Results

Total Results: over 10,000 records

Showing results for "incidents".

9961. Adverse event reporting priorities: an integrative review. | PSNet
      psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrative-review
      March 10, 2021 - Review Adverse event reporting priorities: an integrative review. Citation Text: Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. Copy Citation Format: …

9962. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. | PSNet
      psnet.ahrq.gov/issue/prioritizing-medication-safety-care-people-cancer-clinicians-views-main-problems-and
      December 14, 2016 - Study Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. Citation Text: Car LT, Papachristou N, Urch C, et al. Prioritizing medication safety in care of people with cancer: clinicians' views on main problems and solutions. J Gl…

9963. Assessing the safety of a new clinical decision support system for a national helpline. | PSNet
      psnet.ahrq.gov/issue/assessing-safety-new-clinical-decision-support-system-national-helpline
      February 08, 2023 - Study Assessing the safety of a new clinical decision support system for a national helpline. Citation Text: Luckraj N, Strazzari R, Coiera E, et al. Assessing the safety of a new clinical decision support system for a national helpline. Stud Health Technol Inform. 2024;310:514-518. doi:…

9964. A target to achieve zero preventable trauma deaths through quality improvement. | PSNet
      psnet.ahrq.gov/issue/target-achieve-zero-preventable-trauma-deaths-through-quality-improvement
      March 03, 2011 - Study A target to achieve zero preventable trauma deaths through quality improvement. Citation Text: Hashmi ZG, Haut ER, Efron DT, et al. A Target to Achieve Zero Preventable Trauma Deaths Through Quality Improvement. JAMA Surg. 2018;153(7):686-689. doi:10.1001/jamasurg.2018.0159. Copy…

9965. Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. | PSNet
      psnet.ahrq.gov/issue/implementing-electronic-health-record-default-settings-reduce-opioid-overprescribing-pilot
      April 24, 2018 - Study Implementing electronic health record default settings to reduce opioid overprescribing: a pilot study. Citation Text: Zivin K, White JO, Chao S, et al. Implementing Electronic Health Record Default Settings to Reduce Opioid Overprescribing: A Pilot Study. Pain Med. 2019;20(1):103-…

9966. Preventing medical injury. | PSNet
      psnet.ahrq.gov/issue/preventing-medical-injury
      February 18, 2011 - Study Classic Preventing medical injury. Citation Text: Leape LL, Lawthers AG, Brennan TA, et al. Preventing medical injury. QRB - Qual Rev Bull. 1993;19(5):144-149. doi:10.1016/s0097-5990(16)30608-x. Copy Citation Format: DOI Google Scholar BibTeX…

9967. Medication misadventures resulting in emergency department visits at an HMO medical center. | PSNet
      psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo-medical-center
      March 16, 2022 - Study Classic Medication misadventures resulting in emergency department visits at an HMO medical center. Citation Text: Medication misadventures resulting in emergency department visits at an HMO medical center. Schneitman-McIntire O, Farnen TA, Gordon N, et al…

9968. Simulation study of rested versus sleep-deprived anesthesiologists. | PSNet
      psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
      September 13, 2017 - Study Classic Simulation study of rested versus sleep-deprived anesthesiologists. Citation Text: Howard SK, Gaba DM, Smith B, et al. Simulation study of rested versus sleep-deprived anesthesiologists. Anesthesiology. 2003;98(6):1345-1355. doi:10.1097/00000542-…

9969. Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet
      psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive
      August 12, 2014 - Study Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. Citation Text: Jones A, Lankshear A, Kelly D. Giving voice to quality and safety matters at board level: A qualitative study of the ex…

9970. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. | PSNet
      psnet.ahrq.gov/issue/prevalence-and-predictors-adverse-events-older-surgical-patients-impact-present-admission
      October 04, 2023 - Study Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indicator. Citation Text: Kim H, Capezuti E, Kovner C, et al. Prevalence and predictors of adverse events in older surgical patients: impact of the present on admission indi…

9971. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. | PSNet
      psnet.ahrq.gov/issue/implementing-rise-second-victim-support-programme-johns-hopkins-hospital-case-study
      March 03, 2019 - Study Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. Citation Text: Edrees HH, Connors C, Paine LA, et al. Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study. BMJ Open. 2016;6(9):e011708. d…

9972. Hospital-wide code rates and mortality before and after implementation of a rapid response team. | PSNet
      psnet.ahrq.gov/issue/hospital-wide-code-rates-and-mortality-and-after-implementation-rapid-response-team
      October 17, 2011 - Study Classic Hospital-wide code rates and mortality before and after implementation of a rapid response team. Citation Text: Chan PS, Khalid A, Longmore LS, et al. Hospital-wide code rates and mortality before and after implementation of a rapid response team…

9973. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial | PSNet
      psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-intervention-adverse-drug-events-cluster
      April 29, 2018 - Study Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomized Trial Citation Text: Tamblyn R, Abrahamowicz M, Buckeridge DL, et al. Effect of an Electronic Medication Reconciliation Intervention on Adverse Drug Events: A Cluster Randomi…

9974. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. | PSNet
      psnet.ahrq.gov/issue/impact-adding-2-way-video-monitoring-system-falls-and-costs-high-risk-inpatients
      April 24, 2018 - Study The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. Citation Text: Sosa MA, Soares M, Patel S, et al. The impact of adding a 2-way video monitoring system on falls and costs for high-risk inpatients. J Patient Saf. 2024;20(3):186-191. d…

9975. What happens when healthcare innovations collide? | PSNet
      psnet.ahrq.gov/issue/what-happens-when-healthcare-innovations-collide
      December 06, 2017 - Commentary What happens when healthcare innovations collide? Citation Text: Pendharkar SR, Woiceshyn J, da Silveira GJC, et al. What happens when healthcare innovations collide? BMJ Qual Saf. 2016;25(1):9-13. doi:10.1136/bmjqs-2015-004441. Copy Citation Format: DOI Google S…

9976. Safe surgery: how accurate are we at predicting intra-operative blood loss? | PSNet
      psnet.ahrq.gov/issue/safe-surgery-how-accurate-are-we-predicting-intra-operative-blood-loss
      March 21, 2018 - Study Safe surgery: how accurate are we at predicting intra-operative blood loss? Citation Text: Solon JG, Egan C, McNamara DA. Safe surgery: how accurate are we at predicting intra-operative blood loss? J Eval Clin Pract. 2013;19(1):100-5. doi:10.1111/j.1365-2753.2011.01779.x. Copy …

9977. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. | PSNet
      psnet.ahrq.gov/issue/high-fidelity-simulation-based-interdisciplinary-operating-room-team-training-point-care
      September 16, 2009 - Study High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Citation Text: Paige JT, Kozmenko V, Yang T, et al. High-fidelity, simulation-based, interdisciplinary operating room team training at the point of care. Surgery. 2009;145(2):138…

9978. Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. | PSNet
      psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
      April 14, 2021 - Commentary Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. Citation Text: Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public…

9979. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. | PSNet
      psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
      September 24, 2018 - Study Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. Citation Text: McCreadie G, Oliver TB. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiologic…

9980. Patient perceptions of mistakes in ambulatory care. | PSNet
      psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
      July 29, 2015 - Study Patient perceptions of mistakes in ambulatory care. Citation Text: Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. Copy Citation Format: DOI Google …