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Total Results: over 10,000 records

Showing results for "incidents".

8721. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. | PSNet
      psnet.ahrq.gov/issue/use-beers-criteria-predict-adverse-drug-reactions-among-first-visit-elderly-outpatients
      October 27, 2016 - Study Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Citation Text: Chang C-M, Liu P-YY, Yang Y-HK, et al. Use of the Beers criteria to predict adverse drug reactions among first-visit elderly outpatients. Pharmacotherapy. 2005;25(6):…

8722. Deaths in Acute Hospitals: Caring to the End? | PSNet
      psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
      March 17, 2011 - Book/Report Deaths in Acute Hospitals: Caring to the End? Citation Text: Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. Copy Citat…

8723. Rapid response systems as a patient safety strategy: a systematic review. | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-patient-safety-strategy-systematic-review
      March 20, 2013 - Review Rapid response systems as a patient safety strategy: a systematic review. Citation Text: Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051…

8724. Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. | PSNet
      psnet.ahrq.gov/issue/assessing-evidence-base-context-sensitive-effectiveness-and-safety-patient-safety-practices
      December 24, 2008 - Press Release/Announcement Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Criteria. Citation Text: Assessing the Evidence Base for Context-Sensitive Effectiveness and Safety of Patient Safety Practices: Developing Crit…

8725. Hospital performance trends on national quality measures and the association with Joint Commission accreditation. | PSNet
      psnet.ahrq.gov/issue/hospital-performance-trends-national-quality-measures-and-association-joint-commission
      September 20, 2011 - Study Hospital performance trends on national quality measures and the association with Joint Commission accreditation. Citation Text: Schmaltz SP, Williams SC, Chassin MR, et al. Hospital performance trends on national quality measures and the association with joint commission accre…

8726. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. | PSNet
      psnet.ahrq.gov/issue/effect-drug-concentration-expression-epinephrine-dosing-errors-randomized-trial
      August 27, 2008 - Study The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Citation Text: Wheeler DW, Carter JJ, Murray LJ, et al. The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. Ann Intern Med. 2008;148(1):11-4. …

8727. Disclosing medical errors: prioritising the needs of patients and families. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-prioritising-needs-patients-and-families
      November 11, 2020 - Commentary Disclosing medical errors: prioritising the needs of patients and families. Citation Text: Gallagher TH, Hemmelgarn C, Benjamin EM. Disclosing medical errors: prioritising the needs of patients and families. BMJ Qual Saf. 2023;32(10):557-561. doi:10.1136/bmjqs-2022-015880. C…

8728. Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. | PSNet
      psnet.ahrq.gov/issue/professionalism-lapses-and-adverse-childhood-experiences-reflections-island-last-resort
      October 14, 2015 - Commentary Professionalism lapses and adverse childhood experiences: reflections from the island of last resort. Citation Text: Williams BW. Professionalism Lapses and Adverse Childhood Experiences: Reflections From the Island of Last Resort. Acad Med. 2019;94(8):1081-1083. doi:10.1097/A…

8729. Information distortion in physicians' diagnostic judgments. | PSNet
      psnet.ahrq.gov/issue/information-distortion-physicians-diagnostic-judgments
      April 07, 2021 - Study Information distortion in physicians' diagnostic judgments. Citation Text: Kostopoulou O, Russo E, Keenan G, et al. Information distortion in physicians' diagnostic judgments. Med Decis Making. 2012;32(6):831-9. doi:10.1177/0272989X12447241. Copy Citation Format: DO…

8730. Methods for assessing the preventability of adverse drug events: a systematic review. | PSNet
      psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review
      July 24, 2013 - Review Methods for assessing the preventability of adverse drug events: a systematic review. Citation Text: Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…

8731. Managing the care of patients discharged from home health: a quiet threat to patient safety? | PSNet
      psnet.ahrq.gov/issue/managing-care-patients-discharged-home-health-quiet-threat-patient-safety
      October 16, 2012 - Study Managing the care of patients discharged from home health: a quiet threat to patient safety? Citation Text: Flynn L. Managing the care of patients discharged from home health: a quiet threat to patient safety? Home Healthc Nurse. 2007;25(3):184-90. Copy Citation Format: …

8732. Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. | PSNet
      psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
      August 07, 2019 - Commentary Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. Citation Text: Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …

8733. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. | PSNet
      psnet.ahrq.gov/issue/professional-values-and-reported-behaviours-doctors-usa-and-uk-quantitative-survey
      February 17, 2011 - Study Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. Citation Text: Roland M, Rao SR, Sibbald B, et al. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. BMJ Qual Saf. 2011;20(6):515-21. doi:10…

8734. A prevalence study of errors in opioid prescribing in a large teaching hospital. | PSNet
      psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital
      October 19, 2022 - Study A prevalence study of errors in opioid prescribing in a large teaching hospital. Citation Text: Davies D, Schneider F, Childs S, et al. A prevalence study of errors in opioid prescribing in a large teaching hospital. Int J Clin Pract. 2011;65(9):923-9. doi:10.1111/j.1742-1241.201…

8735. Technical mistakes during the acquisition of the electrocardiogram. | PSNet
      psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
      March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

8736. Physicians and electronic health records: a statewide survey. | PSNet
      psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey
      December 31, 2014 - Study Physicians and electronic health records: a statewide survey. Citation Text: Simon SR, Kaushal R, Cleary PD, et al. Physicians and electronic health records: a statewide survey. Arch Intern Med. 2007;167(5):507-12. Copy Citation Format: Google Scholar PubMed BibTeX …

8737. Finding blunders in thyroid testing: experience in newborns. | PSNet
      psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
      March 04, 2020 - Study Finding blunders in thyroid testing: experience in newborns. Citation Text: Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247. Copy Citation Format: DOI Google S…

8738. Quality improvement and safety in pediatric emergency medicine. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-and-safety-pediatric-emergency-medicine
      March 12, 2025 - Review Quality improvement and safety in pediatric emergency medicine. Citation Text: Ku BC, Chamberlain JM, Shaw KN. Quality Improvement and Safety in Pediatric Emergency Medicine. Pediatr Clin North Am. 2018;65(6):1269-1281. doi:10.1016/j.pcl.2018.07.010. Copy Citation Format: …

8739. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet
      psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
      November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …

8740. Wrong site surgery near misses and actual occurrences. | PSNet
      psnet.ahrq.gov/issue/wrong-site-surgery-near-misses-and-actual-occurrences
      November 30, 2012 - Study Wrong site surgery near misses and actual occurrences. Citation Text: Blanco M, Clarke JR, Martindell D. Wrong site surgery near misses and actual occurrences. AORN J. 2009;90(2):215-8, 221-2. doi:10.1016/j.aorn.2009.07.010. Copy Citation Format: DOI Google Scholar …