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Showing results for "incidents".

  1. psnet.ahrq.gov/issue/trends-influencing-cost-care-and-patient-safety
    September 25, 2024 - Newspaper/Magazine Article Trends influencing the cost of care and patient safety. Citation Text: Clark R. Trends influencing the cost of care and patient safety. Decision-making in five key areas can improve clinical and economic performance. Health management technology. 2006;27(7):1…
  2. psnet.ahrq.gov/issue/ambulance-stretcher-adverse-events
    March 23, 2011 - Study Ambulance stretcher adverse events. Citation Text: Wang HE, Weaver MD, Abo BN, et al. Ambulance stretcher adverse events. Qual Saf Health Care. 2009;18(3):213-216. doi:10.1136/qshc.2007.024562. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…
  3. psnet.ahrq.gov/issue/survey-evaluation-national-patient-safety-agencys-root-cause-analysis-training-programme
    March 11, 2009 - Study Survey evaluation of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge, beliefs and reported practices. Citation Text: Wallace LM, Spurgeon P, Adams S, et al. Survey evaluation of the National Patient Safety Agency's Root …
  4. psnet.ahrq.gov/issue/understanding-behaviour-newly-qualified-doctors-acute-care-contexts
    July 02, 2014 - Study Understanding the behaviour of newly qualified doctors in acute care contexts. Citation Text: Tallentire VR, Smith SE, Skinner J, et al. Understanding the behaviour of newly qualified doctors in acute care contexts. Med Educ. 2011;45(10):995-1005. doi:10.1111/j.1365-2923.2011.040…
  5. psnet.ahrq.gov/issue/career-impact-chief-resident-quality-and-safety-training-program-alumni-evaluation
    June 19, 2019 - Study Career impact of the chief resident in quality and safety training program: an alumni evaluation Citation Text: Aboumrad M, Carluzzo KL, Lypson ML, et al. Career impact of the chief resident in quality and safety training program: an alumni evaluation. Acad Med. 2020;95(2). doi:10.…
  6. psnet.ahrq.gov/issue/automated-medication-error-studies-audit-supplementation-were-effectively-designed-and
    May 18, 2011 - Study Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. Citation Text: Shuster JJ, Winterstein AG. Automated medication error studies with audit supplementation were effectively designed and analyzed by time series. J C…
  7. psnet.ahrq.gov/issue/improvements-safety-patient-care-can-help-end-medical-malpractice-crisis-united-states
    July 17, 2019 - Review Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. Citation Text: Dalton GD, Samaropoulos XF, Dalton AC. Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. Health …
  8. psnet.ahrq.gov/issue/evaluation-role-critical-care-pharmacist-identifying-and-avoiding-or-minimizing-significant
    December 15, 2021 - Study Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients. Citation Text: Rivkin A, Yin H. Evaluation of the role of the critical care pharmacist in identifying and avoidi…
  9. psnet.ahrq.gov/issue/quality-and-safety-initiatives-future-practice-surgery-meeting-patient-demands-enhanced
    August 04, 2021 - Commentary Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. Citation Text: Russell TR. Quality and safety initiatives in the future practice of surgery: meeting patient demands for enhanced professionalism. Surg Tod…
  10. psnet.ahrq.gov/issue/framework-analysis-communication-errors-health-care
    October 21, 2020 - Commentary A framework for the analysis of communication errors in health care. Citation Text: Bender JA, Thiyagarajan S, Morrish W, et al. A framework for the analysis of communication errors in health care. J Patient Saf. 2025;21(2):69-81. doi:10.1097/pts.0000000000001303. Copy Citat…
  11. psnet.ahrq.gov/issue/epidemiology-diagnostic-errors-pediatric-emergency-departments-using-electronic-triggers
    December 16, 2020 - Study Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Citation Text: Mahajan P, White E, Shaw KN, et al. Epidemiology of diagnostic errors in pediatric emergency departments using electronic triggers. Acad Emerg Med. 2025;Epub Jan 15. doi:1…
  12. psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
    November 30, 2012 - Study Classic Missed diagnoses of acute cardiac ischemia in the emergency department. Citation Text: Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…
  13. psnet.ahrq.gov/issue/evaluating-patient-safety-indicators-how-well-do-they-perform-veterans-health-administration
    April 01, 2010 - Study Evaluating the Patient Safety Indicators: how well do they perform on Veterans Health Administration data? Citation Text: Rosen AK, Rivard PE, Zhao S, et al. Evaluating the patient safety indicators: how well do they perform on Veterans Health Administration data? Med Care. 2005;…
  14. psnet.ahrq.gov/issue/opioid-related-inpatient-stays-and-emergency-department-visits-among-patients-aged-65-years
    March 14, 2018 - Book/Report Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older, 2010 and 2015. Citation Text: Opioid-Related Inpatient Stays and Emergency Department Visits Among Patients Aged 65 Years and Older, 2010 and 2015. Weiss AJ, Heslin KC, Barr…
  15. psnet.ahrq.gov/issue/cusp-stop-bsi-evaluating-relationship-between-central-line-associated-bloodstream-infection
    January 30, 2013 - Study On the CUSP: Stop BSI: evaluating the relationship between central line–associated bloodstream infection rate and patient safety climate profile. Citation Text: Weaver SJ, Weeks K, Pham JC, et al. On the CUSP: Stop BSI: evaluating the relationship between central line-associated bl…
  16. psnet.ahrq.gov/issue/six-year-audit-cardiac-arrests-and-medical-emergency-team-calls-australian-outer-metropolitan
    October 29, 2008 - Study Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan teaching hospital. Citation Text: Buist M, Harrison J, Abaloz E, et al. Six year audit of cardiac arrests and medical emergency team calls in an Australian outer metropolitan te…
  17. psnet.ahrq.gov/issue/implementation-and-spread-simple-and-effective-way-improve-accuracy-medicines-reconciliation
    March 04, 2009 - Study Implementation and spread of a simple and effective way to improve the accuracy of medicines reconciliation on discharge: a hospital-based quality improvement project and success story. Citation Text: Botros S, Dunn J. Implementation and spread of a simple and effective way to impr…
  18. psnet.ahrq.gov/issue/making-use-mortality-data-improve-quality-and-safety-general-practice-review-current
    November 17, 2010 - Review Making use of mortality data to improve quality and safety in general practice: a review of current approaches. Citation Text: Baker R, Sullivan E, Camosso-Stefinovic J, et al. Making use of mortality data to improve quality and safety in general practice: a review of current ap…
  19. psnet.ahrq.gov/issue/multidisciplinary-hospital-teams-improve-patient-outcomes-review
    February 03, 2011 - Review Multidisciplinary in-hospital teams improve patient outcomes: a review. Citation Text: Epstein NE. Multidisciplinary in-hospital teams improve patient outcomes: A review. Surg Neurol Int. 2014;5(Suppl 7):S295-303. doi:10.4103/2152-7806.139612. Copy Citation Format: D…
  20. psnet.ahrq.gov/issue/impact-rvu-based-compensation-patient-safety-outcomes-outpatient-otolaryngology-procedures
    October 19, 2022 - Study The impact of RVU-based compensation on patient safety outcomes in outpatient otolaryngology procedures. Citation Text: Stanisce L, Ahmad N, Deckard N, et al. The Impact of RVU-Based Compensation on Patient Safety Outcomes in Outpatient Otolaryngology Procedures. Otolaryngol Head N…