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Showing results for "incidents".

  1. Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. | PSNet

    psnet.ahrq.gov/issue/cybersecurity-patient-safety-policy-options-health-care-sector
    December 16, 2020 - Book/Report Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Citation Text: Cybersecurity is Patient Safety: Policy Options in the Health Care Sector. Washington DC; Office of Senator Mark Warner: November 25, 2022. Copy Citation Save S…

  2. How to Identify and Address Unsafe Conditions Associated With Health IT. | PSNet

    psnet.ahrq.gov/issue/how-identify-and-address-unsafe-conditions-associated-health-it
    June 29, 2016 - Book/Report How to Identify and Address Unsafe Conditions Associated With Health IT. Citation Text: How to Identify and Address Unsafe Conditions Associated With Health IT. Wallace C, Zimmer KP, Possanza L, Giannini R, Solomon R. Washington, DC: Office of the National Coordinator for…

  3. Following the patient journey to improve medicines management and reduce errors. | PSNet

    psnet.ahrq.gov/issue/following-patient-journey-improve-medicines-management-and-reduce-errors
    October 27, 2010 - Newspaper/Magazine Article Following the patient journey to improve medicines management and reduce errors. Citation Text: Crocker C. Following the patient journey to improve medicines management and reduce errors. Nursing times. 2009;105(46):12-5. Copy Citation Format: Go…

  4. Getting it right when things go wrong. | PSNet

    psnet.ahrq.gov/issue/getting-it-right-when-things-go-wrong
    October 20, 2014 - Commentary Getting it right when things go wrong. Citation Text: Pettker CM, Funai EF. Getting it right when things go wrong. JAMA. 2010;303(10):977-8. doi:10.1001/jama.2010.256. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  5. Technology, cognition and error. | PSNet

    psnet.ahrq.gov/issue/technology-cognition-and-error
    September 04, 2024 - Commentary Technology, cognition and error. Citation Text: Coiera E. Technology, cognition and error. BMJ Qual Saf. 2015;24(7):417-22. doi:10.1136/bmjqs-2014-003484. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  6. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. | PSNet

    psnet.ahrq.gov/issue/assessment-transparency-cost-estimates-economic-evaluations-patient-safety-programmes
    January 15, 2009 - Review Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. Citation Text: Fukuda H, Imanaka Y. Assessment of transparency of cost estimates in economic evaluations of patient safety programmes. J Eval Clin Pract. 2009;15(3):451-9. doi:10.111…

  7. Blind spots in the science of safety. | PSNet

    psnet.ahrq.gov/issue/blind-spots-science-safety
    February 24, 2021 - Commentary Blind spots in the science of safety. Citation Text: Bosk CL, Pedersen KZ. Blind spots in the science of safety. Lancet. 2019;393(10175):978-979. doi:10.1016/S0140-6736(19)30441-6. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

  8. Key principles in quality and safety in radiology. | PSNet

    psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology
    September 09, 2009 - Review Key principles in quality and safety in radiology. Citation Text: Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. Copy Citation Format: DOI Google Sc…

  9. Through and beyond anaesthesia awareness. | PSNet

    psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness
    September 20, 2023 - Commentary Through and beyond anaesthesia awareness. Citation Text: Aaen A-M, Møller K. Through and beyond anaesthesia awareness. BMJ. 2010;341:c3669. doi:10.1136/bmj.c3669. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  10. Failure to rescue in neonatal care. | PSNet

    psnet.ahrq.gov/issue/failure-rescue-neonatal-care
    July 06, 2011 - Commentary Failure to rescue in neonatal care. Citation Text: Gephart SM, McGrath JM, Effken JA. Failure to rescue in neonatal care. J Perinat Neonatal Nurs. 2011;25(3):275-282. doi:10.1097/JPN.0b013e318227cc03. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  11. One system's journey in creating a disclosure and apology program. | PSNet

    psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
    May 27, 2011 - Commentary One system's journey in creating a disclosure and apology program. Citation Text: Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96. Copy Citation Format: …

  12. When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? | PSNet

    psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer
    March 13, 2019 - Newspaper/Magazine Article When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Citation Text: When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? Gordon M. Health Shots. National Public Radio. April 10, 2019. Copy Citati…

  13. The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. | PSNet

    psnet.ahrq.gov/issue/power-safety-state-reporting-provides-lessons-reducing-harm-improving-care
    March 23, 2012 - Book/Report The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Citation Text: The Power of Safety: State Reporting Provides Lessons in Reducing Harm, Improving Care. Washington DC: National Quality Forum; 2010. Copy Citation Sa…

  14. Getting surgery right. | PSNet

    psnet.ahrq.gov/issue/getting-surgery-right
    February 15, 2011 - Study Getting surgery right. Citation Text: Clarke JR, Johnston J, Finley ED. Getting surgery right. Ann Surg. 2007;246(3):395-403, discussion 403-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

  15. Medication prescribing errors involving the route of administration. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
    January 12, 2011 - Study Medication prescribing errors involving the route of administration. Citation Text: Lesar TS. Medication Prescribing Errors Involving the Route of Administration. Hosp Pharm. 2010;41(11):1053-1066. doi:10.1310/hpj4111-1053. Copy Citation Format: DOI Google Scholar Bib…

  16. The lost sponge: patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
    January 26, 2022 - Commentary The lost sponge: patient safety in the operating room. Citation Text: Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900. Copy Citation Format: DOI Google Scholar PubM…

  17. Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. | PSNet

    psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
    October 23, 2013 - Book/Report Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Citation Text: Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…

  18. The high costs of unnecessary care. | PSNet

    psnet.ahrq.gov/issue/high-costs-unnecessary-care
    June 28, 2023 - Commentary The high costs of unnecessary care. Citation Text: Carroll AE. The High Costs of Unnecessary Care. JAMA. 2017;318(18):1748-1749. doi:10.1001/jama.2017.16193. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  19. Track 6: Using Reporting Systems for Safety and Quality Improvement | Digital Healthcare Research

    digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

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

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.161_slideshow.ppt
    October 01, 2007 - compassion for patients Assessing Professionalism Among Trainees Important to identify and track incidents
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