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Showing results for "incidents".

4721. Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. | PSNet
      psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
      March 11, 2020 - Study Mind the gap between recommendation and implementation—principles and lessons in the aftermath of incident investigations: a semi-quantitative and qualitative study of factors leading to the successful implementation of recommendations. Citation Text: Wrigstad J, Bergström J, Gusta…

4722. Radiologic safety events within a pediatric emergency medicine network. | PSNet
      psnet.ahrq.gov/issue/radiologic-safety-events-within-pediatric-emergency-medicine-network
      August 01, 2018 - Study Radiologic safety events within a pediatric emergency medicine network. Citation Text: Blumberg SM, Mahajan P, OʼConnell KJ, et al. Radiologic Safety Events Within a Pediatric Emergency Medicine Network. Pediatr Emerg Care. 2017;33(2):92-96. doi:10.1097/PEC.0000000000000684. Copy…

4723. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? | PSNet
      psnet.ahrq.gov/issue/incident-reporting-systems-what-will-it-take-make-them-less-frustrating-and-achieve-anything
      November 03, 2021 - Commentary Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Citation Text: Shojania KG. Incident reporting systems: what will it take to make them less frustrating and achieve anything useful? Jt Comm J Qual Patient Saf. 2021;47(12)…

4724. Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. | PSNet
      psnet.ahrq.gov/issue/incidence-and-nature-adverse-events-during-pediatric-sedationanesthesia-procedures-outside
      March 01, 2011 - Study Incidence and nature of adverse events during pediatric sedation/anesthesia for procedures outside the operating room: report from the Pediatric Sedation Research Consortium. Citation Text: Cravero JP, Blike G, Beach M, et al. Incidence and nature of adverse events during pediatr…

4725. Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. | PSNet
      psnet.ahrq.gov/issue/should-i-report-qualitative-study-barriers-incident-reporting-among-nurses-working-nursing
      March 31, 2021 - Study Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Citation Text: Prang IW, Jelsness-Jørgensen L-P. Should I report? A qualitative study of barriers to incident reporting among nurses working in nursing homes. Geriatr Nurs.…

4726. Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center. | PSNet
      psnet.ahrq.gov/issue/implementation-online-reporting-system-identify-unprofessional-behaviors-and-mistreatment
      July 13, 2022 - Study Implementation of an online reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical center. Citation Text: Leitman IM, Muller D, Miller S, et al. Implementation of an online reporting system to identify unprofessional behav…

4727. Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. | PSNet
      psnet.ahrq.gov/issue/success-hospital-acquired-pressure-ulcer-prevention-tale-two-data-sets
      May 17, 2018 - Study Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. Citation Text: Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2…

4728. Fatal flaws in clinical decision making. | PSNet
      psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
      March 03, 2011 - Study Fatal flaws in clinical decision making. Citation Text: Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

4729. Adaptation of AHRQ Patient Safety Indicators for Use in ICD-10 Administrative Data by an International Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Quan_52.pdf
      March 10, 2008 - depressants and anesthetics, numerator inclusion Y70.0 Anesthesiology devices associated with adverse incidents … , diagnostic and monitoring devices Y70.1 Anesthesiology devices associated with adverse incidents … therapeutic (nonsurgical) and rehabilitative devices Y70.2 Anesthesiology devices associated with adverse incidents … implants, materials, and accessory devices Y70.3 Anesthesiology devices associated with adverse incidents … , materials and devices (including sutures) Y70.8 Anesthesiology devices associated with adverse incidents

4730. Inpatient Stays and Emergency Department Visits Involving Traumatic Brain Injury, 2017 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb255-Traumatic-Brain-Injury-Hospitalizations-ED-Visits-2017.pdf
      January 01, 2017 - ■ Unintentional MVT and other transport incidents was the leading cause of TBI-related inpatient … inpatient stays for patients aged 5–34 years were caused by unintentional MVT and other transport incidents … hemorrhage or mild to severe TBIs, loss of consciousness, or unintentional MVT or other transport incidents … Unintentional MVT incidents. … Inpatient stays for TBIs caused by MVT and other transport incidents lasted an average of 8.6 days and

