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Showing results for "incidents".

  1. Nurses' perceptions of causes of medication errors and barriers to reporting. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-causes-medication-errors-and-barriers-reporting
    March 21, 2018 - Study Nurses' perceptions of causes of medication errors and barriers to reporting. Citation Text: Ulanimo VM, O'Leary-Kelley C, Connolly PM. Nurses' perceptions of causes of medication errors and barriers to reporting. J Nurs Care Qual. 2007;22(1):28-33. Copy Citation Format: …

  2. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. | PSNet

    psnet.ahrq.gov/issue/programmable-infusion-pumps-icus-analysis-corresponding-adverse-drug-events
    January 16, 2008 - Study Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. Citation Text: Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.100…

  3. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. | PSNet

    psnet.ahrq.gov/issue/measurement-and-monitoring-safety-impact-and-challenges-putting-conceptual-framework-practice
    January 24, 2018 - Study Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. Citation Text: Chatburn E, Macrae C, Carthey J, et al. Measurement and monitoring of safety: impact and challenges of putting a conceptual framework into practice. BMJ Qual …

  4. Getting doctors to report medical errors: project DISCLOSE. | PSNet

    psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose
    January 07, 2011 - Study Getting doctors to report medical errors: project DISCLOSE. Citation Text: King ES, Moyer D, Couturie MJ, et al. Getting doctors to report medical errors: project DISCLOSE. Jt Comm J Qual Patient Saf. 2006;32(7):382-392. Copy Citation Format: Google Scholar PubMed B…

  5. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. | PSNet

    psnet.ahrq.gov/issue/canadian-adverse-events-study-incidence-adverse-events-among-hospital-patients-canada
    July 07, 2021 - Study Classic The Canadian Adverse Events Study: the incidence of adverse events among hospital patients in Canada. Citation Text: Baker R, Norton PG, Flintoft V, et al. The Canadian Adverse Events Study: the incidence of adverse events among hospital patients…

  6. The safety of warfarin therapy in the nursing home setting. | PSNet

    psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
    March 11, 2011 - Study The safety of warfarin therapy in the nursing home setting. Citation Text: Gurwitz JH, Field T, Radford MJ, et al. The safety of warfarin therapy in the nursing home setting. Am J Med. 2007;120(6):539-44. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  7. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? | PSNet

    psnet.ahrq.gov/issue/do-emergency-physicians-attribute-drug-related-emergency-department-visits-medication-related
    April 22, 2011 - Study Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Citation Text: Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Ann Emerg Med…

  8. What do patients and relatives know about problems and failures in care? | PSNet

    psnet.ahrq.gov/issue/what-do-patients-and-relatives-know-about-problems-and-failures-care
    November 28, 2016 - Study What do patients and relatives know about problems and failures in care? Citation Text: Iedema R, Allen S, Britton K, et al. What do patients and relatives know about problems and failures in care? BMJ Qual Saf. 2012;21(3):198-205. doi:10.1136/bmjqs-2011-000100. Copy Citation …

  9. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. | PSNet

    psnet.ahrq.gov/issue/impact-computerized-prescriber-order-entry-incidence-adverse-drug-events-pediatric-inpatients
    October 19, 2022 - Study Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients. Citation Text: Holdsworth MT, Fichtl RE, Raisch DW, et al. Impact of computerized prescriber order entry on the incidence of adverse drug events in pediatric inpatients.…

  10. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. | PSNet

    psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
    February 17, 2016 - Study Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Citation Text: Okafor N, Payne VL, Chathampally Y, et al. Using voluntary reports from physicians to learn from diagnostic errors in emergency medicine. Emerg Med J. 2016;33(4):245-252. d…

  11. Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/nurses-perceptions-open-disclosure-processes-cancer-care-cross-sectional-study
    December 01, 2019 - Study Nurses' perceptions of open disclosure processes in cancer care: a cross-sectional study. Citation Text: Waller A, Hobden B, Bryant J, et al. Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study. Collegian. 2020;27(5):506-511. doi:10.1016/j.coleg…

  12. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. | PSNet

    psnet.ahrq.gov/issue/adverse-events-and-hospital-acquired-conditions-associated-potential-low-value-care-medicare
    May 19, 2021 - Study Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare beneficiaries. Citation Text: Chalmers K, Gopinath V, Brownlee S, et al. Adverse events and hospital-acquired conditions associated with potential low-value care in Medicare benefic…

  13. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.92_slideshow.ppt
    April 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case April 2005 Compare and Contrast Source and Credits This presentation is based on the April 2005 Spotlight Case in Emergency Medicine See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Kerry Cho, MD; Glenn Cher…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47579/psn-pdf
    December 12, 2018 - A prescription for enhancing electronic prescribing safety. December 12, 2018 Schiff G, Mirica MM, Dhavle AA, et al. A Prescription For Enhancing Electronic Prescribing Safety. Health Aff (Millwood). 2018;37(11):1877-1883. doi:10.1377/hlthaff.2018.0725. https://psnet.ahrq.gov/issue/prescription-enhancing-electroni…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41327/psn-pdf
    November 27, 2012 - Multiple patient safety events within a single hospitalization: a national profile in US hospitals. November 27, 2012 Yu H, Greenberg MD, Haviland AM, et al. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual. 2012;27(6):472-479. doi:10.1177/10628606124…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43254/psn-pdf
    May 01, 2015 - Investigating the long-term consequences of adverse medical events among older adults. May 1, 2015 Carter MW, Zhu M, Xiang J, et al. Investigating the long-term consequences of adverse medical events among older adults. Inj Prev. 2014;20(6):408-15. doi:10.1136/injuryprev-2013-041043. https://psnet.ahrq.gov/issue/i…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45870/psn-pdf
    March 25, 2017 - Improving communication with primary care physicians at the time of hospital discharge. March 25, 2017 Destino LA, Dixit A, Pantaleoni JL, et al. Improving Communication with Primary Care Physicians at the Time of Hospital Discharge. Jt Comm J Qual Patient Saf. 2017;43(2):80-88. doi:10.1016/j.jcjq.2016.11.005. htt…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764396/psn-pdf
    March 02, 2022 - Family Input for Quality and Safety (FIQS): using mobile technology for in-hospital reporting from families and patients. March 2, 2022 Bardach NS, Stotts JR, Fiore DM, et al. Family Input for Quality and Safety (FIQS): Using mobile technology for in?hospital reporting from families and patients. J Hosp Med. 2022;…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840141/psn-pdf
    November 16, 2022 - Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. November 16, 2022 Wilson M-A, Sinno M, Hacker Teper M, et al. Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm. J P…

  20. Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/cre.pdf
    September 26, 2019 - Chapter-6 - Carbapenem-Resistant-Enterobacteriaceae Carbapenem-Resistant Enterobacteriaceae 6-1 6. Carbapenem-Resistant Enterobacteriaceae Authors: Elizabeth Gall, M.H.S., and Anna Long, M.P.H. Reviewer: Caroline Logan, Ph.D., and Pranita Tamma, M.D. Introduction Background Carbapenem-resistant Enterobacteria…
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