Results

Total Results: over 10,000 records

Showing results for "incidents".

9801. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. | PSNet
      psnet.ahrq.gov/issue/using-preprinted-order-sheet-reduce-prescription-errors-pediatric-emergency-department
      March 04, 2011 - Study Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial. Citation Text: Kozer E, Scolnik D, MacPherson A, et al. Using a preprinted order sheet to reduce prescription errors in a pediatric emergency departme…

9802. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. | PSNet
      psnet.ahrq.gov/issue/clinicians-perceptions-medication-errors-opioids-cancer-and-palliative-care-services-priority
      June 01, 2016 - Commentary Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a priority setting report. Citation Text: Heneka N, Shaw T, Azzi C, et al. Clinicians' perceptions of medication errors with opioids in cancer and palliative care services: a prio…

9803. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. | PSNet
      psnet.ahrq.gov/issue/adverse-inpatient-outcomes-during-transition-new-electronic-health-record-system
      September 29, 2017 - Study Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. Citation Text: Barnett ML, Mehrotra A, Jena AB. Adverse inpatient outcomes during the transition to a new electronic health record system: observational study. BMJ. 2016;…

9804. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. | PSNet
      psnet.ahrq.gov/issue/nearly-all-thirty-most-frequently-used-emergency-department-drugs-experienced-shortages-2006
      April 27, 2022 - Study Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. Citation Text: Lin MP, Vargas-Torres C, Shin-Kim J, et al. Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006–2019. Am J Emerg Med.…

9805. Effect of computer order entry on prevention of serious medication errors in hospitalized children. | PSNet
      psnet.ahrq.gov/issue/effect-computer-order-entry-prevention-serious-medication-errors-hospitalized-children
      May 27, 2011 - Study Classic Effect of computer order entry on prevention of serious medication errors in hospitalized children. Citation Text: Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious medication errors in hospitalized …

9806. Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. | PSNet
      psnet.ahrq.gov/issue/associations-between-national-board-exam-performance-and-residency-program-emphasis-patient
      January 12, 2022 - Study Associations between national board exam performance and residency program emphasis on patient safety and interprofessional teamwork. Citation Text: Loftus TJ, Hall DJ, Malaty JZ, et al. Associations between national board exam performance and residency program emphasis on patient …

9807. "To err is human" but disclosure must be taught: a simulation-based assessment study. | PSNet
      psnet.ahrq.gov/issue/err-human-disclosure-must-be-taught-simulation-based-assessment-study
      August 04, 2021 - Study "To err is human" but disclosure must be taught: a simulation-based assessment study. Citation Text: Crimmins AC, Wong AH, Bonz JW, et al. "To Err Is Human" but Disclosure Must be Taught: A Simulation-Based Assessment Study. Simul Healthc. 2018;13(2):107-116. doi:10.1097/SIH.000000…

9808. Absence or presence: silent discourse in the operating room and impact on surgical team action. | PSNet
      psnet.ahrq.gov/issue/absence-or-presence-silent-discourse-operating-room-and-impact-surgical-team-action
      June 23, 2021 - Study Absence or presence: silent discourse in the operating room and impact on surgical team action. Citation Text: Brommelsiek M, Said T, Gray M, et al. Absence or presence: silent discourse in the operating room and impact on surgical team action. Am J Surg. 2021;221(5):980-986. doi:1…

9809. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. | PSNet
      psnet.ahrq.gov/issue/night-time-communication-stanford-university-hospital-perceptions-reality-and-solutions
      March 24, 2019 - Study Night-time communication at Stanford University Hospital: perceptions, reality and solutions. Citation Text: Sun AJ, Wang L, Go M, et al. Night-time communication at Stanford University Hospital: perceptions, reality and solutions. BMJ Qual Saf. 2018;27(2):156-162. doi:10.1136/bmjq…

9810. Addressing mistreatment of providers by patients and family members as a patient safety event. | PSNet
      psnet.ahrq.gov/issue/addressing-mistreatment-providers-patients-and-family-members-patient-safety-event
      March 30, 2022 - Study Addressing mistreatment of providers by patients and family members as a patient safety event. Citation Text: Hatfield M, Ciaburri R, Shaikh H, et al. Addressing mistreatment of providers by patients and family members as a patient safety event. Hosp Pediatr. 2022;12(2):181-190. do…

