Results

Total Results: over 10,000 records

Showing results for "incidents".

9341. Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. | PSNet
      psnet.ahrq.gov/issue/communicating-doses-pediatric-liquid-medicines-parentscaregivers-comparison-written-dosing
      July 10, 2024 - Study Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy. Citation Text: Shah R, Blustein L, Kuffner E, et al. Communicating doses of pediatric liquid medicines to p…

9342. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. | PSNet
      psnet.ahrq.gov/issue/psychological-safety-and-hierarchy-operating-room-debriefing-reflexive-thematic-analysis
      March 06, 2024 - Study Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. Citation Text: McElroy C, Skegg E, Mudgway M, et al. Psychological safety and hierarchy in operating room debriefing: reflexive thematic analysis. J Surg Res. 2023;295:567-573. doi:10.1016…

9343. Electronic Test Result Communication in the Era of the 21st Century Cures Act | PSNet
      psnet.ahrq.gov/issue/electronic-test-result-communication-era-21st-century-cures-act
      May 25, 2022 - Book/Report Electronic Test Result Communication in the Era of the 21st Century Cures Act Citation Text: Bradford A, Ehsan S, Shahid U, et al. Electronic Test Result Communication In The Era Of The 21St Century Cures Act. Rockville, MD: Agency for Healthcare Research and Quality; July 20…

9344. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. | PSNet
      psnet.ahrq.gov/issue/pharmacist-versus-physician-acquired-medication-history-prospective-study-emergency
      June 17, 2014 - Study Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Citation Text: De Winter S, Spriet I, Indevuyst C, et al. Pharmacist- versus physician-acquired medication history: a prospective study at the emergency department. Qual Saf…

9345. A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. | PSNet
      psnet.ahrq.gov/issue/comparative-resident-site-visit-project-novel-approach-implementing-programmatic-change-duty
      July 19, 2023 - Study A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. Citation Text: Crowley MJ, Barkauskas CE, Srygley D, et al. A comparative resident site visit project: a novel approach for implementing programmatic change in t…

9346. Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. | PSNet
      psnet.ahrq.gov/issue/missed-ischemic-stroke-diagnosis-emergency-department-emergency-medicine-and-neurology
      August 03, 2017 - Study Missed ischemic stroke diagnosis in the emergency department by emergency medicine and neurology services. Citation Text: Arch AE, Weisman DC, Coca S, et al. Missed Ischemic Stroke Diagnosis in the Emergency Department by Emergency Medicine and Neurology Services. Stroke. 2016;47(3…

9347. Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. | PSNet
      psnet.ahrq.gov/issue/care-and-oversight-deficiencies-related-multiple-homicides-louis-johnson-va-medical-center
      February 10, 2021 - Book/Report Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Virginia. Citation Text: Care and Oversight Deficiencies Related to Multiple Homicides at the Louis A. Johnson VA Medical Center in Clarksburg, West Vir…

9348. Hospital deaths in patients with sepsis from 2 independent cohorts. | PSNet
      psnet.ahrq.gov/issue/hospital-deaths-patients-sepsis-2-independent-cohorts
      November 21, 2021 - Study Hospital deaths in patients with sepsis from 2 independent cohorts. Citation Text: Liu V, Escobar GJ, Greene JD, et al. Hospital deaths in patients with sepsis from 2 independent cohorts. JAMA. 2014;312(1):90-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

9349. Racial and ethnic harm in patient care is a patient safety issue. | PSNet
      psnet.ahrq.gov/issue/racial-and-ethnic-harm-patient-care-patient-safety-issue
      October 21, 2020 - Commentary Racial and ethnic harm in patient care is a patient safety issue. Citation Text: Rosario N, Kiles TM, M. Jewell T'B, et al. Racial and ethnic harm in patient care is a patient safety issue. Res Social Adm Pharm. 2024;20(7):670-677. doi:10.1016/j.sapharm.2024.04.012. Copy Cit…

9350. Ambulatory patient safety. What we know and need to know. | PSNet
      psnet.ahrq.gov/issue/ambulatory-patient-safety-what-we-know-and-need-know
      May 27, 2015 - Study Ambulatory patient safety. What we know and need to know. Citation Text: Hammons T, Piland NF, Small SD, et al. Ambulatory Patient Safety. What we know and need to know. J Ambul Care Manage. 2013;26(1):63-82. doi:10.1097/00004479-200301000-00007. Copy Citation Format: …

