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Showing results for "incidents".

4741. Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. | PSNet
      psnet.ahrq.gov/issue/integrating-incident-data-five-reporting-systems-assess-patient-safety-making-sense-elephant
      November 25, 2009 - Study Classic Integrating incident data from five reporting systems to assess patient safety: making sense of the elephant. Citation Text: Levtzion-Korach O, Frankel A, Alcalai H, et al. Integrating incident data from five reporting systems to assess patient saf…

4742. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. | PSNet
      psnet.ahrq.gov/issue/investigating-racial-and-ethnic-disparities-maternal-care-system-level-using-patient-safety
      March 29, 2023 - Study Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Citation Text: Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incid…

4743. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. | PSNet
      psnet.ahrq.gov/issue/incidence-and-outcomes-non-ventilator-associated-hospital-acquired-pneumonia-284-us-hospitals
      October 09, 2024 - Study Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US hospitals using electronic surveillance criteria. Citation Text: Jones BE, Sarvet AL, Ying J, et al. Incidence and outcomes of non-ventilator-associated hospital-acquired pneumonia in 284 US h…

4744. Electronic approaches to making sense of the text in the adverse event reporting system. | PSNet
      psnet.ahrq.gov/issue/electronic-approaches-making-sense-text-adverse-event-reporting-system
      August 03, 2022 - Study Electronic approaches to making sense of the text in the adverse event reporting system. Citation Text: Benin AL, Fodeh SJ, Lee K, et al. Electronic approaches to making sense of the text in the adverse event reporting system. J Healthc Risk Manag. 2016;36(2):10-20. doi:10.1002/jhr…

4745. Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. | PSNet
      psnet.ahrq.gov/issue/barriers-and-facilitators-improving-patient-safety-learning-systems-systematic-review
      October 16, 2024 - Review Barriers and facilitators to improving patient safety learning systems: a systematic review of qualitative studies and meta-synthesis. Citation Text: Mahmoud HA, Thavorn K, Mulpuru S, et al. Barriers and facilitators to improving patient safety learning systems: a systematic revie…

4746. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet
      psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
      April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

4747. The incidence of adverse drug events in two large academic long-term care facilities. | PSNet
      psnet.ahrq.gov/issue/incidence-adverse-drug-events-two-large-academic-long-term-care-facilities
      February 11, 2009 - Study The incidence of adverse drug events in two large academic long-term care facilities. Citation Text: Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018.…

4748. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. | PSNet
      psnet.ahrq.gov/issue/factors-associated-potentially-missed-acute-deterioration-primary-care-cohort-study-uk
      February 02, 2022 - Study Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practices. Citation Text: Cecil E, Bottle A, Majeed A, et al. Factors associated with potentially missed acute deterioration in primary care: cohort study of UK general practi…

4749. Do user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical response intervention for deteriorating patients in wards? A systematic search and review. | PSNet
      psnet.ahrq.gov/issue/do-user-applied-safety-labels-medication-syringes-reduce-incidence-medication-errors-during
      February 28, 2024 - Review Do user-applied safety labels on medication syringes reduce the incidence of medication errors during rapid medical response intervention for deteriorating patients in wards? A systematic search and review. Citation Text: Mikhail J, Grantham H, King L. Do User-Applied Safety Label…

4750. Individual surgeon mortality rates: can outliers be detected? A national utility analysis. | PSNet
      psnet.ahrq.gov/issue/individual-surgeon-mortality-rates-can-outliers-be-detected-national-utility-analysis
      October 27, 2021 - Study Individual surgeon mortality rates: can outliers be detected? A national utility analysis. Citation Text: Harrison EM, Drake TM, O'Neill S, et al. Individual surgeon mortality rates: can outliers be detected? A national utility analysis. BMJ Open. 2016;6(10):e012471. doi:10.1136/bm…

4751. Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review. | PSNet
      psnet.ahrq.gov/issue/incidence-clinically-relevant-medication-errors-era-electronically-prepopulated-medication
      September 14, 2016 - Study Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review. Citation Text: Stockton KR, Wickham ME, Lai S, et al. Incidence of clinically relevant medication errors in the era of elect…

4752. Final Research Plan: Skin Cancer Prevention: Behavioral Counseling | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/skin-cancer-counseling
      June 30, 2016 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Skin Cancer Prevention: Behavioral Counseling June 30, 2016 Recommendations made by the USPSTF are independent of the U.S. government. They should not …

4753. 129-Ss-Blank-Lfd (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/129-ss-blank-lfd.docx
      April 01, 2025 - This could include incidents, such as a surgical site infection (SSI), that you believe caused patient

4754. Misread Label | PSNet
      psnet.ahrq.gov/web-mm/misread-label
      August 28, 2024 - How to investigate and analyse clinical incidents: clinical risk unit and association of litigation and

4755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854818/psn-pdf
      October 25, 2023 - The nature, causes, and clinical impact of errors in the clinical laboratory testing process leading to diagnostic error: a voluntary incident report analysis. October 25, 2023 van Moll C, Egberts TCG, Wagner C, et al. The nature, causes, and clinical impact of errors in the clinical laboratory testing process lea…

4756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38489/psn-pdf
      November 25, 2009 - Evaluation of the contributions of an electronic web- based reporting system: enabling action. November 25, 2009 Levtzion-Korach O, Alcalai H, Orav EJ, et al. Evaluation of the contributions of an electronic web-based reporting system: enabling action. J Patient Saf. 2009;52(1):9-15. doi:10.1097/PTS.0b013e318198dc8…

4757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38205/psn-pdf
      November 12, 2008 - Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative. November 12, 2008 Takata GS, Taketomo CK, Waite S, et al. Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatri…

4758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838634/psn-pdf
      October 19, 2022 - A comparative study measuring the difference of healthcare workers reactions among those involved in a patent safety incident and healthcare professionals while working during COVID-19. October 19, 2022 Seys D, De Decker E, Waelkens H, et al. A comparative study measuring the difference of healthcare workers reac…

4759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852272/psn-pdf
      January 01, 2024 - Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. August 9, 2023 Alfred MC, Wilson D, DeForest E, et al. Investigating racial and ethnic disparities in maternal care at the system level using patient safety incident reports. Jt Comm J Qual Patien…

4760. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47496/psn-pdf
      June 15, 2019 - Fatal flaws in clinical decision making. June 15, 2019 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. https://psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making Clinical decision-making is a complex process affected…