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Showing results for "incidents".

  1. Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. | PSNet

    psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid-19-era
    November 11, 2020 - Commentary Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. Citation Text: Anderson N, Thompson K, Andrews J, et al. Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID‐19 era. J Med Radiat Sci. 20…

  2. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. | PSNet

    psnet.ahrq.gov/issue/persisting-high-rates-omissions-during-anesthesia-induction-are-decreased-utilization-pre
    July 20, 2022 - Study Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist. Citation Text: Krombach JW, Zürcher C, Simon SG, et al. Persisting high rates of omissions during anesthesia induction are decreased by utilization of a…

  3. COVID-19 Pandemic Impact on Healthcare Associated Conditions | PSNet

    psnet.ahrq.gov/curated-library/covid-19-pandemic-impact-healthcare-associated-conditions
    November 10, 2025 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed COVID-19 Pandemic Impact on Healthcare Associated Conditions  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Sam W…

  4. Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. | PSNet

    psnet.ahrq.gov/issue/improving-hand-hygiene-eight-hospitals-united-states-targeting-specific-causes-noncompliance
    April 13, 2022 - Study Classic Improving hand hygiene at eight hospitals in the United States by targeting specific causes of noncompliance. Citation Text: Chassin MR, Mayer C, Nether K. Improving hand hygiene at eight hospitals in the United States by targeting specific causes …

  5. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement
    August 11, 2010 - Study Adverse drug events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications. Citation Text: Kanaan AO, Donovan JL, Duchin NP, et al. Adverse drug events after hospital discharge in older adults: types, severity, and involvement of …

  6. Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. | PSNet

    psnet.ahrq.gov/issue/implementation-science-neglected-opportunity-accelerate-improvements-safety-and-quality
    February 14, 2018 - Review Implementation science: a neglected opportunity to accelerate improvements in the safety and quality of surgical care. Citation Text: Hull L, Athanasiou T, Russ S. Implementation Science: A Neglected Opportunity to Accelerate Improvements in the Safety and Quality of Surgical Care…

  7. Safety of surgical telehealth in the outpatient and inpatient setting. | PSNet

    psnet.ahrq.gov/issue/safety-surgical-telehealth-outpatient-and-inpatient-setting
    September 13, 2023 - Review Safety of surgical telehealth in the outpatient and inpatient setting. Citation Text: Purnell S, Zheng F. Safety of Surgical Telehealth in the Outpatient and Inpatient Setting. Surg Clin North Am. 2020;101(1):109-119. doi:10.1016/j.suc.2020.09.003. Copy Citation Format: …

  8. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. | PSNet

    psnet.ahrq.gov/issue/nature-adverse-events-hospitalized-patients-results-harvard-medical-practice-study-ii
    February 18, 2011 - Study Classic The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II. Citation Text: Leape L, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. Results of the Harvard Medical Pra…

  9. Cost–benefit analysis of a support program for nursing staff. | PSNet

    psnet.ahrq.gov/issue/cost-benefit-analysis-support-program-nursing-staff
    October 26, 2016 - Study Classic Cost–benefit analysis of a support program for nursing staff. Citation Text: Moran D, Wu AW, Connors C, et al. Cost-Benefit Analysis of a Support Program for Nursing Staff. J Patient Saf. 2020;16(4):e250-e254. doi:10.1097/pts.0000000000000376. Co…

  10. Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. | PSNet

    psnet.ahrq.gov/issue/patient-reported-harm-following-cancellation-planned-surgery-danish-university-hospital-cross
    June 03, 2020 - Study Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study. Citation Text: Viftrup A, Laustsen S, Pahle ML, et al. Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-…

  11. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. | PSNet

    psnet.ahrq.gov/issue/effect-hospital-acquired-clostridium-difficile-infection-hospital-mortality
    April 22, 2011 - Study The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Citation Text: Oake N, Taljaard M, van Walraven C, et al. The effect of hospital-acquired Clostridium difficile infection on in-hospital mortality. Arch Intern Med. 2010;170(20):1804-10. doi:1…