9351. Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. | PSNet
      psnet.ahrq.gov/issue/health-care-failure-mode-and-effect-analysis-reduce-nicu-line-associated-bloodstream
      April 24, 2018 - Study Health care failure mode and effect analysis to reduce NICU line–associated bloodstream infections. Citation Text: Chandonnet CJ, Kahlon PS, Rachh P, et al. Health care failure mode and effect analysis to reduce NICU line-associated bloodstream infections. Pediatrics. 2013;131(6):e…

9352. 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 …

9353. Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. | PSNet
      psnet.ahrq.gov/issue/leader-safety-storytelling-qualitative-analysis-attributes-effective-safety-storytelling-and
      November 16, 2022 - Study Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and its outcomes. Citation Text: Benetti PJ, Kanse L, Fruhen LS, et al. Leader safety storytelling: a qualitative analysis of the attributes of effective safety storytelling and it…

9354. Year-end resident clinic handoffs: narrative review and recommendations for improvement. | PSNet
      psnet.ahrq.gov/issue/year-end-resident-clinic-handoffs-narrative-review-and-recommendations-improvement
      March 28, 2018 - Review Year-end resident clinic handoffs: narrative review and recommendations for improvement. Citation Text: Pincavage A, Donnelly MJ, Young JQ, et al. Year-End Resident Clinic Handoffs: Narrative Review and Recommendations for Improvement. Jt Comm J Qual Patient Saf. 2017;43(2):71-79.…

9355. Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture | PSNet
      psnet.ahrq.gov/issue/exploring-relationship-between-contact-frequency-leader-member-relationships-and-patient
      February 10, 2021 - Study Exploring the relationship between contact frequency, leader-member relationships, and patient safety culture Citation Text: Anderson AD, Floegel TA, Hofler L, et al. Exploring the Relationship Between Contact Frequency, Leader-Member Relationships, and Patient Safety Culture. J Nu…

9356. Successful use of a rapid response team in the pediatric oncology outpatient setting. | PSNet
      psnet.ahrq.gov/issue/successful-use-rapid-response-team-pediatric-oncology-outpatient-setting
      December 21, 2016 - Commentary Successful use of a rapid response team in the pediatric oncology outpatient setting. Citation Text: Avent Y, Johnson S, Henderson N, et al. Successful use of a rapid response team in the pediatric oncology outpatient setting. Jt Comm J Qual Patient Saf. 2010;36(1):43-5. Cop…

9357. Patient safety climate among orthopaedic surgery residents. | PSNet
      psnet.ahrq.gov/issue/patient-safety-climate-among-orthopaedic-surgery-residents
      December 21, 2014 - Study Patient safety climate among orthopaedic surgery residents. Citation Text: Kadzielski J, McCormick F, Zurakowski D, et al. Patient safety climate among orthopaedic surgery residents. J Bone Joint Surg Am. 2011;93(11):e62. doi:10.2106/JBJS.J.01478. Copy Citation Format: …

9358. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. | PSNet
      psnet.ahrq.gov/issue/impact-cancelrx-discontinuation-controlled-substance-prescriptions-interrupted-time-series
      September 01, 2021 - Study Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis. Citation Text: Watterson TL, Stone JA, Gilson A, et al. Impact of CancelRx on discontinuation of controlled substance prescriptions: an interrupted time series analysis…

9359. A patient safety toolkit for family practices. | PSNet
      psnet.ahrq.gov/issue/patient-safety-toolkit-family-practices
      August 22, 2018 - Study A patient safety toolkit for family practices. Citation Text: Campbell SM, Bell BG, Marsden K, et al. A Patient Safety Toolkit for Family Practices. J Patient Saf. 2020;16(3):e182-e186. doi:10.1097/pts.0000000000000471. Copy Citation Format: DOI Google Scholar BibTeX …

9360. Operating room organization and surgical performance: a systematic review. | PSNet
      psnet.ahrq.gov/issue/operating-room-organization-and-surgical-performance-systematic-review
      March 05, 2025 - Review Operating room organization and surgical performance: a systematic review. Citation Text: Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3. Copy Cit…