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Total Results: over 10,000 records

Showing results for "incidents".

8661. Sentinel events. In memory of Ben—a case study. | PSNet
      psnet.ahrq.gov/issue/sentinel-events-memory-ben-case-study
      July 01, 2016 - Study Sentinel events. In memory of Ben—a case study. Citation Text: Haas D. Sentinel events. In memory of Ben--a case study. Jt Comm Perspect. 1997;17(2):12-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

8662. The Safe Tables Collaborative: a statewide experience. | PSNet
      psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience
      April 12, 2011 - Commentary The Safe Tables Collaborative: a statewide experience. Citation Text: Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193. Copy Citation Format: Google Scholar PubMed BibT…

8663. To what extent do pediatricians accept computer-based dosing suggestions? | PSNet
      psnet.ahrq.gov/issue/what-extent-do-pediatricians-accept-computer-based-dosing-suggestions
      May 27, 2011 - Study To what extent do pediatricians accept computer-based dosing suggestions? Citation Text: Killelea BK, Kaushal R, Cooper M, et al. To what extent do pediatricians accept computer-based dosing suggestions? Pediatrics. 2007;119(1):e69-75. Copy Citation Format: Google S…

8664. Tracking with virtual slides: a tool to study diagnostic error in histopathology. | PSNet
      psnet.ahrq.gov/issue/tracking-virtual-slides-tool-study-diagnostic-error-histopathology
      January 08, 2020 - Study Tracking with virtual slides: a tool to study diagnostic error in histopathology. Citation Text: Treanor D, Lim CH, Magee D, et al. Tracking with virtual slides: a tool to study diagnostic error in histopathology. Histopathology. 2009;55(1):37-45. doi:10.1111/j.1365-2559.2009.033…

8665. LeDeR - Learning from Lives and Deaths. | PSNet
      psnet.ahrq.gov/issue/leder-learning-lives-and-deaths
      October 19, 2022 - Multi-use Website LeDeR - Learning from Lives and Deaths. Citation Text: LeDeR - Learning from Lives and Deaths. Norah Frye Centre for Disability Studies; Bristol, England. Copy Citation Save Save to your library Print Download PDF Share Fa…

8666. Hospitals often ignore policies on using qualified medical interpreters. | PSNet
      psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
      April 22, 2016 - Newspaper/Magazine Article Hospitals often ignore policies on using qualified medical interpreters. Citation Text: Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. Co…

8667. Implementing root cause analysis in an area health service: views of the participants. | PSNet
      psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
      December 03, 2014 - Study Implementing root cause analysis in an area health service: views of the participants. Citation Text: Middleton S, Walker C, Chester R. Implementing root cause analysis in an area health service: views of the participants. Aust Health Rev. 2005;29(4):422-8. Copy Citation Fo…

8668. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. | PSNet
      psnet.ahrq.gov/issue/measuring-nursing-error-psychometrics-misscare-and-practice-and-professional-issues-items
      October 17, 2012 - Study Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. Citation Text: Castner J, Dean-Baar S. Measuring nursing error: psychometrics of MISSCARE and practice and professional issues items. J Nurs Manag. 2014;22(3):421-437. Copy Citation …

8669. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. | PSNet
      psnet.ahrq.gov/issue/telling-cultures-cultural-issues-staff-reporting-concerns-about-colleagues-uk-national-health
      July 08, 2015 - Commentary Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Citation Text: Ehrich K. Telling cultures: 'cultural' issues for staff reporting concerns about colleagues in the UK National Health Service. Sociol Health Il…

8670. Team training: implications for emergency and critical care pediatrics. | PSNet
      psnet.ahrq.gov/issue/team-training-implications-emergency-and-critical-care-pediatrics
      May 18, 2016 - Review Team training: implications for emergency and critical care pediatrics. Citation Text: Eppich W, Brannen M, Hunt EA. Team training: implications for emergency and critical care pediatrics. Curr Opin Pediatr. 2008;20(3):255-60. doi:10.1097/MOP.0b013e3282ffb3f3. Copy Citation …

