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Total Results: over 10,000 records

Showing results for "incidents".

  1. psnet.ahrq.gov/issue/inappropriate-prescribing-older-patients-nurse-practitioners-and-primary-care-physicians
    September 23, 2020 - Study Inappropriate prescribing to older patients by nurse practitioners and primary care physicians. Citation Text: Huynh J, Alim SA, Chan DC, et al. Inappropriate Prescribing to Older Patients by Nurse Practitioners and Primary Care Physicians. Ann Intern Med. 2023;176(11):1448-1455. d…
  2. psnet.ahrq.gov/issue/implementation-comprehensive-unit-based-safety-program-reduce-surgical-site-infections
    December 20, 2023 - Study Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean delivery. Citation Text: Dieplinger B, Egger M, Jezek C, et al. Implementation of a comprehensive unit-based safety program to reduce surgical site infections in cesarean deli…
  3. psnet.ahrq.gov/issue/wrong-site-surgery-pennsylvania-during-2015-2019-study-variables-associated-368-events-178
    October 09, 2024 - Study Wrong-site surgery in Pennsylvania during 2015–2019: a study of variables associated with 368 events from 178 facilities. Citation Text: Yonash RA, Taylor M. Wrong-Site Surgery in Pennsylvania During 2015–2019: A Study of Variables Associated With 368 Events From 178 Facilities. …
  4. psnet.ahrq.gov/issue/room-hazards-comparison-differences-safety-hazard-recognition-among-various-hospital-based
    April 01, 2020 - Study Room of hazards: a comparison of differences in safety hazard recognition among various hospital-based healthcare professionals and trainees in a simulated patient room. Citation Text: Wang M, Banda B, Rodwin BA, et al. Room of hazards: a comparison of differences in safety hazard …
  5. psnet.ahrq.gov/issue/data-driven-quality-improvement-culture-change-and-high-reliability-journey-special-hospital
    March 24, 2021 - Commentary Data-driven quality improvement, culture change, and the high reliability journey at a special hospital for people with medically complex developmental disabilities. Citation Text: Barba V, Foreman K, Robey K. Data-driven quality improvement, culture change, and the high relia…
  6. psnet.ahrq.gov/issue/association-inappropriate-outpatient-pediatric-antibiotic-prescriptions-adverse-drug-events
    March 05, 2008 - Review Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug events and health care expenditures. Citation Text: Butler AM, Brown DS, Durkin MJ, et al. Association of inappropriate outpatient pediatric antibiotic prescriptions with adverse drug even…
  7. psnet.ahrq.gov/issue/electronic-prescribing-and-other-forms-technology-reduce-inappropriate-medication-use-and
    August 10, 2022 - Review Electronic prescribing and other forms of technology to reduce inappropriate medication use and polypharmacy in older people: a review of current evidence. Citation Text: Clyne B, Bradley MC, Hughes C, et al. Electronic prescribing and other forms of technology to reduce inapprop…
  8. 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(…
  9. psnet.ahrq.gov/issue/quality-standards-safe-medication-nursing-homes-development-through-multistep-approach
    July 13, 2022 - Study Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study. Citation Text: Brühwiler LD, Niederhauser A, Fischer S, et al. Quality standards for safe medication in nursing homes: development through a multiste…
  10. psnet.ahrq.gov/issue/outcomes-daytime-procedures-performed-attending-surgeons-after-night-work
    December 18, 2014 - Study Classic Outcomes of daytime procedures performed by attending surgeons after night work. Citation Text: Govindarajan A, Urbach DR, Kumar M, et al. Outcomes of Daytime Procedures Performed by Attending Surgeons after Night Work. N Engl J Med. 2015;373(9):84…
  11. psnet.ahrq.gov/issue/impact-electronic-health-records-time-efficiency-physicians-and-nurses-systematic-review
    March 11, 2011 - Review Classic The impact of electronic health records on time efficiency of physicians and nurses: a systematic review. Citation Text: Poissant L, Pereira J, Tamblyn R, et al. The impact of electronic health records on time efficiency of physicians and nurses…
  12. psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department
    September 22, 2017 - Study Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study. Citation Text: Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-related activities in the emergency department…
  13. psnet.ahrq.gov/issue/asset-based-quality-improvement-tool-health-care-organizations-cultivating-organization-wide
    September 16, 2020 - Commentary An asset-based quality improvement tool for health care organizations: cultivating organization wide quality improvement and health care professional engagement. Citation Text: Loving VA, Nolan C, Bessel M. An asset-based quality improvement tool for health care organizations:…
  14. psnet.ahrq.gov/issue/emergency-department-contribution-prescription-opioid-epidemic
    June 21, 2016 - Study Classic Emergency department contribution to the prescription opioid epidemic. Citation Text: Axeen S, Seabury SA, Menchine M. Emergency Department Contribution to the Prescription Opioid Epidemic. Ann Emerg Med. 2018;71(6):659-667.e3. doi:10.1016/j.anneme…
  15. psnet.ahrq.gov/issue/preventing-iatrogenic-overdose-review-emergency-department-opioid-related-adverse-drug-events
    August 12, 2020 - Study Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors. Citation Text: Beaudoin FL, Merchant RC, Janicki A, et al. Preventing iatrogenic overdose: a review of in-emergency department opioid-related adverse drug e…
  16. psnet.ahrq.gov/issue/opioid-prescribing-and-adverse-events-opioid-naive-patients-treated-emergency-physicians
    July 18, 2018 - Study Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. Citation Text: Borgundvaag B, McLeod S, Khuu W, et al. Opioid prescribing and adverse events in opioid-naive patients treated by…
  17. psnet.ahrq.gov/issue/associations-between-organizational-communication-and-patients-experience-prolonged-emotional
    October 27, 2021 - Study Associations between organizational communication and patients' experience of prolonged emotional impact following medical errors. Citation Text: Sokol-Hessner L, Dechen T, Folcarelli P, et al. Associations between organizational communication and patients' experience of prolonged …
  18. psnet.ahrq.gov/issue/quality-improvement-initiatives-lead-reduction-nulliparous-term-singleton-vertex-cesarean
    October 19, 2022 - Study Classic Quality improvement initiatives lead to reduction in nulliparous term singleton vertex cesarean delivery rate. Citation Text: Vadnais MA, Hacker MR, Shah NT, et al. Quality improvement initiatives lead to reduction in nulliparous term singleton ver…
  19. psnet.ahrq.gov/issue/evaluating-inpatient-mortality-new-electronic-review-process-gathers-information-front-line
    February 18, 2011 - Study Evaluating inpatient mortality: a new electronic review process that gathers information from front-line providers. Citation Text: Provenzano A, Rohan S, Trevejo E, et al. Evaluating inpatient mortality: a new electronic review process that gathers information from front-line provi…
  20. psnet.ahrq.gov/issue/my-whole-room-went-chaos-because-thing-corner-unintended-consequences-central-fetal
    February 15, 2023 - Study "My whole room went into chaos because of that thing in the corner": unintended consequences of a central fetal monitoring system. Citation Text: Small K, Sidebotham M, Gamble J, et al. “My whole room went into chaos because of that thing in the corner”: unintended consequences of …

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