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Showing results for "incidents".

9541. The role of anesthesia in surgical mortality. | PSNet
      psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
      July 19, 2023 - Study Classic The role of anesthesia in surgical mortality. Citation Text: DRIPPS RD, LAMONT A, ECKENHOFF JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

9542. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. | PSNet
      psnet.ahrq.gov/issue/establishing-multidisciplinary-taskforce-improve-anticoagulation-safety-large-health-system
      July 08, 2020 - Commentary Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Citation Text: Attia E, Fuentes A, Vassallo M, et al. Establishing a multidisciplinary taskforce to improve anticoagulation safety at a large health system. Am J Health Syst …

9543. Sleep deprivation and clinical performance. | PSNet
      psnet.ahrq.gov/issue/sleep-deprivation-and-clinical-performance
      February 16, 2011 - Study Classic Sleep deprivation and clinical performance. Citation Text: Weinger MB, Ancoli-Israel S. Sleep deprivation and clinical performance. JAMA. 2002;287(8):955-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

9544. Care management implementation and patient safety. | PSNet
      psnet.ahrq.gov/issue/care-management-implementation-and-patient-safety
      July 14, 2010 - Study Care management implementation and patient safety. Citation Text: Care management implementation and patient safety. Alexander JA; Weiner BJ; Baker LC; et al. J Patient Saf. 2006;2(2):83-96. Copy Citation Save Save to your library Print Downlo…

9545. Surgical count process for prevention of retained surgical items: an integrative review. | PSNet
      psnet.ahrq.gov/issue/surgical-count-process-prevention-retained-surgical-items-integrative-review
      March 09, 2022 - Review Surgical count process for prevention of retained surgical items: an integrative review. Citation Text: Freitas PS, Silveira RC de CP, Clark AM, et al. Surgical count process for prevention of retained surgical items: an integrative review. J Clin Nurs. 2016;25(13-14):1835-47. doi…

9546. Prolonged hospital stay and the resident duty hour rules of 2003. | PSNet
      psnet.ahrq.gov/issue/prolonged-hospital-stay-and-resident-duty-hour-rules-2003
      February 18, 2011 - Study Prolonged hospital stay and the resident duty hour rules of 2003. Citation Text: Silber JH, Rosenbaum PR, Rosen AK, et al. Prolonged Hospital Stay and the Resident Duty Hour Rules of 2003. Med Care. 2009;47(12). doi:10.1097/mlr.0b013e3181adcbff. Copy Citation Format: …

9547. 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…

9548. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. | PSNet
      psnet.ahrq.gov/issue/do-safety-briefings-improve-patient-safety-acute-hospital-setting-systematic-review
      August 14, 2024 - Review Do safety briefings improve patient safety in the acute hospital setting? A systematic review. Citation Text: Ryan S, Ward M, Vaughan D, et al. Do safety briefings improve patient safety in the acute hospital setting? A systematic review. J Adv Nurs. 2019;75(10):2085-2098. doi:10.…

9549. Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. | PSNet
      psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
      June 15, 2012 - Study Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. Citation Text: Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…

9550. The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. | PSNet
      psnet.ahrq.gov/issue/contribution-prescription-chart-design-and-familiarity-prescribing-error-prospective
      March 20, 2024 - Study The contribution of prescription chart design and familiarity to prescribing error: a prospective, randomised, cross-over study. Citation Text: Tallentire VR, Hale RL, Dewhurst NG, et al. The contribution of prescription chart design and familiarity to prescribing error: a prospe…

9551. Rapid learning of adverse medical event disclosure and apology. | PSNet
      psnet.ahrq.gov/issue/rapid-learning-adverse-medical-event-disclosure-and-apology
      November 04, 2014 - Study Rapid learning of adverse medical event disclosure and apology. Citation Text: Raemer D, Locke S, Walzer TB, et al. Rapid Learning of Adverse Medical Event Disclosure and Apology. J Patient Saf. 2016;12(3):140-7. doi:10.1097/PTS.0000000000000080. Copy Citation Format: …

9552. Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. | PSNet
      psnet.ahrq.gov/issue/learning-accident-and-error-avoiding-hazards-workload-stress-and-routine-interruptions
      September 27, 2023 - Commentary Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in the emergency department. Citation Text: Morrison B, Rudolph JW. Learning from accident and error: avoiding the hazards of workload, stress, and routine interruptions in th…

9553. Nurses' perceptions of multitasking in the emergency department: effective, fun and unproblematic (at least for me)—a qualitative study. | PSNet
      psnet.ahrq.gov/issue/nurses-perceptions-multitasking-emergency-department-effective-fun-and-unproblematic-least-me
      June 07, 2023 - Study Nurses' perceptions of multitasking in the emergency department: effective, fun and unproblematic (at least for me)—a qualitative study. Citation Text: Forsberg HH, Athlin ÅM, Schwarz U von T. Nurses' perceptions of multitasking in the emergency department: effective, fun and unpro…

9554. Ensuring patient safety through effective leadership behaviour: a literature review. | PSNet
      psnet.ahrq.gov/issue/ensuring-patient-safety-through-effective-leadership-behaviour-literature-review
      July 10, 2013 - Review Ensuring patient safety through effective leadership behaviour: a literature review. Citation Text: Künzle B, Kolbe M, Grote G. Ensuring patient safety through effective leadership behaviour: A literature review. Saf Sci. 2009;48(1). doi:10.1016/j.ssci.2009.06.004. Copy Citatio…

9555. Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. | PSNet
      psnet.ahrq.gov/issue/track-trigger-and-teamwork-communication-deterioration-acute-medical-and-surgical-wards
      August 06, 2014 - Study Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. Citation Text: Donohue LA, Endacott R. Track, trigger and teamwork: communication of deterioration in acute medical and surgical wards. Intensive Crit Care Nurs. 2010;26(1):10-7. doi:…

9556. The impact of the medical emergency team on the resuscitation practice of critical care nurses. | PSNet
      psnet.ahrq.gov/issue/impact-medical-emergency-team-resuscitation-practice-critical-care-nurses
      December 01, 2008 - Study The impact of the medical emergency team on the resuscitation practice of critical care nurses. Citation Text: Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. do…

9557. Reducing prescribing errors in hospitalized children on the ketogenic diet. | PSNet
      psnet.ahrq.gov/issue/reducing-prescribing-errors-hospitalized-children-ketogenic-diet
      May 18, 2022 - Study Reducing prescribing errors in hospitalized children on the ketogenic diet. Citation Text: Siegel BI, Johnson M, Dawson TE, et al. Reducing prescribing errors in hospitalized children on the ketogenic diet. Pediatr Neurol. 2020;115:42-47. doi:10.1016/j.pediatrneurol.2020.11.009. …

9558. Medication safety in a psychiatric hospital. | PSNet
      psnet.ahrq.gov/issue/medication-safety-psychiatric-hospital
      September 27, 2017 - Study Medication safety in a psychiatric hospital. Citation Text: Rothschild JM, Mann K, Keohane C, et al. Medication safety in a psychiatric hospital. Gen Hosp Psychiatry. 2007;29(2):156-62. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…

9559. 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. …

9560. In-facility delirium programs as a patient safety strategy: a systematic review. | PSNet
      psnet.ahrq.gov/issue/facility-delirium-programs-patient-safety-strategy-systematic-review
      March 13, 2013 - Review In-facility delirium programs as a patient safety strategy: a systematic review. Citation Text: Reston JT, Schoelles KM. In-facility delirium prevention programs as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):375-80. doi:10.7326/0003-4819-158…