Results

Total Results: over 10,000 records

Showing results for "incidents".

8701. Close calls in patient safety: should we be paying closer attention? | PSNet
      psnet.ahrq.gov/issue/close-calls-patient-safety-should-we-be-paying-closer-attention
      November 08, 2013 - Commentary Close calls in patient safety: should we be paying closer attention? Citation Text: Wu AW, Marks CM. Close calls in patient safety: should we be paying closer attention? CMAJ. 2013;185(13):1119-20. doi:10.1503/cmaj.130014. Copy Citation Format: DOI Google Schol…

8702. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. | PSNet
      psnet.ahrq.gov/issue/nosocomial-infection-deficit-reduction-act-and-incentives-hospitals
      September 14, 2011 - Commentary Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. Citation Text: Graves N, McGowan JE. Nosocomial infection, the Deficit Reduction Act, and incentives for hospitals. JAMA. 2008;300(13):1577-9. doi:10.1001/jama.300.13.1577. Copy Citation For…

8703. 'Between the flags': implementing a rapid response system at scale. | PSNet
      psnet.ahrq.gov/issue/between-flags-implementing-rapid-response-system-scale
      June 08, 2011 - Commentary 'Between the flags': implementing a rapid response system at scale. Citation Text: Hughes C, Pain C, Braithwaite J, et al. 'Between the flags': implementing a rapid response system at scale. BMJ Qual Saf. 2014;23(9):714-7. doi:10.1136/bmjqs-2014-002845. Copy Citation For…

8704. A piece of my mind. The art of constructive worrying. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-art-constructive-worrying
      June 10, 2020 - Commentary A piece of my mind. The art of constructive worrying. Citation Text: John CC. The Art of Constructive Worrying. JAMA. 2018;319(22):2273-2274. doi:10.1001/jama.2018.6670. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

8705. The normalization of deviance: a threat to patient safety. | PSNet
      psnet.ahrq.gov/issue/normalization-deviance-threat-patient-safety
      December 21, 2016 - Commentary The normalization of deviance: a threat to patient safety. Citation Text: Odom-Forren J. The normalization of deviance: a threat to patient safety. J Perianesth Nurs. 2011;26(3):216-9. doi:10.1016/j.jopan.2011.05.002. Copy Citation Format: DOI Google Scholar Pu…

8706. Decision-making processes used by nurses during intravenous drug preparation and administration. | PSNet
      psnet.ahrq.gov/issue/decision-making-processes-used-nurses-during-intravenous-drug-preparation-and-administration
      June 29, 2022 - Study Decision-making processes used by nurses during intravenous drug preparation and administration. Citation Text: Dougherty L, Sque M, Crouch R. Decision-making processes used by nurses during intravenous drug preparation and administration. J Adv Nurs. 2012;68(6):1302-11. doi:10.1…

8707. Changing how we think about healthcare improvement. | PSNet
      psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
      October 09, 2024 - Commentary Classic Changing how we think about healthcare improvement. Citation Text: Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. Copy Citation Format: DOI Google Scholar PubMed Bib…

8708. The relationship between safety culture and patient outcomes: results from pilot meta-analyses. | PSNet
      psnet.ahrq.gov/issue/relationship-between-safety-culture-and-patient-outcomes-results-pilot-meta-analyses
      January 08, 2020 - Study The relationship between safety culture and patient outcomes: results from pilot meta-analyses. Citation Text: Groves PS. The relationship between safety culture and patient outcomes: results from pilot meta-analyses. West J Nurs Res. 2014;36(1):66-83. doi:10.1177/019394591349008…

8709. Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit. | PSNet
      psnet.ahrq.gov/issue/effects-rounding-patient-satisfaction-and-patient-safety-medical-surgical-unit
      February 22, 2023 - Study Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit. Citation Text: WOODARD JENNIFERL. Effects of Rounding on Patient Satisfaction and Patient Safety on a Medical-Surgical Unit. Clin Nurs Specialist. 2009;23(4):200-206. doi:10.1097/nur.0b013e…

8710. Patient involvement in patient safety: what factors influence patient participation and engagement? | PSNet
      psnet.ahrq.gov/issue/patient-involvement-patient-safety-what-factors-influence-patient-participation-and
      February 15, 2013 - Review Patient involvement in patient safety: what factors influence patient participation and engagement? Citation Text: Davis R, Jacklin R, Sevdalis N, et al. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expect. 2007;10(3)…

8711. An observational study of laterality errors in a sample of clinical records. | PSNet
      psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
      April 19, 2011 - Study An observational study of laterality errors in a sample of clinical records. Citation Text: Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3. Copy Citation Format: Google Scholar PubMed…

8712. Satisfaction of intensive care unit nurses with nurse-physician communication. | PSNet
      psnet.ahrq.gov/issue/satisfaction-intensive-care-unit-nurses-nurse-physician-communication
      March 18, 2009 - Study Satisfaction of intensive care unit nurses with nurse-physician communication. Citation Text: Manojlovich M, Antonakos C. Satisfaction of intensive care unit nurses with nurse-physician communication. J Nurs Adm. 2008;38(5):237-43. doi:10.1097/01.NNA.0000312769.19481.18. Copy C…

8713. Surgical complications: disclosing adverse events and medical errors. | PSNet
      psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
      September 23, 2020 - Commentary Surgical complications: disclosing adverse events and medical errors. Citation Text: Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008. Copy Citation Format: …

8714. Creating the web-based intensive care unit safety reporting system.  | PSNet
      psnet.ahrq.gov/issue/creating-web-based-intensive-care-unit-safety-reporting-system
      October 13, 2018 - Commentary Creating the web-based intensive care unit safety reporting system.  Citation Text: Holzmueller CG. Creating the Web-based Intensive Care Unit Safety Reporting System. Journal of the American Medical Informatics Association. 2004;12(2). doi:10.1197/jamia.m1408. Copy Citati…

8715. The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. | PSNet
      psnet.ahrq.gov/issue/national-quality-forum-safe-practice-standard-computerized-physician-order-entry-updating
      December 18, 2013 - Review The National Quality Forum safe practice standard for computerized physician order entry: updating a critical patient safety practice. Citation Text: Kilbridge PM, Classen D, Bates DW, et al. The National Quality Forum Safe Practice Standard for Computerized Physician Order Entr…

8716. Restorative just culture: an exploration of the enabling conditions for successful implementation. | PSNet
      psnet.ahrq.gov/issue/restorative-just-culture-exploration-enabling-conditions-successful-implementation
      February 08, 2023 - Study Restorative just culture: an exploration of the enabling conditions for successful implementation. Citation Text: Boskeljon-Horst L, Steinmetz V, Dekker SWA. Restorative just culture: an exploration of the enabling conditions for successful implementation. Healthcare (Basel). 2024;…

8717. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. | PSNet
      psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
      September 01, 2018 - Study Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Citation Text: Mello MM, Senecal SK, Kuznetsov Y, et al. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. Health Aff (Millwood).…

8718. Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. | PSNet
      psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
      May 30, 2012 - Multi-use Website Classic Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. Citation Text: Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission. Copy Citation …

8719. Preventive Care | Digital Healthcare Research
      digital.ahrq.gov/type-care/preventive-care
      January 01, 2023 - Preventive Care A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide Description This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military service…

8720. Inability of providers to predict unplanned readmissions. | PSNet
      psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmissions
      December 05, 2007 - Study Inability of providers to predict unplanned readmissions. Citation Text: Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3. Copy Citation Format: DOI Go…