8671. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. | PSNet
      psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-research-david-w-bates-md-msc-brigham-and-womens
      July 25, 2018 - Commentary John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Citation Text: Bates DW. John M. Eisenberg Patient Safety Awards. Research: David W. Bates, MD, MSc, Brigham and Women's Hospital. Interview by Steven Berman. Jt Comm J Q…

8672. Disclosing medical errors to patients: a challenge for health care professionals and institutions. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
      April 19, 2017 - Commentary Disclosing medical errors to patients: a challenge for health care professionals and institutions. Citation Text: Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/…

8673. Simulation for operational readiness in a new freestanding emergency department: strategy and tactics. | PSNet
      psnet.ahrq.gov/issue/simulation-operational-readiness-new-freestanding-emergency-department-strategy-and-tactics
      August 20, 2018 - Study Simulation for operational readiness in a new freestanding emergency department: strategy and tactics. Citation Text: Kerner RL, Gallo K, Cassara M, et al. Simulation for Operational Readiness in a New Freestanding Emergency Department. Simul Healthc. 2016;11(5). doi:10.1097/sih.00…

8674. Medication errors—new approaches to prevention. | PSNet
      psnet.ahrq.gov/issue/medication-errors-new-approaches-prevention
      November 18, 2016 - Review Medication errors—new approaches to prevention. Citation Text: Merry A, Anderson BJ. Medication errors--new approaches to prevention. Paediatr Anaesth. 2011;21(7):743-53. doi:10.1111/j.1460-9592.2011.03589.x. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

8675. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. | PSNet
      psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
      March 24, 2021 - Commentary Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Citation Text: Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36. Copy Citation Format: …

8676. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. | PSNet
      psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons-philosophy
      March 11, 2015 - Commentary A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. Citation Text: Boyd M. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. J Eval Clin Pract. 2015;21(3):461-9. doi:10.1111/j…

8677. An observational study of practice during transfer of patients from anaesthetic room to operating theatre. | PSNet
      psnet.ahrq.gov/issue/observational-study-practice-during-transfer-patients-anaesthetic-room-operating-theatre
      September 27, 2016 - Study An observational study of practice during transfer of patients from anaesthetic room to operating theatre. Citation Text: Broom MA, Slater J, Ure DS. An observational study of practice during transfer of patients from anaesthetic room to operating theatre. Anaesthesia. 2006;61(10…

8678. Report links Georgia's abortion ban to preventable deaths. | PSNet
      psnet.ahrq.gov/issue/report-links-georgias-abortion-ban-preventable-deaths
      November 13, 2024 - Audiovisual Presentation Report links Georgia's abortion ban to preventable deaths. Citation Text: Yang J, Surana K. Report links Georgia's abortion ban to preventable deaths. PBS News Hour. 2024. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

8679. Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. | PSNet
      psnet.ahrq.gov/issue/checking-anaesthetic-equipment-2012-association-anaesthetists-great-britain-and-ireland
      August 04, 2021 - Organizational Policy/Guidelines Checking anaesthetic equipment 2012: Association of Anaesthetists of Great Britain and Ireland. Citation Text: Anderson E, Bythell V, Gemmell L, et al. Checking Anaesthetic Equipment 2012. Anaesthesia. 2012;67(6). doi:10.1111/j.1365-2044.2012.07163.x. …

8680. A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. | PSNet
      psnet.ahrq.gov/issue/qualitative-study-examining-influences-situation-awareness-and-identification-mitigation-and
      July 16, 2014 - Study A qualitative study examining the influences on situation awareness and the identification, mitigation and escalation of recognised patient risk. Citation Text: Brady PW, Goldenhar LM. A qualitative study examining the influences on situation awareness and the identification, miti…