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Total Results: over 10,000 records

Showing results for "incidents".

5861. Patient falls in the operating room: why is this still a problem in 2024? | PSNet
      psnet.ahrq.gov/issue/patient-falls-operating-room-why-still-problem-2024
      May 08, 2024 - Commentary Patient falls in the operating room: why is this still a problem in 2024? Citation Text: Pellegrino A, Brook K. Patient falls in the operating room: why is this still a problem in 2024? J Patient Saf. 2024;20(6):e87-e90. doi:10.1097/pts.0000000000001248. Copy Citation Fo…

5862. Recovery from medical errors: the critical care nursing safety net. | PSNet
      psnet.ahrq.gov/issue/recovery-medical-errors-critical-care-nursing-safety-net
      February 18, 2011 - Study Recovery from medical errors: the critical care nursing safety net. Citation Text: Rothschild JM, Hurley A, Landrigan CP, et al. Recovery from medical errors: the critical care nursing safety net. Jt Comm J Qual Patient Saf. 2006;32(2):63-72. Copy Citation Format: G…

5863. Last orders: follow-up of tests ordered on the day of hospital discharge. | PSNet
      psnet.ahrq.gov/issue/last-orders-follow-tests-ordered-day-hospital-discharge
      November 03, 2015 - Study Last orders: follow-up of tests ordered on the day of hospital discharge. Citation Text: Ong M-S, Magrabi F, Jones G, et al. Last Orders: Follow-up of Tests Ordered on the Day of Hospital Discharge. Arch Intern Med. 2012;172(17):1347-9. doi:10.1001/archinternmed.2012.2836. Copy C…

5864. Diagnostic error in the pediatric hospital: a narrative review. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-pediatric-hospital-narrative-review
      November 16, 2022 - Review Diagnostic error in the pediatric hospital: a narrative review. Citation Text: Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040. Copy Citation …

5865. Abbreviation use decreases effective clinical communication and can compromise patient safety. | PSNet
      psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
      October 29, 2017 - Commentary Abbreviation use decreases effective clinical communication and can compromise patient safety. Citation Text: Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61…

5866. Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/complexity-incidence-and-costs-related-delayed-diagnosis-venous
      September 01, 2024 - Complexity, Incidence, and Costs Related to Delayed Diagnosis of Venous Thromboembolism in Urban and Rural Primary and Urgent Care Settings Project Description Using a mixed method approach including machine learning (ML) to improve early detection of venous thromboembolism (VT…

5867. Medication errors with electronic prescribing (eP): two views of the same picture. | PSNet
      psnet.ahrq.gov/issue/medication-errors-electronic-prescribing-ep-two-views-same-picture
      November 13, 2009 - Study Medication errors with electronic prescribing (eP): two views of the same picture. Citation Text: Savage I, Cornford T, Klecun E, et al. Medication errors with electronic prescribing (eP): Two views of the same picture. BMC Health Serv Res. 2010;10:135. doi:10.1186/1472-6963-10-1…

5868. Patient engagement in health care safety: an overview of mixed-quality evidence. | PSNet
      psnet.ahrq.gov/issue/patient-engagement-health-care-safety-overview-mixed-quality-evidence
      October 21, 2020 - Review Emerging Classic Patient engagement in health care safety: an overview of mixed-quality evidence. Citation Text: Sharma AE, Rivadeneira NA, Barr-Walker J, et al. Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence. Health Aff (…

5869. Guilty, afraid, and alone — struggling with medical error. | PSNet
      psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
      July 01, 2020 - Commentary Classic Guilty, afraid, and alone — struggling with medical error. Citation Text: Delbanco T, Bell SK. Guilty, afraid, and alone--struggling with medical error. N Engl J Med. 2007;357(17):1682-3. Copy Citation Format: Google Scholar PubM…

5870. What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/what-has-airbus-a380-captain-got-do-omfs-lessons-aviation-improve-patient-safety
      October 04, 2023 - Commentary What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. Citation Text: Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillo…

