medications listed at hospital admission and reported medical conditions. Citation Text: Slain D, Kincaid SE, Dunsworth TS. Discrepancies between home medications listed at hospital admission and reported medical conditions. Am J Geriatr Pharmacother.…

  4. Distractions in the operating room: a survey of the healthcare team. | PSNet

    psnet.ahrq.gov/issue/distractions-operating-room-survey-healthcare-team
    November 16, 2022 - Study Distractions in the operating room: a survey of the healthcare team. Citation Text: Nasri B-N, Mitchell JD, Jackson C, et al. Distractions in the operating room: a survey of the healthcare team. Surg Endosc. 2023;37(3):2316-2325. doi:10.1007/s00464-022-09553-8. Copy Citation …

  5. Prevalence of medication transfer errors in nephrology patients and potential risk factors. | PSNet

    psnet.ahrq.gov/issue/prevalence-medication-transfer-errors-nephrology-patients-and-potential-risk-factors
    January 26, 2022 - Study Prevalence of medication transfer errors in nephrology patients and potential risk factors. Citation Text: Ebbens MM, Errami H, Moes DJAR, et al. Prevalence of medication transfer errors in nephrology patients and potential risk factors. Eur J Intern Med. 2019;70:50-53. doi:10.1016…

  6. Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. | PSNet

    psnet.ahrq.gov/issue/patients-perceptions-importance-self-administered-correct-site-surgery-checklist-multisite
    May 25, 2022 - Study Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. Citation Text: Krenzischek DA, Card E, Mamaril M, et al. Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study. J Peria…

  7. Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-ergonomics-time-crises-italian-experience-coping-covid19
    December 09, 2020 - Commentary Human factors and ergonomics at time of crises: the Italian experience coping with COVID19. Citation Text: Albolino S, Dagliana G, Tanzini M, et al. Human factors and ergonomics at time of crises: the Italian experience coping with COVID-19. Int J Qual Health Care. 2021;33(1)…

  8. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
    September 24, 2017 - Study Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. Citation Text: Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. J Patient Saf. 2…

  9. ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-clinical-services-and-workforce-2021
    September 30, 2020 - Study ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. Citation Text: Schneider PJ, Pedersen CA, Ganio MC, et al. ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce—2021. Am J Health Syst Ph…

  10. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. | PSNet

    psnet.ahrq.gov/issue/bundle-interventions-including-nontechnical-skills-surgeons-can-reduce-operative-time-and
    June 24, 2020 - Study Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safety. Citation Text: Koike D, Nomura Y, Nagai M, et al. Bundle interventions including nontechnical skills for surgeons can reduce operative time and improve patient safe…

  11. Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. | PSNet

    psnet.ahrq.gov/issue/monitoring-patient-safety-primary-care-exploratory-study-using-depth-semistructured
    December 14, 2016 - Study Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. Citation Text: Samra R, Bottle A, Aylin PP. Monitoring patient safety in primary care: an exploratory study using in-depth semistructured interviews. BMJ Open. 2015;5(9):e00812…

  12. Do hospitals provide lower quality care on weekends? | PSNet

    psnet.ahrq.gov/issue/do-hospitals-provide-lower-quality-care-weekends
    January 12, 2022 - Study Do hospitals provide lower quality care on weekends? Citation Text: Becker DJ. Do hospitals provide lower quality care on weekends? Health Serv Res. 2007;42(4):1589-612. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  13. Do leadership style, unit climate, and safety climate contribute to safe medication practices? | PSNet

    psnet.ahrq.gov/issue/do-leadership-style-unit-climate-and-safety-climate-contribute-safe-medication-practices
    May 13, 2020 - Study Do leadership style, unit climate, and safety climate contribute to safe medication practices? Citation Text: Farag A, Tullai-McGuinness S, Anthony MK, et al. Do Leadership Style, Unit Climate, and Safety Climate Contribute to Safe Medication Practices? J Nurs Adm. 2017;47(1):8-15.…

  14. Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis. | PSNet

    psnet.ahrq.gov/issue/exploring-system-features-primary-care-practices-promote-better-providers-clinical-work
    May 25, 2022 - Study Exploring system features of primary care practices that promote better providers' clinical work satisfaction: a qualitative comparative analysis. Citation Text: Liu L, Chien AT, Singer SJ. Exploring system features of primary care practices that promote better providers’ clinical …

  15. Five topics health care simulation can address to improve patient safety: results from a consensus process. | PSNet

    psnet.ahrq.gov/issue/five-topics-health-care-simulation-can-address-improve-patient-safety-results-consensus
    June 28, 2023 - Study Five topics health care simulation can address to improve patient safety: results from a consensus process. Citation Text: Sollid SJM, Dieckman P, Aase K, et al. Five Topics Health Care Simulation Can Address to Improve Patient Safety: Results From a Consensus Process. J Patient Sa…

  16. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. | PSNet

    psnet.ahrq.gov/issue/vulnerability-medical-product-supply-chain-wake-call-covid-19
    December 02, 2020 - Commentary Emerging Classic Vulnerability of the medical product supply chain: the wake-up call of COVID-19. Citation Text: Miller FA, Young SB, Dobrow M, et al. Vulnerability of the medical product supply chain: the wake-up call of COVID-19. BMJ Qual Saf. 2020;…

  17. Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/surgeon-burnout-impact-patient-safety-and-professionalism-systematic-review-and-meta-analysis
    October 14, 2020 - Review Surgeon burnout, impact on patient safety and professionalism: a systematic review and meta-analysis. Citation Text: Al-Ghunaim TA, Johnson J, Biyani CS, et al. Surgeon burnout, impact on patient safety and professionalism: A systematic review and meta-analysis. Am J Surg. 2022;22…

  18. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. | PSNet

    psnet.ahrq.gov/issue/standard-admission-order-sets-promote-ordering-unnecessary-investigations-quasi-randomised
    March 24, 2021 - Study Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evaluation in a simulated setting. Citation Text: Leis B, Frost A, Bryce R, et al. Standard admission order sets promote ordering of unnecessary investigations: a quasi-randomised evalu…

  19. An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. | PSNet

    psnet.ahrq.gov/issue/situ-simulation-program-quantitative-and-qualitative-prospective-study-identifying-latent
    March 25, 2021 - Study An in situ simulation program: a quantitative and qualitative prospective study identifying latent safety threats and examining participant experiences. Citation Text: Kjaergaard-Andersen G, Ibsgaard P, Paltved C, et al. An in situ simulation program: a quantitative and qualitativ…

  20. A factorial survey on safety behavior providing opportunities to improve safety. | PSNet

    psnet.ahrq.gov/issue/factorial-survey-safety-behavior-providing-opportunities-improve-safety
    November 16, 2015 - Study A factorial survey on safety behavior providing opportunities to improve safety. Citation Text: Simons P, Houben R, Reijnders P, et al. A Factorial Survey on Safety Behavior Providing Opportunities to Improve Safety. J Patient Saf. 2018;14(4):193-201. doi:10.1097/PTS.00000000000001…
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