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Showing results for "involvement".

  1. Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. | PSNet

    psnet.ahrq.gov/issue/errors-and-error-producing-conditions-during-simulated-prehospital-pediatric-cardiopulmonary
    August 25, 2021 - Study Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Citation Text: Lammers RL, Willoughby-Byrwa M, Fales WD. Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest. Simul Healthc. …

  2. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. | PSNet

    psnet.ahrq.gov/issue/team-experiences-root-cause-analysis-process-after-sentinel-event-qualitative-case-study
    October 07, 2020 - Study Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. Citation Text: Liepelt S, Sundal H, Kirchhoff R. Team experiences of the root cause analysis process after a sentinel event: a qualitative case study. BMC Health Serv Res. 2023;23(…

  3. Adverse events in patients transitioning from the emergency department to the inpatient setting. | PSNet

    psnet.ahrq.gov/issue/adverse-events-patients-transitioning-emergency-department-inpatient-setting
    September 07, 2022 - Study Adverse events in patients transitioning from the emergency department to the inpatient setting. Citation Text: Tsilimingras D, Schnipper JL, Zhang L, et al. Adverse events in patients transitioning from the emergency department to the inpatient setting. J Patient Saf. 2024;20(8):5…

  4. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. | PSNet

    psnet.ahrq.gov/issue/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors-and-successes
    January 15, 2025 - Study Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. Citation Text: Kotwal S, Howell M, Zwaan L, et al. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. J Gen Intern Med. 2024;39(8):…

  5. How to make medication error reporting systems work—factors associated with their successful development and implementation. | PSNet

    psnet.ahrq.gov/issue/how-make-medication-error-reporting-systems-work-factors-associated-their-successful
    December 05, 2012 - Study How to make medication error reporting systems work—factors associated with their successful development and implementation. Citation Text: Holmström A-R, Laaksonen R, Airaksinen M. How to make medication error reporting systems work--Factors associated with their successful develo…

  6. National and local medication error reporting systems—a survey of practices in 16 countries. | PSNet

    psnet.ahrq.gov/issue/national-and-local-medication-error-reporting-systems-survey-practices-16-countries
    September 09, 2015 - Study National and local medication error reporting systems—a survey of practices in 16 countries. Citation Text: Holmström A-R, Airaksinen M, Weiss M, et al. National and local medication error reporting systems: a survey of practices in 16 countries. J Patient Saf. 2012;8(4):165-76. …

  7. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. | PSNet

    psnet.ahrq.gov/issue/patient-handover-surgery-intensive-care-using-formula-1-pit-stop-and-aviation-models-improve
    October 03, 2011 - Study Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to improve safety and quality. Citation Text: Catchpole K, de Leval MR, McEwan A, et al. Patient handover from surgery to intensive care: using Formula 1 pit-stop and aviation models to …

  8. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. | PSNet

    psnet.ahrq.gov/issue/radiologist-errors-modality-anatomic-region-and-pathology-16-million-exams-what-we-have
    October 18, 2023 - Study Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Citation Text: Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Rad…

  9. Reduction in opioid prescribing through evidence-based prescribing guidelines. | PSNet

    psnet.ahrq.gov/issue/reduction-opioid-prescribing-through-evidence-based-prescribing-guidelines
    January 27, 2019 - Study Reduction in opioid prescribing through evidence-based prescribing guidelines. Citation Text: Howard R, Waljee JF, Brummett CM, et al. Reduction in Opioid Prescribing Through Evidence-Based Prescribing Guidelines. JAMA Surg. 2018;153(3):285-287. doi:10.1001/jamasurg.2017.4436. Co…

  10. Hospital reputation and perceptions of patient safety. | PSNet

    psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety
    October 11, 2017 - Study Hospital reputation and perceptions of patient safety. Citation Text: Mira JJ, Lorenzo S, Navarro I. Hospital reputation and perceptions of patient safety. Med Princ Pract. 2014;23(1):92-4. doi:10.1159/000353152. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  11. Impact of staff turnover during cardiac surgical procedures. | PSNet

    psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-surgical-procedures
    November 06, 2019 - Study Impact of staff turnover during cardiac surgical procedures. Citation Text: Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051. Copy Citation Format: DO…

  12. Operational failures and interruptions in hospital nursing. | PSNet

    psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
    November 03, 2021 - Study Operational failures and interruptions in hospital nursing. Citation Text: Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  13. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. | PSNet

    psnet.ahrq.gov/issue/errors-detected-pediatric-oral-liquid-medication-doses-prepared-automated-workflow-management
    June 22, 2009 - Study Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. Citation Text: Bledsoe S, Van Buskirk A, Falconer J, et al. Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system. …

  14. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. | PSNet

    psnet.ahrq.gov/issue/surgeon-specific-mortality-data-disguise-wider-failings-delivery-safe-surgical-services
    March 09, 2022 - Study Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Citation Text: Westaby S, De Silva R, Petrou M, et al. Surgeon-specific mortality data disguise wider failings in delivery of safe surgical services. Eur J Cardiothorac Surg. 2015;47(2):3…

  15. Safety II behavior in a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/safety-ii-behavior-pediatric-intensive-care-unit
    January 12, 2022 - Study Safety II behavior in a pediatric intensive care unit. Citation Text: Merandi J, Vannatta K, Davis T, et al. Safety II Behavior in a Pediatric Intensive Care Unit. Pediatrics. 2018;141(6):e20180018. doi:10.1542/peds.2018-0018. Copy Citation Format: DOI Google Scholar …

  16. Development of a core drug list towards improving prescribing education and reducing errors in the UK. | PSNet

    psnet.ahrq.gov/issue/development-core-drug-list-towards-improving-prescribing-education-and-reducing-errors-uk
    April 13, 2022 - Study Development of a core drug list towards improving prescribing education and reducing errors in the UK. Citation Text: Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmac…

  17. Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care. | PSNet

    psnet.ahrq.gov/issue/bayesian-cohort-and-cross-sectional-analyses-pincer-trial-pharmacist-led-intervention-reduce
    December 21, 2022 - Study Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care. Citation Text: Hemming K, Chilton PJ, Lilford RJ, et al. Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led…

  18. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. | PSNet

    psnet.ahrq.gov/issue/scoping-review-second-victim-syndrome-among-surgeons-understanding-impact-responses-and
    March 24, 2019 - Review Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and support systems. Citation Text: Chong RIH, Yaow CYL, Chong NZ-Y, et al. Scoping review of the second victim syndrome among surgeons: understanding the impact, responses, and suppo…

  19. What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. | PSNet

    psnet.ahrq.gov/issue/what-are-safety-risks-patients-undergoing-treatment-multiple-specialties-retrospective
    March 18, 2013 - Study What are the safety risks for patients undergoing treatment by multiple specialties: a retrospective patient record review study. Citation Text: Baines RJ, de Bruijne M, Langelaan M, et al. What are the safety risks for patients undergoing treatment by multiple specialties: a retr…

  20. Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. | PSNet

    psnet.ahrq.gov/issue/disruptive-behavior-inherent-surgeon-or-environment-analysis-314-events-single-academic
    October 19, 2022 - Study Is disruptive behavior inherent to the surgeon or the environment? Analysis of 314 events at a single academic medical center. Citation Text: Heslin MJ, Singletary BA, Benos KC, et al. Is Disruptive Behavior Inherent to the Surgeon or the Environment? Analysis of 314 Events at a Si…
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