4731. Electronic Health Record Usability - Vendor Practices and Perspectives (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/EHRVendorPracticesPerspectives.pdf
      May 01, 2010 -  Most vendors reported that they collect, but do not share, lists of incidents related to usability … reported placing specific contractual restrictions on disclosures by system users of patient safety incidents … reported placing specific contractual restrictions on disclosures by system users of patient safety incidents … that were potentially related to the EHR products, sharing patient safety incidents with other customers … testing during design and development, vendors are opening the door to potential patient safety incidents

4732. Archived: Evidence Summary: Harms of Screening for Breast Cancer: Breast Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/evidence-summary-harms-of-screening-for-breast-cancer/breast-cancer-screening-january-2016
      January 11, 2016 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Evidence Summary: Harms of Screening for Breast Cancer Breast Cancer: Screening January 11, 2016 Recommendations made by the USPSTF are independent of the U.S. gov…

4733. VitaminD, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Evidence Report and Systematic Review for the USPSTF (pdf file)
      www.uspreventiveservicestaskforce.org/home/getfilebytoken/Yc24U4wMLXGoqE5NjwRVA6
      April 17, 2018 - VitaminD, Calcium, or Combined Supplementation for the Primary Prevention of Fractures in Community-Dwelling Adults: Evidence Report and Systematic Review for the USPSTF VitaminD,Calcium,orCombinedSupplementationforthePrimary Prevention of Fractures in Community-Dwelling Adults Evidence Report and Systematic Review f…

4734. Innovation in Perioperative Patient Safety. | PSNet
      psnet.ahrq.gov/issue/innovation-perioperative-patient-safety
      January 02, 2011 - Special or Theme Issue Innovation in Perioperative Patient Safety. Citation Text: Innovation in Perioperative Patient Safety. Miller DR, Merry AF, eds. Can J Anesth. 2013;60(2):7-220. Copy Citation Save Save to your library Print Download PDF S…

4735. External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. | PSNet
      psnet.ahrq.gov/issue/external-inquiry-adverse-incident-occurred-queens-medical-centre-nottingham-4th-january-2001
      September 10, 2014 - Book/Report External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Citation Text: External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001. Toft B. London, UK; Crown C…

4736. Modeling Study: Colorectal Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-modeling-study18/colorectal-cancer-screening
      May 18, 2021 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Modeling Study Colorectal Cancer: Screening May 18, 2021 Recommendations made by the USPSTF are independent of the U.S. government. They should not be construed as an off…

4737. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866517/psn-pdf
      August 14, 2024 - Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. August 14, 2024 Aikens RC, Chen JH, Baiocchi M, et al. Feedback loop failure modes in medical diagnosis: how biases can emerge and be reinforced. Med Decis Making. 2024;44(5):481-496. doi:10.1177/0272989x241248612. https://p…

4738. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36315/psn-pdf
      July 10, 2008 - Wrong-side/wrong-site, wrong-procedure, and wrong- patient adverse events: are they preventable? July 10, 2008 Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9. https://psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-p…

4739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841769/psn-pdf
      December 21, 2022 - Negative emotions experienced by healthcare staff following medication administration errors: a descriptive study using text-mining and content analysis of incident data. December 21, 2022 Mahat S, Rafferty AM, Vehviläinen-Julkunen K, et al. Negative emotions experienced by healthcare staff following medication a…

4740. Final Progress Report: The Role of Collective Mindfulness in Delivering Reliable and Safe Perioperative Care to Neonates (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/france-report.pdf
      January 01, 2024 - The response of anesthesia trainees to simulated critical incidents. … Critical incidents associated with intraoperative exchanges of anesthesia personnel. … The impact of minor perioperative anesthesia-related incidents, events, and complications on post-anesthesia … The role of experience in the response to simulated critical incidents. … Errors, incidents, and accidents in anaesthetic practice.