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Total Results: over 10,000 records

Showing results for "incidents".

5721. Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005. | PSNet
      psnet.ahrq.gov/issue/inadvertent-misadministration-meningococcal-conjugate-vaccine-united-states-june-august-2005
      February 27, 2019 - Government Resource Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005. Citation Text: Prevention C for DC and. Inadvertent misadministration of meningococcal conjugate vaccine--United States, June-August 2005. MMWR Morb Mortal Wkly Rep. 20…

5722. Work-arounds observed by fourth-year nursing students. | PSNet
      psnet.ahrq.gov/issue/work-arounds-observed-fourth-year-nursing-students
      July 30, 2014 - Study Work-arounds observed by fourth-year nursing students. Citation Text: Westphal J, Lancaster R, Park D. Work-Arounds Observed by Fourth-Year Nursing Students. West J Nurs Res. 2014;36(8):1002-18. doi:10.1177/0193945913511707. Copy Citation Format: DOI Google Scholar Pu…

5723. Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-hhs-guidance-regarding-patient-safety-work
      December 24, 2008 - Government Resource Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and providers' external obligations. Citation Text: Patient Safety and Quality Improvement Act of 2005--HHS guidance regarding patient safety work product and provid…

5724. Duplication of surgical site marking. | PSNet
      psnet.ahrq.gov/issue/duplication-surgical-site-marking
      November 18, 2016 - Commentary Duplication of surgical site marking. Citation Text: Davis JS, Karmacharya J, Schulman C. Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2. doi:10.1097/PTS.0b013e3182699a01. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

5725. Rapid response teams and continuous quality improvement. | PSNet
      psnet.ahrq.gov/issue/rapid-response-teams-and-continuous-quality-improvement
      April 05, 2023 - Study Rapid response teams and continuous quality improvement. Citation Text: Rapid response teams and continuous quality improvement. Dailey MS, Durkin S, Gulczynski B, et al. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31. Copy Citation Save Save to your l…

5726. Learning mechanisms to limit medication administration errors. | PSNet
      psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
      August 30, 2017 - Study Learning mechanisms to limit medication administration errors. Citation Text: Drach-Zahavy A, Pud D. Learning mechanisms to limit medication administration errors. J Adv Nurs. 2010;66(4). doi:10.1111/j.1365-2648.2010.05294.x. Copy Citation Format: DOI Google Scholar …

5727. An investigation of occupational subgroups with respect to patient safety culture. | PSNet
      psnet.ahrq.gov/issue/investigation-occupational-subgroups-respect-patient-safety-culture
      March 06, 2024 - Study An investigation of occupational subgroups with respect to patient safety culture. Citation Text: Phipps DL, Ashcroft DM. An investigation of occupational subgroups with respect to patient safety culture. Saf Sci. 2012;50(5). doi:10.1016/j.ssci.2011.12.016. Copy Citation Fo…

5728. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. | PSNet
      psnet.ahrq.gov/issue/physician-implicit-review-identify-preventable-errors-during-hospital-cardiac-arrest
      August 02, 2013 - Study Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Citation Text: Jain R, Kuhn L, Repaskey W, et al. Physician implicit review to identify preventable errors during in-hospital cardiac arrest. Arch Intern Med. 2011;171(1):89-90. doi:10.1001/…

5729. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? | PSNet
      psnet.ahrq.gov/issue/maturity-hospitals-quality-improvement-systems-associated-measures-quality-and-patient-safety
      May 26, 2014 - Study Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? Citation Text: Groene O, Mora N, Thompson A, et al. Is the maturity of hospitals' quality improvement systems associated with measures of quality and patient safety? B…

5730. Time out for patient safety. | PSNet
      psnet.ahrq.gov/issue/time-out-patient-safety
      October 26, 2022 - Commentary Time out for patient safety. Citation Text: Meginniss A, Damian F, Falvo F. Time out for patient safety. J Emerg Nurs. 2012;38(1):51-53. doi:10.1016/j.jen.2011.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

5731. Creating an oversight infrastructure for electronic health record–related patient safety hazards. | PSNet
      psnet.ahrq.gov/issue/creating-oversight-infrastructure-electronic-health-record-related-patient-safety-hazards
      May 22, 2015 - Commentary Creating an oversight infrastructure for electronic health record–related patient safety hazards. Citation Text: Singh H, Classen D, Sittig DF. Creating an oversight infrastructure for electronic health record-related patient safety hazards. J Patient Saf. 2011;7(4):169-74. …

5732. Resident Safety Practices in Nursing Home Settings. | PSNet
      psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
      July 27, 2018 - Book/Report Resident Safety Practices in Nursing Home Settings. Citation Text: Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…

5733. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet
      psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
      February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …

5734. Clinical decision support in the era of artificial intelligence. | PSNet
      psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
      November 06, 2015 - Commentary Classic Clinical decision support in the era of artificial intelligence. Citation Text: Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. Copy Cit…

5735. The ongoing quality improvement journey: next stop, high reliability. | PSNet
      psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
      January 23, 2012 - Commentary The ongoing quality improvement journey: next stop, high reliability. Citation Text: Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff (Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076. Copy Citation Format…

5736. Intrathecal chemotherapy: potential for medication error. | PSNet
      psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
      February 23, 2015 - Review Intrathecal chemotherapy: potential for medication error. Citation Text: Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

5737. Understanding and responding to adverse events. | PSNet
      psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
      July 19, 2019 - Commentary Classic Understanding and responding to adverse events. Citation Text: Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051-1056. doi:10.1056/nejmhpr020760. Copy Citation Format: DOI Google Scho…

5738. Final Research Plan: Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication | United States Preventive Services Taskforce
      www.uspreventiveservicestaskforce.org/uspstf/document/final-research-plan/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication
      February 08, 2018 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Research Plan Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication February 08, 2018 Recommendations made by the USPSTF are independent of the …

5739. Apology laws and malpractice liability: what have we learned? | PSNet
      psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
      March 18, 2020 - Commentary Apology laws and malpractice liability: what have we learned? Citation Text: Fields AC, Mello MM, Kachalia A. Apology laws and malpractice liability: what have we learned? BMJ Qual Saf. 2021;30(1):64-67. doi:10.1136/bmjqs-2020-010955. Copy Citation Format: DOI G…

5740. IV push medications survey results—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
      December 12, 2018 - Newspaper/Magazine Article IV push medications survey results—part 1 and part 2. Citation Text: IV push medications survey results—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. Copy Citation Save …