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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39856/psn-pdf
    December 21, 2014 - Patient perceptions of mistakes in ambulatory care. December 21, 2014 Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. https://psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care Pat…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47591/psn-pdf
    January 01, 2021 - Advancing patient safety through the clinical application of a framework focused on communication. December 19, 2018 Manojlovich M, Hofer TP, Krein SL. Advancing Patient Safety Through the Clinical Application of a Framework Focused on Communication. J Patient Saf. 2021;17(8):e732-e737. doi:10.1097/PTS.00000000000…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60352/psn-pdf
    January 01, 2021 - Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. May 20, 2020 Reader TW, Gillespie A. Stakeholders in safety: patient reports on unsafe clinical behaviors distinguish hospital mortality rates. J Appl Psychol. 2021;106(3):439-451. doi:10.1037/apl0000507. htt…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837031/psn-pdf
    May 04, 2022 - Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety. May 4, 2022 Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50745/psn-pdf
    December 18, 2019 - Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. December 18, 2019 Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis. BMJ Open. 2019;9(1…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851350/psn-pdf
    July 12, 2023 - A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. July 12, 2023 Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug- orders: the writing on the wall. Expert Rev Clin Pharmacol. 2023;16(7):617-621. doi:10.108…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36314/psn-pdf
    June 13, 2011 - Discontinuity of chronic medications in patients discharged from the intensive care unit. June 13, 2011 Bell CM, Rahimi-Darabad P, Orner AI. Discontinuity of chronic medications in patients discharged from the intensive care unit. J Gen Intern Med. 2006;21(9):937-41. https://psnet.ahrq.gov/issue/discontinuity-chro…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48066/psn-pdf
    July 24, 2019 - What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives. July 24, 2019 Wright B, Faulkner N, Bragge P, et al. What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectiv…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45696/psn-pdf
    January 23, 2017 - Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. January 23, 2017 McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. Educ Prim Care. 2016;27(6):443-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44238/psn-pdf
    November 03, 2015 - Use of temporary names for newborns and associated risks. November 3, 2015 Adelman JS, Aschner JL, Schechter CB, et al. Use of Temporary Names for Newborns and Associated Risks. Pediatrics. 2015;136(2):327-333. doi:10.1542/peds.2015-0007. https://psnet.ahrq.gov/issue/use-temporary-names-newborns-and-associated-ris…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34952/psn-pdf
    November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. November 17, 2011 Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance pr…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43899/psn-pdf
    February 18, 2015 - Development and validation of a taxonomy of adverse handover events in hospital settings. February 18, 2015 Andersen HB, Siemsen IMD, Petersen LF, et al. Development and validation of a taxonomy of adverse handover events in hospital settings. Cognition, Technology & Work. 2014;17(1). doi:10.1007/s10111-014- 0303-…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72717/psn-pdf
    February 10, 2021 - Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? February 10, 2021 Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ Res Public Health. 2021;18(2):48…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74152/psn-pdf
    December 08, 2021 - Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. December 8, 2021 Okpalauwaekwe U, Tzeng H-M. Adverse events and their contributors among older adults during skilled nursing stays for rehabilitation: a scoping review. Patient Relat Outcome …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73879/psn-pdf
    September 29, 2021 - Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. September 29, 2021 Sauro KM, Machan M, Whalen-Browne L, et al. Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events. J Patient Saf. 2021;17(8):e1285-e1295. doi:10.…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47077/psn-pdf
    May 23, 2018 - World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia. May 23, 2018 Gelb AW, Morriss WW, Johnson W, et al. World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards fo…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44207/psn-pdf
    August 21, 2018 - U.S. compounding pharmacy-related outbreaks, 2001-- 2013: public health and patient safety lessons learned. August 21, 2018 Shehab N, Brown MN, Kallen AJ, et al. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. J Patient Saf. 2018;14(3):164-173. doi:10.1097…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50432/psn-pdf
    September 04, 2019 - Patient Suicide on a Locked Mental Health Unit at the West Palm Beach VA Medical Center, Florida. September 4, 2019 Washington, DC: Department of Veterans Affairs, Office of Inspector General. August 22, 2019. Report No. 19-07429-195. https://psnet.ahrq.gov/issue/patient-suicide-locked-mental-health-unit-west-palm…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853622/psn-pdf
    January 01, 2024 - Enhancing patient safety: a national standard for cyber resiliency in healthcare. September 20, 2023 Samuelson-Kiraly C, Mitchell JI, Kingston D, et al. Enhancing patient safety: A national standard for cyber resiliency in healthcare. Healthc Manage Forum. 2024;37(1):9-12. doi:10.1177/08404704231196138. https://ps…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36644/psn-pdf
    July 10, 2008 - Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. July 10, 2008 Garbutt J, Brownstein DR, Klein EJ, et al. Reporting and disclosing medical errors: pediatricians' attitudes and behaviors. Arch Pediatr Adolesc Med. 2007;161(2):179-85. https://psnet.ahrq.gov/issue/reporting-and-disclos…
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