Results

Total Results: over 10,000 records

Showing results for "incidents".

6121. Medication reconciliation in ambulatory care: attempts at improvement. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-ambulatory-care-attempts-improvement
      March 28, 2011 - Study Medication reconciliation in ambulatory care: attempts at improvement. Citation Text: Nassaralla CL, Naessens JM, Hunt VL, et al. Medication reconciliation in ambulatory care: attempts at improvement. Qual Saf Health Care. 2009;18(5):402-7. doi:10.1136/qshc.2007.024513. Copy Ci…

6122. A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. | PSNet
      psnet.ahrq.gov/issue/web-application-involve-patients-medication-reconciliation-process-user-centered-usability
      August 18, 2021 - Study A web application to involve patients in the medication reconciliation process: a user-centered usability and usefulness study. Citation Text: Marien S, Legrand D, Ramdoyal R, et al. A web application to involve patients in the medication reconciliation process: a user-centered usa…

6123. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-physician-responsiveness-nurse-initiated-communication-qualitative-study
      October 13, 2021 - Study Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. Citation Text: Manojlovich M, Harrod M, Hofer TP, et al. Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. BMJ Qual Saf. 2021;30(9):…

6124. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. | PSNet
      psnet.ahrq.gov/issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-approach
      November 21, 2012 - Study Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Citation Text: Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:1…

6125. Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns. | PSNet
      psnet.ahrq.gov/issue/does-simulator-based-clinical-performance-correlate-actual-hospital-behavior-effect-extended
      February 17, 2011 - Study Does simulator-based clinical performance correlate with actual hospital behavior? The effect of extended work hours on patient care provided by medical interns. Citation Text: Gordon JA, Alexander EK, Lockley SW, et al. Does Simulator-Based Clinical Performance Correlate With Ac…

6126. When policy meets physiology: the challenge of reducing resident work hours. | PSNet
      psnet.ahrq.gov/issue/when-policy-meets-physiology-challenge-reducing-resident-work-hours
      January 10, 2017 - Study When policy meets physiology: the challenge of reducing resident work hours. Citation Text: Lockley SW, Landrigan CP, Barger LK, et al. When policy meets physiology: the challenge of reducing resident work hours. Clin Orthop Relat Res. 2006;449:116-127. Copy Citation Format…

6127. Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project. | PSNet
      psnet.ahrq.gov/issue/improving-feedback-junior-doctors-prescribing-errors-mixed-methods-evaluation-quality
      July 11, 2018 - Review Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project. Citation Text: Reynolds M, Jheeta S, Benn J, et al. Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement proj…

6128. Why an open disclosure procedure is and is not followed after an avoidable adverse event. | PSNet
      psnet.ahrq.gov/issue/why-open-disclosure-procedure-and-not-followed-after-avoidable-adverse-event
      August 11, 2021 - Study Why an open disclosure procedure is and is not followed after an avoidable adverse event. Citation Text: Carrillo I, Mira JJ, Guilabert M, et al. Why an open disclosure procedure is and is not followed after an avoidable adverse event. J Patient Saf. 2021;17(6):e529-e533. doi:10.10…

6129. Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. | PSNet
      psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
      September 19, 2016 - Study Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. Citation Text: Ferrús L, Silvestre C, Olivera G, et al. Qualitative Study About the Experiences of Colleagues of Health Professionals Involved in an Adverse Event. J Patient …

6130. Interventions in health organisations to reduce the impact of adverse events in second and third victims. | PSNet
      psnet.ahrq.gov/issue/interventions-health-organisations-reduce-impact-adverse-events-second-and-third-victims
      October 11, 2017 - Study Interventions in health organisations to reduce the impact of adverse events in second and third victims. Citation Text: Mira JJ, Lorenzo S, Carrillo I, et al. Interventions in health organisations to reduce the impact of adverse events in second and third victims. BMC Health Serv …

