Results

Total Results: over 10,000 records

Showing results for "incidents".

9281. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. | PSNet
      psnet.ahrq.gov/issue/impact-hospital-acquired-conditions-financial-liabilities-medicare-patients
      November 26, 2014 - Study Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Citation Text: Coomer NM, Kandilov AMG. Impact of hospital-acquired conditions on financial liabilities for Medicare patients. Am J Infect Control. 2016;44(11):1326-1334. doi:10.1016/j.ajic.2016.…

9282. Embracing multiple aims in healthcare improvement and innovation. | PSNet
      psnet.ahrq.gov/issue/embracing-multiple-aims-healthcare-improvement-and-innovation
      June 24, 2020 - Commentary Embracing multiple aims in healthcare improvement and innovation. Citation Text: Amalberti R, Staines A, Vincent CA. Embracing multiple aims in healthcare improvement and innovation. Int J Qual Health Care. 2022;34(1):mzac006. doi:10.1093/intqhc/mzac006. Copy Citation Fo…

9283. Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. | PSNet
      psnet.ahrq.gov/issue/are-clinical-instructors-preventing-or-provoking-adverse-events-involving-students
      November 15, 2023 - Commentary Are clinical instructors preventing or provoking adverse events involving students: a contemporary issue. Citation Text: Christensen L. Are clinical instructors preventing or provoking adverse events involving students: A contemporary issue. Nurse Educ Today. 2018;70:121-123. …

9284. STAMP: a 5-year project to reduce paediatric prescribing errors. | PSNet
      psnet.ahrq.gov/issue/stamp-5-year-project-reduce-paediatric-prescribing-errors
      June 26, 2019 - Study STAMP: a 5-year project to reduce paediatric prescribing errors. Citation Text: Trivedi A, Ajitsaria R, Bate T. STAMP: a 5-year project to reduce paediatric prescribing errors. Arch Dis Child Educ Pract Ed. 2022;108(2):115-119. doi:10.1136/archdischild-2021-323192. Copy Citation …

9285. Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. | PSNet
      psnet.ahrq.gov/issue/outcomes-are-worse-us-patients-undergoing-surgery-weekends-compared-weekdays
      August 02, 2015 - Study Outcomes are worse in US patients undergoing surgery on weekends compared with weekdays. Citation Text: Glance LG, Osler T, Li Y, et al. Outcomes are Worse in US Patients Undergoing Surgery on Weekends Compared With Weekdays. Med Care. 2016;54(6):608-15. doi:10.1097/MLR.00000000000…

9286. Improving sepsis care through systems change: the impact of a medical emergency team. | PSNet
      psnet.ahrq.gov/issue/improving-sepsis-care-through-systems-change-impact-medical-emergency-team
      December 02, 2009 - Commentary Improving sepsis care through systems change: the impact of a medical emergency team. Citation Text: Sarani B, Brenner SR, Gabel B, et al. Improving sepsis care through systems change: the impact of a medical emergency team. Jt Comm J Qual Patient Saf. 2008;34(3):179-182, 12…

9287. Evolution of a rapid response system from voluntary to mandatory activation. | PSNet
      psnet.ahrq.gov/issue/evolution-rapid-response-system-voluntary-mandatory-activation
      June 07, 2023 - Commentary Evolution of a rapid response system from voluntary to mandatory activation. Citation Text: Jones CM, Bleyer AJ, Petree B. Evolution of a rapid response system from voluntary to mandatory activation. Jt Comm J Qual Patient Saf. 2010;36(6):266-70, 241. Copy Citation Forma…

9288. Consumer-directed technologies to improve medication management and safety. | PSNet
      psnet.ahrq.gov/issue/consumer-directed-technologies-improve-medication-management-and-safety
      December 29, 2014 - Commentary Consumer-directed technologies to improve medication management and safety. Citation Text: Andrade AQ, Roughead EE. Consumer-directed technologies to improve medication management and safety. Med J Aust. 2019;210(suppl 6):S24-S27. doi:10.5694/mja2.50029. Copy Citation Fo…

9289. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. | PSNet
      psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
      February 16, 2022 - Commentary Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Citation Text: Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. do…

9290. Evaluation of a measurement system to assess ICU team performance. | PSNet
      psnet.ahrq.gov/issue/evaluation-measurement-system-assess-icu-team-performance
      November 17, 2014 - Study Evaluation of a measurement system to assess ICU team performance. Citation Text: Dietz AS, Salas E, Pronovost P, et al. Evaluation of a Measurement System to Assess ICU Team Performance. Crit Care Med. 2018;46(12):1898-1905. doi:10.1097/CCM.0000000000003431. Copy Citation Fo…