9811. Controlled trial to improve resident sign-out in a medical intensive care unit. | PSNet
      psnet.ahrq.gov/issue/controlled-trial-improve-resident-sign-out-medical-intensive-care-unit
      August 04, 2021 - Study Controlled trial to improve resident sign-out in a medical intensive care unit. Citation Text: Nanchal R, Aebly B, Graves G, et al. Controlled trial to improve resident sign-out in a medical intensive care unit. BMJ Qual Saf. 2017;26(12):987-992. doi:10.1136/bmjqs-2017-006657. Co…

9812. Association between parent comfort with English and adverse events among hospitalized children. | PSNet
      psnet.ahrq.gov/issue/association-between-parent-comfort-english-and-adverse-events-among-hospitalized-children
      June 29, 2022 - Study Association between parent comfort with English and adverse events among hospitalized children. Citation Text: Khan A, Yin HS, Brach C, et al. Association between parent comfort with English and adverse events among hospitalized children. JAMA Pediatr. 2020;174(12):e203215. doi:10.…

9813. Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. | PSNet
      psnet.ahrq.gov/issue/effect-behavioral-interventions-inappropriate-antibiotic-prescribing-among-primary-care
      August 02, 2015 - Study Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial. Citation Text: Meeker D, Linder JA, Fox CR, et al. Effect of Behavioral Interventions on Inappropriate Antibiotic Prescribing Among Primary Care Pra…

9814. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/elimination-central-venous-catheter-related-bloodstream-infections-intensive-care-unit
      January 11, 2017 - Study Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. Citation Text: Longmate AG, Ellis KS, Boyle L, et al. Elimination of central-venous-catheter-related bloodstream infections from the intensive care unit. BMJ Qual Saf. 2011;20(2):1…

9815. The effect of a clinical decision support for pending laboratory results at emergency department discharge. | PSNet
      psnet.ahrq.gov/issue/effect-clinical-decision-support-pending-laboratory-results-emergency-department-discharge
      April 24, 2018 - Study The effect of a clinical decision support for pending laboratory results at emergency department discharge. Citation Text: Driver BE, Scharber SK, Fagerstrom ET, et al. The Effect of a Clinical Decision Support for Pending Laboratory Results at Emergency Department Discharge. J Eme…

9816. What is the safety of nonemergent operative procedures performed at night? | PSNet
      psnet.ahrq.gov/issue/what-safety-nonemergent-operative-procedures-performed-night
      July 20, 2022 - Study What is the safety of nonemergent operative procedures performed at night? Citation Text: Turrentine FE, Wang H, Young JS, et al. What is the safety of nonemergent operative procedures performed at night? A study of 10,426 operations at an academic tertiary care hospital using th…

9817. Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-alarm-fatigue-work-nurses-intensive-care-environment-systematic-review
      August 31, 2022 - Review Classic Impact of alarm fatigue on the work of nurses in an intensive care environment--a systematic review. Citation Text: Lewandowska K, Weisbrot M, Cieloszyk A, et al. Impact of alarm fatigue on the work of nurses in an intensive care environment--a s…

9818. Impact of Medicare's nonpayment program on hospital-acquired conditions. | PSNet
      psnet.ahrq.gov/issue/impact-medicares-nonpayment-program-hospital-acquired-conditions
      December 21, 2014 - Review Impact of Medicare's nonpayment program on hospital-acquired conditions. Citation Text: Thirukumaran CP, Glance LG, Temkin-Greener H, et al. Impact of Medicare's Nonpayment Program on Hospital-acquired Conditions. Med Care. 2017;55(5):447-455. doi:10.1097/MLR.0000000000000680. C…

9819. The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. | PSNet
      psnet.ahrq.gov/issue/second-victim-experience-and-support-tool-validation-organizational-resource-assessing-second
      September 19, 2016 - Study The Second Victim Experience and Support Tool: validation of an organizational resource for assessing second victim effects and the quality of support resources. Citation Text: Burlison JD, Scott SD, Browne EK, et al. The Second Victim Experience and Support Tool: validation of an …

9820. Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. | PSNet
      psnet.ahrq.gov/issue/increasing-patient-safety-neonates-handoff-communication-during-delivery-call
      March 19, 2019 - Commentary Increasing patient safety with neonates via handoff communication during delivery: a call for interprofessional health care team training across GME and CME. Citation Text: Vanderbilt AA, Pappada SM, Stein H, et al. Increasing patient safety with neonates via handoff communica…