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Showing results for "occurred".

4221. Effective Health Care (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/TND_0210_12-07-2009.pdf
      January 01, 2009 - Effective Health Care Topic Number(s): 0236 Document Completion Date: 8-13-10 1 Results of Topic Selection Process & Next Steps  Rehabilitation for traumatic brain injury will go forward for refinement as a systematic review. The scope of this topic, including populations, interventions, com…

4222. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. | PSNet
      psnet.ahrq.gov/issue/suboptimal-prescribing-elderly-outpatients-potentially-harmful-drug-drug-and-drug-disease
      July 29, 2020 - Study Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. Citation Text: Zhan C, Correa-de-Araujo R, Bierman AS, et al. Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations. J A…

4223. Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-mt/annual-summary/2012
      January 01, 2012 - Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow - 2012 Project Name Using Health Information Technology in Practice Redesign: Impact of Health Information Technology on Workflow Principal Investigator Ciemins, Elizabeth …

4224. Guideline implementation: team communication. | PSNet
      psnet.ahrq.gov/issue/guideline-implementation-team-communication
      October 15, 2014 - Commentary Guideline implementation: team communication. Citation Text: Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

4225. Medication orders with future start dates: how far away is too far? | PSNet
      psnet.ahrq.gov/issue/medication-orders-future-start-dates-how-far-away-too-far
      March 15, 2022 - Newspaper/Magazine Article Medication orders with future start dates: how far away is too far? Citation Text: Medication orders with future start dates: how far away is too far? ISMP Medication Safety Alert! Acute care edition. July 14, 2022:27(14):1-4. Copy Citation Sa…

4226. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. | PSNet
      psnet.ahrq.gov/issue/sources-and-types-discrepancies-between-electronic-medical-records-and-actual-outpatient
      July 19, 2023 - Study Sources and types of discrepancies between electronic medical records and actual outpatient medication use. Citation Text: Orrico KB. Sources and types of discrepancies between electronic medical records and actual outpatient medication use. J Manag Care Pharm. 2008;14(7):626-631…

4227. Unintended errors with EHR-based result management: a case series. | PSNet
      psnet.ahrq.gov/issue/unintended-errors-ehr-based-result-management-case-series
      April 29, 2018 - Commentary Unintended errors with EHR-based result management: a case series. Citation Text: Yackel TR, Embi P. Unintended errors with EHR-based result management: a case series. J Am Med Inform Assoc. 2010;17(1):104-7. doi:10.1197/jamia.M3294. Copy Citation Format: DOI G…

4228. Preventing unintended retained foreign objects. | PSNet
      psnet.ahrq.gov/issue/preventing-unintended-retained-foreign-objects
      January 25, 2023 - Sentinel Event Alerts Preventing unintended retained foreign objects. Citation Text: Preventing unintended retained foreign objects. Sentinel event alert. 2013;(51):1-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

4229. Risk management, or just a different risk? | PSNet
      psnet.ahrq.gov/issue/risk-management-or-just-different-risk
      April 12, 2011 - Study Risk management, or just a different risk? Citation Text: Freer Y, Lyon A. Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

4230. Overcoming human barriers to safety event reporting in radiology. | PSNet
      psnet.ahrq.gov/issue/overcoming-human-barriers-safety-event-reporting-radiology
      February 09, 2022 - Commentary Overcoming human barriers to safety event reporting in radiology. Citation Text: Siewert B, Brook OR, Swedeen S, et al. Overcoming Human Barriers to Safety Event Reporting in Radiology. Radiographics. 2019;39(1):251-263. doi:10.1148/rg.2019180135. Copy Citation Format: …

4231. How do community pharmacies recover from e-prescription errors? | PSNet
      psnet.ahrq.gov/issue/how-do-community-pharmacies-recover-e-prescription-errors
      November 04, 2014 - Study How do community pharmacies recover from e-prescription errors? Citation Text: Odukoya OK, Stone JA, Chui MA. How do community pharmacies recover from e-prescription errors? Res Social Adm Pharm. 2014;10(6):837-852. doi:10.1016/j.sapharm.2013.11.009. Copy Citation Format: …

4232. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet
      psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
      April 03, 2017 - Commentary Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. Citation Text: Lum TE, Fairbanks RJ, Pennington EC, et al. Profiles in Patient Safety: Misplaced Femoral Line Guidewire and Multiple Failures t…

4233. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-intensive-care-results-multinational-sentinel-events-evaluation-see-study
      March 03, 2011 - Study Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Citation Text: Valentin A, Capuzzo M, Guidet B, et al. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Intensive Care …

4234. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. | PSNet
      psnet.ahrq.gov/issue/disclosure-medical-errors-ethical-considerations-development-facility-policy-and
      August 30, 2017 - Commentary Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change. Citation Text: Henry LL. Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture ch…

4235. The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. | PSNet
      psnet.ahrq.gov/issue/relationship-between-patients-perceptions-team-effectiveness-and-their-care-experience
      June 08, 2011 - Study The relationship between patients' perceptions of team effectiveness and their care experience in the emergency department. Citation Text: Kipnis A, Rhodes K, Burchill CN, et al. The relationship between patients' perceptions of team effectiveness and their care experience in the…

4236. ASHP guidelines on managing drug product shortages. | PSNet
      psnet.ahrq.gov/issue/ashp-guidelines-managing-drug-product-shortages
      September 06, 2023 - Commentary ASHP guidelines on managing drug product shortages. Citation Text: Fox ER, McLaughlin MM. ASHP guidelines on managing drug product shortages. Am J Health Syst Pharm. 2018;75(21):1742-1750. doi:10.2146/ajhp180441. Copy Citation Format: DOI Google Scholar PubMed Bi…

4237. The nature of adverse events in dentistry. | PSNet
      psnet.ahrq.gov/issue/nature-adverse-events-dentistry
      November 01, 2023 - Study The nature of adverse events in dentistry. Citation Text: Tokede B, Yansane A, Walji MF, et al. The nature of adverse events in dentistry. J Patient Saf. 2024;20(7):454-460. doi:10.1097/pts.0000000000001255. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 X…

4238. Standardised proformas improve patient handover: audit of trauma handover practice. | PSNet
      psnet.ahrq.gov/issue/standardised-proformas-improve-patient-handover-audit-trauma-handover-practice
      October 19, 2022 - Study Standardised proformas improve patient handover: audit of trauma handover practice. Citation Text: Ferran NA, Metcalfe AJ, O'Doherty D. Standardised proformas improve patient handover: Audit of trauma handover practice. Patient Saf Surg. 2008;2:24. doi:10.1186/1754-9493-2-24. C…

4239. Cognitive bias in clinical medicine. | PSNet
      psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
      February 20, 2019 - Commentary Classic Cognitive bias in clinical medicine. Citation Text: O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-232. doi:10.4997/JRCPE.2018.306. Copy Citation Format: DOI Google Sch…

4240. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. | PSNet
      psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
      March 13, 2024 - Commentary Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. Citation Text: Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…