6131. Anesthesiology patient handoff education interventions: a systematic review. | PSNet
      psnet.ahrq.gov/issue/anesthesiology-patient-handoff-education-interventions-systematic-review
      April 28, 2021 - Review Anesthesiology patient handoff education interventions: a systematic review. Citation Text: Riesenberg LA, Davis R, Heng A, et al. Anesthesiology patient handoff education interventions: a systematic review. Jt Comm J Qual Patient Saf. 2023;49(8):394-404. doi:10.1016/j.jcjq.2022.1…

6132. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. | PSNet
      psnet.ahrq.gov/issue/enabling-sustained-communication-patients-safe-and-effective-management-oral-chemotherapy
      October 14, 2020 - Study Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. Citation Text: Mitchell G, Porter S, Manias E. Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a…

6133. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. | PSNet
      psnet.ahrq.gov/issue/medication-error-reporting-and-pharmacy-resident-experience-during-implementation
      November 17, 2010 - Study Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry. Citation Text: Weant KA, Cook AM, Armitstead JA. Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber …

6134. Toward improving patient safety through voluntary peer-to-peer assessment. | PSNet
      psnet.ahrq.gov/issue/toward-improving-patient-safety-through-voluntary-peer-peer-assessment
      August 25, 2015 - Commentary Toward improving patient safety through voluntary peer-to-peer assessment. Citation Text: Hudson DW, Holzmueller CG, Pronovost P, et al. Toward improving patient safety through voluntary peer-to-peer assessment. Am J Med Qual. 2012;27(3):201-9. doi:10.1177/1062860611421981. …

6135. Development of an emergency department trigger tool using a systematic search and modified Delphi process. | PSNet
      psnet.ahrq.gov/issue/development-emergency-department-trigger-tool-using-systematic-search-and-modified-delphi
      August 30, 2017 - Study Development of an emergency department trigger tool using a systematic search and modified Delphi process. Citation Text: Griffey RT, Schneider RM, Adler L, et al. Development of an Emergency Department Trigger Tool Using a Systematic Search and Modified Delphi Process. J Patient S…

6136. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. | PSNet
      psnet.ahrq.gov/issue/effective-program-reduce-malpractice-claims-and-payments-large-orthopaedic-practice
      June 27, 2018 - Study An effective program to reduce malpractice claims and payments in a large orthopaedic practice. Citation Text: Doub TW, Hickson GB, Casey VF, et al. An effective program to reduce malpractice claims and payments in a large orthopaedic practice. J Bone Joint Surg Am. 2024;106(14):12…

6137. Standards for patient monitoring during general anesthesia at Harvard Medical School. | PSNet
      psnet.ahrq.gov/issue/standards-patient-monitoring-during-general-anesthesia-harvard-medical-school
      February 10, 2011 - Clinical Guideline Standards for patient monitoring during general anesthesia at Harvard Medical School. Citation Text: Eichhorn JH, Cooper JB, Cullen DJ, et al. Standards for patient monitoring during anesthesia at Harvard Medical School. JAMA. 1986;256(8):1017-20. Copy Citation F…

6138. A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. | PSNet
      psnet.ahrq.gov/issue/multifaceted-approach-safety-synergistic-detection-adverse-drug-events-adult-inpatients
      April 11, 2011 - Study A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. Citation Text: Ferranti JM, Horvath MM, Cozart H, et al. A Multifaceted Approach to Safety. J Patient Saf. 2008;4(3):184-190. doi:10.1097/pts.0b013e318184a9d5. Copy Citation…

6139. Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. | PSNet
      psnet.ahrq.gov/issue/assisting-beginners-root-cause-analysis-operations-analysis-and-recommendations-regarding
      June 08, 2022 - Commentary Assisting beginners in root cause analysis operations: analysis and recommendations regarding the spread of COVID-19 in nursing facilities for the elderly. Citation Text: Tsuchiya H. Assisting beginners in root cause analysis operations: analysis and recommendations regarding …

6140. Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. | PSNet
      psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily-workflow
      March 17, 2021 - Study Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. Citation Text: Delio J, Catalanotti JS, Marko K, et al. Integrating Adverse Event Reporting Into a Free-Text Mobile Application Used in Da…