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Showing results for "involvement".

9461. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? | PSNet
      psnet.ahrq.gov/issue/how-common-are-cognitive-errors-cases-presented-emergency-medicine-resident-morbidity-and
      May 08, 2019 - Study How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences? Citation Text: Chu D, Xiao J, Shah P, et al. How common are cognitive errors in cases presented at emergency medicine resident morbidity and mortality conferences?…

9462. The Theory of Distributed Cognition | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses2.html
      August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department The Theory of Distributed Cognition Previous Page Next Page Table of Contents Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department Introduction The Theory of Dis…

9463. The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. | PSNet
      psnet.ahrq.gov/issue/use-patient-digital-facial-images-confirm-patient-identity-childrens-hospitals-anesthesia
      May 06, 2009 - Study The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system. Citation Text: Thomas JJ, Yaster M, Guffey P. The Use of Patient Digital Facial Images to Confirm Patient Identity in a Children's Hospital's An…

9464. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. | PSNet
      psnet.ahrq.gov/issue/drug-error-anaesthetic-practice-review-896-reports-australian-incident-monitoring-study
      June 13, 2011 - Study Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database. Citation Text: Abeysekera A, Bergman IJ, Kluger MT, et al. Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study…

9465. 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.…

9466. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. | PSNet
      psnet.ahrq.gov/issue/overlapping-surgery-orthopaedics-review-efficacy-surgical-costs-surgical-outcomes-and-patient
      November 03, 2021 - Review Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient safety. Citation Text: Ahmed M, Suhrawardy A, Olszewski A, et al. Overlapping surgery in orthopaedics: a review of efficacy, surgical costs, surgical outcomes, and patient saf…

9467. Introducing the CAHPS Child Hospital Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150122/3_barbara_burke.pdf
      June 09, 2012 - Introducing the CAHPS Child Hospital Survey Child HCAHPS Barbara Burke, Administrator, Patient Family Experience Center of Excellence Ann & Robert H. Lurie Children’s Hospital of Chicago 37 Outline • An introduction to Lurie Children’s • Impetus for change • Child HCAHPS • Moving forward …

9468. Four Kentucky Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/case-studies/ktcquips79.html
      October 01, 2014 - Four Kentucky Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Search All Impact Case Studies November 2011 Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls focusin…

9469. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. | PSNet
      psnet.ahrq.gov/issue/specimen-labeling-errors-q-probes-analysis-147-clinical-laboratories
      February 15, 2010 - Study Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Citation Text: Wagar EA, Stankovic AK, Raab SS, et al. Specimen labeling errors: a Q-probes analysis of 147 clinical laboratories. Arch Pathol Lab Med. 2008;132(10):1617-22. doi:10.1043/1543-2165(2008)…

9470. Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study. | PSNet
      psnet.ahrq.gov/issue/inappropriate-prescribing-defined-stopp-and-start-criteria-and-its-association-adverse-drug
      July 05, 2023 - Study Inappropriate prescribing defined by STOPP and START criteria and its association with adverse drug events among hospitalized older patients: a multicentre, prospective study. Citation Text: Fahrni ML, Azmy MT, Usir E, et al. Inappropriate prescribing defined by STOPP and START cri…

9471. Surgeon agreement at the time of handover, a prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/surgeon-agreement-time-handover-prospective-cohort-study
      July 19, 2010 - Study Surgeon agreement at the time of handover, a prospective cohort study. Citation Text: Hilsden R, Moffat B, Knowles S, et al. Surgeon agreement at the time of handover, a prospective cohort study. World J Emerg Surg. 2016;11:11. doi:10.1186/s13017-016-0065-6. Copy Citation For…

9472. Older folks in hospitals: the contributing factors and recommendations for incident prevention. | PSNet
      psnet.ahrq.gov/issue/older-folks-hospitals-contributing-factors-and-recommendations-incident-prevention
      April 13, 2022 - Study Older folks in hospitals: the contributing factors and recommendations for incident prevention. Citation Text: Mansah M, Griffiths R, Fernandez R, et al. Older folks in hospitals: the contributing factors and recommendations for incident prevention. J Patient Saf. 2014;10(3):146-53…