9291. Patient safety culture transformation in a children's hospital: an interprofessional approach. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-transformation-childrens-hospital-interprofessional-approach
      January 16, 2010 - Study Patient safety culture transformation in a children's hospital: an interprofessional approach. Citation Text: Nagelkerk J, Peterson T, Pawl BL, et al. Patient safety culture transformation in a children's hospital: an interprofessional approach. J Interprof Care. 2014;28(4):358-64.…

9292. When a surgical colleague makes an error. | PSNet
      psnet.ahrq.gov/issue/when-surgical-colleague-makes-error
      December 21, 2014 - Commentary When a surgical colleague makes an error. Citation Text: Antiel RM, Blinman TA, Rentea RM, et al. When a Surgical Colleague Makes an Error. Pediatrics. 2016;137(3):e20153828. doi:10.1542/peds.2015-3828. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…

9293. After Mid Staffordshire: from acknowledgement, through learning, to improvement. | PSNet
      psnet.ahrq.gov/issue/after-mid-staffordshire-acknowledgement-through-learning-improvement
      August 28, 2024 - Special or Theme Issue After Mid Staffordshire: from acknowledgement, through learning, to improvement. Citation Text: Martin G, Dixon-Woods M. After Mid Staffordshire: from acknowledgement, through learning, to improvement. BMJ Qual Saf. 2014;23(9):706-8. doi:10.1136/bmjqs-2014-003359. …

9294. Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies. | PSNet
      psnet.ahrq.gov/issue/interprofessional-care-intensive-care-settings-and-factors-impact-it-results-scoping-review
      August 15, 2018 - Review Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies. Citation Text: Paradis E, Leslie M, Gropper MA, et al. Interprofessional care in intensive care settings and the factors that impact it: resul…

9295. Matching identifiers in electronic health records: implications for duplicate records and patient safety. | PSNet
      psnet.ahrq.gov/issue/matching-identifiers-electronic-health-records-implications-duplicate-records-and-patient
      October 13, 2015 - Study Matching identifiers in electronic health records: implications for duplicate records and patient safety. Citation Text: McCoy AB, Wright A, Kahn MG, et al. Matching identifiers in electronic health records: implications for duplicate records and patient safety. BMJ Qual Saf. 20…

9296. 'Bad apples': time to redefine as a type of systems problem? | PSNet
      psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
      April 19, 2017 - Commentary 'Bad apples': time to redefine as a type of systems problem? Citation Text: Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. Copy Citation Format: DOI Google …

9297. The impact of major intraoperative adverse events on hospital readmissions. | PSNet
      psnet.ahrq.gov/issue/impact-major-intraoperative-adverse-events-hospital-readmissions
      July 01, 2017 - Study The impact of major intraoperative adverse events on hospital readmissions. Citation Text: Nandan AR, Bohnen JD, Chang DC, et al. The impact of major intraoperative adverse events on hospital readmissions. Am J Surg. 2017;213(1):10-17. doi:10.1016/j.amjsurg.2016.03.018. Copy Cita…

9298. Safety culture, patient safety, and quality of care outcomes: a literature review. | PSNet
      psnet.ahrq.gov/issue/safety-culture-patient-safety-and-quality-care-outcomes-literature-review
      October 24, 2018 - Review Safety culture, patient safety, and quality of care outcomes: a literature review. Citation Text: Lee SE, Scott LD, Dahinten S, et al. Safety Culture, Patient Safety, and Quality of Care Outcomes: A Literature Review. West J Nurs Res. 2019;41(2):279-304. doi:10.1177/01939459177474…

9299. Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. | PSNet
      psnet.ahrq.gov/issue/drug-formulations-require-potentially-inaccurate-volumes-prepare-doses-infants-and-children
      April 22, 2011 - Study Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children. Citation Text: Uppal N, Yasseen B, Seto W, et al. Drug formulations that require less than 0.1 mL of stock solution to prepare doses for infants and children. CMAJ. 2011;183(4…

9300. Best practices for safe handling of products containing concentrated potassium. | PSNet
      psnet.ahrq.gov/issue/best-practices-safe-handling-products-containing-concentrated-potassium
      April 22, 2011 - Study Best practices for safe handling of products containing concentrated potassium. Citation Text: Tubman M, Majumdar SR, Lee D, et al. Best practices for safe handling of products containing concentrated potassium. BMJ. 2005;331(7511):274-7. Copy Citation Format: Googl…