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Total Results: 5,153 records

Showing results for "institutions".

  1. The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. | PSNet

    psnet.ahrq.gov/issue/psychiatry-morbidity-and-mortality-incident-reporting-tool-increases-psychiatrist
    March 10, 2021 - Study The Psychiatry Morbidity and Mortality Incident Reporting Tool increases psychiatrist participation in reporting adverse events. Citation Text: Kroll DS, Shellman AD, Gitlin DF. The Psychiatry Morbidity and Mortality Incident Reporting Tool Increases Psychiatrist Participation in R…

  2. Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. | PSNet

    psnet.ahrq.gov/issue/medication-reconciliation-failures-children-and-young-adults-chronic-disease-during-intensive
    June 22, 2022 - Study Medication reconciliation failures in children and young adults with chronic disease during intensive and intermediate care. Citation Text: DeCourcey DD, Silverman M, Chang E, et al. Medication reconciliation failures in children and young adults with chronic disease during intensi…

  3. Race differences in reported harmful patient safety events in healthcare system high reliability organizations. | PSNet

    psnet.ahrq.gov/issue/race-differences-reported-harmful-patient-safety-events-healthcare-system-high-reliability
    March 01, 2023 - Study Race differences in reported harmful patient safety events in healthcare system high reliability organizations. Citation Text: Thomas AD, Pandit C, Krevat SA. Race Differences in Reported Harmful Patient Safety Events in Healthcare System High Reliability Organizations. J Patient S…

  4. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. | PSNet

    psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
    January 22, 2016 - Study Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Citation Text: Manias E, Williams A, Liew D, et al. Effects of patient-, environment- and medication-related factors on high-alert medication incidents. Int J Qual Health Care. 2014…

  5. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. | PSNet

    psnet.ahrq.gov/issue/identifying-understanding-and-minimizing-unconscious-cognitive-biases-perioperative-crisis
    June 19, 2019 - Review Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis management: a narrative review. Citation Text: Yan L, Karamchandani K, Gaiser RR, et al. Identifying, understanding, and minimizing unconscious cognitive biases in perioperative crisis …

  6. Combined SNA and LDA methods to understand adverse medical events | PSNet

    psnet.ahrq.gov/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
    November 15, 2023 - Journal Article Combined SNA and LDA methods to understand adverse medical events Citation Text: Zhu L, Reychav I, McHaney R, et al. Combined SNA and LDA methods to understand adverse medical events. Int J Risk Saf Med. 2019;30(3):129-153. doi:10.3233/JRS-180052. Copy Citation Form…

  7. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. | PSNet

    psnet.ahrq.gov/issue/effect-resident-duty-hour-restriction-trauma-center-outcomes-teaching-hospitals-state
    September 12, 2016 - Study The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the state of Pennsylvania. Citation Text: Helling TS, Kaswan S, Boccardo J, et al. The effect of resident duty hour restriction on trauma center outcomes in teaching hospitals in the st…

  8. National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. | PSNet

    psnet.ahrq.gov/issue/national-trends-hospitalizations-opioid-poisonings-among-children-and-adolescents-1997-2012
    January 16, 2019 - Study National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012. Citation Text: Gaither JR, Leventhal JM, Ryan SA, et al. National Trends in Hospitalizations for Opioid Poisonings Among Children and Adolescents, 1997 to 2012. JAMA Peds. 2016;1…

  9. A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-model-reviewing-severe-maternal-morbidity-cases-and-teaching-residents
    August 23, 2023 - Study A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles. Citation Text: Ogunyemi D, Hage N, Kim SK, et al. A Multidisciplinary Model for Reviewing Severe Maternal Morbidity Cases and Teaching Residents Patient Safety …

  10. Adverse-event-reporting practices by US hospitals: results of a national survey. | PSNet

    psnet.ahrq.gov/issue/adverse-event-reporting-practices-us-hospitals-results-national-survey
    December 30, 2014 - Study Adverse-event-reporting practices by US hospitals: results of a national survey. Citation Text: Farley DO, Haviland A, Champagne S, et al. Adverse-event-reporting practices by US hospitals: results of a national survey. Qual Saf Health Care. 2008;17(6):416-23. doi:10.1136/qshc.20…

