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psnet.ahrq.gov/issue/adverse-drug-events-among-hospitalized-medicare-patients-epidemiology-and-national-estimates
April 05, 2016 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … June 8, 2011
What’s past is prologue: organizational learning from a serious patient injury
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psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
February 01, 2023 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … September 23, 2020
6-PACK programme to decrease fall injuries in acute hospitals: cluster
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psnet.ahrq.gov/issue/improving-patient-safety-reporting-common-formats-common-data-representation-patient-safety
October 19, 2022 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … , 2021
Automated identification of postoperative complications within an electronic medical … March 15, 2023
A randomized trial of a multifactorial strategy to prevent serious fall injuries … March 2, 2016
Mandatory reporting of impaired medical practitioners: protecting patients
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psnet.ahrq.gov/issue/impact-adverse-events-clinicians-whats-name
March 25, 2020 - March 25, 2020
Toward constructive change after making a medical error: recovery from … August 10, 2022
Emotion and coping in the aftermath of medical error: a cross-country … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … January 7, 2019
Suffering in silence: medical error and its impact on health care providers
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psnet.ahrq.gov/issue/unfinished-nursing-care-missed-care-and-implicitly-rationed-care-state-science-review
May 08, 2024 - white whale of team communication in the operating room with labelled surgical caps at an academic medical … The effects of leadership curricula with and without implicit bias training on graduate medical … September 27, 2017
Do nurse and patient injuries share common antecedents?
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psnet.ahrq.gov/web-mm/when-vomit-gets-way-aspiration-resulting-death-during-endoscopy
March 18, 2020 - lacking. 11 In this case, the addition of a nasogastric tube during ERCP may have increased the risk of injury … Surgical airway kits are part of the emergency medical equipment that should be available and checked … who has aspirated with 100% oxygen, utilizing airway adjuncts including LMAs as needed Timothy Do, BS Medical … July 31, 2024
WebM&M Cases
Uterine Artery Injury … WebM&M Cases
Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury
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psnet.ahrq.gov/issue/nurse-decision-making-prearrest-period
July 29, 2020 - Same Author(s)
A randomized trial of a multifactorial strategy to prevent serious fall injuries … June 20, 2011
The role of the non-ICU staff nurse on a medical emergency team: perceptions … June 1, 2011
The impact of the medical emergency team on the resuscitation practice of
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psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
February 28, 2015 - Unintentionally-retained foreign objects and fall-related injuries were common incidents recorded. … DeBakey VA Medical Center in Houston, Texas.
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psnet.ahrq.gov/issue/chemotherapeutic-errors-hospitalised-cancer-patients-attributable-damage-and-extra-costs
May 04, 2012 - January 5, 2017
Injuries before and after diagnosis of cancer: nationwide register based … WebM&M Cases
Right Regimen, Wrong Cancer: Patient Catches Medical … May 4, 2012
Fatality involving vinblastine overdose as a result of a complex medical … The Topic
Hospitals
Health Care Providers
Health Care Executives and Administrators
Medical
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psnet.ahrq.gov/issue/scoping-review-methodological-approaches-used-retrospective-chart-reviews-validate-adverse
April 29, 2020 - March 13, 2024
Human errors in emergency medical services: a qualitative analysis of … January 17, 2024
The perfect storm: exam of a medical error and factors contributing … June 23, 2021
Critical incidents involving the medical emergency team: a 5-year retrospective … Analysis of incidents resulting in patient injuries in a web-based system in Swedish health care. … View More
See More About The Topic
Hospitals
Hospital Medicine
Medical
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psnet.ahrq.gov/issue/effect-collaboration-obstetric-patient-safety-three-academic-facilities
October 19, 2022 - Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … March 23, 2011
The road to zero preventable birth injuries.
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psnet.ahrq.gov/issue/bar-coding-surgical-sponges-improve-safety-randomized-controlled-trial
March 02, 2011 - Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury … March 3, 2011
Patterns of communication breakdowns resulting in injury to surgical patients
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psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - September 29, 2021
Costs of medical injuries in Utah and Colorado. … June 23, 2015
The potential for improved teamwork to reduce medical errors in the emergency … A follow-up study from US Veterans Health Administration medical centers. … August 21, 2013
Are bad outcomes from questionable clinical decisions preventable medical
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psnet.ahrq.gov/issue/effect-prescriber-notifications-patients-fatal-overdose-opioid-prescribing-4-12-months
October 06, 2021 - 2021
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries … reporting system to identify unprofessional behaviors and mistreatment directed at trainees at an academic medical … Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical
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psnet.ahrq.gov/issue/ambulatory-care-visits-treating-adverse-drug-effects-united-states-1995-2001
April 03, 2005 - September 1, 2016
What have we learned about interventions to reduce medical errors? … December 23, 2011
Excess length of stay, charges, and mortality attributable to medical … injuries during hospitalization. … Pharmacist Counseling
January 31, 2024
Making polypharmacy safer for children with medical
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psnet.ahrq.gov/issue/association-electronic-health-record-use-above-meaningful-use-thresholds-hospital-quality-and
October 06, 2021 - June 1, 2022
Prevalence and sources of duplicate information in the electronic medical … 2022
Evaluation of a patient-centered fall-prevention tool kit to reduce falls and injuries
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psnet.ahrq.gov/issue/leadership-committed-safety
December 23, 2016 - December 23, 2016
Medical device alarm safety in hospitals. … February 10, 2021
Preventing falls and fall-related injuries in health care facilities … December 21, 2022
How will state medical boards handle cases involving disclosure and … apology for medical errors?
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psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
September 01, 2004 - She presented with sepsis and acute kidney injury with a creatinine of 2.0 mg/dL (up from a baseline … creatinine improved but remained elevated at 1.6 mg/dL and the team felt the persistent acute kidney injury … paper-based order systems: it eliminates illegible handwriting, provides integration with electronic medical … have identified this and related problems prior to their being discovered in the context of patient injury … or other relationship with the manufacturers of any commercial products discussed in this continuing medical
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psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
June 16, 2021 - He was eventually resuscitated but was left with significant neurological injury as a result of hypoxic … brain injury. … reassessment of patient condition, a reminder to document the intrahospital transfer in the patient's medical … impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical
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psnet.ahrq.gov/issue/computerized-prescribing-alerts-and-group-academic-detailing-reduce-use-potentially
July 10, 2008 - , 2008
The impact of prescribing safety alerts for elderly persons in an electronic medical … Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical … November 16, 2022
A randomized trial of a multifactorial strategy to prevent serious fall injuries … , 2016
The impact of prescribing safety alerts for elderly persons in an electronic medical