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Showing results for "incidents".

9701. Role of registered nurses in error prevention, discovery and correction. | PSNet
      psnet.ahrq.gov/issue/role-registered-nurses-error-prevention-discovery-and-correction
      August 04, 2021 - Study Role of registered nurses in error prevention, discovery and correction. Citation Text: Rogers AE, Dean GE, Hwang W-T, et al. Role of registered nurses in error prevention, discovery and correction. Qual Saf Health Care. 2008;17(2):117-21. doi:10.1136/qshc.2007.022699. Copy Cit…

9702. Implementing a perioperative handoff tool to improve postprocedural patient transfers. | PSNet
      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. …

9703. The predictors of patient safety culture in hospital setting: a systematic review. | PSNet
      psnet.ahrq.gov/issue/predictors-patient-safety-culture-hospital-setting-systematic-review
      March 05, 2014 - Review The predictors of patient safety culture in hospital setting: a systematic review. Citation Text: Vibe A, Rasmussen SH, Rasmussen NOP, et al. The predictors of patient safety culture in hospital setting: a systematic review. J Patient Saf. 2024;20(8):576-592. doi:10.1097/pts.00000…

9704. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. | PSNet
      psnet.ahrq.gov/issue/patient-misidentification-papanicolaou-tests-systems-based-approach-reducing-errors
      December 26, 2014 - Study Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Citation Text: Meyer E, Underwood S, Padmanabhan V. Patient misidentification in Papanicolaou tests: a systems-based approach to reducing errors. Arch Pathol Lab Med. 2009;133(8):1297-30…

9705. Effect of computerized physician order entry on radiologic examination order indication quality. | PSNet
      psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-radiologic-examination-order-indication-quality
      June 13, 2015 - Study Effect of computerized physician order entry on radiologic examination order indication quality. Citation Text: Schneider E, Franz W, Spitznagel R, et al. Effect of computerized physician order entry on radiologic examination order indication quality. Arch Intern Med. 2011;171(11…

9706. Towards a common framework to support decision-making in high-risk, low-time environments. | PSNet
      psnet.ahrq.gov/issue/towards-common-framework-support-decision-making-high-risk-low-time-environments
      November 16, 2022 - Commentary Towards a common framework to support decision-making in high-risk, low-time environments. Citation Text: Launder D, Penney G. Towards a common framework to support decision‐making in high‐risk, low‐time environments. J Contin Crisis Manag. 2023;31(4):862-876. doi:10.1111/1468…

9707. 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…

9708. Residents' perspective on the impact of the 80-hour workweek policy. | PSNet
      psnet.ahrq.gov/issue/residents-perspective-impact-80-hour-workweek-policy
      November 16, 2022 - Study Residents' perspective on the impact of the 80-hour workweek policy. Citation Text: Woods SE, Zabat E, Talen MR, et al. Residents' perspective on the impact of the 80-hour workweek policy. Teach Learn Med. 2008;20(2):131-5. doi:10.1080/10401330801991584. Copy Citation Forma…

9709. Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. | PSNet
      psnet.ahrq.gov/issue/improving-transfusion-safety-implementation-comprehensive-computerized-bar-code-based
      October 19, 2022 - Study Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. Citation Text: Askeland RW, McGrane S, Levitt JS, et al. Improving transfusion safety: implementation of a comprehensive computerized b…

9710. The impact of interruptions on medication errors in hospitals: an observational study of nurses. | PSNet
      psnet.ahrq.gov/issue/impact-interruptions-medication-errors-hospitals-observational-study-nurses
      November 15, 2017 - Study The impact of interruptions on medication errors in hospitals: an observational study of nurses. Citation Text: Johnson M, Sanchez P, Langdon R, et al. The impact of interruptions on medication errors in hospitals: an observational study of nurses. J Nurs Manag. 2017;25(7):498-507.…

9711. Appendix 3-A. Suggested Slides for Module 3 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmodap3a.html
      October 01, 2014 - Improving Patient Safety in Long-Term Care Facilities Appendix 3-A. Suggested Slides for Module 3 Previous Page Next Page Table of Contents Improving Patient Safety in Long-Term Care Facilities Introduction Module 1. Detecting Change in a Resident's Condition Module 2. Communicating Change in …

