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Showing results for "incidents".

7301. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37843/psn-pdf
      March 04, 2011 - Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. March 4, 2011 Tucker AL, Singer SJ, Hayes J, et al. Front-line staff perspectives on opportunities for improving the safety and efficiency of hospital work systems. Health Serv Res. 2008;43(5 Pt 2):1807…

7302. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72709/psn-pdf
      February 03, 2021 - COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study. February 3, 2021 Vimercati L, De Maria L, Quarato M, et al. COVID-19 hospital outbreaks: Protecting healthcare workers to protect frail patients. An Italian observational cohort study. Int J…

7303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40200/psn-pdf
      July 02, 2014 - Checklists to reduce diagnostic errors. July 2, 2014 Ely JW, Graber ML, Croskerry P. Checklists to reduce diagnostic errors. Acad Med. 2011;86(3):307-313. doi:10.1097/ACM.0b013e31820824cd. https://psnet.ahrq.gov/issue/checklists-reduce-diagnostic-errors Diagnostic errors are rapidly gaining attention as the next f…

7304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42211/psn-pdf
      April 24, 2013 - An organizational assessment of disruptive clinician behavior: findings and implications. April 24, 2013 Walrath JM, Dang D, Nyberg D. An Organizational Assessment of Disruptive Clinician Behavior. J Nurs Care Qual. 2012;28(2):110-121. doi:10.1097/ncq.0b013e318270d2ba. https://psnet.ahrq.gov/issue/organizational-a…

7305. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41795/psn-pdf
      September 07, 2016 - Drug shortage-associated increase in catheter-related blood stream infection in children. September 7, 2016 Ralls MW, Blackwood A, Arnold MA, et al. Drug shortage-associated increase in catheter-related blood stream infection in children. Pediatrics. 2012;130(5):e1369-73. doi:10.1542/peds.2011-3894. https://psnet.…

7306. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40433/psn-pdf
      November 26, 2014 - Transitioning between electronic health records: effects on ambulatory prescribing safety. November 26, 2014 Abramson EL, Malhotra S, Fischer K, et al. Transitioning between electronic health records: effects on ambulatory prescribing safety. J Gen Intern Med. 2011;26(8):868-74. doi:10.1007/s11606-011-1703-z. http…

7307. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44315/psn-pdf
      November 20, 2015 - Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort. November 20, 2015 Amaral ACK-B, McDonald A, Coburn NG, et al. Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A p…

7308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47727/psn-pdf
      January 23, 2019 - Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. January 23, 2019 Turner DA, Bae J, Cheely G, et al. Improving Resident and Fellow Engagement in Patient Safety Through a Graduate Medical Education Incentive Program. J Gen Intern Care. 2018;10(6):671…

7309. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38558/psn-pdf
      February 18, 2011 - Medication discrepancies upon hospital to skilled nursing facility transitions. February 18, 2011 Tjia J, Bonner A, Briesacher BA, et al. Medication discrepancies upon hospital to skilled nursing facility transitions. J Gen Intern Med. 2009;24(5):630-5. doi:10.1007/s11606-009-0948-2. https://psnet.ahrq.gov/issue/m…

7310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44915/psn-pdf
      January 01, 2020 - Electronic health record adoption and rates of in-hospital adverse events. February 24, 2016 Furukawa MF, Eldridge N, Wang Y, et al. Electronic Health Record Adoption and Rates of In-hospital Adverse Events. J Patient Saf. 2020;16(2):137-142. doi:10.1097/pts.0000000000000257. https://psnet.ahrq.gov/issue/electroni…

7311. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36047/psn-pdf
      September 28, 2010 - When policy meets physiology: the challenge of reducing resident work hours. September 28, 2010 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. https://psnet.ahrq.gov/issue/when-policy-meets-physiology…

7312. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39063/psn-pdf
      December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…

7313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866246/psn-pdf
      July 10, 2024 - "They say they listen. But do they really listen?": A qualitative study of hospital doctors' experiences of organisational deafness, disconnect and denial. July 10, 2024 Creese J, Byrne JP, Conway E, et al. “They say they listen. But do they really listen?”: A qualitative study of hospital doctors’ experiences of …

7314. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41298/psn-pdf
      November 27, 2012 - Patient safety culture and the association with safe resident care in nursing homes. November 27, 2012 Thomas KS, Hyer K, Castle NG, et al. Patient safety culture and the association with safe resident care in nursing homes. Gerontologist. 2012;52(6):802-811. doi:10.1093/geront/gns007. https://psnet.ahrq.gov/issue…

7315. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45739/psn-pdf
      July 02, 2017 - High-risk medications in hospitalized elderly adults: are we making it easy to do the wrong thing? July 2, 2017 Blachman NL, Leipzig RM, Mazumdar M, et al. High-Risk Medications in Hospitalized Elderly Adults: Are We Making It Easy to Do the Wrong Thing? J Am Geriatr Soc. 2017;65(3):603-607. doi:10.1111/jgs.14703. …

7316. Weiner, Michael | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/weiner-michael
      January 01, 2023 - Weiner, Michael Design of a medication reconciliation application: facilitating clinician-focused decision making with data from multiple sources. Citation Cadwallader J, Spry K, Morea J, et al. Design of a medication reconciliation application: facilitating clinician-focused …

7317. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47723/psn-pdf
      January 01, 2020 - Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta- analysis. May 1, 2019 Busch IM, Moretti F, Purgato M, et al. Psychological and Psychosomatic Symptoms of Second Victims of Adverse Events. J Patient Saf. 2020;16(2):e61-e74. doi:10.1097/pts.0000000000000589.…

7318. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35875/psn-pdf
      May 21, 2013 - Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. May 21, 2013 The Joint Commission. https://psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person- surgery According to an AHRQ-supported study, wrong-site surgery occurred at a rate of approxi…

7319. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47760/psn-pdf
      February 06, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. February 6, 2019 Rockville, MD: Agency for Healthcare Research and Quality; January 2019. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-…

7320. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41095/psn-pdf
      February 01, 2012 - Intervention to reduce transmission of resistant bacteria in intensive care. February 1, 2012 Huskins C, Huckabee CM, O'Grady NP, et al. Intervention to reduce transmission of resistant bacteria in intensive care. N Engl J Med. 2011;364(15):1407-18. doi:10.1056/NEJMoa1000373. https://psnet.ahrq.gov/issue/intervent…