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Total Results: over 10,000 records

Showing results for "incidents".

9081. Priority patient safety issues identified by perioperative nurses. | PSNet
      psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
      June 19, 2013 - Study Priority patient safety issues identified by perioperative nurses. Citation Text: Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN J. 2013;97(4):402-18. doi:10.1016/j.aorn.2012.06.016. Copy Citation Format: …

9082. Ethical challenges in child abuse: what is the harm of a misdiagnosis? | PSNet
      psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnosis
      September 01, 2021 - Commentary Ethical challenges in child abuse: what is the harm of a misdiagnosis? Citation Text: Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4. Copy Citation Format: DOI …

9083. 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…

9084. 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…

9085. 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…

9086. 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…

9087. Psychology insights on apologizing to patients. | PSNet
      psnet.ahrq.gov/issue/psychology-insights-apologizing-patients
      March 27, 2024 - Commentary Psychology insights on apologizing to patients. Citation Text: Redelmeier DA, Roach J. Psychology insights on apologizing to patients. J Hosp Med. 2024;Epub Dec 30. doi:10.1002/jhm.13585. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

9088. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. | PSNet
      psnet.ahrq.gov/issue/safety-organizing-scale-development-and-validation-behavioral-measure-safety-culture-hospital
      December 16, 2011 - Study The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units. Citation Text: Vogus TJ, Sutcliffe K. The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing…

9089. Creating an integrated patient safety team. | PSNet
      psnet.ahrq.gov/issue/creating-integrated-patient-safety-team
      January 04, 2017 - Commentary Classic Creating an integrated patient safety team. Citation Text: Gandhi TK, Graydon-Baker E, Barnes JN, et al. Creating an integrated patient safety team. Jt Comm J Qual Saf. 2003;29(8):383-90. Copy Citation Format: Google Scholar PubM…

9090. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet
      psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
      November 18, 2015 - Book/Report Classic The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Citation Text: The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN…

9091. The debrief imperative: building teaming competencies and team effectiveness. | PSNet
      psnet.ahrq.gov/issue/debrief-imperative-building-teaming-competencies-and-team-effectiveness
      December 16, 2020 - Commentary The debrief imperative: building teaming competencies and team effectiveness. Citation Text: Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. Copy Citati…

9092. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet
      psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
      October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

9093. Amid lack of accountability for bias in maternity care, a California family seeks justice. | PSNet
      psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
      September 06, 2023 - Newspaper/Magazine Article Amid lack of accountability for bias in maternity care, a California family seeks justice. Citation Text: Amid lack of accountability for bias in maternity care, a California family seeks justice. Kwon S. KFF Health News. August 8, 2023 Copy Citation …

9094. Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. | PSNet
      psnet.ahrq.gov/issue/burnout-among-health-care-professionals-call-explore-and-address-underrecognized-threat-safe
      November 11, 2020 - Book/Report Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Citation Text: Burnout Among Health Care Professionals. A Call to Explore and Address This Underrecognized Threat to Safe, High-Quality Care. Dyrbye …

9095. High-Performance Work Systems in Health Care Management: Parts 1-5. | PSNet
      psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2
      March 22, 2017 - Special or Theme Issue High-Performance Work Systems in Health Care Management: Parts 1-5. Citation Text: High-Performance Work Systems in Health Care Management: Parts 1-5. Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020. Copy Citation …

9096. 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…

9097. 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…

9098. Infection prevention in the operating room anesthesia work area. | PSNet
      psnet.ahrq.gov/issue/infection-prevention-operating-room-anesthesia-work-area
      March 02, 2014 - Commentary Infection prevention in the operating room anesthesia work area. Citation Text: Munoz-Price S, Bowdle A, Johnston L, et al. Infection prevention in the operating room anesthesia work area. Infect Control Hosp Epidemiol. 2018:1-17. doi:10.1017/ice.2018.303. Copy Citation …

9099. 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):…

9100. Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. | PSNet
      psnet.ahrq.gov/issue/influence-house-staff-experience-teaching-hospital-mortality-july-phenomenon-revisited
      March 04, 2015 - Study Influence of house-staff experience on teaching-hospital mortality: the "July Phenomenon" revisited. Citation Text: van Walraven C, Jennings A, Wong J, et al. Influence of house-staff experience on teaching-hospital mortality: the "July phenomenon" revisited. J Hosp Med. 2011;6(7…