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Showing results for "incidents".

  1. Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-associated-increased-risk-incident-disability
    October 19, 2022 - Study Potentially inappropriate medication use is associated with increased risk of incident disability in healthy older adults. Citation Text: Lockery JE, Collyer TA, Woods RL, et al. Potentially inappropriate medication use is associated with increased risk of incident disability in he…

  2. Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. | PSNet

    psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
    October 24, 2018 - Study Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. Citation Text: Neily J, Soncrant C, Mills PD, et al. Assessment of Incorrect Surgical Procedures Within and Outside the Opera…

  3. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-critical-incident-analysis-objective-tool-select-content-simulation
    June 28, 2023 - Study Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Citation Text: Yartsev A, Yang F. Intensive care unit critical incident analysis as an objective tool to select content for a simulation curriculum. Simul Healthc. 202…

  4. Evaluation of AHRQ's On-time Pressure Ulcer Program | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluation-ahrqs-time-pressure-ulcer-program
    January 01, 2023 - Evaluation of AHRQ's On-time Pressure Ulcer Program Project Description Annual Summaries Publications Project Details - Completed Contract Number 290-06-0011-8 Funding Mechanism(s) Accelerating Change and Transformation in O…

  5. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. | PSNet

    psnet.ahrq.gov/issue/effect-system-level-tiered-huddle-system-reporting-patient-safety-events-interrupted-time
    October 07, 2020 - Study The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time series analysis. Citation Text: Adapa K, Ivester T, Shea CM, et al. The effect of a system-level tiered huddle system on reporting patient safety events: an interrupted time se…

  6. Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. | PSNet

    psnet.ahrq.gov/issue/incidence-duration-and-risk-factors-associated-delayed-and-missed-diagnostic-opportunities
    May 19, 2021 - Study Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. Citation Text: Miller AC, Arakkal AT, Koeneman S, et al. Incidence, duration and risk factors associated with delayed and…

  7. Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. | PSNet

    psnet.ahrq.gov/issue/higher-incidence-adverse-events-isolated-patients-compared-non-isolated-patients-cohort-study
    June 01, 2022 - Study Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study. Citation Text: Jiménez-Pericás F, Gea Velázquez de Castro MT, Pastor-Valero M, et al. Higher incidence of adverse events in isolated patients compared with non-isolated pati…

  8. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
    July 07, 2021 - Study Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Citation Text: Iqbal AR, Parau CA, Kazi S, et al. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. Jt…

  9. Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. | PSNet

    psnet.ahrq.gov/issue/family-input-quality-and-safety-fiqs-using-mobile-technology-hospital-reporting-families-and
    November 24, 2021 - Study Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. Citation Text: Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in‐hospital reporting from famili…

  10. The July effect: an analysis of never events in the nationwide inpatient sample. | PSNet

    psnet.ahrq.gov/issue/july-effect-analysis-never-events-nationwide-inpatient-sample
    November 04, 2020 - Study Classic The July effect: an analysis of never events in the nationwide inpatient sample. Citation Text: Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:1…

  11. Adverse Event During Intrahospital Transport | PSNet

    psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
    June 16, 2021 - Clinical incidents that may or may not result in patient harm frequently occur during intrahospital transfer

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49425/psn-pdf
    November 01, 2003 - How to investigate and analyse clinical incidents: clinical risk unit and association of litigation

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39722/psn-pdf
    July 28, 2010 - Through and beyond anaesthesia awareness. July 28, 2010 Aaen A-M, Møller K. Through and beyond anaesthesia awareness. BMJ. 2010;341:c3669. doi:10.1136/bmj.c3669. https://psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness This commentary reveals one patient’s experience with anesthesia awareness and desc…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37231/psn-pdf
    May 02, 2018 - Fluorouracil error ends tragically, but application of lessons learned will save lives. May 2, 2018 ISMP Medication Safety Alert! Acute care edition. September 20, 2007. https://psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives This article summarizes an incident i…

  15. AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01) | Digital Healthcare Research

    digital.ahrq.gov/funding-mechanism/understanding-and-improving-diagnostic-safety-ambulatory-care-incidence-and
    January 01, 2023 - AHRQ Understanding and Improving Diagnostic Safety in Ambulatory Care: Incidence and Contributing Factors (R01) Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Description This research…

  16. Future Vision for Probabilistic Diagnostic Decisions | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/probabilistic-thinking4.html
    September 01, 2022 - Improved Diagnostic Accuracy Through Probability-Based Diagnosis Future Vision for Probabilistic Diagnostic Decisions Previous Page Next Page Table of Contents Improved Diagnostic Accuracy Through Probability-Based Diagnosis Introduction Fundamental Concepts for Understanding Probability Proba…

  17. Scottish Patient Safety Programme. | PSNet

    psnet.ahrq.gov/issue/scottish-patient-safety-alliance
    July 29, 2015 - Multi-use Website Scottish Patient Safety Programme. Citation Text: Scottish Patient Safety Programme. Health Improvement Scotland Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Co…

  18. Colorectal Cancer Screening: An Updated Modeling Study for the US Preventive Services Task Force (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/473PPVwoRhapCkN9SC-rue
    May 18, 2021 - Colorectal Cancer Screening: An Updated Modeling Study for the US Preventive Services Task Force Colorectal Cancer Screening An Updated Modeling Study for the US Preventive Services Task Force Amy B. Knudsen, PhD; Carolyn M. Rutter, PhD; Elisabeth F. P. Peterse, PhD; Anna P. Lietz, BA; Claudia L. Seguin, BA; Reinier …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42543/psn-pdf
    September 29, 2017 - Advancing the research agenda for diagnostic error reduction. September 29, 2017 Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. https://psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error…

  20. Incidence, clinical correlates and treatment effect of rage in anxious children. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/utilizing-health-information-technology-improve-health-care-quality/citation-3
    January 01, 2023 - Incidence, clinical correlates and treatment effect of rage in anxious children. Citation Johnco C, Salloum A, De Nadai AS, et al. Incidence, clinical correlates and treatment effect of rage in anxious children. Psychiatry Res 2015;229(1-2):63–9. PMID: 26235476. Link https://www.ncbi.nlm.nih.g…
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