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Showing results for "incidents".

  1. psnet.ahrq.gov/issue/influence-formulation-and-medicine-delivery-system-medication-administration-errors-care
    March 23, 2011 - Study The influence of formulation and medicine delivery system on medication administration errors in care homes for older people. Citation Text: Alldred DP, Standage C, Fletcher O, et al. The influence of formulation and medicine delivery system on medication administration errors in…
  2. psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers
    February 29, 2012 - Commentary Implementing a perioperative handoff tool to improve postprocedural patient transfers. Citation Text: Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42. …
  3. psnet.ahrq.gov/issue/patients-expectations-benefits-and-harms-treatments-screening-and-tests-systematic-review
    September 29, 2017 - Review Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. Citation Text: Hoffmann TC, Del Mar C. Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review. JAMA Intern Med. 2015;175(2)…
  4. psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
    September 23, 2020 - Study Validation of a mobile app for reducing errors of administration of medications in an emergency. Citation Text: Baumann D, Dibbern N, Sehner S, et al. Validation of a mobile app for reducing errors of administration of medications in an emergency. J Clin Monit Comput. . 2019;33(3):…
  5. psnet.ahrq.gov/issue/shortage-perioperative-drugs-implications-anesthesia-practice-and-patient-safety
    April 11, 2018 - Commentary Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Citation Text: De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10…
  6. psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
    January 25, 2023 - Commentary Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. Citation Text: Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. J Nurs Care Qual…
  7. psnet.ahrq.gov/issue/managing-and-mitigating-conflict-healthcare-teams-integrative-review
    July 19, 2023 - Review Managing and mitigating conflict in healthcare teams: an integrative review. Citation Text: Almost J, Wolff AC, Stewart-Pyne A, et al. Managing and mitigating conflict in healthcare teams: an integrative review. J Adv Nurs. 2016;72(7):1490-505. doi:10.1111/jan.12903. Copy Citati…
  8. psnet.ahrq.gov/issue/evaluation-contextual-influences-medication-administration-practice-paediatric-nurses
    January 20, 2021 - Study Evaluation of contextual influences on the medication administration practice of paediatric nurses. Citation Text: Davis L, Ware R, McCann D, et al. Evaluation of contextual influences on the medication administration practice of paediatric nurses. J Adv Nurs. 2009;65(6):1293-9. …
  9. psnet.ahrq.gov/issue/perceived-patient-safety-culture-nursing-homes-associated-nursing-home-compare-performance
    November 04, 2020 - Study Perceived patient safety culture in nursing homes associated with "Nursing Home Compare" performance indicators. Citation Text: Li Y, Cen X, Cai X, et al. Perceived Patient Safety Culture in Nursing Homes Associated With "Nursing Home Compare" Performance Indicators. Med Care. 2019…
  10. psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical-patients-surepill
    March 11, 2015 - Study Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Citation Text: Group S and P in LS. Effect of a ward-based pharmacy team on preventable adverse drug events in surgical patients (SUREPILL study). Br J Surg. 2015;102(10):…
  11. psnet.ahrq.gov/issue/intensive-care-units-communication-between-nurses-and-physicians-and-patients-outcomes
    May 28, 2008 - Study Intensive care units, communication between nurses and physicians, and patients' outcomes. Citation Text: Manojlovich M, Antonakos CL, Ronis DL. Intensive care units, communication between nurses and physicians, and patients' outcomes. Am J Crit Care. 2009;18(1):21-30. doi:10.403…
  12. psnet.ahrq.gov/issue/measuring-hospital-acquired-complications-associated-low-value-care
    August 11, 2021 - Study Emerging Classic Measuring hospital-acquired complications associated with low-value care. Citation Text: Badgery-Parker T, Pearson S-A, Dunn S, et al. Measuring Hospital-Acquired Complications Associated With Low-Value Care. JAMA Intern Med. 2019;179(4):4…
  13. psnet.ahrq.gov/issue/enhancing-electronic-health-record-usability-pediatric-patient-care-scenario-based-approach
    July 13, 2010 - Commentary Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. Citation Text: Patterson ES, Zhang J, Abbott P, et al. Enhancing electronic health record usability in pediatric patient care: a scenario-based approach. Jt Comm J Qual Patient…
  14. psnet.ahrq.gov/issue/diagnostic-errors-related-acute-abdominal-pain-emergency-department
    December 16, 2020 - Study Diagnostic errors related to acute abdominal pain in the emergency department. Citation Text: Medford-Davis L, Park E, Shlamovitz G, et al. Diagnostic errors related to acute abdominal pain in the emergency department. Emerg Med J. 2016;33(4):253-9. doi:10.1136/emermed-2015-204754.…
  15. psnet.ahrq.gov/issue/root-cause-analysis-transfusion-error-identifying-causes-implement-changes
    August 15, 2018 - Commentary Root cause analysis of transfusion error: identifying causes to implement changes. Citation Text: Elhence P, Veena S, Sharma RK, et al. Root cause analysis of transfusion error: identifying causes to implement changes. Transfusion (Paris). 2010;50(12 Pt 2):2772-2777. doi:10.…
  16. psnet.ahrq.gov/issue/patient-safety-stories-project-utilizing-narratives-resident-training
    May 10, 2016 - Study Patient safety stories: a project utilizing narratives in resident training. Citation Text: Cox LAM, Logio LS. Patient safety stories: a project utilizing narratives in resident training. Acad Med. 2011;86(11):1473-8. doi:10.1097/ACM.0b013e318230efaa. Copy Citation Format: …
  17. psnet.ahrq.gov/issue/physician-understanding-and-ability-communicate-harms-and-benefits-common-medical-treatments
    September 28, 2016 - Study Physician understanding and ability to communicate harms and benefits of common medical treatments. Citation Text: Krouss M, Croft LD, Morgan DJ. Physician Understanding and Ability to Communicate Harms and Benefits of Common Medical Treatments. JAMA Intern Med. 2016;176(10):1565-1…
  18. psnet.ahrq.gov/issue/compelled-disclosure-confidential-information-patient-safety-research
    September 29, 2017 - Commentary Compelled disclosure of confidential information in patient safety research. Citation Text: Du L, Murdoch B, Chiu C, et al. Compelled disclosure of confidential information in patient safety research. J Patient Saf. 2021;17(3):200-206. doi:10.1097/pts.0000000000000293. Copy …
  19. psnet.ahrq.gov/issue/understanding-complaints-made-about-surgical-departments-uk-district-general-hospital
    September 23, 2020 - Study Understanding complaints made about surgical departments in a UK district general hospital. Citation Text: Claydon O, Keeler B, Khanna A. Understanding complaints made about surgical departments in a UK district general hospital. Int J Qual Health Care. 2021;33(3). doi:10.1093/intq…
  20. 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…