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Total Results: over 10,000 records

Showing results for "incidents".

9541. Workarounds in the workplace: a second look. | PSNet
      psnet.ahrq.gov/issue/workarounds-workplace-second-look
      December 08, 2021 - Commentary Workarounds in the workplace: a second look. Citation Text: Seaman JB, Erlen JA. Workarounds in the Workplace: A Second Look. Orthop Nurs. 2015;34(4):235-242. doi:10.1097/NOR.0000000000000161. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …

9542. Reducing anticoagulant medication adverse events and avoidable patient harm. | PSNet
      psnet.ahrq.gov/issue/reducing-anticoagulant-medication-adverse-events-and-avoidable-patient-harm
      May 19, 2021 - Study Reducing anticoagulant medication adverse events and avoidable patient harm. Citation Text: Jennings HR, Miller EC, Williams TS, et al. Reducing anticoagulant medication adverse vents and avoidable patient harm. Jt Comm J Qual Patient Saf. 2008;34(4):196-200. Copy Citation …

9543. National Action Plan for Adverse Drug Event Prevention. | PSNet
      psnet.ahrq.gov/issue/national-action-plan-adverse-drug-event-prevention
      October 16, 2013 - Book/Report National Action Plan for Adverse Drug Event Prevention. Citation Text: National Action Plan for Adverse Drug Event Prevention. Washington, DC: Office of Disease Prevention and Health Promotion, United States Department of Health and Human Services; September 2014. Copy Cita…

9544. Analysis of medication prescribing errors in critically ill children. | PSNet
      psnet.ahrq.gov/issue/analysis-medication-prescribing-errors-critically-ill-children
      March 28, 2012 - Study Analysis of medication prescribing errors in critically ill children. Citation Text: Glanzmann C, Frey B, Meier CR, et al. Analysis of medication prescribing errors in critically ill children. Eur J Pediatr. 2015;174(10):1347-1355. doi:10.1007/s00431-015-2542-4. Copy Citation …

9545. The Daily Plan: including patients for safety's sake. | PSNet
      psnet.ahrq.gov/issue/daily-plan-including-patients-safetys-sake
      March 13, 2013 - Study The Daily Plan: including patients for safety's sake. Citation Text: King BJ, Mills PD, Fore AM, et al. The Daily Plan®: Including patients for safety's sake. Nurs Manage. 2012;43(3):15-8. doi:10.1097/01.NUMA.0000412229.53136.3e. Copy Citation Format: DOI Google Sch…

9546. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment. | PSNet
      psnet.ahrq.gov/issue/evaluation-nationally-mandated-drug-use-reviews-improve-patient-safety-nursing-homes-natural
      July 20, 2011 - Study Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a natural experiment. Citation Text: Briesacher B, Limcangco R, Simoni-Wastila L, et al. Evaluation of nationally mandated drug use reviews to improve patient safety in nursing homes: a…

9547. Anticoagulation-associated adverse drug events. | PSNet
      psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
      July 26, 2023 - Study Anticoagulation-associated adverse drug events. Citation Text: Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

9548. Nursing home patient safety culture perceptions among US and immigrant nurses. | PSNet
      psnet.ahrq.gov/issue/nursing-home-patient-safety-culture-perceptions-among-us-and-immigrant-nurses
      January 14, 2011 - Study Nursing home patient safety culture perceptions among US and immigrant nurses. Citation Text: Wagner LM, Brush BL, Castle NG, et al. Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses. J Patient Saf. 2020;16(3):238-244. doi:10.1097/pts.0000000000000271. …

9549. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. | PSNet
      psnet.ahrq.gov/issue/use-safety-climate-questionnaire-uk-health-care-factor-structure-reliability-and-usability
      June 15, 2011 - Study Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Citation Text: Hutchinson A, Cooper KL, Dean JE, et al. Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability. Qual Saf Health Care…

9550. Hospital discharge documentation and risk of rehospitalisation. | PSNet
      psnet.ahrq.gov/issue/hospital-discharge-documentation-and-risk-rehospitalisation
      March 25, 2015 - Study Hospital discharge documentation and risk of rehospitalisation. Citation Text: Hansen LO, Strater A, Smith L, et al. Hospital discharge documentation and risk of rehospitalisation. BMJ Qual Saf. 2011;20(9):773-8. doi:10.1136/bmjqs.2010.048470. Copy Citation Format: …

