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Total Results: over 10,000 records

Showing results for "incidents".

5281. Medication event huddles: a tool for reducing adverse drug events. | PSNet
      psnet.ahrq.gov/issue/medication-event-huddles-tool-reducing-adverse-drug-events
      December 19, 2014 - Commentary Medication event huddles: a tool for reducing adverse drug events. Citation Text: Morvay S, Lewe D, Stewart B, et al. Medication event huddles: a tool for reducing adverse drug events. Jt Comm J Qual Patient Saf. 2014;40(1):39-45. Copy Citation Format: Google S…

5282. Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. | PSNet
      psnet.ahrq.gov/issue/incidence-and-variables-associated-inconsistencies-opioid-prescribing-hospital-discharge-and
      April 29, 2018 - Study Incidence and variables associated with inconsistencies in opioid prescribing at hospital discharge and its associated adverse drug outcomes. Citation Text: Kurteva S, Habib B, Moraga T, et al. Incidence and variables associated with inconsistencies in opioid prescribing at hospita…

5283. Single-parameter early warning criteria to predict life-threatening adverse events. | PSNet
      psnet.ahrq.gov/issue/single-parameter-early-warning-criteria-predict-life-threatening-adverse-events
      January 06, 2017 - Study Single-parameter early warning criteria to predict life-threatening adverse events. Citation Text: Rothschild JM, Gandara E, Woolf S, et al. Single-Parameter Early Warning Criteria to Predict Life-Threatening Adverse Events. J Patient Saf. 2010;6(2). doi:10.1097/pts.0b013e3181dcaf…

5284. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. | PSNet
      psnet.ahrq.gov/issue/incidence-wrong-site-surgery-list-errors-2-year-period-single-national-health-service-board
      March 27, 2019 - Study Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. Citation Text: Geraghty A, Ferguson L, McIlhenny C, et al. Incidence of wrong-site surgery list errors for a 2-year period in a single national health service board. J Patient…

5285. Outcomes of emergency department patients presenting with adverse drug events. | PSNet
      psnet.ahrq.gov/issue/outcomes-emergency-department-patients-presenting-adverse-drug-events
      April 22, 2011 - Study Outcomes of emergency department patients presenting with adverse drug events. Citation Text: Hohl CM, Nosyk B, Kuramoto L, et al. Outcomes of emergency department patients presenting with adverse drug events. Ann Emerg Med. 2011;58(3):270-279.e4. doi:10.1016/j.annemergmed.2011.0…

5286. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. | PSNet
      psnet.ahrq.gov/issue/opioid-stewardship-program-and-postoperative-adverse-events-difference-differences-cohort
      June 30, 2021 - Study Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Citation Text: Barreveld AM, McCarthy RJ, Elkassabany N, et al. Opioid stewardship program and postoperative adverse events: a difference-in-differences cohort study. Anesthesiolo…

5287. Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. | PSNet
      psnet.ahrq.gov/issue/safer-paediatric-surgical-teams-5-year-evaluation-crew-resource-management-implementation-and
      February 03, 2021 - Study Safer paediatric surgical teams: a 5-year evaluation of crew resource management implementation and outcomes. Citation Text: Savage C, Gaffney A, Hussain-Alkhateeb L, et al. Safer paediatric surgical teams: A 5-year evaluation of crew resource management implementation and outcomes…

5288. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. | PSNet
      psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
      February 02, 2022 - Review The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. Citation Text: van Marum S, Verhoeven D, de Rooy D. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. J Patient Saf. 2022;18(7):e1067-e10…

5289. Use of e-triggers to identify diagnostic errors in the paediatric ED. | PSNet
      psnet.ahrq.gov/issue/use-e-triggers-identify-diagnostic-errors-paediatric-ed
      October 27, 2021 - Study Use of e-triggers to identify diagnostic errors in the paediatric ED. Citation Text: Lam D, Dominguez F, Leonard J, et al. Use of e-triggers to identify diagnostic errors in the paediatric ED. BMJ Qual Saf. 2022;31(10):735-743. doi:10.1136/bmjqs-2021-013683. Copy Citation For…