9712. Shortage of perioperative drugs: implications for anesthesia practice and patient safety. | PSNet
      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…

9713. Extraneous tissue a potential source for diagnostic error in surgical pathology. | PSNet
      psnet.ahrq.gov/issue/extraneous-tissue-potential-source-diagnostic-error-surgical-pathology
      October 27, 2010 - Study Extraneous tissue a potential source for diagnostic error in surgical pathology. Citation Text: Layfield LJ, Witt BL, Metzger KG, et al. Extraneous tissue: a potential source for diagnostic error in surgical pathology. Am J Clin Pathol. 2011;136(5):767-72. doi:10.1309/AJCP4FFSBPHA…

9714. An analysis of near misses identified by anesthesia providers in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/analysis-near-misses-identified-anesthesia-providers-intensive-care-unit
      August 17, 2017 - Study An analysis of near misses identified by anesthesia providers in the intensive care unit. Citation Text: Lipshutz AKM, Caldwell JE, Robinowitz DL, et al. An analysis of near misses identified by anesthesia providers in the intensive care unit. BMC Anesthesiol. 2015;15:93. doi:10.11…

9715. Aligning patient safety and stewardship: a harm reduction strategy for children. | PSNet
      psnet.ahrq.gov/issue/aligning-patient-safety-and-stewardship-harm-reduction-strategy-children
      February 27, 2019 - Review Aligning patient safety and stewardship: a harm reduction strategy for children. Citation Text: Schefft M, Noda A, Godbout E. Aligning patient safety and stewardship: a harm reduction strategy for children. Curr Treat Options Pediatr. 2021;7(3):138-151. doi:10.1007/s40746-021-0022…

9716. Epidemiology, comparative methods of detection, and preventability of adverse drug events. | PSNet
      psnet.ahrq.gov/issue/epidemiology-comparative-methods-detection-and-preventability-adverse-drug-events
      March 09, 2016 - Study Epidemiology, comparative methods of detection, and preventability of adverse drug events. Citation Text: Al-Tajir GK, Kelly WN. Epidemiology, comparative methods of detection, and preventability of adverse drug events. Ann Pharmacother. 2005;39(7-8):1169-74. Copy Citation …

9717. Healthcare professionals' views of smart glasses in intensive care: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/healthcare-professionals-views-smart-glasses-intensive-care-qualitative-study
      October 23, 2024 - Study Healthcare professionals' views of smart glasses in intensive care: a qualitative study. Citation Text: Romare C, Hass U, Skär L. Healthcare professionals' views of smart glasses in intensive care: A qualitative study. Intensive Crit Care Nurs. 2018;45:66-71. doi:10.1016/j.iccn.201…

9718. Certified registered nurse anesthetist perceptions of factors impacting patient safety. | PSNet
      psnet.ahrq.gov/issue/certified-registered-nurse-anesthetist-perceptions-factors-impacting-patient-safety
      May 18, 2022 - Study Certified registered nurse anesthetist perceptions of factors impacting patient safety. Citation Text: McMullan SP, Thomas-Hawkins C, Shirey MR. Certified Registered Nurse Anesthetist Perceptions of Factors Impacting Patient Safety. Nurs Adm Q. 2017;41(1):56-69. Copy Citation …

9719. A comparison of the effects of different typographical methods on the recognizability of printed drug names. | PSNet
      psnet.ahrq.gov/issue/comparison-effects-different-typographical-methods-recognizability-printed-drug-names
      May 31, 2011 - Study A comparison of the effects of different typographical methods on the recognizability of printed drug names. Citation Text: Or CKL, Wang H. A comparison of the effects of different typographical methods on the recognizability of printed drug names. Drug Saf. 2014;37(5):351-9. doi:1…

9720. Patient risk factors for medical injury: a case–control study. | PSNet
      psnet.ahrq.gov/issue/patient-risk-factors-medical-injury-case-control-study
      April 12, 2011 - Study Patient risk factors for medical injury: a case–control study. Citation Text: Marbella AM, Laud PW, Brasel KJ, et al. Patient risk factors for medical injury: a case-control study. BMJ Qual Saf. 2011;20(2):187-93. doi:10.1136/bmjqs.2009.032664. Copy Citation Format: …