  11. Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-events-and-negligence-hospitalized-patients-results-harvard-medical
    February 18, 2011 - Study Classic Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I. Citation Text: Brennan TA, Leape LL, Laird NM, et al. Incidence of Adverse Events and Negligence in Hospitalized Patients. N Eng…

  12. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. | PSNet

    psnet.ahrq.gov/issue/didactic-and-simulation-nontechnical-skills-team-training-improve-perinatal-patient-outcomes
    October 21, 2011 - Study Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a community hospital. Citation Text: Riley W, Davis SE, Miller KK, et al. Didactic and simulation nontechnical skills team training to improve perinatal patient outcomes in a commun…

  13. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. | PSNet

    psnet.ahrq.gov/issue/evaluating-iatrogenic-prescribing-development-oncology-focused-trigger-tool
    December 23, 2020 - Study Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Citation Text: Hébert G, Netzer F, Ferrua M, et al. Evaluating iatrogenic prescribing: development of an oncology-focused trigger tool. Eur J Cancer. 2015;51(3):427-35. doi:10.1016/j.ejca.2014.12.00…

  14. Creating high reliability in health care organizations. | PSNet

    psnet.ahrq.gov/issue/creating-high-reliability-health-care-organizations
    September 20, 2011 - Commentary Creating high reliability in health care organizations. Citation Text: Pronovost P, Berenholtz SM, Goeschel CA, et al. Creating high reliability in health care organizations. Health Serv Res. 2006;41(4 Pt 2):1599-1617. Copy Citation Format: Google Scholar PubMe…

  15. The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. | PSNet

    psnet.ahrq.gov/issue/accuracy-trigger-tools-detect-preventable-adverse-events-primary-care-systematic-review
    January 22, 2016 - Review The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review. Citation Text: Davis JJ, Harrington N, Fagan HB, et al. The Accuracy of Trigger Tools to Detect Preventable Adverse Events in Primary Care: A Systematic Review. J Am Board Fam …

  16. A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. | PSNet

    psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
    April 29, 2020 - Review A scoping review of the methodological approaches used in retrospective chart reviews to validate adverse event rates in administrative data. Citation Text: Connolly A, Kirwan M, Matthews A. A scoping review of the methodological approaches used in retrospective chart reviews to v…

  17. Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. | PSNet

    psnet.ahrq.gov/issue/adverse-events-operating-room-definitions-prevalence-and-characteristics-systematic-review
    July 25, 2018 - Review Adverse events in the operating room: definitions, prevalence, and characteristics. A systematic review. Citation Text: Jung JJ, Elfassy J, Jüni P, et al. Adverse Events in the Operating Room: Definitions, Prevalence, and Characteristics. A Systematic Review. World J Surg. 2019;4…

  18. The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet

    psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
    September 15, 2010 - Commentary The quest to eliminate intrathecal vincristine errors: a 40-year journey. Citation Text: Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. Copy Citation …

  19. The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction. | PSNet

    psnet.ahrq.gov/issue/impact-independent-chemotherapy-prescribing-advanced-practice-providers-patient-safety-and
    November 16, 2022 - Study The impact of independent chemotherapy prescribing by advanced practice providers on patient safety and clinician satisfaction. Citation Text: LeStrange N, Walton AM, Watson JL, et al. The impact of independent chemotherapy prescribing by advanced practice providers on patient safe…

  20. Use of technology to improve the adherence to surgical safety checklists in the operating room. | PSNet

    psnet.ahrq.gov/issue/use-technology-improve-adherence-surgical-safety-checklists-operating-room
    December 03, 2014 - Study Use of technology to improve the adherence to surgical safety checklists in the operating room. Citation Text: Pati AB, Mishra TS, Chappity P, et al. Use of technology to improve the adherence to surgical safety checklists in the operating room. Jt Comm J Qual Patient Saf. 2023;49(…
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