5290. Malpractice claims related to diagnostic errors in the hospital. | PSNet
      psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic-errors-hospital
      September 16, 2020 - Study Classic Malpractice claims related to diagnostic errors in the hospital. Citation Text: Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774. …

5291. Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. | PSNet
      psnet.ahrq.gov/issue/associations-between-double-checking-and-medication-administration-errors-direct
      January 18, 2023 - Study Associations between double-checking and medication administration errors: a direct observational study of paediatric inpatients. Citation Text: Westbrook JI, Li L, Raban MZ, et al. Associations between double-checking and medication administration errors: a direct observational st…

5292. Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff. | PSNet
      psnet.ahrq.gov/issue/exploring-factors-promote-or-diminish-psychologically-safe-environment-qualitative-interview
      September 01, 2021 - Study Exploring the factors that promote or diminish a psychologically safe environment: a qualitative interview study with critical care staff. Citation Text: Grailey K, Leon-Villapalos C, Murray E, et al. Exploring the factors that promote or diminish a psychologically safe environment…

5293. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. | PSNet
      psnet.ahrq.gov/issue/co-worker-unprofessional-behaviour-and-patient-safety-risks-analysis-co-worker-reports-across
      January 31, 2024 - Study Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports across eight Australian hospitals. Citation Text: McMullan RD, Churruca K, Hibbert P, et al. Co-worker unprofessional behaviour and patient safety risks: an analysis of co-worker reports a…

5294. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. | PSNet
      psnet.ahrq.gov/issue/stepped-wedge-cluster-rct-assess-effects-electronic-medication-system-medication
      August 28, 2024 - Study Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administration errors. Citation Text: Westbrook JI, Li L, Woods AL, et al. Stepped-wedge cluster RCT to assess the effects of an electronic medication system on medication administratio…

5295. Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. | PSNet
      psnet.ahrq.gov/issue/prolonged-diagnostic-intervals-marker-missed-diagnostic-opportunities-bladder-and-kidney
      August 10, 2022 - Study Prolonged diagnostic intervals as marker of missed diagnostic opportunities in bladder and kidney cancer patients with alarm features: a longitudinal linked data study. Citation Text: Zhou Y, Walter FM, Singh H, et al. Prolonged diagnostic intervals as marker of missed diagnostic o…

5296. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. | PSNet
      psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
      December 15, 2011 - Study Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Citation Text: Hughes C, Lapane KL. Nurses' and nursing assistants' perceptions of patient safety culture in nursing homes. Int J Qual Health Care. 2006;18(4):281-6. Copy Citation Format…

5297. Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. | PSNet
      psnet.ahrq.gov/issue/comparing-outcomes-reporting-and-trigger-tool-methods-capture-adverse-events-emergency
      May 04, 2017 - Study Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. Citation Text: Lee W-H, Zhang E, Chiang C-Y, et al. Comparing the Outcomes of Reporting and Trigger Tool Methods to Capture Adverse Events in the Emergency Department…

5298. Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/efficacy-tolerability-and-dose-dependent-effects-opioid-analgesics-low-back-pain-systematic
      March 02, 2011 - Review Efficacy, tolerability, and dose-dependent effects of opioid analgesics for low back pain: a systematic review and meta-analysis. Citation Text: Shaheed CA, Maher CG, Williams KA, et al. Efficacy, Tolerability, and Dose-Dependent Effects of Opioid Analgesics for Low Back Pain: A S…

5299. Effect of illness severity and comorbidity on patient safety and adverse events. | PSNet
      psnet.ahrq.gov/issue/effect-illness-severity-and-comorbidity-patient-safety-and-adverse-events
      December 01, 2011 - Study Effect of illness severity and comorbidity on patient safety and adverse events. Citation Text: Naessens JM, Campbell CR, Shah ND, et al. Effect of illness severity and comorbidity on patient safety and adverse events. Am J Med Qual. 2012;27(1):48-57. doi:10.1177/1062860611413456…

5300. National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. | PSNet
      psnet.ahrq.gov/issue/national-and-institutional-trends-adverse-events-over-time-systematic-review-and-meta
      February 03, 2021 - Review National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies. Citation Text: Connolly W, Li B, Conroy RM, et al. National and institutional trends in adverse events over time: a sys…