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Total Results: over 10,000 records

Showing results for "incidents".

8721. Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. | PSNet
      psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
      July 02, 2019 - Study Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. Citation Text: Hardmeier A, Tsourounis C, Moore M, et al. Pediatric medication administration errors and workflow following implementation of a bar code …

8722. ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet
      psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
      November 10, 2010 - Commentary ReCASTing the RCA: an improved model for performing root cause analyses. Citation Text: Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…

8723. Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. | PSNet
      psnet.ahrq.gov/issue/patient-involvement-patient-safety-qualitative-study-nursing-staff-and-patient-perceptions
      March 02, 2016 - Study Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. Citation Text: Bishop A, Macdonald M. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions. J Patient Saf. 2017;13(2):82-87. doi:10.10…

8724. Health Information Technology Leadership Panel: Final Report. | PSNet
      psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report
      March 30, 2022 - Government Resource Health Information Technology Leadership Panel: Final Report. Citation Text: Health Information Technology Leadership Panel: Final Report. Lewin Group: Falls Church, VA; March 2005. Copy Citation Save Save to your library Print Do…

8725. Mandatory pharmacy residencies: one way to reduce medication errors. | PSNet
      psnet.ahrq.gov/issue/mandatory-pharmacy-residencies-one-way-reduce-medication-errors
      July 23, 2008 - Commentary Mandatory pharmacy residencies: one way to reduce medication errors. Citation Text: Ibrahim RB, Bahgat-Ibrahim L, Reeves D. Mandatory pharmacy residencies: One way to reduce medication errors. Am J Health Syst Pharm. 2010;67(6):477-81. doi:10.2146/ajhp090138. Copy Citation …

8726. Video technology to advance safety in the operating room and perioperative environment. | PSNet
      psnet.ahrq.gov/issue/video-technology-advance-safety-operating-room-and-perioperative-environment
      April 27, 2010 - Commentary Video technology to advance safety in the operating room and perioperative environment. Citation Text: Xiao Y, Schimpff S, Mackenzie CF, et al. Video technology to advance safety in the operating room and perioperative environment. Surg Innov. 2007;14(1):52-61. Copy Citati…

8727. Medical emergency teams: a strategy for improving patient care and nursing work environments. | PSNet
      psnet.ahrq.gov/issue/medical-emergency-teams-strategy-improving-patient-care-and-nursing-work-environments
      March 24, 2011 - Study Medical emergency teams: a strategy for improving patient care and nursing work environments. Citation Text: Galhotra S, Scholle CC, Dew MA, et al. Medical emergency teams: a strategy for improving patient care and nursing work environments. J Adv Nurs. 2006;55(2):180-7. Copy C…

8728. Preventable mortality after common urological surgery: failing to rescue? | PSNet
      psnet.ahrq.gov/issue/preventable-mortality-after-common-urological-surgery-failing-rescue
      July 17, 2013 - Study Preventable mortality after common urological surgery: failing to rescue? Citation Text: Sammon JD, Pucheril D, Abdollah F, et al. Preventable mortality after common urological surgery: failing to rescue? BJU Int. 2015;115(4):666-674. doi:10.1111/bju.12833. Copy Citation Form…

8729. The need for organizational change in patient safety initiatives. | PSNet
      psnet.ahrq.gov/issue/need-organizational-change-patient-safety-initiatives
      May 12, 2010 - Study The need for organizational change in patient safety initiatives. Citation Text: Anderson J, Ramanujam R, Hensel D, et al. The need for organizational change in patient safety initiatives. Int J Med Inform. 2006;75(12):809-17. Copy Citation Format: Google Scholar Pu…

8730. The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. | PSNet
      psnet.ahrq.gov/issue/influence-causes-and-contexts-medical-errors-emergency-medicine-residents-responses-their
      April 11, 2011 - Study The influence of the causes and contexts of medical errors on emergency medicine residents' responses to their errors: an exploration. Citation Text: Hobgood C, Hevia A, Tamayo-Sarver JH, et al. The influence of the causes and contexts of medical errors on emergency medicine resi…