9473. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. | PSNet
      psnet.ahrq.gov/issue/bone-break-hot-debrief-tool-reduce-second-victim-syndrome-nurses
      August 02, 2015 - Study BONE break: a hot debrief tool to reduce second victim syndrome for nurses. Citation Text: Hess A, Flicek T, Watral AT, et al. BONE break: a hot debrief tool to reduce second victim syndrome for nurses. Jt Comm J Qual Patient Saf. 2024;50(9):673-677. doi:10.1016/j.jcjq.2024.05.005.…

9474. Diagnostic discrepancies in the emergency department: a retrospective study. | PSNet
      psnet.ahrq.gov/issue/diagnostic-discrepancies-emergency-department-retrospective-study
      October 04, 2023 - Study Diagnostic discrepancies in the emergency department: a retrospective study. Citation Text: Schols LA, Maranus ME, Rood PPM, et al. Diagnostic discrepancies in the emergency department: a retrospective study. J Patient Saf. 2024;20(6):420-425. doi:10.1097/pts.0000000000001252. Co…

9475. Efficacy of an incident-reporting system in cellular pathology: a practical experience. | PSNet
      psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience
      August 21, 2024 - Study Efficacy of an incident-reporting system in cellular pathology: a practical experience. Citation Text: Rakha EA, Clark D, Chohan BS, et al. Efficacy of an incident-reporting system in cellular pathology: a practical experience. J Clin Pathol. 2012;65(7):643-8. doi:10.1136/jclinpa…

9476. Patient misidentifications caused by errors in standard barcode technology. | PSNet
      psnet.ahrq.gov/issue/patient-misidentifications-caused-errors-standard-barcode-technology
      June 13, 2012 - Study Patient misidentifications caused by errors in standard barcode technology. Citation Text: Snyder ML, Carter A, Jenkins K, et al. Patient misidentifications caused by errors in standard bar code technology. Clin Chem. 2010;56(10):1554-60. doi:10.1373/clinchem.2010.150094. Copy …

9477. Novel telephone-based interactive voice response system for incident reporting. | PSNet
      psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
      September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting. Citation Text: McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010. Cop…

9478. Risk of medication safety incidents with antibiotic use measured by defined daily doses. | PSNet
      psnet.ahrq.gov/issue/risk-medication-safety-incidents-antibiotic-use-measured-defined-daily-doses
      July 06, 2022 - Study Risk of medication safety incidents with antibiotic use measured by defined daily doses. Citation Text: Hamad A, Cavell G, Wade P, et al. Risk of medication safety incidents with antibiotic use measured by defined daily doses. Int J Clin Pharm. 2013;35(5):772-9. doi:10.1007/s11096…

9479. A lethal hidden curriculum—death of a medical student from opioid use disorder. | PSNet
      psnet.ahrq.gov/issue/lethal-hidden-curriculum-death-medical-student-opioid-use-disorder
      October 19, 2022 - Commentary A lethal hidden curriculum—death of a medical student from opioid use disorder. Citation Text: Lucey CR, Jones L, Eastburn A. A Lethal Hidden Curriculum - Death of a Medical Student from Opioid Use Disorder. N Engl J Med. 2019;381(9):793-795. doi:10.1056/NEJMp1901537. Copy C…

9480. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. | PSNet
      psnet.ahrq.gov/issue/department-anesthesiology-skilled-peer-support-program-outcomes-second-victim-perceptions
      April 12, 2011 - Study Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Citation Text: Bursch B, Ziv K, Marchese S, et al. Department of anesthesiology skilled peer support program outcomes: second victim perceptions. Jt Comm J Qual Patient Saf. 2024;50(6):44…