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Showing results for "incidents".

  1. Unintended adverse consequences of introducing electronic health records in residential aged care homes. | PSNet

    psnet.ahrq.gov/issue/unintended-adverse-consequences-introducing-electronic-health-records-residential-aged-care
    March 24, 2019 - Study Unintended adverse consequences of introducing electronic health records in residential aged care homes. Citation Text: Yu P, Zhang Y, Gong Y, et al. Unintended adverse consequences of introducing electronic health records in residential aged care homes. Int J Med Inform. 2013;82…

  2. Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. | PSNet

    psnet.ahrq.gov/issue/involving-patients-andor-their-next-kin-serious-adverse-event-investigations-qualitative
    September 25, 2024 - Study Involving patients and/or their next of kin in serious adverse event investigations: a qualitative study on hospital perspectives. Citation Text: Knap LJ, Dijkstra-Eijkemans RI, Friele RD, et al. Involving patients and/or their next of kin in serious adverse event investigations: a…

  3. Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. | PSNet

    psnet.ahrq.gov/issue/trends-prevalence-intraoperative-adverse-events-two-academic-hospitals-after-implementation
    August 09, 2017 - Study Trends in the prevalence of intraoperative adverse events at two academic hospitals after implementation of a mandatory reporting system. Citation Text: Wanderer JP, Gratch DM, St Jacques P, et al. Trends in the Prevalence of Intraoperative Adverse Events at Two Academic Hospitals …

  4. Measuring the overall development of patient safety in a new hospital using trigger tools. | PSNet

    psnet.ahrq.gov/issue/measuring-overall-development-patient-safety-new-hospital-using-trigger-tools
    April 12, 2019 - Study Measuring the overall development of patient safety in a new hospital using trigger tools. Citation Text: Adamovic I, Dahlem P, Brachmann J. Measuring the overall development of patient safety in a new hospital using trigger tools. Int J Qual Health Care. 2024;36(3):mzae064. doi:10…

  5. Double checking: a second look. | PSNet

    psnet.ahrq.gov/issue/double-checking-second-look
    August 28, 2017 - Study Double checking: a second look. Citation Text: Hewitt T, Chreim S, Forster AJ. Double checking: a second look. J Eval Clin Pract. 2016;22(2):267-74. doi:10.1111/jep.12468. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  6. Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients | PSNet

    psnet.ahrq.gov/issue/systematic-review-interventions-improve-safety-and-quality-anticoagulant-prescribing
    January 12, 2022 - Review Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indications for hospital inpatients Citation Text: Systematic review of interventions to improve safety and quality of anticoagulant prescribing for therapeutic indication…

  7. A machine learning approach to reclassifying miscellaneous patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/machine-learning-approach-reclassifying-miscellaneous-patient-safety-event-reports
    July 22, 2020 - Study A machine learning approach to reclassifying miscellaneous patient safety event reports. Citation Text: Fong A, Behzad S, Pruitt Z, et al. A machine learning approach to reclassifying miscellaneous patient safety event reports. J Patient Saf. 2021;17(8):e829-e833. doi:10.1097/pts.0…

  8. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. | PSNet

    psnet.ahrq.gov/issue/methodological-variability-detecting-prescribing-errors-and-consequences-evaluation
    March 05, 2010 - Study Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. Citation Text: Franklin BD, Birch S, Savage I, et al. Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions. …

  9. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. | PSNet

    psnet.ahrq.gov/issue/can-sbar-be-implemented-high-fidelity-and-does-it-improve-communication-between-healthcare
    June 22, 2022 - Review Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A systematic review. Citation Text: Lo L, Rotteau L, Shojania KG. Can SBAR be implemented with high fidelity and does it improve communication between healthcare workers? A sys…

  10. Parents' understanding of medication at discharge and potential harm in children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/parents-understanding-medication-discharge-and-potential-harm-children-medical-complexity
    April 22, 2020 - Study Parents' understanding of medication at discharge and potential harm in children with medical complexity. Citation Text: Selzer A, Eibensteiner F, Kaltenegger L, et al. Parents’ understanding of medication at discharge and potential harm in children with medical complexity. Arch Di…

