Results

Total Results: 319 records

Showing results for "infant mortality".

201. WebM&M: Case Studies | PSNet
     psnet.ahrq.gov/webmm-case-studies
     February 26, 2025 - WebM&M: Case Studies WebM&M (Morbidity & Mortality Rounds on the Web) features expert analysis of medical errors reported anonymously by our readers. Spotlight Cases include interactive learning modules available for CME/CPE . Commentaries are written by patient safety experts and published monthly. Have you encou…

202. Race, postoperative complications, and death in apparently healthy children. | PSNet
     psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
     August 10, 2022 - Study Classic Race, postoperative complications, and death in apparently healthy children. Citation Text: Nafiu OO, Mpody C, Kim SS, et al. Race, postoperative complications, and death in apparently healthy children. Pediatrics. 2020;146(2):e20194113. doi:10.154…

203. An engineered solution to the maladministration of spinal injections. | PSNet
     psnet.ahrq.gov/issue/engineered-solution-maladministration-spinal-injections
     March 14, 2022 - Study An engineered solution to the maladministration of spinal injections. Citation Text: Lawton R, Gardner P, Green B, et al. An engineered solution to the maladministration of spinal injections. Qual Saf Health Care. 2009;18(6):492-5. doi:10.1136/qshc.2007.025767. Copy Citation …

204. Patients' identification and reporting of unsafe events at six hospitals in Japan. | PSNet
     psnet.ahrq.gov/issue/patients-identification-and-reporting-unsafe-events-six-hospitals-japan
     January 11, 2023 - Study Patients' identification and reporting of unsafe events at six hospitals in Japan. Citation Text: Hasegawa T, Fujita S, Seto K, et al. Patients' identification and reporting of unsafe events at six hospitals in Japan. Jt Comm J Qual Patient Saf. 2011;37(11):502-508. Copy Citati…

205. A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit. | PSNet
     psnet.ahrq.gov/issue/safety-evaluation-impact-maternity-orientated-human-factors-training-safety-culture-tertiary
     October 19, 2022 - Study A safety evaluation of the impact of maternity-orientated human factors training on safety culture in a tertiary maternity unit. Citation Text: Ansari SP, Rayfield ME, Wallis VA, et al. A Safety Evaluation of the Impact of Maternity-Orientated Human Factors Training on Safety Cultu…

206. Exploring the human factors of prescribing errors in paediatric intensive care units. | PSNet
     psnet.ahrq.gov/issue/exploring-human-factors-prescribing-errors-paediatric-intensive-care-units
     March 06, 2024 - Study Emerging Classic Exploring the human factors of prescribing errors in paediatric intensive care units. Citation Text: Sutherland A, Ashcroft DM, Phipps D. Exploring the human factors of prescribing errors in paediatric intensive care units. Arch Dis Child.…

207. Dynamic pocket card for implementing ISBAR in shift handover communication. | PSNet
     psnet.ahrq.gov/issue/dynamic-pocket-card-implementing-isbar-shift-handover-communication
     July 10, 2024 - Study Dynamic pocket card for implementing ISBAR in shift handover communication. Citation Text: Schmidt T, Kocher DR, Mahendran P, et al. Dynamic Pocket Card for Implementing ISBAR in Shift Handover Communication. Stud Health Technol Inform. 2019;267:224-229. doi:10.3233/SHTI190831. …

208. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. | PSNet
     psnet.ahrq.gov/issue/perceived-adverse-patient-outcomes-correlated-nurses-workload-medical-and-surgical-wards
     February 01, 2013 - Study Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected hospitals in Kuwait. Citation Text: Al-Kandari F, Thomas D. Perceived adverse patient outcomes correlated to nurses' workload in medical and surgical wards of selected ho…

209. Making the Patient Safety and Quality Improvement Act of 2005 work. | PSNet
     psnet.ahrq.gov/issue/making-patient-safety-and-quality-improvement-act-2005-work
     July 11, 2018 - Commentary Making the Patient Safety and Quality Improvement Act of 2005 work. Citation Text: Vemula R, Assaf R, Al-Assaf AF. Making the Patient Safety and Quality Improvement Act of 2005 work. J Healthc Qual. 2007;29(4):6-10. Copy Citation Format: Google Scholar PubMed B…

210. Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach. | PSNet
     psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
     December 16, 2011 - Study Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach. Citation Text: Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …

211. Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. | PSNet
     psnet.ahrq.gov/issue/selected-medical-errors-intensive-care-unit-results-iatroref-study-parts-i-and-ii
     April 18, 2012 - Study Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II. Citation Text: Garrouste-Orgeas M, Timsit JF, Vesin A, et al. Selected Medical Errors in the Intensive Care Unit. Am J Respir Crit Care Med. 2009;181(2):134-142. doi:10.1164/rccm.20…

212. Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. | PSNet
     psnet.ahrq.gov/issue/operating-room-clinicians-attitudes-and-perceptions-pediatric-surgical-safety-checklist-1
     July 14, 2010 - Study Operating room clinicians' attitudes and perceptions of a pediatric surgical safety checklist at 1 institution. Citation Text: Norton EK, Singer SJ, Sparks W, et al. Operating Room Clinicians' Attitudes and Perceptions of a Pediatric Surgical Safety Checklist at 1 Institution. J Pa…

213. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. | PSNet
     psnet.ahrq.gov/issue/adverse-events-and-comparison-systematic-and-voluntary-reporting-paediatric-intensive-care
     February 01, 2011 - Study Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Citation Text: Silas R, Tibballs J. Adverse events and comparison of systematic and voluntary reporting from a paediatric intensive care unit. Qual Saf Health Care. 2010;19(…

214. Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. | PSNet
     psnet.ahrq.gov/issue/contributory-factors-and-patient-harm-including-deaths-associated-direct-acting-oral
     January 12, 2022 - Study Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. Citation Text: Rowily AA, Jalal Z, Paudyal V. Contributory factors…

215. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. | PSNet
     psnet.ahrq.gov/issue/designing-human-centered-ai-prevent-medication-dispensing-errors-focus-group-study
     August 31, 2022 - Study Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. Citation Text: Zheng Y, Rowell B, Chen Q, et al. Designing human-centered AI to prevent medication dispensing errors: focus group study with pharmacists. JMIR Form Res. 2023;7:e…

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72517/psn-pdf
     November 25, 2020 - Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. November 25, 2020 Leiserowitz GS, Hedriana H. Lack of Sepsis Recognition Leads to Delay in Care Following Cesarean Delivery. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/lack-sepsis-recognition-leads-delay-care-following-cesare…

217. Optimizing patient safety in clinical trials by improving transitions of care. | PSNet
     psnet.ahrq.gov/issue/optimizing-patient-safety-clinical-trials-improving-transitions-care
     October 16, 2024 - Study Optimizing patient safety in clinical trials by improving transitions of care. Citation Text: Nair SC, Satish KP, Al Maini M, et al. Optimizing patient safety in clinical trials by improving transitions of care. Jt Comm J Qual Patient Saf. 2020;46(4). doi:10.1016/j.jcjq.2020.01.001…

218. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. | PSNet
     psnet.ahrq.gov/issue/iatrogenesis-neonatal-intensive-care-units-observational-and-interventional-prospective
     June 21, 2016 - Study Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicenter study. Citation Text: Kugelman A, Inbar-Sanado E, Shinwell ES, et al. Iatrogenesis in neonatal intensive care units: observational and interventional, prospective, multicente…

219. Effect of reducing interns' weekly work hours on sleep and attentional failures. | PSNet
     psnet.ahrq.gov/issue/effect-reducing-interns-weekly-work-hours-sleep-and-attentional-failures
     January 10, 2017 - Study Effect of reducing interns' weekly work hours on sleep and attentional failures. Citation Text: Lockley SW, Cronin JW, Evans EE, et al. Effect of reducing interns' weekly work hours on sleep and attentional failures. N Engl J Med. 2004;351(18):1829-37. Copy Citation Format:…

220. Burns surgery handover study: trainees' assessment of current practice in the British Isles. | PSNet
     psnet.ahrq.gov/issue/burns-surgery-handover-study-trainees-assessment-current-practice-british-isles
     February 01, 2013 - Study Burns surgery handover study: trainees' assessment of current practice in the British Isles. Citation Text: Al-Benna S, Al-Ajam Y, Alzoubaidi D. Burns surgery handover study: trainees' assessment of current practice in the British Isles. Burns. 2009;35(4):509-12. doi:10.1016/j.bu…