8731. Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm. | PSNet
      psnet.ahrq.gov/issue/predictors-warfarin-associated-adverse-events-hospitalized-patients-opportunities-prevent
      August 03, 2016 - Review Predictors of warfarin-associated adverse events in hospitalized patients: opportunities to prevent patient harm. Citation Text: Metersky M, Eldridge N, Wang Y, et al. Predictors of warfarin-associated adverse events in hospitalized patients: Opportunities to prevent patient harm.…

8732. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. | PSNet
      psnet.ahrq.gov/issue/frequency-type-and-clinical-importance-medication-history-errors-admission-hospital
      September 23, 2020 - Review Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Citation Text: Tam VC. Frequency, type and clinical importance of medication history errors at admission to hospital: a systematic review. Can Med Assoc J. 2005;17…

8733. Teaching medical error disclosure to residents using patient-centered simulation training. | PSNet
      psnet.ahrq.gov/issue/teaching-medical-error-disclosure-residents-using-patient-centered-simulation-training
      October 19, 2022 - Study Teaching medical error disclosure to residents using patient-centered simulation training. Citation Text: Sukalich S, Elliott JO, Ruffner G. Teaching medical error disclosure to residents using patient-centered simulation training. Acad Med. 2014;89(1):136-43. doi:10.1097/ACM.000…

8734. Nature of human error: implications for surgical practice. | PSNet
      psnet.ahrq.gov/issue/nature-human-error-implications-surgical-practice
      March 24, 2021 - Review Nature of human error: implications for surgical practice. Citation Text: Cuschieri A. Nature of human error: implications for surgical practice. Ann Surg. 2006;244(5):642-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

8735. Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspectives. | PSNet
      psnet.ahrq.gov/issue/emerging-issues-and-challenges-improving-patient-safety-mental-health-qualitative-analysis
      June 17, 2009 - Study Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspectives. Citation Text: Brickell TA, McLean C. Emerging issues and challenges for improving patient safety in mental health: a qualitative analysis of expert perspe…

8736. Is it time for safeguards in the adoption of robotic surgery? | PSNet
      psnet.ahrq.gov/issue/it-time-safeguards-adoption-robotic-surgery
      December 04, 2019 - Commentary Is it time for safeguards in the adoption of robotic surgery? Citation Text: Sheetz KH, Dimick JB. Is It Time for Safeguards in the Adoption of Robotic Surgery? JAMA. 2019;321(20):1971-1972. doi:10.1001/jama.2019.3736. Copy Citation Format: DOI Google Scholar Pub…

8737. Content analysis of patient complaints. | PSNet
      psnet.ahrq.gov/issue/content-analysis-patient-complaints
      January 18, 2023 - Study Content analysis of patient complaints. Citation Text: Montini T, Noble AA, Stelfox HT. Content analysis of patient complaints. Int J Qual Health Care. 2008;20(6):412-20. doi:10.1093/intqhc/mzn041. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XM…

8738. Bending the patient safety curve: how much can AI help? | PSNet
      psnet.ahrq.gov/issue/bending-patient-safety-curve-how-much-can-ai-help
      March 31, 2021 - Commentary Bending the patient safety curve: how much can AI help? Citation Text: Classen DC, Longhurst CA, Thomas EJ. Bending the patient safety curve: how much can AI help? NPJ Digit Med. 2023;6(1):2. doi:10.1038/s41746-022-00731-5. Copy Citation Format: DOI Google Schola…

8739. The fate of medicine in the time of AI. | PSNet
      psnet.ahrq.gov/issue/fate-medicine-time-ai
      September 04, 2024 - Commentary Emerging Classic The fate of medicine in the time of AI. Citation Text: Coiera E. The fate of medicine in the time of AI. Lancet. 2018;392(10162):2331-2332. doi:10.1016/S0140-6736(18)31925-1. Copy Citation Format: DOI Google Scholar PubM…

8740. Reduced verification of medication alerts increases prescribing errors. | PSNet
      psnet.ahrq.gov/issue/reduced-verification-medication-alerts-increases-prescribing-errors
      January 09, 2019 - Study Reduced verification of medication alerts increases prescribing errors. Citation Text: Lyell D, Magrabi F, Coiera E. Reduced Verification of Medication Alerts Increases Prescribing Errors. Appl Clin Inform. 2019;10(1):66-76. doi:10.1055/s-0038-1677009. Copy Citation Format: …