  11. Relationship between medication errors and adverse drug events. | PSNet

    psnet.ahrq.gov/issue/relationship-between-medication-errors-and-adverse-drug-events
    May 27, 2011 - Study Classic Relationship between medication errors and adverse drug events. Citation Text: Bates DW, Boyle DL, Vliet MBV, et al. Relationship between medication errors and adverse drug events. J Gen Intern Med. 1995;10(4):199-205. Copy Citation Format:…

  12. Hospital reputation and perceptions of patient safety. | PSNet

    psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety
    October 11, 2017 - Study Hospital reputation and perceptions of patient safety. Citation Text: Mira JJ, Lorenzo S, Navarro I. Hospital reputation and perceptions of patient safety. Med Princ Pract. 2014;23(1):92-4. doi:10.1159/000353152. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  13. The Economic Measurement of Medical Errors. | PSNet

    psnet.ahrq.gov/issue/economic-measurement-medical-errors
    March 23, 2022 - Book/Report The Economic Measurement of Medical Errors. Citation Text: The Economic Measurement of Medical Errors. Shreve J, van Den Bos J, Gray T, Halford M, Rustagi K, Ziemkiewicz E. Schaumburg, IL: The Society of Actuaries; 2010. Copy Citation Save Save t…

  14. Perceptions of nurses who are second victims in a hospital setting. | PSNet

    psnet.ahrq.gov/issue/perceptions-nurses-who-are-second-victims-hospital-setting
    February 28, 2018 - Study Perceptions of nurses who are second victims in a hospital setting. Citation Text: Draus C, Mianecki TB, Musgrove H, et al. Perceptions of nurses who are second victims in a hospital setting. J Nurs Care Qual. 2022;37(2):110-116. doi:10.1097/ncq.0000000000000603. Copy Citation …

  15. Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. | PSNet

    psnet.ahrq.gov/issue/improving-our-understanding-multi-tasking-healthcare-drawing-together-cognitive-psychology
    July 19, 2018 - Review Improving our understanding of multi-tasking in healthcare: drawing together the cognitive psychology and healthcare literature. Citation Text: Douglas HE, Raban MZ, Walter SR, et al. Improving our understanding of multi-tasking in healthcare: Drawing together the cognitive psycho…

  16. Healthcare professionals' views on feedback of a patient safety culture assessment. | PSNet

    psnet.ahrq.gov/issue/healthcare-professionals-views-feedback-patient-safety-culture-assessment
    October 25, 2023 - Study Healthcare professionals' views on feedback of a patient safety culture assessment. Citation Text: Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1…

  17. Adverse drug event reporting systems: a systematic review. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-reporting-systems-systematic-review
    December 21, 2017 - Review Adverse drug event reporting systems: a systematic review. Citation Text: Bailey C, Peddie D, Wickham ME, et al. Adverse drug event reporting systems: a systematic review. Br J Clin Pharm. 2016;82(1):17-29. doi:10.1111/bcp.12944. Copy Citation Format: DOI Google Scho…

  18. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. | PSNet

    psnet.ahrq.gov/issue/6-pack-programme-decrease-fall-injuries-acute-hospitals-cluster-randomised-controlled-trial
    December 21, 2014 - Study Classic 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled trial. Citation Text: Barker AL, Morello RT, Wolfe R, et al. 6-PACK programme to decrease fall injuries in acute hospitals: cluster randomised controlled t…

  19. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. | PSNet

    psnet.ahrq.gov/issue/factors-impacting-patient-setup-analysis-and-error-management-during-breast-cancer
    September 15, 2021 - Review Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Citation Text: Costin I-C, Marcu LG. Factors impacting on patient setup analysis and error management during breast cancer radiotherapy. Crit Rev Oncol Hematol. 2022;178:103798. doi…

  20. Iatrogenic events in admitted neonates: a prospective cohort study. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-events-admitted-neonates-prospective-cohort-study
    December 18, 2014 - Study Iatrogenic events in admitted neonates: a prospective cohort study. Citation Text: Ligi I, Arnaud F, Jouve E, et al. Iatrogenic events in admitted neonates: a prospective cohort study. Lancet. 2008;371(9610):404-10. doi:10.1016/S0140-6736(08)60204-4. Copy Citation Format: …
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