  12. Time to take hearing loss seriously. | PSNet

    psnet.ahrq.gov/issue/time-take-hearing-loss-seriously
    September 23, 2020 - Commentary Time to take hearing loss seriously. Citation Text: Blustein J, Wallhagen MI, Weinstein BE, et al. Time to take hearing loss seriously. Jt Comm J Qual Patient Saf. 2019;46(1):53-58. doi:10.1016/j.jcjq.2019.10.003. Copy Citation Format: DOI Google Scholar BibTeX E…

  13. Errors in adult trauma resuscitation: a systematic review. | PSNet

    psnet.ahrq.gov/issue/errors-adult-trauma-resuscitation-systematic-review
    December 01, 2021 - Review Errors in adult trauma resuscitation: a systematic review. Citation Text: Nikouline A, Quirion A, Jung JJ, et al. Errors in adult trauma resuscitation: a systematic review. CJEM. 2021;23:537–546. doi:10.1007/s43678-021-00118-7. Copy Citation Format: DOI Google Schola…

  14. Defining and studying errors in surgical care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/defining-and-studying-errors-surgical-care-systematic-review
    July 20, 2022 - Review Defining and studying errors in surgical care: a systematic review. Citation Text: Marsh KM, Turrentine FE, Knight K, et al. Defining and studying errors in surgical care: a systematic review. Ann Surg. 2022;275(6):1067-1073. doi:10.1097/sla.0000000000005351. Copy Citation F…

  15. Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration. | PSNet

    psnet.ahrq.gov/issue/hospital-testing-effectiveness-co-designed-educational-materials-improve-patient-and-visitor
    February 28, 2024 - Study Hospital testing of the effectiveness of co-designed educational materials to improve patient and visitor knowledge and confidence in reporting patient deterioration. Citation Text: King L, Belan I, Clark RA, et al. Hospital testing of the effectiveness of co-designed educational m…

  16. Nursing home staff turnover and perceived patient safety culture: results from a national survey. | PSNet

    psnet.ahrq.gov/issue/nursing-home-staff-turnover-and-perceived-patient-safety-culture-results-national-survey
    June 30, 2021 - Study Nursing home staff turnover and perceived patient safety culture: results from a national survey. Citation Text: Temkin-Greener H, Cen X, Li Y. Nursing home staff turnover and perceived patient safety culture: results from a national survey. Gerontologist. 2020;60(7):1303-1311. doi…

  17. Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. | PSNet

    psnet.ahrq.gov/issue/patient-carer-and-family-experiences-seeking-redress-and-reconciliation-following-life
    April 24, 2018 - Review Patient, carer and family experiences of seeking redress and reconciliation following a life-changing event: systematic review of qualitative evidence. Citation Text: Shaw L, Lawal HM, Briscoe S, et al. Patient, carer and family experiences of seeking redress and reconciliation fo…

  18. Reducing diagnostic errors in the emergency department at the time of patient treatment. | PSNet

    psnet.ahrq.gov/issue/reducing-diagnostic-errors-emergency-department-time-patient-treatment
    August 26, 2020 - Study Reducing diagnostic errors in the emergency department at the time of patient treatment. Citation Text: Petts A, Neep M, Thakkalpalli M. Reducing diagnostic errors in the emergency department at the time of patient treatment. Emerg Med Australas. 2023;35(3):466-473. doi:10.1111/174…

  19. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. | PSNet

    psnet.ahrq.gov/issue/experiences-and-perceptions-healthcare-stakeholders-disclosing-errors-and-adverse-events
    July 31, 2024 - Study Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to historically marginalized patients. Citation Text: Olazo K, Gallagher TH, Sarkar U. Experiences and perceptions of healthcare stakeholders in disclosing errors and adverse events to hi…

  20. The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. | PSNet

    psnet.ahrq.gov/issue/nature-reported-safety-events-related-care-coordination-operating-room-setting-tertiary
    May 11, 2022 - Study The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. Citation Text: Krishnan S, Wheeler KK, Pimentel MP, et al. The nature of reported safety events related to care coordination in the operating room setting …
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