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Showing results for "incidents".

  1. psnet.ahrq.gov/issue/preventability-and-causes-readmissions-national-cohort-general-medicine-patients
    January 25, 2017 - Study Classic Preventability and causes of readmissions in a national cohort of general medicine patients. Citation Text: Auerbach AD, Kripalani S, Vasilevskis EE, et al. Preventability and Causes of Readmissions in a National Cohort of General Medicine Patients…
  2. psnet.ahrq.gov/issue/evaluating-alert-fatigue-over-time-ehr-based-clinical-trial-alerts-findings-randomized
    April 29, 2018 - Study Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. Citation Text: Embi P, Leonard AC. Evaluating alert fatigue over time to EHR-based clinical trial alerts: findings from a randomized controlled study. J Am Med Inform…
  3. psnet.ahrq.gov/issue/can-asking-emergency-physicians-whether-or-not-they-would-have-done-something-differently
    July 01, 2016 - Study Can asking emergency physicians whether or not they would have done something differently (WYHDSD) be a useful screening tool to identify emergency department error? Citation Text: Arastehmanesh D, Mangino A, Eshraghi N, et al. Can asking emergency physicians whether or not they wo…
  4. psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
    December 08, 2021 - Study Predictors of adverse events in patients after discharge from the intensive care unit. Citation Text: Chaboyer W, Thalib L, Foster M, et al. Predictors of adverse events in patients after discharge from the intensive care unit. Am J Crit Care. 2008;17(3):255-63; quiz 264. Copy …
  5. psnet.ahrq.gov/issue/can-preventable-adverse-events-be-predicted-among-hospitalized-older-patients-development-and
    March 18, 2013 - Study Can preventable adverse events be predicted among hospitalized older patients? The development and validation of a predictive model. Citation Text: Van De Steeg L, Langelaan M, Wagner C. Can preventable adverse events be predicted among hospitalized older patients? The development …
  6. psnet.ahrq.gov/issue/hospitalwide-adverse-drug-events-and-after-limiting-weekly-work-hours-medical-residents-80
    May 04, 2010 - Study Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Citation Text: Mycyk MB, McDaniel MR, Fotis MA, et al. Hospitalwide adverse drug events before and after limiting weekly work hours of medical residents to 80. Am J Health Sys…
  7. psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
    February 03, 2021 - Study Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. Citation Text: Halligan D, Janes G, Conner M, et al. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in…
  8. psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network
    October 19, 2022 - Study Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. Citation Text: Self WH, Tenforde MW, Stubblefield WB, et al. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a mu…
  9. psnet.ahrq.gov/issue/resilience-nursing-medication-administration-practice-systematic-review-narrative-synthesis
    February 18, 2017 - Review Resilience in nursing medication administration practice: a systematic review with narrative synthesis. Citation Text: Kellett PLR, Franklin BD, Pearce S, et al. Resilience in nursing medication administration practice: a systematic review with narrative synthesis. BMJ Open Qual. …
  10. psnet.ahrq.gov/issue/board-bedside-how-application-financial-structures-safety-and-quality-can-drive
    January 29, 2015 - Study From board to bedside: how the application of financial structures to safety and quality can drive accountability in a large health care system. Citation Text: Austin M, Demski R, Callender T, et al. From Board to Bedside: How the Application of Financial Structures to Safety and Q…
  11. psnet.ahrq.gov/issue/developing-high-value-care-programme-bottom-programme-faculty-resident-improvement-projects
    December 16, 2020 - Study Developing a high value care programme from the bottom up: a programme of faculty-resident improvement projects targeting harmful or unnecessary care. Citation Text: Stinnett-Donnelly JM, Stevens PG, Hood VL. Developing a high value care programme from the bottom up: a programme of…
  12. psnet.ahrq.gov/issue/examining-patient-safety-events-using-behaviour-change-wheel-cross-sectional-analysis
    September 20, 2012 - Study Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Citation Text: Somerville M, Cassidy C, MacPhee S, et al. Examining patient safety events using the behaviour change wheel: a cross-sectional analysis. Jt Comm J Qual Patient Saf. 2025;51(…
  13. psnet.ahrq.gov/issue/electronic-health-record-based-triggers-detect-potential-delays-cancer-diagnosis
    January 19, 2012 - Study Electronic health record-based triggers to detect potential delays in cancer diagnosis. Citation Text: Murphy DR, Laxmisan A, Reis BA, et al. Electronic health record-based triggers to detect potential delays in cancer diagnosis. BMJ Qual Saf. 2014;23(1):8-16. doi:10.1136/bmjqs-201…
  14. psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through
    August 21, 2019 - Study Analysis of reported suicide safety events among veterans who received treatment through Department of Veterans Affairs-contracted community care. Citation Text: Riblet NB, Soncrant C, Mills PD, et al. Analysis of reported suicide safety events among veterans who received treatment…
  15. psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
    May 03, 2023 - Study Adverse patient safety events during the COVID epidemic. Citation Text: Yackel EE, Knowles RS, Jones CM, et al. Adverse patient safety events during the COVID epidemic. J Patient Saf. 2023;19(5):340-345. doi:10.1097/pts.0000000000001129. Copy Citation Format: DOI Goog…
  16. psnet.ahrq.gov/issue/electronic-trigger-based-intervention-reduce-delays-diagnostic-evaluation-cancer-cluster
    April 09, 2013 - Study Classic Electronic trigger-based intervention to reduce delays in diagnostic evaluation for cancer: a cluster randomized controlled trial. Citation Text: Murphy DR, Wu L, Thomas EJ, et al. Electronic Trigger-Based Intervention to Reduce Delays in Diagnosti…
  17. psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
    March 09, 2022 - Study Healthcare failure mode and effect analysis in the chemotherapy preparation process. Citation Text: Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…
  18. psnet.ahrq.gov/issue/what-us-hospitals-are-doing-prevent-common-device-associated-infections-during-coronavirus
    May 08, 2019 - Study What US hospitals are doing to prevent common device-associated infections during the coronavirus disease 2019 (COVID-19) pandemic: results from a national survey in the United States. Citation Text: Saint S, Greene MT, Krein SL, et al. What US hospitals are doing to prevent common…
  19. psnet.ahrq.gov/issue/effect-nonpayment-hospital-acquired-catheter-associated-urinary-tract-infection-statewide
    October 17, 2017 - Study Effect of nonpayment for hospital-acquired, catheter–associated urinary tract infection: a statewide analysis. Citation Text: Meddings JA, Reichert H, Rogers MAM, et al. Effect of nonpayment for hospital-acquired, catheter-associated urinary tract infection: a statewide analysis.…
  20. psnet.ahrq.gov/issue/world-health-organization-field-trial-assessing-proposed-icd-11-framework-classifying-patient
    December 29, 2014 - Study A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. Citation Text: Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety…

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