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Showing results for "incidents".

  1. psnet.ahrq.gov/issue/distraction-and-interruption-anaesthetic-practice
    May 18, 2022 - Study Distraction and interruption in anaesthetic practice. Citation Text: Campbell G, Arfanis K, Smith AF. Distraction and interruption in anaesthetic practice. Br J Anaesth. 2012;109(5):707-715. doi:10.1093/bja/aes219. Copy Citation Format: DOI Google Scholar PubMed BibTe…
  2. psnet.ahrq.gov/issue/applied-use-safety-event-occurrence-control-charts-harm-and-non-harm-events-case-study
    October 23, 2024 - Commentary Applied use of safety event occurrence control charts of harm and non-harm events: a case study. Citation Text: Robinson SN, Neyens DM, Diller T. Applied Use of Safety Event Occurrence Control Charts of Harm and Non-Harm Events: A Case Study. Am J Med Qual. 2017;32(3):285-291.…
  3. psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
    April 22, 2015 - Commentary The bare minimum: the reality of global anaesthesia and patient safety. Citation Text: McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x. Copy Citatio…
  4. psnet.ahrq.gov/issue/medical-errors-reported-french-general-practitioners-training-results-survey-and-individual
    March 10, 2011 - Study Medical errors reported by French general practitioners in training: results of a survey and individual interviews. Citation Text: Venus E, Galam E, Aubert J-P, et al. Medical errors reported by French general practitioners in training: results of a survey and individual intervie…
  5. psnet.ahrq.gov/issue/toward-new-paradigm-hospital-based-pediatric-education-development-onsite-simulator-program
    May 18, 2022 - Commentary Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator program. Citation Text: Weinstock PH, Kappus LJ, Kleinman ME, et al. Toward a new paradigm in hospital-based pediatric education: the development of an onsite simulator progra…
  6. psnet.ahrq.gov/issue/integrative-review-current-evidence-relationship-between-hand-hygiene-interventions-and
    February 22, 2023 - Review An integrative review of the current evidence on the relationship between hand hygiene interventions and the incidence of health care-associated infections. Citation Text: Backman C, Zoutman DE, Marck PB. An integrative review of the current evidence on the relationship between h…
  7. psnet.ahrq.gov/issue/use-anatomical-side-markers-general-radiology-systematic-review-current-literature
    October 21, 2020 - Review The use of anatomical side markers in general radiology: a systematic review of the current literature. Citation Text: Chung L, Kumar S, Oldfield J, et al. The use of anatomical side markers in general radiology: a systematic review of the current literature. J Patient Saf. 2022;1…
  8. psnet.ahrq.gov/issue/governing-quality-and-safety-healthcare-conceptual-framework
    September 03, 2011 - Commentary Governing the quality and safety of healthcare: a conceptual framework. Citation Text: Brown A, Dickinson H, Kelaher M. Governing the quality and safety of healthcare: A conceptual framework. Soc Sci Med. 2018;202:99-107. doi:10.1016/j.socscimed.2018.02.020. Copy Citation …
  9. psnet.ahrq.gov/issue/health-service-accreditation-predictor-clinical-and-organisational-performance-blinded-random
    October 19, 2022 - Study Health service accreditation as a predictor of clinical and organisational performance: a blinded, random, stratified study. Citation Text: Braithwaite J, Greenfield D, Westbrook JI, et al. Health service accreditation as a predictor of clinical and organisational performance: a …
  10. psnet.ahrq.gov/issue/carers-medication-administration-errors-domiciliary-setting-systematic-review
    December 18, 2017 - Review Carers' medication administration errors in the domiciliary setting: a systematic review. Citation Text: Parand A, Garfield S, Vincent CA, et al. Carers' Medication Administration Errors in the Domiciliary Setting: A Systematic Review. PLoS One. 2016;11(12):e0167204. doi:10.1371/j…
  11. psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
    May 20, 2020 - Review Incidence of drug-related adverse events related to the use of high-alert drugs: a systematic review of randomized controlled trials. Citation Text: Menezes MS, Doria GAA, Valença-Feitosa F, et al. Incidence of drug-related adverse events related to the use of high-alert drugs: a …
  12. psnet.ahrq.gov/issue/pediatric-patient-safety-emergency-departments-unit-characteristics-and-staff-perceptions
    April 03, 2013 - Study Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. Citation Text: Shaw KN, Ruddy RM, Olsen CS, et al. Pediatric patient safety in emergency departments: unit characteristics and staff perceptions. Pediatrics. 2009;124(2):485-93. doi:10.…
  13. psnet.ahrq.gov/issue/10000-good-catches-increasing-safety-event-reporting-pediatric-health-care-system
    April 20, 2022 - Study 10,000 good catches: increasing safety event reporting in a pediatric health care system. Citation Text: Crandall KM, Almuhanna A, Cady R, et al. 10,000 Good Catches: Increasing Safety Event Reporting In A Pediatric Health Care System. Pediatr Qual Saf. 2019;3(2):e072. doi:10.1097/…
  14. psnet.ahrq.gov/issue/root-causes-and-preventability-unintentionally-retained-foreign-objects-after-surgery
    June 14, 2023 - Study Root causes and preventability of unintentionally retained foreign objects after surgery: a national expert survey from Switzerland. Citation Text: Schwappach DLB, Pfeiffer Y. Root causes and preventability of unintentionally retained foreign objects after surgery: a national exper…
  15. psnet.ahrq.gov/issue/defining-incidence-cardiorespiratory-instability-patients-step-down-units-using-electronic
    September 04, 2013 - Study Defining the incidence of cardiorespiratory instability in patients in step-down units using an electronic integrated monitoring system. Citation Text: Hravnak M, Edwards L, Clontz A, et al. Defining the incidence of cardiorespiratory instability in patients in step-down units us…
  16. psnet.ahrq.gov/issue/consequences-whistle-blowing-integrative-review
    November 16, 2022 - Review The consequences of whistle-blowing: an integrative review. Citation Text: Lim CR, Zhang MWB, Hussain SF, et al. The Consequences of Whistle-blowing: An Integrative Review. J Patient Saf. 2021;17(6):e497-e502. doi:10.1097/PTS.0000000000000396. Copy Citation Format: D…
  17. psnet.ahrq.gov/issue/cognitive-error-most-frequent-contributory-factor-cases-medical-injury-study-verdicts
    September 25, 2013 - Study Cognitive error as the most frequent contributory factor in cases of medical injury: a study on verdict's judgment among closed claims in Japan. Citation Text: Tokuda Y, Kishida N, Konishi R, et al. Cognitive error as the most frequent contributory factor in cases of medical inju…
  18. psnet.ahrq.gov/issue/diagnosing-sepsis-subjective-and-highly-variable-survey-intensivists-using-case-vignettes
    August 20, 2018 - Study Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Citation Text: Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1…
  19. psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
    May 08, 2017 - Commentary Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Citation Text: Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a…
  20. psnet.ahrq.gov/issue/nurses-perspectives-regarding-disclosure-errors-patients-qualitative-study
    January 28, 2015 - Study Nurses' perspectives regarding the disclosure of errors to patients: a qualitative study. Citation Text: McLennan SR, Diebold M, Rich LE, et al. Nurses' perspectives regarding the disclosure of errors to patients: A qualitative study. Int J Nurs Stud. 2016;54:16-22. doi:10.1016/j.i…