9551. Creating a culture of caregiver support. | PSNet
      psnet.ahrq.gov/issue/creating-culture-caregiver-support
      May 18, 2022 - Newspaper/Magazine Article Creating a culture of caregiver support. Citation Text: Gold KJ, Andrew LB, Goldman EB, et al. “I would never want to have a mental health diagnosis on my record”: A survey of female physicians on mental health diagnosis, treatment, and reporting. General Hospi…

9552. The problem with preventable deaths. | PSNet
      psnet.ahrq.gov/issue/problem-preventable-deaths
      July 24, 2024 - Commentary The problem with preventable deaths. Citation Text: Hogan H. The problem with preventable deaths. BMJ Qual Saf. 2016;25(5):320-3. doi:10.1136/bmjqs-2015-004983. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

9553. Rapid response systems: identification and management of the "prearrest state." | PSNet
      psnet.ahrq.gov/issue/rapid-response-systems-identification-and-management-prearrest-state
      May 18, 2022 - Review Rapid response systems: identification and management of the "prearrest state." Citation Text: McCurdy MT, Wood SL. Rapid response systems: identification and management of the "prearrest state". Emerg Med Clin North Am. 2012;30(1):141-52. doi:10.1016/j.emc.2011.09.012. Copy Ci…

9554. Rate of occult specimen provenance complications in routine clinical practice. | PSNet
      psnet.ahrq.gov/issue/rate-occult-specimen-provenance-complications-routine-clinical-practice
      January 05, 2012 - Study Rate of occult specimen provenance complications in routine clinical practice. Citation Text: Pfeifer JD, Liu J. Rate of occult specimen provenance complications in routine clinical practice. Am J Clin Pathol. 2013;139(1):93-100. doi:10.1309/AJCP50WEZHWIFCIV. Copy Citation F…

9555. Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. | PSNet
      psnet.ahrq.gov/issue/patterns-dementia-treatment-and-frank-prescribing-errors-older-adults-parkinson-disease
      September 18, 2024 - Study Patterns of dementia treatment and frank prescribing errors in older adults with Parkinson disease. Citation Text: Mantri S, Fullard M, Gray SL, et al. Patterns of Dementia Treatment and Frank Prescribing Errors in Older Adults With Parkinson Disease. JAMA Neurol. 2019;76(1):41-49.…

9556. Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. | PSNet
      psnet.ahrq.gov/issue/striving-zero-error-patient-surgical-journey-through-adoption-aviation-style-challenge-and
      July 10, 2017 - Study Striving for a zero-error patient surgical journey through adoption of aviation-style challenge and response flow checklists: a quality improvement project. Citation Text: Low DK, Reed MA, Geiduschek JM, et al. Striving for a zero-error patient surgical journey through adoption …

9557. 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…

9558. Prevalence of polypharmacy exposure among hospitalized children in the United States. | PSNet
      psnet.ahrq.gov/issue/prevalence-polypharmacy-exposure-among-hospitalized-children-united-states
      August 20, 2016 - Study Prevalence of polypharmacy exposure among hospitalized children in the United States. Citation Text: Feudtner C, Dai D, Hexem KR, et al. Prevalence of polypharmacy exposure among hospitalized children in the United States. Arch Pediatr Adolesc Med. 2012;166(1):9-16. doi:10.1001/a…

9559. Ethical dilemma in missed melanoma: what to tell the patient and other providers. | PSNet
      psnet.ahrq.gov/issue/ethical-dilemma-missed-melanoma-what-tell-patient-and-other-providers
      March 17, 2021 - Commentary Ethical dilemma in missed melanoma: what to tell the patient and other providers. Citation Text: Vangipuram R, Horner ME, Menter A. Ethical dilemma in missed melanoma: What to tell the patient and other providers. J Am Acad Dermatol. 2017;76(2):365-367. doi:10.1016/j.jaad.2016…

9560. Patients' and physicians' attitudes regarding the disclosure of medical errors. | PSNet
      psnet.ahrq.gov/issue/patients-and-physicians-attitudes-regarding-disclosure-medical-errors
      March 21, 2017 - Study Classic Patients' and physicians' attitudes regarding the disclosure of medical errors. Citation Text: Gallagher TH, Waterman AD, Ebers AG, et al. Patients' and physicians' attitudes regarding the disclosure of medical errors. JAMA. 2003;289(8):1001-7. …