5871. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. | PSNet
      psnet.ahrq.gov/issue/so-why-didnt-you-think-baby-was-ill-decision-making-acute-paediatrics
      April 10, 2019 - Review 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Citation Text: Roland D, Snelson E. 'So why didn't you think this baby was ill?' Decision-making in acute paediatrics. Arch Dis Child Educ Pract Ed. 2019;104(1):43-48. doi:10.1136/archdischild-2017-…

5872. Surgeon commitment to trauma care decreases missed injuries. | PSNet
      psnet.ahrq.gov/issue/surgeon-commitment-trauma-care-decreases-missed-injuries
      June 15, 2012 - Study Surgeon commitment to trauma care decreases missed injuries. Citation Text: Lin Y-K, Lin C-J, Chan H-M, et al. Surgeon commitment to trauma care decreases missed injuries. Injury. 2014;45(1):83-7. doi:10.1016/j.injury.2012.10.019. Copy Citation Format: DOI Google Scho…

5873. Factors contributing to preventing operating room "never events": a machine learning analysis. | PSNet
      psnet.ahrq.gov/issue/factors-contributing-preventing-operating-room-never-events-machine-learning-analysis
      July 26, 2023 - Study Factors contributing to preventing operating room "never events": a machine learning analysis. Citation Text: Arad D, Rosenfeld A, Magnezi R. Factors contributing to preventing operating room “never events”: a machine learning analysis. Patient Saf Surg. 2023;17(1):6. doi:10.1186/s…

5874. Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. | PSNet
      psnet.ahrq.gov/issue/reducing-risk-and-promoting-patient-safety-nih-intramural-clinical-research-draft-report
      November 18, 2020 - Book/Report Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. Citation Text: Reducing Risk and Promoting Patient Safety for NIH Intramural Clinical Research—Final Report. The Clinical Center Working Group Report to the Advisory Committee to the…

5875. The many faces of error disclosure: a common set of elements and a definition. | PSNet
      psnet.ahrq.gov/issue/many-faces-error-disclosure-common-set-elements-and-definition
      December 16, 2009 - Study Classic The many faces of error disclosure: a common set of elements and a definition. Citation Text: Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):75…

5876. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. | PSNet
      psnet.ahrq.gov/issue/reducing-inappropriate-outpatient-medication-prescribing-older-adults-across-electronic
      September 29, 2021 - Study Reducing inappropriate outpatient medication prescribing in older adults across electronic health record systems. Citation Text: Friebe MP, LeGrand JR, Shepherd BE, et al. Reducing inappropriate outpatient medication prescribing in older adults across electronic health record syste…

5877. Applying lessons from social psychology to transform the culture of error disclosure. | PSNet
      psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
      March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error disclosure. Citation Text: Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. Co…

5878. Benefactor or burden: exploring the professional identity of safety professionals. | PSNet
      psnet.ahrq.gov/issue/benefactor-or-burden-exploring-professional-identity-safety-professionals
      October 11, 2017 - Study Benefactor or burden: exploring the professional identity of safety professionals. Citation Text: Provan DJ, Dekker SWA, Rae AJ. Benefactor or burden: Exploring the professional identity of safety professionals. J Safety Res. 2018;66:21-32. doi:10.1016/j.jsr.2018.05.005. Copy Cit…

5879. Using artificial intelligence to improve primary care for patients and clinicians. | PSNet
      psnet.ahrq.gov/issue/using-artificial-intelligence-improve-primary-care-patients-and-clinicians
      March 02, 2022 - Commentary Using artificial intelligence to improve primary care for patients and clinicians. Citation Text: Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965. …

5880. Medication errors involving nursing students: a systematic review. | PSNet
      psnet.ahrq.gov/issue/medication-errors-involving-nursing-students-systematic-review
      March 09, 2022 - Review Medication errors involving nursing students: a systematic review. Citation Text: Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. Copy Citation …