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Showing results for "incidents".

5141. Standardizing Medication Error Event Reporting in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
      March 01, 2004 - loss of credibility has made these same professionals reluctant to report or discuss error-related incidents … introduced to facilitate the creation of a voluntary system for reporting medical errors and near- miss incidents … Safety Center Registry by quarter from October 2001 through September 2003 Of all medication-related incidents

5142. Final Progress Report: Call Light Responsiveness and Effect on Inpatient Falls and Patient Perceptions (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/tzeng-report.pdf
      January 01, 2024 - 3 FINAL REPORT NARRATIVE Purpose Hospital inpatient falls are among the most frequently reported incidents … Each hospital has its own form to document fall incidents. … Each hospital has its own form to document fall incidents.

5143. #14 SUBSTANCE ABUSE (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/substance-abuse-horizon-scan-high-impact-1512.pdf
      December 01, 2015 - alcohol use events yearly.8,9 Experts estimate that annually, more than 1.2 billion binge-drinking incidents … occur nationwide.10 These incidents also represent a significant economic cost to the national economy … initially identify patients as being at- risk or they diagnose hazardous alcohol use behavior after incidents

5144. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33672/psn-pdf
      September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH September 1, 2008 In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph Editor's note: Eric G. Poon, MD, MPH, is Director of Clinical Informatics at Brigham and Women's Hospital and Assi…

5145. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49795/psn-pdf
      June 01, 2017 - The Perils of Contrast Media June 1, 2017 Sadat U, Solomon R. The Perils of Contrast Media. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/perils-contrast-media Case Objectives Recognize that contrast media are potentially nephrotoxic. Identify key risk factors for the development of contrast-induced kidne…

5146. Archived: Letter to the Editor and Response from the Evidence-Based Practice Center: Human Papillomavirus Testing to Screen for Cervical Cancer: Cervical Cancer: Screening | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/letter-to-the-editor-and-response-from-the-evidence-based-practice-center--human-papillomavirus-testing-to-screen-for-cervical-cancer/cervical-cancer-screening-2012
      February 15, 2012 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Letter to the Editor and Response from the Evidence-Based Practice Center: Human Papillomavirus Testing to Screen for Cervical Cancer Cervical Cancer: Screening Febru…

5147. Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents. | PSNet
      psnet.ahrq.gov/issue/surgeon-fatigue-prospective-analysis-incidence-risk-and-intervals-predicted-fatigue-related
      July 06, 2011 - Study Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predicted fatigue-related impairment in residents. Citation Text: McCormick F, Kadzielski J, Landrigan CP, et al. Surgeon fatigue: a prospective analysis of the incidence, risk, and intervals of predic…

5148. Systematic evaluation of errors occurring during the preparation of intravenous medication. | PSNet
      psnet.ahrq.gov/issue/systematic-evaluation-errors-occurring-during-preparation-intravenous-medication
      October 07, 2015 - Study Systematic evaluation of errors occurring during the preparation of intravenous medication. Citation Text: Parshuram CS, To T, Seto W, et al. Systematic evaluation of errors occurring during the preparation of intravenous medication. CMAJ. 2008;178(1):42-8. doi:10.1503/cmaj.06174…

5149. The alarming reality of medication error: a patient case and review of Pennsylvania and national data. | PSNet
      psnet.ahrq.gov/issue/alarming-reality-medication-error-patient-case-and-review-pennsylvania-and-national-data
      June 28, 2017 - Commentary The alarming reality of medication error: a patient case and review of Pennsylvania and national data. Citation Text: da Silva BA, Krishnamurthy M. The alarming reality of medication error: a patient case and review of Pennsylvania and National data. J Community Hosp Intern Me…

5150. Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. | PSNet
      psnet.ahrq.gov/issue/mitigating-errors-caused-interruptions-during-medication-verification-and-administration
      September 24, 2016 - Study Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting. Citation Text: Prakash V, Koczmara C, Savage P, et al. Mitigating errors caused by interruptions during medication verification…

5151. Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/vital-sign-abnormalities-rapid-response-and-adverse-outcomes-hospitalized-patients
      December 21, 2014 - Study Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. Citation Text: Fagan K, Sabel A, Mehler PS, et al. Vital sign abnormalities, rapid response, and adverse outcomes in hospitalized patients. Am J Med Qual. 2012;27(6):480-6. doi:10.1177/1062860…

5152. Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness | PSNet
      psnet.ahrq.gov/issue/effect-sedation-weaning-protocol-safety-and-medication-use-among-hospitalized-children-post
      August 04, 2021 - Journal Article Effect of a sedation weaning protocol on safety and medication use among hospitalized children post critical illness Citation Text: Solodiuk JC, Greco CD, O'Donnell KA, et al. Effect of a Sedation Weaning Protocol on Safety and Medication Use among Hospitalized Children P…

5153. Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi. | PSNet
      psnet.ahrq.gov/issue/medical-errors-and-consequent-adverse-events-critically-ill-surgical-patients-tertiary-care
      December 22, 2010 - Study Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospital in Delhi. Citation Text: Kumar S, Chaudhary S. Medical errors and consequent adverse events in critically ill surgical patients in a tertiary care teaching hospita…

5154. Patient safety and job-related stress: a focus group study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-job-related-stress-focus-group-study
      December 05, 2012 - Study Patient safety and job-related stress: a focus group study. Citation Text: Berland A, Natvig GK, Gundersen D. Patient safety and job-related stress: A focus group study. Intensive and Critical Care Nursing. 2007;24(2). doi:10.1016/j.iccn.2007.11.001. Copy Citation Format: …

5155. Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. | PSNet
      psnet.ahrq.gov/issue/intraoperative-handoffs-among-anesthesia-providers-increase-incidence-documentation-errors
      April 12, 2019 - Study Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs. Citation Text: Epstein RH, Dexter F, Gratch DM, et al. Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Contr…

5156. Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review. | PSNet
      psnet.ahrq.gov/issue/application-human-factor-analysis-and-classification-system-hfacs-model-prevention-medical
      October 05, 2022 - Review Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical errors and adverse events: a systematic review. Citation Text: Application of "Human Factor Analysis and Classification System" (HFACS) model to the prevention of medical er…

5157. Residents' intentions and actions after patient safety education. | PSNet
      psnet.ahrq.gov/issue/residents-intentions-and-actions-after-patient-safety-education
      June 08, 2011 - Study Residents' intentions and actions after patient safety education. Citation Text: Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. Copy Citation Format: D…

5158. Overnight and postcall errors in medication orders. | PSNet
      psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
      May 18, 2022 - Study Overnight and postcall errors in medication orders. Citation Text: Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med. 2005;12(7):629-34. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

5159. Assessing patient safety culture in hospitals across countries. | PSNet
      psnet.ahrq.gov/issue/assessing-patient-safety-culture-hospitals-across-countries
      December 01, 2010 - Study Assessing patient safety culture in hospitals across countries. Citation Text: Wagner C, Smits M, Sorra J, et al. Assessing patient safety culture in hospitals across countries. Int J Qual Health Care. 2013;25(3):213-21. doi:10.1093/intqhc/mzt024. Copy Citation Format: …

5160. A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. | PSNet
      psnet.ahrq.gov/issue/patient-safety-curriculum-medical-residents-based-perspectives-residents-and-supervisors
      April 14, 2011 - Study A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. Citation Text: Jansma JD, Wagner C, Bijnen AB. A patient safety curriculum for medical residents based on the perspectives of residents and supervisors. J Patient Saf. 2011;7…